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Home My WebLink About1093-zFO,R~V~ ~0. 4 TOWN OF SOUT~OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUT~OLD, N, Y. CERTIFICATE OF OCCUPANCY 872 THIS CERTIFIES that the building located al ....~9~ ...O~.~..9~...&......W~,~.:.~.~....,~...V. 9~.*... Street $outhold Map No.....9.~!. .......... Block No ......... !!.~...Lot No .... **.~ ................................ conforms substantially to the Application for Building Perznlt heretofore, filed in this office dated June I 19......6.0pursuant to which Building Permit No .......... ~....1:~9.~ June ! 1~..0. ..... was issued, and conforms to all of the requirements dated ................................................ , of the applicable provisions of the law. The occupancy for which this certificate is issued is PRIVATE O~ FAMILY DWELLIN~ WiXlia~ Grigoni~, owne, r This certff]eaie is issued to .......................................................................................................................... (owner, lessee or tenant) of the aforesaid building. ? ......... '...L...: .................................. + ................................. Building Inspector 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? 1093' Z Permission is hereby gronted to: ..~,z,~..~...~;~,~ ....................................... ...O.~;t ~.. ,~.v..e~e ............................................ ..... .~.ut.h°~,~l,.. ~m~..:~'~.. :... :. ................ ........ to...~.~...~.~.~.~...~...e~.t~x~..~e..~s~.~.~.~ ................ , ........ ' ................... at premises located at ..~.'.~..~...~..~..e...~..~...~.';..~..~.~......~...~,..~..~...~.~ .................................... ...................................... ~l~.~¢l,...~e~.. :~z~,.:....: ............................. ............................. pursuant to application dated ................................. ~:.~...~...',. .......19.l~0.'., and approved by the Building Inspector FO~i~I NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .... ../~.~..../......., 19.~.~ Approved ......... ~-~,. ,~...,., 19,~,.hC2...Permit No. ,,,~,~ ....... Disapproved a/c ........................................................................................... ...... ........ Application No...../.....c~..~,~...~.. ........... 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 6-ppiican~/or name, if a corporation) (Address of applicant) 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 and title of corporate, officer) Location of land on which proposed work will be done. Map No: ......................................... ...,Lot No: .................... Street and Number ....~ ...~.."~,~.~.~/~¢¢.~.....~..~..c~;) .~.~..?.~,....~,~.q~h,,~7~~f~.,~../..~' ~ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ' ~'z'c~ -f~-~J~ ~-~ -;':""ZT' ........... ., ................ '"."" ............................ b. Intended use and occupancy ........................................................ ~./..~.~..~...(.../...~..~... 3. Nature of work (check which applicable): New Building .................... Addition....~ ...... Alteratlon.i .................. 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 ........F~...~?....Z. ....... Rear .......... ~...~....c~...../. ..... Depth ......... ..~...(.~.....z. ......... 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 '...~.~..~ ............ Height ............................ Number of Stories ........... ~ ................... 9. Size of lot: Front ........ ~ .............. Rear ............ ~.~.~ ..... Depth ......... /~ ........... ~ ~ , ]0. Date of Purchase ............... '.Z.~ .......................... Name of Former O~ner // 1 1. Zone or use district in which premises are situated .............. ~. ............. ~(~ ......... ~...: .................................... 12. Does proposed construction violate any ~nin~ law, .ordinance or regulation? .............. ~.....~ ................ 13. Name of Owner of premises..~¢~¢~ddress .~L(~..~A..~h~_ ................ " Addres Ph Name of Architect .................................................... s .......................................... one NO ..................... N~me o~ Contractor .................................................... Address .......................................... Pkone NO ..................... 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 ind :ate whether interior or corner lot. 5TATEOF NEW~O~ /~ ) S S COUNTY OF ~~~-- __ "~ , . (Nome of individual ~gning a~cation)~ ,. i, ............................. (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 in the manner set forth in the application filed therewith. ~ota~ Public, St~te of New York Sworn to before me this ~o 5 Comm,ss~ Expires ~arch 30 ~ , Notery (Signeture of epplid6nt) TO~/N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... :,. ~.~-/:r.. ~,,..../......., 19..~/.-.c, Approved ......... ~x..-.~,~.-.../....., 19~.(D...Permit No...../..~..~...~-?,~.~...~. ......... Disapproved a/c ........................................................................................... Application No....~......c?.2.~ ........... 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 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 ail applicable laws, ordinances and regulations. (Signature of applicar~, or name, if a corporation) ........ ............ (Addre.ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde.r. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate, officer) Location of land on which proposed work will be done. Map No: ............................................. Lot No: .................... Street and Number ................................................................................................... , ....... -...~ ............................. ,. ......... Municipali~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and 3. Nature of work (check which applicable): New Building .................... Addition....../~T...... ...... Alteration .................... Repair .................. ,~ Removal .................... Demolition .................... Other Work (Describe) .................... 4. Eshmated Cost ..... Z~..~:~ .......................................... 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 .......... J ................................................................................................. Dimensions of same structure with alterations or additions: Front ........... ~.~...(.- ......Rear ....... ¢~r~..(. .......... Depth ........... ~ ........... Height ............................... Number of Stories ............... J ............... 8. Dimensions of entire new construction: Front ...... ~.~..~ ....... Rear .....~...~...~ ..... Depth ...~...~. ........... Height ............................ Number of Stories ............ ~ .................. 9. Size of lot: Front ........ /~.~ ..........Rear ............ ~.~26~ .....Depth ......... ~.~..~: ........ ~, 10. Date of Purchase ................ Z.~:~ .......................... Name of Former Owner 11. Zone or use district in which premises ore situated .............. ,,. ............. /,.~..~..,....c.n.x,,':'~ ..................................... 12. Does proposed construction violate any ~ning Iow, ordinance or regulotion? ......... :.....~ ......................... 13. Nome of Owner of premises...~.~.f..~'z¢~.Address .~(K~:ff..(~.~t:g....L~:..~' Phone NO ..................... Name of Architect .................................................... Address .......................................... Phone NO ..................... Neme o~ Contractor .................................................... Address .......................................... Phone NO ..................... 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~f/ORJ/v //I ) S S , ....................... ~'.~C~.'.,~.:...~,$~:?:~l,~;fr~. ........ being duly sworn, deposes ond soys thor he is the oppli?nt Nome of individuol signing operation) ~ . (Contractor, agent, corporate officer, etc.) : of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in this application ore true to the best of his knowledge and be!Jet; and that the work will be performed in the manner set forth in the application filed therewith· Sworn to before,me th s ~ , * /