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Home My WebLink About1212-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...~....~.~L THIS CERTIFIES that the building located ct .,~a..~..~.~.~.~...~...~.~?..,~.,L...~..9.~.~.?..~..~.. ............ Street Map No..O...~..W.~...~..~.~lock No ................ ?..~.? Lot No ................... ~ .................................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................... ..~..?~,..~..?~..~,.~.....~..~ ................. , 19....~..0.. pursuant to which Building Permit No ........... .~.....~212 dated .......................................... , ........... , 19 ......... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ PR/VATE ON~. FAM/J~Y D~LLING The certificate is issued to ..................... .G...~..g....~..?..e Henkel, owner (owner, lessee or tenant) of the aforesa'id building, Building Inspector FOP~l~ NO, 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1212 Z Date ..................... Permission is hereby granted to: G.W. S~ttk.~..Non..A/C...Gns.ta.~..Hinkle ................. ............ ~ ou.tho.l.~ ................................................ to ...]~ui.l.d...~e.w.. one..f, aml.l¥...d.~el.!iag ................................................................................... at premises located at ..... O~k.~OO~..~?J~%~ ......................................................................................... ................................................ ~O~thOl~t.....~.o.~., ............................................................................. pursuant to application ~lated .......................... ~te~tb~,~......]Jt ...... 19..60., and approved by the Building Inspector ~ T~'" Bulldin~ Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved o/c ........'~w% .......................................................................... Application No ..........,~.. ~ ./..~.z. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~ -"~'/'ff ~ ~ ............. ....................... INSTRUCTIONS a. This opplicotion must be completely filled in by tvpewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing Iocotion of lot ond of buildings on premises, relationship to odioining premises or public streets or oreas, ond giving o detoiled description of Ioyout of property must be drawn on the diogrom which is port of this Iocotlon. c. The work covered bv this application moy not be commenced before issuonce 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 throughout 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 Building 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable lows, ordinances and regulations. . . . · (Signature of applicant, or name, if a corporation) (Address o'f/opplic~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises..~...~ ........................................................................... if applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which~/~~g£°p°sed work will be d~one. Map. No: ............................................ Lot No: ...~ ......... Street and Number ...... ~~...~~~ ......................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Ex,st,nguseandoccupancy ............. ;7)":"::::,""5 ....... ........................................................................................ property lines. Give str,¢et ~n~d block whether interio, r 0~: corhet" [~t: 3. Nature of work (check which applicable): New Building ....... ../~...........Addition .................... AIteratio~n ..... ~ .............. Repair ................ .~..Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ......... ./..~7.~....-~:~'... ............................ (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 construction: Front......~....~Z......./. ........ Rear ...... 4.....~2~....~ .......... Depth .......,-~.....~.. ............. Height ............................ Number of Stories ............................ 9. Size of lot: Front~. J.'/'"'O'"'~'""~'"'""," Rear,....Z...~...~... .......... Depth ...~....~.~..~.. .............. ]0. Date of Purchase .._,417...~,,~/1...~..".~L...~.~,..~....I).: ...... Name of Former Owner/t~r~m'~'~,-,~....~'...~..,c:..z/~c..... Zone or use distriC~ in//''~which premises are situated......~_~. ~:..,~° ............................. ~j ................................... ../ ......... 11. 12..E~obs~ propb~bd constructi0n v, iol6te any zon'ing law, ordinance ,~r regulation? ...~ ......................................... 13. Name of Owner of premise~~...~Address~.~._..~...~....Phone/,.~.__'~.-,,,'/V,lt,~t,~' NO ..................... Name of Architect ....... f .............. ;_:,/~,.~.,~. ....... ~i....Address ~....:..;~.:~.;~.~.,Phone NO ..................... ""~' ~a~n"e ~Jf' ¢o~rb~ct0r~...:~:,.,~ddre~s -~-'.~Phone KI0.'......,.; ...... :, :'. ~', ......... ; PLOT DIAGRAM ,, Locate,clea,r,l,y ,and, dmtmc~ly all ,buildings~ ,whether, ex isting ar'proposed~ and indicaterall set-back dimensions f,rom n,umbers or description according to dee~,,~nd show street names and indicate STATE OF NEWz~COR]~,/ / r;,/, ) S S CO, UNTY OF ~..~., L~t~&/...~:....) ,, ' ....~... ........................ ..~...~.~ ................... being duly sworn, deposes and says that he is the applicant ' '(Ndmeo, i ndividual~:~~ ' above.~am~drr~ is tke.,.7.,...Kv~~,~ntractor' agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this appli6ation; that al 'afafements 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 in th~appli~ation filed therewith. Sworn to'before/me this .... ~ ' , (~~ ~ ~