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Home My WebLink About1051-z YOWN OF gOI?THOLD BUILDING DEPARTMENT 'I'OWN CLERK'S OFFICE SOUTHOLD, N. CERTIFICATE OF OCCUPANCY No ......~'"9~'0 ..... Date ...................... Novem~e~"'2~ ........ 19"'-~0 THIS CERTIFIES that the building located at ....................................................... Street P~t. Rd, off Marratooka Rd. IV/ap Xo ........................ Block No ......................... Lot No ................. Mit-t.t!:u~k. .......................... conforms sul~'a'~ntially to the Ap~lica*tion for Building*Permit heretofore filed in this office dated ................................................... 19 ........ pursuant to whick Building Permit No ..................... dated .......:.: :....Ala~&J,...2$ .............. 19150.., was issued, and conforms to all of theZrell~- ments of lhe. a~i~ll{e~leg~rovisions o~(}he law. The occupancy for which this certificate is issued is .................................................................................................................................................. This certificate is issued to~,~.iVAWE..Ol~..FAbliliy..,~,et~g.I~ ~( net, lessee or tenant) of the aforesaid building. Jallles McKelllaa, ownelt Building Inspector FOg~I NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTM. ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL ~COMPLETION OF THE WORK AUTHORIZED) 1051 Z Date A~r~l 25, 19 60 Permission is hereby granted to: Su~[ld an a(td~Lon on extst:~ncj ~welltn9 at premises located ct ................................................................................................................ ............. pursuont to opplicotion doted ................................................................ I9 ........ ,ond opproved by the Building Inspector /~ ~spectorl TOWN OF SOUTHOLD BUILDING DEPAI~TMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved o/c .............................................................................................. Application No/. co '~- / (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely tilted 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 puFpose whatever until a Certificat, e 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 Sou'thold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buiidlngs, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with ail applic.able laws, ordinances and regulations. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premis~...)~'~,',~,,f~......j~7~'¢..../~'.~¢sr,~-'/~ .................................................................................... If applicant is a corpo~, s~gnature"~/ of duly authorized officer. . (Name and t~fle~o~$Kp~ro'te offlc¢¢ . . . --- ': ' "~-: ........... Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Numbe'~-'f~?~r~..~/~/...~//....,~,,/- '~ii'~/_~ ...... ~;~~ ................................. State existing use and occupancy of pr,emises and intended use and occupancy of proposed construction: a. Existing use and occupancy......~~~. ..................................................................................... ' ...... b. Intended use and occupancy ........ ./. ............... ~ ...................................................... i ............................................. 3. Nature of work (check which applicable): New Building .................... Addition .......... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. I-'stimated Cost ............... ~.......~ .................................. Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... ~....."z-~ ............ 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 .............................. ~-- .... .~...-?=.. ................ Depth ... R~..~ ................. 7. Dimensions of existing structures, if any: Front ........ ~.. ................. Rear 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.....z~..v~... ............. Rear ....... .'~...,~.. ............ Depth ..R~..'.~.. ................. Height ............................ Number of Stories ............................ 9. Size of lot: Front ............................ Rear ............................ Depth ............................ i0. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ......... 4~...~¢,~ ........................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .... ~ ........................................... 13. Name of Owner of premises....~...,~...~...~.../.:..q~-~,f~.(~.Address .?/~/~4).~.,¢/....~..~.~.~ .............. Phone NO Name of Architect....f~.~/r~........~..~.~...6 ..................... Address/--...~..'~..~/.~.~.~...../~./..~...~.<.¢. ......... Phone NO ..................... Name of Contractor./~.~.~....(-~.....~C'~.~ ....... ~ ........... ~.F......Address ,..,~.~,~/~,~J, .............. Phone NO PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate oil 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. 1 COUN'r",' OF ..................... .......; ................ ~,~~~ ........... being duly sworn, deposes and says that he is the applicant (Na~e of indigidual signing application) 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 make and file this application; that all statements contained in this application are true to the best of hi.s ,knowledge and belief; and that the work will be performed in the manner set forth, in~Jlb~, ap~ljgation filed therewitl~7 Sworn to before me th.s _ ~,, ~, st, te ~,~ ,~' // . ,~ .... ~.6 .......... ~y ~f ...~ .....................' 19.~..~.~ls~~ ~-~~pli~ant),o es ,~arch ~0 ,~ - ........... , ¢/ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ..C~.../.~.:.~...~ ............ 19....~.. Approved ........ ~/,o ~,: .,...~.~. >~ .../'...... 19~..~...Permit No. '~,./..~....~%~..../. .......... Disapproved a/c .............................................................................................. Application No/..~....~'..../. ................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ............ ~~...~...cb..., .............. 19 .... INSTRUCTIONS a. This application must be campier, ely 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 o 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 wJlJ 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 pui'pose whatever until a Certiflcafe 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 So~thold, 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. ............ ''' ~/~'~'~( A~:'; ~"' ~ pp '~"ant) ................. .............. State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corpora~r~ig~ature of duly authorized officer. --"' ' '""'~ ''' ----(Nameand~ii~'o~drporateofficer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ,~.'.~:....~..~.'....~.....~~~...~ ...... ~ ............................. ,?/ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... ~ ........................................................................................ b. Intended use and occupancy ............. ~ ................................................................................................................. 3. Nature of work (check which applica'ble): New Building .................... Addition ...~ ........ Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. I--stimated '~-~--'~ ~ 'ZS~ 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 ....... ..,T.,¢~. ............. Rear....~.~. .................. Depth ..~...~r, .................. Height ...../,41 .................. Number of Stories ......... ~.*~,, .................................................................. i ...................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ..... 4 ......................... 8. Dimensions of entire new construction: Front...z/..~;~ ............... Rear ...... ~...~ .............. Depth .~.~,¢< .................. Height ............................ Number of Stories ............................ 9. Size of lot: Front ............................ Rear ............................ Depth ........................... (z/~&~) 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ i f. Zone or use district in which premises are s~tuated ......... ,¢'~;..~.<. ........................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..../(~..u ......................................... 13. Name of Owner of premmes..~..: ......... ¢. ........ ~,.~./~.~'¢,..Address,~C~/,4. e,.~d..~.~2,¢ ............... Phone NO ..................... Name of Architect...~.,.~.~.....~/..',?.~./,~ ...................... Address//42~'~/.~d3,..Z~.z~.' .~'x~, .......... Phone NO ..................... Name of Contracto~¢....q4.~.~t..~...~'..,fC..!...~.~,d/.K.....Address ...~.~..xr'.,~,~¢.~./j ................ Phone NO PLOT DIAGRAM Lecate 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, end show street names and indicate whether interior or corner lot. COUNTY oF% ......................... ¢ ~ S. ' ............. ; ............... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) 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 make and file this apnlicotion; that all statements contained in this application are true to the best of his knowledge and belief; and theft the work will be performed in the manner se{~[igt~t?~ tbs. applicatio~ filed therewith.// __ Sworn to before me this _ ~'~(~"~; st~ /~. .~ // .~ ..... .~.~ .......... day of ....... 6.~.: ............... 19..b[j:~s/o~'¢~Z~o~U~t~'~'' (Signature of applicant) Notaw Pbblic, ...~~.~.~.....County ~ ~, ~,~/~/