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Home My WebLink About1044-zFO,R,~ NfO. 4: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEBK'S OFFICE SOD"THOLD~ Iii, Y. Temporary CERTIFICATE OF' OCCUPANCY THIS CERTIFIES that the building located al .(.l~l;..Ro. ad.)...Nlme~e.ta..Rd .............. Street Nassau Point Prop Map No ...................... Block No ..................... ]hot No. 201 ........ Gut¢.hogue~......I~,Y. ...................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................. A1)Ief~L.... a~, ..... 19..~0. pursuaut to which Building Permit No...;~t,(~t~e ......... dated ..................... ~1~.~.~,~.....~;~ ..... 19...~0, was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy fro' which this certificate is issued is ............ .P, ~i..V...a..t..~ ...~..n.~ .. La...m..i...lX.. ;!s~e:~ ling ................................................................................. : ........... This certiflcale is issued to ....~t)tl0~.....F],~llll~ilill~ ........ (0Iqll~l~.) .................................................. (owner, lessee or tenant) of the aforesaid building. FOR,~ 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? 1044 Z Dote ............................ A]P~]......~, ........ ] 9.~...~... Permission is hereby granted to: Bake/:' & ~eke~s~en....~C....~o~o~.a..~ .......... to ..~u&Xd...a.. ~e~..one..2~X~..~ueZX~& ............................................................................... ot premises Iocoted ~t ....~..~..~...,.~&~..~O~...~b..~. ...................................... ................................. ~e~e~&..Rea&~....~s~aa..~ ........................................................... ~atehogue~ ~.~. pursuant to opplicotion doted ............................... ~.....~ ........... ]9.'6~., end epproved by the Building Inspector Fee $1~,,0.0..t~m.. ~hee. k Building Inspector ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD', N. Y. Application No.../....o....~....~. ........... 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 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 Certificafe of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanae 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 o Iterations, or for removal or ~demolitlon, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) ............ ~~..~...~...~../.~ ....~...: ....... : ..................... (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................. .............................................. : ........................................................................................ Name of owner of premises ....................................................................................... If applicant is a corporate, sigqature of duly authorized officer, (Name and title of corporate officer) I. Location of land on which proposec~ ~york will be~gpe. J~A~p No: ./.~.~.~...~....'T....~... .................... Lot No: .~,..~.!../. ....... Street and Number ....~..~..~/../~'.K~..Z~'..~......'q',~..i~.~..,' /~ ......... /;.~.'~...~..~...~...gL) ............................... .~..,7T. ~'~ .(,/.. ..~.. .................................. ~/-/o ~ ~',~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. E~sting use and occupancy ....... ~,.......r..../.'~..Z~..,..../,.~-~..~;/......~-... ;~'~..: ................................................................... b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building.....i~...~ ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .......... ~...~r.':~....~ ........................... 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 7. Dimensions of existing structures, if any: Front ............................ Rear ....................... ~,.,,.,J~e~pth ..... : ...................... Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construlction: Front ...... ~.~.~. ............ Rear ...... ~/~..~....~.~ ......... Depth ..~..~.../. .............. Height ,~.~...~....~..:....-- Number of Stories ...~...,~ .................. 9. Size of lot: Front ......~....*'~..~...~ ...... Rear ....... ,~.~t~..~ .......... Depth -~.~'.~'~.&.~..~,~.~' ' 10. Date of Purchase ............~...~.,~.,~.. .......................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....... ~,~.t,~.~.,~:4l..~.'.~,.~;-~...t,~ ........................................ 12. ~ Does proposed construction violate any zoning law, ordinance or ~egulation .... ,~/..~ ............................ ~..;~...~... Name of Architect .................................................... ^..Address ............................................ Phone NO ..................... Name of' Contractor.~.~/.~.~..,~..~..t.~.~.~..l~'~J$~dress ....~..~.~.,.4.:,~j..~.:~'~..P~h~ne NO~,,~,.~.~,~..~.~,.g rpLOT DIAGRAM ' Locate clearly and distinctly oil bud ngs, Whether existing o~ proposed, and indicate all set-back dimens OhS from property lines. Give street and block numbers or d~scr~phon accotd~n~g to deed, and show street names and mdmote whether interior or corner lot. ~' '~,~'~ ~. ~r, ...... STATE OF NEW YORK, ) S S. COUNTY~,r~,~,__ ~,~ .' ~" , ''OF ....~ ...................... ('Name of individaol signing application) above named. He is the..',~...~¢:.../..../~......~.....¢~.....~,....."~.. ........................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners,,and is duly au. tho~riz~.d 'to perform ,o~, have p_erformed the said work and to make and file this application; that all statemef~ts ~Ontained-in'this appHcohon 6re true to the best of h,is knowledge and belief; and that the work will be performed in the manner set forth in the~l:~plication filed therewith. Sworn to befor~ me this /~;~4~,~ , ~ "'~'[ J . ...~..../. ~ day of ............. ~ .... 19~:.~ ,,. ~,~.~"~K~E~?~,n,,ature of appl cant) Notary Publ c, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFF~CE SOU'i~HOLD, N. Y. Examined ......... .~f?~......~:...~... 19...~...° ,-' · .... Approved ........................................ 19 ........ Permit No ........... Disapproved a/c ......... '~c~~~" Application No.../...O...(.?..~ ............. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRLTCTIONS a. This application must be complete!y 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 appl'icant. 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 Certificafe 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 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 applicant, or name, if a corporation) .......... ~.~'.~~C.~'::~.....~...~ ....... ~ ..................... (Address of applicant) State whether applica? is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, s gnature of duty authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ../.. ........................................ Lot No: .~..~.../......:. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 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 .......... .~,..~ .................................... 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 .............................. 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 ...... ..-?...~¢.....¢. ......... Depth ...~.....~...r. .............. Height ..~.~-..~.....~'.:.... Number of Stories ..../...,.-~.'. ................. 9. Size of lot: Front .......Z'....*~....¢...~ ...... Rear ....... .,¢~.;..~..~ .......... Depth ..~...¢f'.~...~..~..~...:~.~ ~ ' 10. Date of Purchase ............. ./....~...~..Z~...: ........................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....... ,~...~...~.:/' .,~..~.~..'.ZT.~,:..~..~....../'~... ....................................... 12. Does proposed construction violate any zoning law, ordinanc~.~o,~,,~gu, la_ti_on~..~.~.~ ........................ 13. Name of Owner of premises,,~-~..~...~7.~...'~/...~./..M....~.......Address .,f~...~.~.~...~..g,.:~......~..,..Z~..,,. ...... Phone NO...m'~,.z.,~..~..~.) Name of Architect ..................................................... ?..Address ............................................ Phone NO ..................... Name of Contractor.~.~../.~'.~/~...~...~.%.4..q/...C.&?.~.,L.~A'~dress ,..._~..4...~..ZZ~..~...~.....~.~....'k.?.~.,.Phone NO~..~....~'.:..~..*~.$..,z 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 accgrding to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ) S S. COUNTY OF .... ., ...................... .~ ,...,4~.~.~..,.~~...,~-~.,~,,¢~,,~. ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the.....~.... '.~Z.,Zi...~...,?,~....~'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 contained in this application are true to the best of his knowledge and belief; and that the work will be performed Jn the manner set forth in the app~ation filed there~th. ~ Sworn to before, me this , ~.~ ' ~~ ' .... ~... day of ........ ~, ......... 19..~,; Jum~H~0~ (Sgnature of app cant) ........... ,, ff ff ~ ~ Rota~ Pu[~lic, State of New YOrK k, * D kl' ~x~'¢ ~,~~ ~f~o 52'0344963 Suffolk County