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Home My WebLink About1050-zF01'~3~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No Z 64.0. Dote o'~me 14 10 60 THIS CERTIFIES that the building located ot ..~..~[t~.ee, l:,...~o.t,l~2b, g,l, cl ................. Street Map No. eeo Block No. *e* Lot No. *ce conforms substantially to the Application for Building Permit heretofore filed in this office dated April 25 60 19 ........ , pursu.a'nt to which Building Permit No. Z 1050 dated .................. .A.~..Z'...$.~...2.~. ................ 19....6...O., wa.s issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ BUSINESS BULLDZNG This certificate is issued to DaVlel Rothman, o~ner (owne. r, lessee or tenant) of the aforesaid building. FOI~i~I 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? 1050 Z Permission is hereby granted to: G.W.Smith & ~.o...n. fl......~...C........D..a..v...i..d...._..R.~..t.~ .................... Main gt .......... .~.o...u.3~.o..z. ~.....~:.[.. ................................... to Build an addition on an existing buildt..~. at premises located atI~/s Kin ~ 8outhold% pursuant to application date~ At~I ~ ~0 and approved by the Building Inspector FORH NO. 1 TOWN O.F SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam~ned.....:...t?. .......................... 19 ........ Approved ........................................ 19 ........ Perm t No. ~.?..~..~...? ...... Disapproved a/c ......./......../..:.~, ................ ~ .~ . .~...~.. ~.; ........ ................................. !:: ...... ............. ......... ................................. Application No ............................. APPLICATION FOR BUILDING PERMIT Date ............... ~?. ........................................ I y ............ iNSTRUCTiONS a. This application must be completely filled in by typewrite~ or in ink and submitted in dup,licate 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 p art for any purpose whatever until .a Certificate of Occupancy sha~J 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 So~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 all applic.abie laws, ord~ and regulatio~ ure of opplic~nt, or n~me, ~f ~ corporation) ................................................ (Address o{ ~ppfican~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, si~5~re of duly~.guthorixed 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 ~..z.~.~] ............................. ~ ................................. Mum~-Kpallfy '; 2. State existing use and occupancy of pr~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~¢~..'~-*¢~.~ ....................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... (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........-R~. ..............Rear ...... ~...~. ............... Depth .....~...~.. ................. Height ....... ~..P. ............... Number of Stories ........ ~ ............................................................................................... Dimensions of same structure with alterations or additions: Front ....... .~.......'~:n. ............. Rear ................................ Depth ............... '.....----. ......... Height ....~.-. ....................... Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... .,~....2~.. ........... Rear ....... ~....~ .........Depth ..,~,.¢. .................... .... ./..2~. ................ Number of Stories ....~ ........... Height 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Date of Purchase ........................................................ 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? ..... ./...~... ....................................... 53. Name of Owner of premises..~~ddress ..~~... ............. Phone NO ..................... Name of Architect ......................... ~ ............................. Address .--,;;~.....~j.~; ............. Phone NO ..................... Name of Contrac/,,~..¢.~'~/~r~r..~Address (~...~.y...Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly ali 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~¥OI~I~, ~ ~ ) S S ........... ~~,4,.: ........................... being duly sworn, deposes .and says that he is the applicant (Nome of. individual si,~g,~ a,pp~~ above named. He ~s the ............... ~~.S¢.F.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 iq,~is,gpplication are true to the best of his kno~edge and belief; and that the work will be performed in the man~t~_in the application filed therewith. ~ ~/ Sworn to before me this __ ~e~/~'F, ~t~a~'~ ~ ~ // ~ ............ o, ............. Nota~ Public, ~.ZB..~~.County ~'~b ~ ~o ~ ]