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Home My WebLink About1031-zFORI~ ~0. 4 TOWN OF SOUTHOLD BUILDING D~:PARTMENT SOUTHOLD, N. Y. CF--RTIFICATE OF OCCUPANCY No .......... ~L..7.5,~. Date ................................ ~T~ii.IF... 2.1 ........ , 19.60- THIS CFA~TIFIES that the building located al .bil!~fOll.. II~J,.V.~...C~li',C~QSItI~ ............. Street Map No..12.34.7--6..... Block No ....... t~.*......Lot No ......... ~-.7...&...126 ................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated April 11 19~.0... pursuant to which Building' Permit No. ~ 1031 ~+~ April 11 , 19 60 , issued, and conforms to all of the requirements of the applicable provisions of the law. The occ,.~pancy for which this certificate is issued is .................................................................. ~R tVA.~tl.. OI~.* .P~I..~T~-~.- 'S~R" RI~I~'tDE'IqE}E .................. , This certifmale is issued to .............1~.O1;..J~..R.~...-~iro~e~...¢~n~z' ................................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS F~ERMIT MUST BE KEPT ON THE PREMISES UN~FIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 1031, -Z Date ....................... Al~i, .~..., ..~.,~ ............. lC).6~.. Permission is hereby granted to: Ml~gley &..~'.t~o~ · ....A/~ -.., .]~e.t~.~..~.y~e]Lel~ ............... .....C~t~u~,.....~.,:~¢,... .................................. ....~il.~..an...~.~!.~l~n..o~..~..e~.~ing...~,~et~fng. ...................................... ~ ............. to at premises located at ....~t~,.,Dz'~g~ ................................................................................... ............................................... ~u~g.ue~......~,,:~.~, ........ ' ................................................................... pursuant, to application dated .............................. .~.;J~ ....... ~. ...... ~....lb~...., and approved by the 'Building Inspector ,Fee $ 5,'~10 .............. Building InsPector FOl~ NO. TOWN OF SOUTHOLD BUILDING TOWN omc SOUTHOLD~ N. Examined ........... ~ ............. 1 ~ ....... Approved....~ ............... 19 ........ Permit No ............................... Disapproved a/c ......... ~,<.~z~. ........... ~,~,~ ................ ~.~JJ,'.' .... ...................... APPLICATION FOR BUILDING PERMIT Application No....x~....~.~...-.~h~. ~...~.. ....... Date ....... LD;~ ~,]L. ...................... /~ ................. 19.60 ...... 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 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 issuanoe of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicab, le 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. ............ ko. . za .).. LT.e.;.. ?Z ..................................... (Address of applicant) State whether applicant is owner, Iessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................. ............................ Name of owner of premises ........... &,~a,..$~.rC.],;i,;F,..P.~....[L!~.O..~e~ ................................................... .' ..................................... If applicant is a corpo, rat~x signature of duly authorized officer. I. Location of land on which proposed work will be done. Map No: ...~¢~2.=6 ........................... Lot No: ..2~...D~..2~.. Street and Number ..}~.o~.....D2~.~.a.~.....D.B~.a~a¢ue ........................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy.,....~.9~.-~;;.~.fl.$.~¢.8.9.~ ........................................................................................ b. Intended use and occupancy ............................................................................................... ~ ................................ 3. Nat'ure of work (check which applicable): New Building .................... Addition .....D2 ........... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4, Estimated Cost ...... ;~.,..0..0...O..,..O..Q ..................................... Fee ..25.°.00. ........................................................................... (to be paid on filing this application) 5, If dwelling, number of dwelling units...~X?&.<,;k..X.X ......... Number of dwelling units on each floor...zCX;z~xx,X~ ..... If garage, number of cars.....~.~.x.~;.:.c.~..:c,.?:.~;2:,;:: ............................................................................................................. 6. IF business, commercial or mixed occupancy, specify nature and extent of each type of use..~;~X~r~:;;~ ........ 7. Dimensions of existing structures, if any: Front...~..0). ................... Rear....~i~)..t. ................. Depth ...~Q.~. .................. Height .1.~.~. ...................... Number of Stories ........... 2~ ................................................................................................ Dimensions of same structure with alterations or additions: Front ....~.~..t. ......................Rear ..~.*. ....................... Depth ........ /z.O.J. ............... Height .....J,3..~. .................. Number of Stories ........... '~ .................. 8, Dimensions of entire new construction: Front....,~.~.~. .................Rear ........ .1,4,? .............. Depth .....2,2J. ................ Height ....,-],3] ................. Number of Stories ....~. ..................... 9. Size of lot: Front ......15.CIL ............. Rear ...1..,3.Q.! ................ Depth .......~'.:~!. ............. 10, Date of Purchase ....~9..3.g .......................................... Name of Former Owner ..~.,r~..L~8.OZl. ................................... 11, Zone or use district in which premises are situated .......... ~..~o~.~ ....................................................................... 12, Does proposed construction violate' any zoning law, ordinance or regulation? rl,~;..:g~..~3r..,tc~l~3,,e.~t~e ...... 13, Name of Owner of premises.I.i'..e..1..~.~....~Jf~.c?.~.e.~.. ........ Address-~.5..]~...~.~..},q.'h~, ................ Phone N(SZ~J~....8...-.~..9..,1. . ~rew York, iq'e~'~ York Name of Architect.2;;¢L'C.,~:EX2bxt~ ................................ Address ............................................ Phone NO ..................... Name of Controctori'~gl.~,g...&~..~OZ'.l~g~ ............. Address~tl.t,a~og.u,%...N...~' ........... 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 deqd,; and show street names and indicate ' . ........ ~~.~.--~. ,~.~/~¢'.(~</~.'¢,,.;d,/2.ZM'...~~.~,,.. be ng duly sworn, deposes and says that he is the applicant (Name of individual signing appl~on) ' above named. He is the ............. ~~~..6~...,~.~'t jr~ ~/z ~. ~/ .............................................................................................. (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 containe,d, in this 6pplication are true to the best of his knowledge and belief; and that the work will be performed in the monnC~rx~, ~okOg~n the,application filed therewith. Sworn to before me this . I'lotar,j public in the Stat0 of New ,,/ ....... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD', N. Y. Examined ...... ~./.-.~. ................ 19 ........ Appro~,ed ......... ~..~......./...... 19..~...6Per mit No .......... · .-~,-~ ............. Disapproved a/c ........................................................... ~.;~r.:::u ............ Application No ............... . ./,...~.....~..o./ APPLICATION FOR BUILDING PERMIT Date ...... Ap~.~, ..................... ~ ................. 19.60 ...... 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 Ictcation.' 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 p art for any pukpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanoe of a BuiJding 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. ..... ................ ............ ...................................... ' ~,~Jdress ar applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........... ~%...Fe.1..~t~..~...~f~'l~' ............................. - ............................................................ if applicant is a corporate, signature of duly authorized officer. ....~..~..,,~. .~:'..~;~ ....... (Name and title of corpora~ officer) 1. Location of land on which proposed work will be done. Map No: ..~:~'~,,~ ................... i ....... Lot No: .~;~'..~..~.~. Street and Number .;~l~lit~....~'~-l......0ilj~hO~[ll~ ......................................................... ' .................................. '-Manicipality 2. ~t~te existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy.....~JJJlli~..~fll~i.;J,~10.~. ........................................................................................ Intended use and occupancy ......... ~ .................. ~ ................................................................................................. "3.~ ~l'¢a{ure of work (check which applicable): New Building .................... Addition ..... ~J~ ........... Alteration ........ "' Repair ...... .'~ ............ Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cdst ...... ~.1~.00.~0.0. .................................... Fee ..... ~J~QO. ........................................................................... (to be paid on fJJing this application) 5. If dwelling, number of dwelling units...;121r, J~Z ......... Number of dwelling units on each f[oor...;ii~:~J'~,~J~ ..... If garage, number of cars....~ .............................................................................................................. 6.' If business, commercial or mixed occupancy, specify nature and extent of each type of use..,~;~lO~ ........ 7. Dimensions of existing structures, if any: Front...~.t. ...................Rear ....~J0.?. ................. Depth ...~¢~1! .................. HeigPff ~,~.? ...................... Number oF Stories ........... ,~ .................................................................................... ;.....-. ..... Dimensions of some structure with alterations or additions: Front ...~!~.I. ...................... Rear ..J~ ....................... Depth ........ ~.~ ............... Height .....~.t. .................. Number of Stories ...........~ .................. 8. Dimensions of entire new construction: Front....;~.~. ................. Rear ........ ;J,/~?. ............. Depth .....,~] ................ Height ....~J.? ................. Number of Stories ....~ ..................... 9. Size of lot: Front ..... ~.~1.t. ............. Rear ...~,~.1. ................ Depth .....3J~¢.!, ............. 10. Date of Purchase .... ~t~.~J .......................................... Name of Former Owner ..JJ~..J~illll~ ................................... 1 1. Zone or use district in which premises ore situated ........... ,~.~,O,lll.~J ....................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? lt, l~...~..ltl~...;I¢~t~lJ~,~J~ ...... 13. Name of Owner of premises~.~J~..~'~,~ ........ Address ~.~..~...~.l~..~J~J, ................ Phone Name of Architect.~ ................................ ^dd~ess ............................................ Phone NO ..................... Name of Contr(~ctorJJ~J,~j4~,lJ~...~..J~ ............. Address(~ll,~l, OJ~tlt.~l'...'J',~ ......... Phone NO. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from ,to de~4/ and show street names an~d indicate property lines. Give street and block numbers or description according whether interior or corner lot.._ ~. _..~ .i,~- .... 1 7¢ ...~'"(~"~~Z2..~.~....i' ;. }-.}.}'-~eing ,cl,uly sworn, .deposes and'says that he is the applicant , '(Name of in~ivldual signing application) .......................... ;" ........................................ ..................... ?'"':'"?" 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 m.annl~O~fsf. O[~j~£in the application filed therewith. Sworn to before me this , , o ,~// .J ~f ~'~ ;~esidi[~S~u[~ Co,mt,/ (Signature of applicant) ............ ' ........... ..... %. uz _