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Home My WebLink About999-zTOWN OF SOUTHOLD I~UiLDING DEPARTMENT TOWN CLERK'S OFFICE SOU~HOLD, lq'. Y. CiERT1FICATE OF OCCUPANCY THIS CERTIFIES that the building located a~ ....~q/.~.... V.:~.~.i~l!l.a.,.I)I,* ......................... Street. ~ap No....~(iA~ ....... Bloci~ ~o...~.....Lot ~'o..~ ........ .S.,.0.~.~..0..l..4.t..,..~,'.~.: ....................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............... ~.:~a.'.'~9~l..,...].:~ ........ , 19.~..0... pursuant to which Building Permit No../~.~.9.~ ............ ' qated .................... -~..~.~.~..~.. ....... ~.9.., 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 .............. ,P. y;[~..~:%,~....o.,r[e,,,~, a .m. tly,. ~t~e.lling, .......................................................................................... This certificale is issued to ..~...~.~..~...O....~_~... ................ ~.,OL.~...O...~..). ............................................................. (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~I NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS F~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION 'OF THE WORK AUTHORIZED) N.° 999 Z Dote ...................... ~ ....... ~9. ........... ] 9~... Permission is h~reby granted to: l¢aae.,~...~ ........................................................... · ~..~t...~ ................................................. ....... l/lay.../tho~e r....;b ~, ................................... to .1~t$.1d. · .n~w.. ~n~ .. g. am:t 1.~ ..~,wa~l~g ..................................................................................... at premises located at -W/.S.....U.~,~.t,o=~.-~.;~e ........ (.Ig~C~,~$~,O..~,.~,.). .................................... ................................................. · ~th~d.r ....]/~, ~., ............................................................................ pursuant to application dated .............................. ~..~.~'h.....].~ ............ ~9~0.., and approved by the Building Inspector Fee $"'~O,~O0 .......... TOWN OF BUILDING DEPARTJ~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved t~ 19 ........ ~ermit Mo...r ~isopproved o/c ../..~ 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 tot and of buildings on premises, relationship to adjoining premises er 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 co:mmenced 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 in.spection throughout the progress of the work. e. No building shall be occupied or used in whole or in port for any purpose whatever until a Certificate of Occupancy shah have been granted by the Building Inspector. APPLICATION IS NEREBY 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, os herein described. The applicant agrees to comply with all appllcable laws, ordinances and regulations. ........... ......... .................................. · . .., (Signature of appJieont, or nome, if o corporation) 66 West Lane, ~.7 Shore, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises .......... ..~,~,.,.g..~ .................................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate, officer) Location of land on which proposed work will be done, Map No: ............................................Lot No: .................... Street and Number W/S V:l. oi~oz,~ta Drivel 6301 N/O Main ~view Re~d..II~v~:l.,~w.~m~t.h~nl, Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ?aean~ b. Intended use and occupancy Olle Family Restde~oe , . ........ wu,cn ap,plicable): New BuiJdin~ .......... *Z ....... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ,..I,,~.~,.0.0. O.~.~,O. ................................. 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 ................................ ! ..... ~..1. ................. Depth ....... ,~,~. ................. 8. Dimensions of entire new construction: Front .......... ~'? .............. Rear Height 15"61 Number of Stories ......... .~. ..................... 9. Size of lot: Front ....... ~,,.0..(~.I. ....... Rear ........ IL0.0..,00 ...... Depth .......... 10. Date of Purchase .,~./...~..~..../,.~..0, .................................... Name of Former Owner ..... ~(11~',;~ .................................. 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... ~.~. ......................................... 13. Name of Owner of premlses,.,..~..t~.~Z'.,?.,,~-.,&,.~-.~ ............ Address .~...~...,,~.,., ,~..~..:..~...1~,.,~.~_.O..~..~t. Phone NO..,~..0...~'~,,0..0..~.,~ Name of Architect ................. Address Phone NO. Nome of Contractor ...... ..~....~..?.~. .................................. Address ....... .~.~..~..I. ......................... 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 description according to deed, and show street names and indicate whether interior or corner lot. see att. STATE OF NE~'O,I~K/ ,-~/ ) S S '' COUNTY, OF/~Z-~.~..) ' ' /k-~_.....~.. :~,~...~. be ng duty sworn, deposes and soys that he is the applicant (Name of individual signing application) above named. He is the ........................... ~~ .................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners and is duly outh¢ized to perform or have ~rformed the said work and to make and file this application; that a~l statements cantoned in this~application a(e true to the best of his knowledge and belief; and that the work wilt be perfor~d in~e manner~ fort~th~appHcation flied therewith. ........................ Notary PuNic, .~~~ ............... .f¢,r~. ,~rch "o, Z',, (Signature of applicant)