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Home My WebLink About1219-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ...... ~..3,:~&], ........ Date ................... ~l'a J~l~y'"~J~ ............ , 191~'~'" THIS CERTIFIES that the building located atJ~...[~.~.~'..~.e,.~,..,l~:ugJl~l~l~..~.~llJ'~et S~uthold Mop N~.~ ................... Block No ......... ~.~.~ ....... Lot No ................. ~.~ ............................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ .~..~.~..~..~....~.~..1:.....~..4.. ......................... 19..6..0.... pursuant to which Building Permit No~...~{~..... dated .~tt'{~'"~ ...................... , 19..~0., 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 .......... ........... .I~,,i*V~,'~.. O~'~g.. ~,~I~1Z.~,,Y...0'~ L~T, Z ~'G .................................................................................... th,s c~rt, f,cote ,s ,ssued to ........... ~"'~"~"*",~:'. ,.~.~:';'Z~:~'.~-,,~- ,-~- .~.,~,,.. ............................... of the aforesaid building. FOI~FI 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? 1219 Z Data .......................... Permission is hereby granted to: F~anaia.. ~.ehr.i e~er. ........................................ ...... ]~ay...~er...A~.e ........................................... ................ .~ou~ol~ ............................................. to ,.. ,B~i tc~ ·, -e:n,- ad ~i,tian ,,¢~n,, ~n--e.~is-ting- -~e,l,l-i~ ...................................................... at premises located at .Ba.~..hLa.ter...A.v,e..&Ne, komi. s...Road ............................ :: ............................. ..................................................... .~ o.u.thold ....................................................................................... pursuant to application dated ......................... ~G~,r...-.~ ........ ]9~0..., and approved by the Building Inspector Fee $--.~.~.0(~ ............ Building Inspector FOlt~l NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ ~.....~..~( ........ 19...ES Approved ........................................ 19 ........ Permit No......¢~....i...~.....f...t ....... Disopproved o/e ............................................ ................. ......................................................... APPLICATION FOR BUILDING PERMIT Date ................... ~......~.......[ ........... 19.....~..~... 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 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 throughout the progress of the work. e. No building shall be occupied or used in whole or in p art 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 appllcable 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.~ ~'x ~/~ '~ r ~ ....... ......... .............. ~.g~.~.~....~ ................................. ~ (Address of applicant) 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 proposed work will b,e done. Map No: ........... ~ .............................. Lot Ng: .................... 2. State existing use and occupancy of p~emises and intended use end occupancy of proposed construction: b. Intended use and occupancy....~..~'~.~.~/....~:;:7. .......................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition ....,4~ .......... Alteration .................... Repair .................... Removal .................... 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 and extent of each type of use .............................. 7. Dimensions,.~,, ,°f ~xisting structures, if any: Front......rEK.'.~. ............... Rear .....~.~.. ................. Depth ......~c.....~.. ............... Height .....~.....- ................ Number of Stories ....... ~ ......................................... ~; ................................... ? ................. ......... Z ..................... Rear ................................ Dimensions of same structure with alterations or additions: Front ~ / Depth ...'~.~.....0...." .............. Height ...... .................... Number of Stories ...........~ .................. 8. Dimensions of entire new constraction: Front ........ ..~.....d....~ ......... Rear ....... ~,...q:~.¢. ........... Depth / Height ~2.. .................. Number of Stories ...... (. ...... ! 9. Size of lot: Front ........r......z. ............ Rear ....,...n. ................. Depth ........................... 10. Date of Purchase ...... '.~.....t~......./... ........................... Name ~of Former Owner ..... . ..........................~ ................... 11. Zone or use district in which premises are situated ............. 1~i' .............................................................................. 12. Does proposed construction viola_J,e any zo~.ing/f~w,/}ordinance,~r-,~reg~igbg? ......... ....................... .. ....... 13. Name of Owner of premises.'..~...~..S.~....~...'.~ddress~.~~.~,~,,~,~ ~ .................. Phone NO...~......~.....~...3 Name of Architect .......... "~....w..~.~-...~--~. ..................... Add ress ............................................ Phone NO ..................... Nome of Contractor .......................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distlnctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW,---YO[?,[~,~ ~r ) S S COUNTY OF ..~-tY~,~../tzt4~...~:(.....) ' J/J/ ~.~...'~..,:' (?~?Y~-: ~'~ ~.....be ng duly sworn, deposes and says that he is the applicant ..................................... r':': ........ :'~": ............ :._.........,._.1 ..... (Name of mdw~dual s~gn ng apphcat~on) above named. He is the .................. ~ ........................................................................................... (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; andswornthatto beforethe workmeWillthisbe performed~ in the manner set forth in the application~/,,~,,~filed,.~therewith.~2,..~,,~ ,,,,,~,,~, 19..?...~ · ' /_' ........ ...o'Z...~ day of ,....~ ....... '"~""~/"~'~, ";v ....... .... ,,m'm_'f. apphcant) No a,y Pub,,c,'