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Home My WebLink About1200-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE: OF' OCCUPANCY No...Z..RSb~3... Date .............. 8el~t;-.. ~..., 19 -67- THIS CERTIFIES that the building located at . I]/8 .Be, eh. P, oad .......... Street Map No. ~ ..... Block No..:r'~ ....... Lot No. x:~...~,~enpo~tt. I~,~, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... I~ep.t .1 .... , 19.6.Q pursuant to which Building Permit No.. 12.00. ~- dated ............. ~elo~;. · .6..., 19.60, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . P=lYai;e. ore .family. rlwelli~.~ ...................................... The certificate is issued to . ~l'~tr~ .~tl~y. ..... ~ .......................... of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) Building Inspector FO]~3~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPAR'I'MENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) N? 1200 Z DQte ........... ~e~;e,~be-~.... 6.f ................ 19.6(~.. Permission is hereby granted to: Cu~;~.t~.. J....Dav.~ ................................................. .... 26..~.tlaat$c...Ave ....................................... ............ ~l.ue.. ~ol~t~.....t~...~. ............................ to ..er. ec,t..~..c~e...gemz.i..ly..4~el.t.~mg ......................................................................................... ot premises located at .;~/-~..~G~"~O~ .......................................................................................... ........................................................ Gz~eempe.~-.f .. ~..~- .................................................................... pursuant to application dated ........................ .~e~:el~p......~. .......... 19(~..., and approved by the Building Inspector F~e $. 1.0...0.0 .......... Building Inspector SOUTHOLD, N. Y. (Building Inspector)[ Application No...L....)~...~ ......... APPLICATION FOR BUILDING PERMIT : Seotember 1 1960 Date.........*......................?......:...... ............... 19 ............ INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughou,t the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanae of a Building Permit pursuant to the Buitding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees t6 comply with oil applicable laws, ordinances/olnd regulations. ............ ................ .............. .................. (Signature of applica~,~or name, if a corporation) .....Z.... ............. (Address of applicant) State whether appli~:ant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........ C/~r..t,~..$...,,T.....D~Jt~',~s. ~,~..~.~ .~g.~,*~l~ .~., .I.~ ................................... If applicant is a corporate, signature of duiy authorized officer. (Name and title of corporate officer) ? 1. Location of land on which proposed work will be done. Map No: ...~...a~....d.~.....B,..e..a...~..h. ................ Lot No: ....~. ............... Street and Number South Side of Beach Str.e..et~ Greenport~ L.I. Municipality 2. State existing use and occupancy of pr, emises and intended use and occupancy of proposed construction: a. Existing use end occupancy ..................................................................................................................................... b. Intended use and occu,~ano, dwell~ 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition ...... ~ .......... Other Work (Describe) .................... 4. Estimated Cost ............ .~. ~...0~..,0.,.0.0 Fee~.[ 0 (to be paid on filing this application) 5. If dwelling, number of dwelling units ................................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................ 6, If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7, Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8, Dimensions of entire new constraction: Front...~.~...~.~.e,~; ........ Rear ............................ Depth ....2..~....~'.e...e.,~.. ........ H~;ight ....~.~l..f.~e.t~ ....... Number of Stories ...~, ...................... 9, Size of lot: Front ....~....(~...? ................ Rear ..... ~...0..! ................ Depth 220! 10. Date of Purchase .....A..~..g.~...s..t..,.~l..~9..-~..0.. ............... Name of Former Owner .,,G.~..~.~...C...~.~.~...I~I,....~. ....................... 11. Zone or use district in which premises are situated ................ ~i.~..~ ........................................................................ 12, Does proposed construction violate any zoning [ow, ordinance or regulation~ ......... .~.O. ...................................... · Curtis J. Davis --- 26 Atlantic Ave. Blu~ Poimt~ L.I. 13, Nome of Owner of premises ........................................ Address- .................................. ~rso~l ~-v ~",~ Nome of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor...0....W~..,.e.~. ..................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether inter~.~, or coj.~er lot. STATE OF: NE_W~.Y~ORK, ! S S COUNTY OF ~[~'~ ........... ) ' ~ above named. He is the ........~ ........................................................................................................................... (Contractor, agent, corborate officer, etc.) of $~id owner or owners, and is duJy authorized to perform or h~ve performed the s~id work ~nd to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth Jn the application filed therewith. Sworn to before me this ~o ~- ~ '~ ~ ~ ~ Pubhc, "