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Home My WebLink About1022-zI~OR~ MO. 4 TOWN OF SOUTItOLD BUILDING DEPARTMEI~T 'IDWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY September 5 61 No. ............ Z 1130. ........ . ....... Date ........................................................ , 19 ....... THIS CERTIFIES that the building located ati!/..s.....C..e...n.~.r,,,a,,,1, l IVlap No.' Ca~t:,,litdd.~,~.~l;.~ .......... Block No. ..... .*...*...*. ........... Lot N'o ..................................................................... 94 conforms ,~ubstantially to the Application for Building Permit heretofore filed in this office dated .............. ..~..p..~.,i.~.....4.. .................. 196.0.... pursuant to which Building Permit No. ~ 10212 dated .......... Apl:t.l 4 19...6...0. was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is PRIVAT~ 0~E FAMILY D~ELLING ~ssued is ~ ~eter Leschuck~ owner This certificate is issued to (owNer, lessee or tenant) of the aforesaid building. Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1022 Z Permission is hereby granted to: P. & F. ~ullder$ & Contractors Southold & ~&ttituck~ ~{e~ York ,.a./..c....~.e..~.e.,,r...~.e..s...e.~.~.~.e.~. ...... ~ ............................. pursuant to application doted ................................. A.l~.r.../..1.....4. .............. 19...6..0..., and approved by the Building Inspector FOP~i~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N, Y. Disapproved a/c .......................................... [~,~: ......__:: .: ~.. APPLICATION FOR BUILDING PERMIT Dote.-~. ...................................................... ~9..~.~ ..... 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 port of this location. c. The work cowered 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 o Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuonae of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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 a_nd regulations. , ~z> ~,,zDEZ~,~' ~b,~,,:~4:~ (Signature of applicant, or name, if a corporation) . . . .:. .:. ., .,. : . .:. .,. C .:,. . :>. . . . . . . . . .:. . ./. . . . . '.:. . . (Address of applicant) (/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~ ~T~-/"C" .,~... ,~,-:.~ ~ ~ (2 ~ If applicant is a corporate, signature of duly authorized officer. .n- ...... .................. 'i~'~'~T'~ 'fiji[ ~f"~';~'orat~ aff~cerl 1. /ocatian af land an w~ich proposed wark,will be dane, M~p No: ............................................ Lot No: .................... Street and ...................... .......................... Municipality 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: a. Ex,et,ng use and o eupancy ............. ...................................................................................... b. Intended use ond occupancy ......... ~z'/:Z.......C':f~ .................................................. , ...................................... 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 .............................. 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 .. .......................... Depth .~. ~...~..~..~. ......... 9. Size of lot: Front ..........~....o...~ .......... Rear ..... ?....~...:.~.,/...~ .... Depth ../.. .:. . ' 10. Date of Purchase ........................................................ Name of,~ ,~ /~ .'Farmer Owner ........................................................ 11. Zone or use district in which premises are situated ............. .~../...~.,4~......-1.~¢:~__.....: ................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~. .................................... Name of Owner of premises .4"~....z..~..~.. ....... Address ~/~..,.~,..~, ....... Phone .xt~J ..................... 13. Name of Architect ff~..'?....~.......~. ..................... 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. ~, ~/ __.------ J STATE OF NEWyOR~,..~ff ) S S . ..................... ~.~..~....~.~ .~..~ ..................... being duly sworn, deposes and says tha~ he is the applicant (Name of individu~ s~!gning application) ' (Contractor, agent, coqborate officer, otc.) 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 forthjt/~kt]h{~ g~jcation filed therewith. Sworn to before . 52 0344963, SuI o k Count ~i~..dayme thiSof ............ ' '~ Notary PublicExpiresState 0f New York ,~./~'..~........./,'..~.~,,,s~,~, ,a,c, 9o, ~j,~,,.a~ure of applicant) ............ .....