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Home My WebLink About1032-zFGII~ 1~0. 4 TOWN OF SOUTNOLD RU1LDING DEPARTMENT TOWN CLERK"S OFFICE SOUTttOLD, N. Y. CERTIFICATE OF OCCUPANCY No ..... .~,...6..~.~ ...... Date ......................... ~.lllaa. 28. ................ 19..6.0. THIS CERTIFIES that the building located al .GZto~re,..I~,l?.~M.~t .......................................... Street Reydon Shores Map No ....................... Blook No ..................... Lot No...3..a.....&....:~? ....... ~..o.~'~h~.Z..~.,......~.'..~.'. ............. conforms substsntially to the Application for Building Permit heretofore filed in this office dated ......... ........ .A..~..r...~...~.......?. ......... 19~.0.... pursuant to which Building Permit No..~i..1~),~2 ....... April 12 19...6..0.. was issued, and conforms to all of the requirements ~lated ......... ' ....................................... , ., of the applicable provisions of the law. The occupancy for which this certificate is issued is ..... ~.~.t.,.?....o.n...o... ~..a.~.~ ~y..~.~,.~.r~ ........................................................................................... This certificale is issued to ..... ~:],~.~.r.t..~.,.,.D.~B~till ........ (...o.~'le;r..) ............................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector TOWN OF SOUTHOLD I~U]LDING 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? o32 Z Permission is hereby granted to: J~b~.~..J.,...~eB-m~n...J.r., ................................ . .~L....[{oz.e.. D~l~r~ .............. '. .............................. .... Eas~, .E~ado~t .....L~.I,..... N,I, ................... to....~...~.~.q....~.1 ~.e..?.~ ~ ~.Q.~....~.....~..~. ~ ~..~. ~ .0...~...Q.~....~.....~....~i .~..t,..~ ~..~.~ 9. ~ .~..~...~.g ................................. at premises located at L~t~..~.l~..~..1.9...~..Sho~.~t ........................................................... ........................... (~rcv~..D~.t.v.e~ .......... ~.e:tP~txt s..'::. ~jK~ ........................................................... pbrsuont'to application dated .................................. A~L~.i...I~ ........ 196Q..., and approve~ by the Building Inspe,ctor Fee $..~,,,O~.....pf~.J[l~ '* ~heCk ' FOI~M NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved .................................... , 19,,,~.,,Permit No. Disapproved o/c ( B u i ............................ Application No.....J...~.'[~.'~ .......... 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 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 ava.ilable 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 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. .....................................(Signature of ap~i~'~nt,'v ....................... or name, If: ................. a c~;ratlon)" .............. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..................................................................................................................................................... If applicant is o corporate, signature of duly,authorized officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Map No: .............. ~.:~.../'. ................... Lot No:..../..~..~././~ .... . Street and Number 1' =:/~-~ ........................................ ?Muntcipality:"~' ' .......... ' ............... t'""~' .................................................. ~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy :.~.z.~,. cq , L~-~ ~-~ ~c c b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building .................... Addition .................... AIterat on..,,~, ............... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost JO/ ~ ~) ............................................................ Fee ..~.13 .................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............/. ........... Number of dwelling units on each floor....':Z~ ......................... If garage, number of cars ............ ~ ............................................................................................................................. 6. If. business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ Height ............ ~.~-~..'.~.... Number of Stories ...~.~: ................................................................................................ Dimensions of same structure with alterations or additions: Front .............. Rear ................................ 8. Dimensions of entire new construction: Front '~[ ~ d~[qc~ ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ................................ 9. Size of lot: Front ........ ~;.~L:~.) ........ Rear .......... ~.~:..~; ....... Depth....,....................... 10. Date of Purchase ............... ~,Z .......~.~.~,~ ............. Name of Former Owner ...~%.'.....~:.~.~ ....................... 11. Zone or use district in which premises are situated ........ ~ ........................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ...~,.~'. .............................................. ]3, Name o{ Owner o{ p .............................................................. - ............... ne NO ..................... ~o~ o~ ~ff~ .................................................... ~ ................... (~ ..................... ~o~ ~0 ..................... ~o~ o~ ~o~o~ .................................................... ~ .......................................... ~o~ ~0 ..................... 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 NEW YORK ) COUNTY OF .......................... ) (Name gning dication) ~.~ ~.~ L- Ca(I ,. ...... [," ..'.-' /",~:. .'Lin " . ,// / / / / / / ~' , '1 '~'~ J / ~.~al_pII. ,'~ ..being duly'sworn, deposes and Bays that ~e is t~e applicant above named, He is the .......... ~~ ........................................................................................................................... (Contractor, agent, corporate, officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to maize 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 Sel~AJ~Jr:hL.iLqjgt~:~ application filed therewith. NOT/diY PUBLIC, Stere o~ New Yor~ Sworn to before me this Oualifi~ in Nassau Counly_x5 ~. ~ ~ ~ ' T*~rm [xpires March 30, 19~/ ~ ~ ,/ ......... ~ ............ day of .......... v ........19..4.~ .... FOI~M NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........... .~ ....................... , Approved .................................... , 19 ........ Permit No Disapproved a/c .......... ~ _ __~__,~'""',~v~'~'"-'~'~:;:'~ ........ ~ ~ -.,--,r ~.,,~~'~".''''--''~:;~--~''''':~;~=:'~X~ ............................. ............................ Application No....J...~..,,-)....~... .......... .APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This appJication 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 ava.iloble 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 hQve been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ......................... ............. (Signature of applicafft, or name, if a corp6'ration) 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. (Name end title of corporate, officer) 1. Location of land on which proposed work will be done. Map No: ~Z~/ ............ Lot No:.~..~..¢ ./.~.. Street and Number .~ ~ ~ ~ ,¢5'~/ ...~...~. ................... ....... ........................... ................... ....................................... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~-¢~¢,-~*¢-t.-,44~ b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ............... ..~...,.~.....C~.. ............................... Fee .....~.....~.. .............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...........J, .............. Number bf 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 ................................ - ~, 3 ~ '- O ,I Rear ...... .3,~,i,,',,,O,,iI, ....... Depth ~'~ 7. Dimensions of existing structures, if any: ~-ro Height ~'~' q'~ Number of Stories .. ),!.J...'~.. .................................................. Dimensions of same structure with alterations or additions: Front 33, ~-O n Re~- ~'~ I~o ,/,, Depth ......~...~.~..'7..~.~. ........... Height v"3t % .. Number of Stories ~ ~o~T I 'b 8. Dimensions of entire new construction; Front . ........................... t~ear ............................ Depth Height ............................ Number of Stories ................................ 9. Size of lot: Front ......~.~..:~.t. .......... Rear .....~....~.:~.'. ............ Depth ........... I"/~' '+-.............,.., 10. Date of Purchase ......... .,~...~..~. ...... .~.q..,~..~ ....................... Name of Former Owner ....~.?...p(..~.....~....~..,~..C,.~ ......................... ] l. Zone or use district in which premises are s tuated ..~ ................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? 13. Name of Owner of premises..~...k'.?.~...~.:..d.?....~.~.?.!..N...,Address ..-I...~..,~,.°.~.~...D.~..~...8~..S.~.~?~.~,~,.~'one NO. I.~..~..-...~..~:.o. Name of Architect ......................... t) .......................... Address ~ Phone NO. Name of Contractor .................................................... Address .......................................... Phone NO ..................... PLOT DIAGRAM I.ocote clearly and distinctly oil 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 NEW YORK ) COUNTY OF .......................... ) ............... .~..~......~.::.£~-..,-:i .~ ~. ................... being duly sworn, deposes and says that he is the applicant' (Name of i~ividual~,-~.~, , ~ignmg :~ ~n) above named. He is the ......... .~.~'.~J .............................................................................................................................. (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 ail 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 th~ application filed therewith. HAROLD L. LUDWI~ ~T~Y ~UBLIC, State Sworn to before me this