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Home My WebLink About1220-zl~OR1V~ ~o. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWI~ C~ERK'S OFFICE SOUTHOLD, N. ¥~ CERTIFICATR OF OCCUPANCY ,TH~S CERTIFIES that the building located at ]~./.~. Thl~e~a~l~a L~II~ Street ~ vr~.en.t by the Sea ................... Map No ........................ Block No.....~ .......... Lot No....~ ........... .0...~...~..e..rl..,~..~........~.~..Y..~ ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................. ~.~.~.~]$.~.~.......~ 19....~_0. pursuant to which Building Permit No....Z.~.~...~...0. ..... dated ..................... ~.e..P...t..e.~?.....~.,~19.~.0..., was issued, and conforms to all of the require- ments of the appiicable provisions of the law. The occupancy for which this certificate is issued is ..... . .p.~..~r..a...~..~...o. ~....l.~ .~...~. ~ ~.~..~..w. ~.~..~. ~[..17. g ............................................................................ This certificate is issued to .~...a.~.~...~.~......I~...~...~...~..~..~ ............. ..0.~.~...~..~.. ........................................... (owner, lessee or tenant) of the aforesaid building. FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS P. ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1220 Z Permission is hereby granted to: pursuant to application dated ........................... ge]~&e~'De~.--..;~ ...... 1960..., and approved by the Building Inspector ~ee$..~O,.(~)...ivd..check' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTFIOLD, N. Y, Disapproved o/c ........................... ~ ~~'"'""'"'"'"~'"'"'":'"'""'"'"""/ (Building Inspector) Application No ......... APPLICATION FOR BUILDING PERMIT 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 drown on the diagram which is port 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 o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanae of o 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, os herein described. The applicant agrees to comply with oil applicable lows, ordinances and regulations. ......... ....... ............................... (Signature of applicant, or name, if o corporation) (Address of a~plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ ............................................................................................................................................................ Nome of owner of premises.:~ ..... ¢~.].,f~ ........ ~ ............... If oppl~~ j~2~e_~~~of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ~.~Z...~.~ .................. Lot No: .............. ....... ......... .......................... ...................................... Municipality 2, State existing use and occupancy of premises and intended use and ~cupancy of proposed construction: a. Existing use and occupancy ......... ~,..~ ...................................................................................................................... b. ~ntondod uso ond occuponcg ............................................................................................. 3, Nature of work (check which applicable): New Building......,/~,-. ...... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... /,~.~.,~.,,0, ......................................... 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 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 ................................ ' ' o" ...... !2 %~'-/~" 8. Dimensions of entire new construction: Front......Z~,/,5,:Z../. ........... Rear ~ ./,.~.,.':~,.. Depth ............................ }freight ..... ,/...~.. ................. Number of Stories ...... ~, .................... ,, 9, Size of lot: Front ......Z..~,.~..~ .......... Rear ....,/,.,~,,,0,,,.,,~, .......... Depth ....... ,/,,i~ ........... _~ )0. Dote of Purchase ........................................................ Name of Former Owne,r .,...~,~,,~,,,~,,, ,~;? ....... 11, Zone or use district in which pre,mises are situated ....... (~,,./ .,~,.~.~, ................................................................ · , , . ~ ~¢' ,, ~_~:~_~ ~'~, 12. Does proposed constructron vlolate~/ ,,.'~/~,~'~any zomng law~zoJ:~9~,n?e,~o,r x~,~gulxgt'on ................................................. 1~. Name of Owner ~f pr~mises..r./..~.~:~.,~.'.~.~ress .............. ............................. ~hone NO ..................... Name of Architect .................................................... ....Address ..................................... ....... Phone NO ..................... Name of Contraetor. K..P".,..,~./.i(.-c~,~...,g/.Z¢./..-2~.~,~ ........... Address ~.¢.¢',.¢e4~.../~.~..,'~?.. ',Phone,NO ..................... ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or descrij)tion according to deed, and show street names and indicate whether interior or corner lot. / 2--~ ~ STATE OF NEW~u~(~,...,} S S COUNTY OF .,.~;~r~....'~'E-..J'~!.....) ,,-,/ ', . ................ . (Name of indlviduaf sBning application) above named He is the ~ i~ ~. ....................................................................................... . . ......................... ~. ......... ~Contractor, agent, corporate officer etc.) of said owne~ or owners, and is duly authorized to ~erform or have,performed the said work and to make and f Je this application; that al statements contained in this application are true to the best of his knowledfle and belief; and that the work will be performed in the manner.set forth in the ~pplicatlo~fHed there~th, . Sworn to befor~ me this N~ ?~T~ r ~o , ~ t I1~1~, 8ta' KEN ........................ ~ >* ~"~ '~ '"~'"~"'~ ~x~ ~'j~