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Home My WebLink About958-zFOl~i~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY Z 618 J~ne 14 19 60 No ......................... Date ........................................................ , ........ Map No ......................... Block No ......................... Lot No ................................................ ................... Conforms substantially to the Application for Building Permit heretofore filed in this office dated January 15 19..~.0.., pursua'nt to which Building Permit No. Z 958 dated Jan~/a ~'y 18 ............................... :: ....................... 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 ................ ~RIVATE O~E FAMILY D~TM. LLI~G (own~y, lessee or tenant) 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? 958 Z Date ................. .~..~!..~..l~..... ~.8. ................... 19..6~_ .... Permission is hereby granted to: Joh~ ~auer.....fL/.0.. ~.e.u~a'.t/~..b ... £::L~..~ ~,, .................. .~r.~.e,~.~ f~ ~ ....l!...L.. ............ ~ ................................. to ..... t/Ui.~l. ~t,a..a~ t~lon..on..an., exi~kiag.. ~eLlfn~ .................................................................... at premises located at ~/.~ Ktlal-~p i~Za~- -~P ~ha~i~lit'~ ~;~..5.O.-., 5~ ..... .................................................. Ort~e~r.~,,....liJ, .............................................................................. pursuant to application doted .......................... ~l~lttlill'~....~l,~. ............... ~9.(;~..., and approved by Building Inspector Fee $_5,.011 .............. FORM NO. I Examined .... > ....'f~...~..%.. ! ~ Approved .................................... , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19..:.....Permit No. ~- ~: :"~' Application No ......./...;,/....",~. · ............. Disapproved O/C ............ .,::. ....... :::::'.:.:l ......................................... (Building I~spector) 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 o Building Permit to the applicant. Such permit shall be kept on the premises ava,flable for inspe.ction 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 laws, ordinan,ces and regulations. / ' ~"~/ (Signature of applicant, or name, i o corporotiom //,/ (~(j/ (Address of applTtjr76nt) - State whether applicant,is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Marne or'owner of prom/sos ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. ......................................... · ............... ~ .............. ~ ......................... ~' <~L $~', c ~ ~%~"~'' / (Nome and t.tle of corporote, officer) ? ~ . s t 1. Location of Iond on which proposed work will be done~,Z,Z_..O.f ............... / ....... - ....... Lot No ..................... ....... ............................................................. " (J U Municipality' '" '~ 2. State existing use and occupancy of premises and inter~~ccupancy 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 ........... ~x Removal ................... Demolition ' Other Work (Describe) .................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ..........J. ............... 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 tvoe of u~, 7. D,mens,ons of ex st ng structures, f any Front ~ i.~. Rear ~2 ~ De~-'- /-/~ Height~.~..Q.....F.'.q..K..~ .Ih..&... Number of Star es D,mens,on,~a~m,e..structure w,th alterrat,ons or ,add,t,ons: Front ....~....~..~ 8. Dimensions of entire new construction: Front //L; / Rear /(-~ ~ Depth . r:~ Height ~ O'~..L?..~:~... Number of Stories ............ ../. ................. 11. Zone or use district in whic~ premises are situated...~44~t~ ........................................ ~ ................... 12.. Does proposed construction violate any zoning I~w, ordnance or reau at on~ 13. Name of Owner of prem,ses. ,. .Address .~J.~. ..... ~h~one NO. Nome of Architect ~..~,..~ ....... ~_:_.:.:. ............... Address ..~.~ .................................. Phone NO ..................... ~ P.LOT DIAGRAM " ' ..... Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all Sell-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. ......... ~-~.. ........... ~ .............. being dully sworn, ceposes and says that he is the applicant '~1 (Name of individual signing application) obove homed. He ,s the ................... (Cantractor,N~q.ent, corparate officer, etc ) / of said awner or owners and is duly authorized to perform or hav~ performed the said work and to make and file th s appl cation; that a statements contained in this application are true to the best of his knowledge and belief; and that the wark wdl be performed m t~r:s~t~o m the a h t ~ ' '[,,~_~' ' ~t~' pp 'ca ion filed therewit~ Sworn to b~re me~ ~:idl~,~; fil ~t'ul]olk ~.%nntv / ' ' Glks. No 5 ....... r" .. ~ ............ Notary(gu~i~.~.:..~..~.:_.~.E..E..~.....~ ....... County ' ' (Signature of applicant) FORM NO, 1 TO%VN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK~ OFFICE $OUTHOLD, N.Y. Approved .................................... , 19 ........ Permit No ................................. Disapproved d/c ;' .,. (Building I~spector) 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 o detailed description of layout of property must be drawn on the diagram which is port of this location. c. The work covered by this application may not be commenced be.fore issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issu~ o 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 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 Ragu at OhS, for the construction of buildings, additions or alterations, or for removal or demolition· os herein described. The applicant agrees to comply with all applicable lows, ordinances, and regulations. · (Signature of applicant, or name, if a corporation) 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. (Nome and title or corporate officer/ ;-, ~, · L 'd~, ' c/, x .,E ~ 1. Location of land on which proposed work will.be done. M9p No: ..... C;c.z..~.z~..:.Z.~.,k~ .......... Lot No:.~ ........ :~ ........ ' ¢ u Municipali~ 2. State existing use and occupancy of premises and in e. Existing use and occupancy use end occupancy of proposed construction: b. Intended use and occupancy Ad Alt pUlldin~/ ,,. dmon era ...... ~,emoval .................... Demolition .................... Other ~Nork (Describe) 4. Estimated Cos4/~....X+(.....~,.~....;,,~....~, .......................... 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 ~cupancy, s~cify nature and extent of each type of use ........ ~..,_'.,;'~ .............. 7. Dimensions of ex st ng structures, f any Front ~ '~ Rear :~ ~ ....... De~th ~ ~ Hei ht ~O/ ~ ~b ,. . g ~umDer of Star es .................................................................... ........................... Z;7.... .......... D mens ons of same structure w th o terat ohs 9r add f OhS Front ~/, ~? Rear ~,.~ / r ') .......................... . Depth ~ % .......... Height ~..,..[ ~ ........ Number of Stories ...... ¢ .............. 8. Dimensions of entire new construction: Front ....... /,,C~..~ .......... Rear .......... /. .............. Depth .......~..E ............ Height ~)' '~ ~--;~ Number of Stories / ....Date of Purchase ~k'( % ~'~ ~ ~ .................... ,., , ,--ame ,f Forme.__ ~ner .... ~;~ zo. o, ,,. ,. which ........................................ ..................... 12. Does proposed construction violate any zonigg (ow, ordinance or r~gulotio~% ....... ~.~.~ 13. Name of Owner of ,,emises.¢.~.~..Address ...~ ..... Phone Nome of Architect ................................................... Address ........................................... Phone NO.. ................ Name of Contracto~.~'" ................... Address~.~-- ......... Phone NO.~ ~ PLOT DIAGRAM Locate clearly ~nd distinctly oil 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 c~me.r lot. ?~UN.TY OW ~///¢:7.,,Z,...~, ' L (Name of individual signing application)t.~f.~ ]"--v~ ~ /'~ .~:,~.~.. ~) . named. He is the .................................... ~'"":~;;'"~~,~ur u~,,c,, u9~ , ~ 'c~~;~'''¢ ................... ] owner or owners and is duty authorized to perform or have performed the said work and to make and file Jplication; that all statements contained in this application are true to the best of his knowledge and belief; ~t the work will be performed in th~ ~t,~(g~e application filed therewith. ~. . y ........ ; .......................... ubl~, ~,~-~.~..~ Co y ~ (Signature of applicant)