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Home My WebLink About1217-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOI-D, N. Y. CERTIFICATE OF OCCUPANCY No. ~ 1948 Dote ~ , THIS CERTIFIES that the building located at ..t~.~,~..,~O~t~$a~,~'..,~,'~.~U~',~ Street Map No.~ ................ Block No....~ ............ Lot No ................... ~. .......................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated Se~er 19 19 60 pursuant to which Building Permit No. ~...~.~:~.. dated ...~.e~.~..~0 .................... , 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 .......... This certificate is issued to ~eo~e~ D~G~ O~ (owner, lessee or tenant) of the aforesaid building. Building Inspector TOVqbl 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? 1217 Z Dote ................... ~ e.~ t,~,~he:r..... ,20 ....... 19_6.0. Permission is hereby granted to: Kenneth..~h~>ld..-A/~--.F.,~.ne...C~'.e ~.t,, .l)~s.. e ............... ,.~c~u¢. heZ¢¥.... ~ ~,. ............................ to ...... ~..l¢-t .. ~n...ad~ .Lt,~ eh.. en...a~ · .ex..~ ~¢ i. ng... d~e.l.t&~ .................................................... ot premises located at ...N/~..~me~..V:J:e~...hve .............................................................................. .............................................. ~a~¢he id. ~......N.,.~ ~ ............................................................................... pursuant to application dated ............................. 8epCeml~,z,..~.9 ...... 19..6.0., and approved by the Building Inspector Fee $...~o~QO ............. FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined...~~~.~l 9..~4.~. Approved.~~&..~..,9.~.°...Perm~t ~o ...... ~.~¢Z Disapproved a/c .,.~ ......... : .......................................................................... (Building Inspector) ~ ....... APPLICATION FOR BUILDING PERMIT Dote ........... ~..~.?.~, ........... )...~. ............... ,9...~..~... INSTRUCTIONS a. 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 Jot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a d~tailed description of layout of property must be drown on the diagram which is part of~fhJs 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 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 issuanc,e 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ............. '.. .................. (Signbture of applicant, o~me, if a cC~n) . M Y. .......................... i'X;id;e~'~"o:~'a~'ii~';~ii' .............................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................. ~.~.c.~5. .................................................................................................................................... Name of owner of premises......,~,.il~.~,.C.J'::,,'~..,,~,,, ......... ~,.,.,,~,,,.~,,.,,~,,.~, ............................................................................... If applicant is a corporgte, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which'.proposed work will be done. Map No: ............................................ Lot No: .................... Street and Numbe ..... y',.-. .................................. ~ .................................. *....)...~.~....~ ........ Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: o. Ex,sti,~useandoccupanc¥ ............... g.C~..~.r3.¢..~,.~..~...r....~,..~ ........ ~.,..)..~ .................................... b. Intended use and occupancy ............. .~..~..../~ ....... .~. ........ I. . ....................... 3. Nature of work (check which applicable): New Building .................... Addition ,..L ........ Alteration .................... Repair .................... Remo,,val .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ................... '~ /~....~...?.?.. ............................ Fee .......................................................................................... (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 end extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front. ,~ I ........................ Rear ...... 3..~ ............... Depth ...... Y.~. ................ ' Height ....... ~..~. ................ Number of Stories ............................................. '"'i .......................................... i ................ Dimensions of same structure with alterations or additions: Front ...... ~' Rear ...... .~..~ .................. Depth ...... .~..m. ............... Height ........ /.../e..'. ............... Number of Stories ............. /. .................. ....... .,?r..,: ................ Depth ............................ 8. Dimensions of entire new construction: Front ......... ~..O. ........... Rear ' Height ............................ Number of Stories 9. Size of lot: Front /".~D~ ............ ? ............... 10. [Date of Purchase ................ .)..~.~.~,. ............................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .................. ~ ........................................................................... 12, Daes proposed construction violate any zoning law, ordinance or regulation? ....... ~.~..: ................................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... blame of Contractor .................................................... Address ............................................ Phone NO ..................... ocate clearly and distinctly all build ty lines. Give street and block num~ ~r interior or corner lot. PLOT DIAGRAM ~gs, whether existing or prl ,~rs or description accordin~ p rope[ wheth Dosed, and indicate all set- to deed, and show street nc ~s ~nd indicate / STATE OF NE,W/~N.O.~..~./~.../ ) S S COUNT ......... L L ~ ~ · · . ........ ~W/-..F/-:...~.~ ........... ~'. ...................... b~,,~ d~,~ ~wom, /~- (Name of individual ~igning application) ........ ......................................................................................................................... / (Contractor, 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 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 s~t~ forth in the application filed therewith. Sworn to befor me this ~ ~ ~ ~ ~ ~ No~a~ ,~b~i~, 8tote of New