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Home My WebLink About1059-zFO~R~ ~0. 4 TOWN OF 5OUTHOLD BUiLDiNG DEPARTMENT TOWN CLERK'S OFF~CE SOUTHOLD, N, Y~ THIS CERTIFIES that the building located a~ ~...._~I~B~.~...~.g~)9 .............................. Street _~a~Vo..~.~...~.~.~loc~ ~o ..................... ~ot ~'o.~ ........ ~.~.~...~.~ ..................................... conforms s~bstontially to the Application for Building Permit heretofore filed in this office dated ..................... A$~c.il....~., 19..~0 pursuant to which Building Permit No ...... ..Z.....~...0.~..~.... ~lated .............. A..P.~.~.....29 ........... , 19.6.0.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ............... D~..~Y.~.~e...o~e..~ami ly....d~elling ......................................................................................... This certif~caie is issued to .....Kohe~.~..])~.~nlatt ........ ~o~.~ .................................................... (owner, lessee or tenant) of the aforesaid building. Buildi g p tor \ FOR, iff NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1059 Z Date ..................... Ap~ ~'~' ....... 29 ............. 19~0.. Permission is hereby granted to: ~heto O~o~sk-t... · .k/~-...,~be~.~...F~t~man ............. .... · ~u%ehog. ue~.....~L,¥~, ..................................... to .... BuJ:td..~e~e..one.. ~am~"l~r-' ~t.lin~ ................................................................ : ................ at premises located at **"~/~**'*']~l~/"'~l~i$'"~'a~']~*'~%"~d"*("~l:l~*~*'~) ................... ............................... ho~,,Z~9~'30i:3'~ ......... ~ts¢- '~io~i"""N~Y~ ................................................ pursuant to application dated ............................... Ap~'~-'.*'~t ........... 1~...., and approved by the Building Inspector Fee 'Building !nspector [ FORmal NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19.....~!..Permit No. ~- / D "~ Disapproved a/c .............. ........ ............... (Building Inspector) Application No ....... L.~..?...~. ...... 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 Ist 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 issuanc.e 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 applicant, or name, if o corporation) (Adc~ss of applicant) 7'-' ................ State whether applicant is owner, ~e' ~!e~t, ~rchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises.....~.C..:....Lr~..4..~. '.~.......~..~~..~¢>~ ........................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No:'~.~.....j.'l~'°c~/ ................. ~...: .............. Lot Street end Number O ~ (J Municipc~ty / 2. State existing use and occupancy of p'~ r, emises and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building ....... ~ ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work ~Describe) .................... 4. Estimated Cost .......... .~...~q- ........ ~...~..a..~ .................... Fee . /O '..¢L..~. ....................................................... (to be paid on filing this application) 5. If dwellMg, number of dwelling units .........~ .......... Number ef 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 existin~ 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 ~ew construchon: Front ........ .~..~ ............ Rear ....... ~ ............. Depth ..~...~ ............... Height ....... ~..,~,.~ ......... Number of Stories ...... ~ ........... ~ ............... / z ~/.E ¢ ~.,~..~. 9. Size of lot: Front ~ ~-~ ~ ........ Rear ....... ~..~ ............ Depth ................. 10. Date of Purchase ..... ~~ ....... Z~.~.Z~ ...... Name of Former Owner U~.~..../~~ ........ ~. zo~ o~ ~ d,~,~,~,~ w~,~b ~,~ ~,~ ~,~u~d.....~~~....~....~..., ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~...m. ................................ of o, Nome of Architect ............. .......................................... Address ...>~. .............. ~ ..................... Phone NO ..................... Name of Controcto~~ ................ Address ..h.:.~.,..Phone NO.~.~7.~.~.~ PLOT DIAGRAM Locate clearly and distinctly aH buildings, whether existing or proposed, and ~nd~cate 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, ) S S COUNTY/'OF .................... ':. ...... ) ' ' ..... ............................ . ........ : (N~me of~ividu~l signing ~pplic~tlon) ~ ~. ~ ~ ~ ....... ~:~ ....................................................... '. ........................................................... (Contractor, ~gent, corporate officer, ~tc.) of s~id owner or o~ners, ~nd is duly ~uthori~ed to perform or h~ve performed the s~id work ~nd to m~ke ~nd file this ~pplic~tion; t~t ~ st~tement~ cont~e~ in t~ oppHc~t~on ~re true to the best of his ~no~ledge ~nd belief; ~nd that the work will be performed ~n the m~n~et~,~ in the 9pplic~tion f~the~with. Sworn to before me this ,, ~ ~]t-,tic, ~t,te o, ae~ ?~ f) '~-d ( ~ ~_~ ~ ~.~, .......... d~y of ~ .......... N~g.~[i~ZAQO > (Signature of applicent) .... ~" ~' ., ~ I/J ~ ~[SSlOn Expires ~tarch 30, l~ ~/ Nota~ Public~/.~~ .......... Coun y