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Home My WebLink About1001-zSUpr~RVISOR'S OFFICE 16 South Street Greenporf, N. Y, TeL Greenporf 7-05~0 BUILDING DEPARTMENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. TOW~N CLERK'S OFFICE Maln Street Southo)d, N. Y. Tel. Southold 5-3783 BUILDING I'NSPECTOR'S OFFICE CERTIFICATE OF OCCUPANCY 'No. Z68g Date Jtme 27 Ig60 Th~s certificate is issued to ~ed C;oning~b~ of the aforesaid building. THIS CERTIFIES that the building located et I~//R~ ar~mp H~t~o~a Street, Map No.-.~ , Block No. ~ ,Lof No. ~ H~ttit~tek in %he Town of Sou*hold, conforms subsfanflaJJy fo the approved plans and specJf~cefions?ere+o~ore filed office with Appllcafion for Building Permit dated ~h 21 I~ ~, pursuant fo which Building Permit No. ~ ~ nnl , dated Hct,~h ~ I~0 , was issued, and confbr,ms +o all of the require- meats of the applicab~ provisions of the law. The occupancy for which this certificate is i~s~ed is P~ivat~ nn~ f~mi]_y d~el~in~ (owner) (owner, lessee or tenant) ·" Bui~ldlng inspector ' - ~ The Certificate of Occupancy will be issued only after the Building Inspector ~s convinced of fh6? compleflon of fha construction in comp~ance with the Multiple Residence Law ,and with other laws ordlnance~ or r~e the premlses, and in conformity wlth ~'he approved p'Ja~s and specifi¢~t[ons.~ ' . . [ gulaf ons affechncj FORM 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? 10ol Z Date .................... ~'~,Qh,,,. 2iL ............... 19~0.., Permission is hereby granted to: A.Reillf~... &..~om.... A/C.....F~d.. Con.l r~§~b¥ ........... ........... ~.t t~.t. tu~k.s......N~.~.~ .............................. to ... ~uild.. lle.~., one...f~a~.~F...d~ell~g .................................................................................. at premises located at ...W/(~.....(~a,1~ll~..l~e~.~..~c~ ........ ("-.~o~[.~...~D~.,~.e..). ..................... .................................................... t~; ¢,~.~tek.~. · · · · If,.~., .................................................................... ............................ 1~.~,~41]~....~t ............... Ig~Q.., and approved by the pursuant to application dated Building Inspector Fee $..tO*,OO.....~id ..... '~"~"t~'"B u ild ing Inspector FOI~M NO. 1 Approved TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ......... Application No...~ .~...~..../ ................. Disapproved a/c ...........(-,-// ~// ~/ ~ ~'/'"'~'"'"'"'"'~'~-'~'~' (Building Inspector) APPLICATION FOR BUILDING PERMIT gate ..................... 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 drown 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 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 issua.nce 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 and regulations. ............ .......... ......... (Address of applicant) State whether applicant is own~,~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of promises ................................................................................... If applicant is a corporate, signature of duly authorized officer- -. (Nome and title of corporate, officer) ]. Location of lend on which proposed work will be done. Mop No: ........ ~ .......................... Street and ~umber ............... ~ ........ ~..~...... ....... Municipality State existing use and occupancy of prer~i~.s, and intended use and occupani;~/ of proposed construction: a. Existing use and occupancy Vc:z~ c' c~J/ ~ b. Intended use and occupancy ......................~.~...~ ................... .......................................................... 3. Nature of work (check which applicable): New Building ......... ~ ....... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... .~.'~,~k, ....... 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 ................................ 8. Dimensions of entire new construction: Front ........... /-~..(~ ........ Rear ......... /,q..(~ .......... Depth .....~..¥ ................ Height ............................ Number of Stories .......~/~ ......... 11. Zone or use district in which premises are situated .............. ~.[.".....b/~,~.~,..~ ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... 13. Name of Owner of premises. :/~.~,,.:t~.... ,~ab¢.~-,.,~,~, ddress .......................................... Phone NO Name of Architect ~Address .......................................... 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. STATE OF NEVA %ORI~ I ) S S COUNTY OF ,~-~/,~..~.(,~....), ' i~l.~....../../.......~/,~.~.~.l..(~.,.~,,~/..~/v,.)~¥~,~,~.....being--/'/"-- ,~'~ ,~/) O /me °f in~vi~ Sgning app~c}i~)' . . .,~ duly sworn, deposes and says that he is the applicant above named. He is the ................................ Z~:Z~'::::~ - .................................................................... Contracto~, 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; and that the work w I be performed n the manner,~t forth n the application filed therewith. Sworn to before me th,s Notary Public,. .......~...~.~Z..~~ ..... County (Signature of applicant)