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Home My WebLink About1020-zTOW// OF SOUTHOLD BUILDING DEPARTMENT 'I'OWN CI~ERK'S OFFICE SOUTHOLD. H. ¥. CERTIFICATE OF OCCUPANCY No.-' Z'"~:0'{'? ...... Date ......................... ~eh.....~.6 ........... ~9...6t THIS CERTIFIES that the building located at...Cre.su.en~c...&. Mon~auk..-A~e.- Street Map No....~.X~ .............. Block No ....... ~ .......... Lot No.-~{~..~K......F.i.~h~l,~...]~g~]~lq~].m.. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................... ]41~tl'~}lq......~O ...... 19...60 pursuant to which Building Permit No...~020 ..... dated ............. ~I'~;['"'"][' ...............19.60., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...l~t.v~t~...olle-..i'~mi.l:y..diwe]:.l.:~rlg. ................................................................................ This certificate is issued to ..)[~l'.:~y..~¥...~aiqg]~)q~f:~ ............ ~ ....... (.o~I~e~'.) ...................... iowner, lessee or ~enant) of the a~oresaid building. 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? lO2O'Z Permission is hereby granted to: ~.~...g.,....~.~'~/~ .e..t;.~.~, .................................... . .............. ~.,.Z~ ................................ to .............. ~Za...~...~..t~..~e~Z~ ........................................................................ pursuant to application dated .......................... Ma,,~.=h....~. ................ 1~{~...., and approved by the Building Inspector Fee $]LO,,.C~O....-... ~ald Building InSpector TOWN O'F $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLDL N. Y. Application No ........./~.. ;d.. a ?: ...~.. .... ~ ~.~, / (Building Inspector) ~'~' APPLICATION FOR BUILDING PERMIT 2.O, ................................... 9....6. ..... 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, relotionshlp to ~djoining premises or public streets or areas, end giving e detailed description of layout of property must be drawn on the diagram which is part of th~s location. c. The work covered by this applicetion 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 BuiIding Department for the issuance 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, as herein described· The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applic~b~, or r(-d'me, if a corporation) ...... ............................... (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OwneL~ · · }~ r ~o C. Zanf~aevtm Name of owner or premises ............ ; ........................... : ............................................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) l. Location of land on which proposed work will be done· Map No: ............................................ Lot No: .................... ~treet and Number ...... ,C.,o.~.r.n.e.~ qz, e. soent and .Z~!.o.;G.~p..l.t~f...~y.~, ............. 2. Statue existing use and occupancy of p~emises and intended use and occupancy of proposed construction: "lB, Intended use cad .... ~-~ ............................................. *~ ......................................................................... 3. Nature of work (check which applicable): New Budd'ng....L: ............. Add't'on .................... Alteration .................... R~pair .................... Removal .................... Demo[itlon .................... Other Work (Describe) .................... !~'~ . ~ · 4. Fstimated Cost .......... k, a.Q. QQ. ........................................ I-ee ................... ~ ...................................................................... (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 ............... ~.O.~.~ ................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature ond extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................... ' .............................. Dimensions of some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................... t .... 8. Dimensions of entire new construction: Front...~...q ....................Rear ..~.0. ..................... Depth ......~.~ ................... Height ........ ~.~.~ .......... Number of Stories 9. Size of lot: Front ..~.0.7./I,.~ ............ Rear~.,~'.O..~...~.O.~ ..... Depth ..~Q.Q ................... 10. Date of Purchase ~SO.~.~O~.~?~e~ ~,,R '1c).~3 ........ Name,,of Former ~,~,,~All.)O~?~/ 11. Zone or use district in which premises ore situated A 12. Does proposed construction violate any zoning law, ordinance or regulation? 13. Name of Owner of premise~.~,~g...g.~...~/~.~.~.~,~ddress .~.:[~,~tf~.~...~i.~9,D,~ ......... phone NO.[;~g .............. Name of Architect ........................................................ Address ............................................ Phone NO ..................... Nome of Contractor ......... .~...9.~...~. ................................. Address ............................................ Phone NO ..................... PLOT DIAGRAM kecate 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 NEV~ YOP~K,~/}~ ) S S COUNTY OF ~..~(~.?.K.c:..:.....) . ~!...~,~.~...~...~.~,~f~ ............................. being duly sworn, deposes and says that he is the applicant (Name of i~x;i~ua]~i'gning-a~pltcati°n) above named He is the..,......~...~....~.::...~..~..9- ......................................................................... : ......................... ' U (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 oil statements contained in this application are true to the best of his knowledge and belief; and that the work will be pecformed !n the manner set forth in,,the application filed therew~hroHht Sworn to before me this '~' ' ' ( I ~'':' ~ ' 'r ~ Notary PI~I)~IC, State oi Ne~',' York ....... ~../. .......... day o r~ ...... .,, ................ f~ ........ ,..~f19 ............ t~,gnar~rr, ~L~_,,s]BgLxp,rc)s~j.~.~i~.~ja ,can ' ' Notary Pub' c/~/.'~ ....................... ~: .......... County ~'~ ~' -) ~)~'/ ~4'~/~'' TOWN OF SOUTHOLD BUILDING DE?AETM[NT TOWN CLERK'S OFFICE $OUTHOL~ N.Y. Examined ........... ~...../. ........ 19..~.~ Approved .......... .~..../~_..z~...~.../. .......... 19.~.fi/....Pe rmit No ........ ~.~.~.~:~ Disapproved a/c ................ ~:~'~' ;~'j~:zZ_' Z" 7 "'_'r :~'~" "~" '-';:zZC .... ........... .... (Building Inspector) ~/~ Application No .......... · ./..?.'..~... APPLICATION FOR BUILDING PERMIT D- ~a 60 INSTRUCTIONS a. This application must be campier, ely 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 before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shah 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 Certificat,e of Occupancy shall have been granted 'by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildln¢ Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Sou'thold, 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 oil applicable laws, ordinances and regulations. ....... .............. .. (Signature of applicant, or'ama, if a corporation) ...... ............................... (Address of applicant) 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 of corporate officer) 1. Location of land on which proposed work will be dona. Map No: ............................................ Lot No: .................... S~ceet ond ~umbec ............................................................................................................. ; ......................................... Municipality 2.~'State existing use and occupancy of pr,emises and intended use and occupancy of proposed construction: b. ,Intended use and occupa cy .......... ~;..: ................ : ............................................................................................. 3. Nature of work (check which applicable): New Budd'ng.....X ............. Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ,~lO. O0 4. Estimated Cost ....... .1..2,,0.0.0. ........................................ 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 ............... .~g.~f~ .............................................................................................................. ' ..... 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...~...0. .................... Rear ..]~.0. ..................... Depth ....,~.~ ................... Height ........ .~.(:?.,:~ .......... Number of Stories ..... ..2: .................... 9. Size of lot: Front ..~,.0.7.,~ ...........RearA.,g~?.9.~...~.~.0.~ ..... Depth ..20.Q ................... Jullett Septembe~ 22~ 1F)~.3 ....................................................... 10. Date of Purchase ........................................................ Name of Former OwnerAlbert/., 11. Zone or use district in which premises are situated,...A.....~..e..fl.1...cl;..°..~.l..~ ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... .~...0. ......................................... 13. Name of Owner of premises[V~'t~...~g.,~..~,aZ~.t~,ddress .2~iSZmZt~...Y~.~Ct, ......... Phone NO.~-~-,~ .............. Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor ......... ~..e..]....~. ................................. Address ............................................ Phone NO ..................... PLOT DIAGRAM Lacate 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 occerding to deed, and show street' names and indicate whether interior or corner lot. See Attached ~,~ap S ATE OF NEW ¥OR , S S. COUNTY OF ............................ ~)~ ' '/.~.~,,x/~,/Z~ .~., ,~. ~,~)....u~.'.X..; .................................... being duly sworn, deposes and says that he is the applicant above named. He is the ...........~.k~ ........................................ ~..~~....~..~>~~.. (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 are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application f~'edOtH'~f6~h. Notmy ~ ul~h,', S[,itr~ PI New York ....... ................. ? zAe. .... z;'