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Home My WebLink About1111-zFO,I'~V~ NIO. 4 TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. TEMPOBAR~ OERTIF~0A~E OF OC0UPA~CY No. Z 701 Date .~'uly 8 1960. THIS CERTIFIES that the building located ai N/8 Leeteo~ Drive Street FIX - xx $'outhold, N.Y. Map No. ~ Block No ..................... Lot ~o ........ conforms sabstontia]ly to the Application for Building Pern',it heretofore filed in this office dated .................. .~.....~.~ ........ 19 ........ 60 pursuant to which Building Permit No ...... ~...~... ..... . J~e 1~ 19...~ was issued, and conforms to ail of the requirements ~ated .............................................. , , of the applicable provisions of the law. The occupancy for which this certificate is issued is ~lve, te one family dwelling This certificate is issued to ~... ~9~ .......... (.~.9~) .................................................. (owner, lessee or tenant) of the aforesaid building. FOP~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS I~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1111, Z Date ...................... ~Tt~ ·....~.~. ............... 19..~0 Permission is hereby granted to'. ............... ~t~ol~ ................................................. t~ B~ild new 9..~.e ~I~Y. ~welL~g ot premises Ioc~ted at ..... ~.*.~.~i~AW~ ............................................................................ '. ............. ................................................... So.u~:~I,.....~.:~, ..................... i,. ................................................. pursuant to application dated .................................. ~.i~l~.....~.~ ....... :..19..~0, and approged by the Building inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLDj,, N. Y- xomined ......... /5~ ................. 19 ........ Approved ........................................ 9 ........ Perm t No ............................... Disapproved o/c ............................ ................. ................................. Application No ....... !...f.(..l ............ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. 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 punic 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 pu~'pose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanoe of o 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. ~f (Signature of applicant, or name, if a corporation) (Address o app 'ca ) State whether applicant is owner, Iessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of~~__...._-~ · ~ ~/'~:~",--'~"~¢,'/,~ ~ If opplicgJ;Z~ isa corporate, sigDature o~f_d__u~¢authorized officer. .... ~ ~ (Name and tide of corporate o icj on Ma ~7'~/~zd~5¢¢ o~..~ Lot No I. Location of land which p,r~oposed work will be done. p N~.~....i.....~' ......... ;:..?. ................ : .................... Street and Number ...~~...~'~J....."~'"'~. ........................................ :': ............................................... Municlpality 2. State existing use and occupancy of pr,emis¢,and, iht.ended use and occupancy of proposed construction: a. Existing use and occupancy ............. ~;..~.-~.~TT..~ ............................................................................ 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 .~'~.o~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ......~..~m..~ ........ Number of dwelling units on each floor ...... ~ ......... If garage, number of cars ...........L:?....'r~m .................................................................................................................... 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 ...~..C~.. .................. /- Height ..../...~. ............... Number of Stories ..... ~ ......... 9. Size of lot: Front ...~.....q. ............. Rear ..... ~T~....~.. ............ Depth ....~.~....~...c~ ............. 10. Date of Purchase .....~..//....~.~..~..~ ....................... Name of Former Owner ...~:~...x~....~...'~.¢.~..~.~...~.. ........... 11. Zone or use district in which premises are situated ......... : ....................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation? ..... ~ 13. Name of Owner of prem ses .~....~~.Address~<~ ~ ' ...e~..~,. ....... Phone NO ............... ~.~ Name of Architect .......... ~~ ~, ~'~ .................... ~ ........ ~ ......... Address .....,~ ......... ~:z: ......... Phone NO ..................... Name of Contractor~.........~.....~.:.~/~....Address~~ ............ Phone NO.,~.~...:..J~..q..~...~..~ 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~/~.~~..~r,.~°r corner lot. ~ /I/ :~,/~ STATE OF NEW YORK, ) -~S S COUNTY _QF ............................ )// ' ........ ~.. . .being duly sworn, depases .and soys that he is the applicant (Name o inaiviJzlc~l~'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 I?erformed the said work and to make and file this application; that all statements containe~ in this application'are~ true to the best of his knowledge and belief; end that the work wi1! be performed in the. manor set forth in the application filed therewith,//'