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Home My WebLink About954-zNO. 4 TOWN OF SOUTHOLD BUILDING DEFAI~,TMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...Z..,~.~'.~. ......... Date ......................... ..~, ....... ~ ........... , 19.6.0.. THIS CERTIFIES that the building located at .~.~-.~.~...~.~.~e ......................................... Street Nassau Point Pro~ xxx o ~07 & 208 Cutchogue~ N.Y, Map No ......................... Block. Iq& ........................ Lot N ................................................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ~l'arYt~Ia~. '].~ 19..,~.0, pursu,a'nt to which Building Permit No...~...9~. ............ dated ................. i.....~..~..~...~..~...~.~'......,]'.!~ ...... 19..~...0..., was issued, and conforms to all of the requlrement~ of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ ............. ~ ~ ~.~ .¢.-....o. ~.~ ..La, mS ~z...dw~ .z..z..$~ ............................................................................... This certificate is issued to ,,,~.~,e..,,~,~,..~,~9,~.Q~..~. ........................................................................ (owner, I esse~o..r,,,t~ ~an t ) of the aforesaid building. Building Inspector FOI~M 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.° 954 z Dote .................... .~.~......~.. ................ 19...1~..... Permission is hereby granted to: ~....:.. ~rL...~.. 2~.~z ................................................. .......... .~...;_.m~.....~L...~e;~L.!~....~... ............. to .. ~. u. ~e. itim~..em..e~.. ~.e~....e~.. ~...~1. ....................................................................... ....................................... l/~...~r~.~.....~lum~..~t,~ ........................................................... ....................................................... ~~.....~.-.!.-. ......................................................................... pursuant to application dated ............................ ~.~1~I~........~.. ............ 1 .9~......., and approved by the Building Inspector Fee Building Inspector FORI~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLF~RK'S OFFIC[ SOUTHOLD, N. Y. Examined ~....~;.:..~Z......../..~.~.... 19..(O.(> .., :. . .?. .:.:. : . ?. ......... Approved ............... [~' .................. , 19...!.!..Permit No. Disapproved a/c :..,.....~.....,m ............ ':.':) ............... c:~ ............. /~ ......................... //,, ...................,,...m,.~..~,,:~:l....: ................................. (Building I[~specto r) APPliCATION FOR BUILDING Application No .........~.. ~i'..~.( ........... 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 ava.liable 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 issuance 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 lows, o,~r~es and regulations~.~_~ :7 '~' (5igrlatur (Address of ~pplicant)- State whether applicant is owner, lessee, agent, architect, dngineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate, officer) 1. Loc~on o~ I~n~ on which proposed work w~ll be ~one. M~p No:~..~.~.~.~ ............................ . Municipali~ .grate existing use and occupancy of premises and intended use and occupancy of proposed construction: : £xisting use and occupancy 3. Nature of work (check which applicable): New Building A d'tion "A1teratl n 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 of existing structures, if any: Front ........~...~. ............ Rear .,..~...~..../. ............. I Depth....'~'..~.. ...................... Height ....... ............ Number of Stories ..~.h.~....~.~ ................................................................................. / t Dimensions of same structure with alterations or additions:-- Front ~...~ ............ Rear ~....~..~ ............ Depth .....~Z ................... Height ....~.~ .................... Number of Stories .~.~.~...~..~.~ 8. Dimensions~f entire new construction: Front ...... ~ ................... Rear ....~..~ .................. Depth Height ...... j~ ................ Number of Stories ......~.,~,.~: .............. 9, Size of lot: Front ..~.~.~.~ ........... Rear ....~.~.~,.~ ............. Depth ...... ~.~..~..( .......... 10. Date of Purchase ...... L.~.~ ................................... Name of Former Owner 11. Zone or use district in which premises are situated......'~'~.~.(.~l.~.(]..~.(..~.'.~ ...................................................... I ~ ~ ..... 12. Does proposed construction violate any zoning law, ordinance or regu arian ......................................................... 13. Name of Owner of premise~.~.~...~...~.~ ...... Address ~4.~.~l.~.~..~5.{~.~.~.~hone N~me o~ Arch~toct .............................. x .................... Addross ................................. ~hono NO...~ .......... Nome o* Contr~ctor~.~. ..Qr ~.~ ............... Address ~.~ .¢....{~.4..~.~. Phone NO ..................... PLOT DIAGRAM Loc, re cleorly ond d~stinctly oH buildinos, whether existln~ or proposed, and indicote oll set-b~ck dimensions from propm'ty lines. Give street ~nd block numbers or description occord~n~ to deed, ~nd show street homes ~nd indicote whethor interior or comor lot. 5(T.A~E-'OF NEWJ~O~K,~/.e~/ ) S S ..,/..~/,./~¢;~.~.,.~9¢...~..¢(,,¢,,¢_,4~ ............. being duly sworn, deposes and says tha~he is the applicant ~ (Na~o~ndiv~ua[ signing appH~) 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 ~re true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed th~wi~ ........... A~. ..... day. of ........ ~ ........ Notary Public, ~.~f.~f~..~;~f~l~~m437950O (Signature of applicant) Comm'sgio~&xp "C I, a~cll 30, 196~ FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Exomined ......... .Y..., Approved ................ · .................... , ,,...t'...Perm,t ......... .................. ............................. Application No ......... .~..~..?.2L ........... APPLICATION FOR BUILDING PERMIT 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 ava.ilable 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 Buildin, g Department for the issuance 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~/...~.~ .~.....~...'.Z.~...~~.and regulatio~.~.N2.... · ..... ~ ~(St'gnatur~,i6f applicant, or name, if a corl~ora~~) ............................ .............................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 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 be done. Map No~'-/...~...~.~....~..e..d..'/.L0...~ ............ ..~ Lot Street and Number ~.r.(.~(~.~...~.~:~, .~.~o Municipali~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~ ' . a. Existing use and occupancy b. Intended use and occupancy ................. !.( ............................................................................................................. 3. Nature of work (check which applicable): New Building .................... Addition .................... 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 of existing structures, if any: Front ...... ~..~.. ............. Rear .....~....Trz.. .............. Depth ........ ..~.. .................... Height ...... ~.~..~. ............. Number of Stories ..~.~.~.....~...~.~....~.~ ......................................... , .................. ~ I ~ ....... Z~ ............... ~ ~ ~s.....~..~.~ ............... 9. Size of lot: Front ..... ~.~.~..(. ........ Rear .J.~.~ .................. Depth ..... I.....~ .............. ]0. Date of ~,rc~ase ....... J.~..~.~. .................................. Name of For~er Ow,er~.~...~.~..~ ........ 11. Zone or use district in which premises are situated...~J..~.J..~l..~..I .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... ~ ............................................ 13. Name of Nome o* Archite*t ........ ~ ............................. Address ...U.Ur.~.~..q..Stg.4~.~Pho~o ..................... Nome of ContractorCt**~ OrlO~ h ~ Address ~,L~C[0 ~)Ue'l ~ ['hone NO PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ail 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 Jot. ... OF NEW YORK )S S Y OF ....... ' ' ~.~.'....~'...~.~...~....~....~..~./~.~ ......... being duly sworn, deposes and says that5he is the applicant above named.~He is the ........ ~.~.~.~.~.,...~ ........................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is drily authorized to perform or have performed the said work and to make and file this application; that oil 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 in t~e~pplication filed t~er~i~ Sworn to be ore m /~/~ ~ ....... Desidin8 in SufJolk County ~ ~ f / f / ............. ;[ .......day of ....~..; ......... · ~-~/~ . ) m~ o J - Mar h 30,[g~J . . Notary