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Home My WebLink About1634-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CEETIFICATE OF OCClJPANCY THIS CERTIFIES that the building located at ~,~..,~.O.~.~,...~}~.~.~.~, ................ Street Map No ...........~ .......Block No .....e~ ............ Lot No ......... e4,e. ..................................................... conform~ substantially to the Application for Building Permit heretofore filed in this office dated ................................. D~,~.-.~ ...... , 19..E~. pursuant to which Building Permit No .... .~...~t,.~.~.4 dated ...................... .~...e..C...~..~..~...e...~....2...7. ..... , 19...~.~., was ,ssued, and conforms to oil of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is issued is ........ ................. ~rt~.. ~.~t1~' :r z.. ,~J~,.. &...~.U~P,..O~ ......................................................................... The cerhficate is issued to .,,~e...Zr~o:r~:~e~..~,...~,...~l'~.~e~...~...t~.e...~..~.....Y..o..~...~e Arc.l~aelog~[c~l /~I15oc. (owner, lessee or tenant) C/O ~tntoll Matt of the aforesaid building. FOEM 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.o 1634' Z Date .................. ~~...27. ...... ] 9. ~... Permission is hereby granted to: ....... lle,~tJLtnek~ .... ~II, Z ............................ to .. [1~ 3,ct..ne,~.... muae ~t~m..&. ~IL~ B:r~r~......~r~ gtco., e~nb. ~.or~ .............................................. ................... ~[~mJL~ate...e].ula.&.~dacat~ona]b..tn~tZct~.). .................................................. at premises located at ..~c~... ]~[1~:[.1~..~'~e1~.. ]1~[0~ ................................................................. ................................................... ~f.h~]~d~..... l~o :Z. ........................................................................ pursuant to ap~hcat,on dated .............................. ]I~iI~IJ~;F....]LS....19..6't., and approved by the Building Inspector FOR.~rI NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. . .... ~lr Approved ....................................... 19 ........ Permit No. Disapproved a/c ........ ~ ...... ~ ............. ~. ................. (Building Inspector)-- APPLICATION FOR BUILDING PERMIT D- Dee. 18 . 61 are ................................................... ! 9 .......... INSTRUCTIONS a. This apphcahon must be completely filled in by typewriter or in ink and sL,,bm~tted in duplicate to the Budding Inspector. b Plot plan showing Iocahon of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giwng a detaded description of layout of property must be drawn on the d~agram which ~s part of this location. c. The work covered by this application may not be commenced before issuance of Building Permit. d Upon approval of th~s application, the Budding Inspector will issue a Budding Permit to the applicant Such permit shall be kept on the premises available for mspect~on throughout the progress of the work. e No building shall be occupied or used in whole or in part for any put,lose whatever until a Cert,ficate of Occupancy shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Budding Permit pursuant to the Building Zone Ordnance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulahons, for the construction of buddings, additmns or a lterahons, or for removal or demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances and regulations. P~arol~ R. Reeve & Sons, (Signature of applicant, or name, ~f a corporahon) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~e~eral Contrae~or ................................................ ...................... Ar~haeologleal Association , e/o Sta~n ~tt Name of owner of prem ses ............................................................................................................................................. If apphcant is a corporate, signature of duly authorized officer. ...... (Name and t~tle of corporate officer) 1. Location of land on which proposed work will be done Map No ............................................ Lot No ................... Street and Number 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction. , Far~ a. Existing use and occupancy .................................................................................................................................... Non~ofit museum ~ clubrooms b. Intended use mhd occupancy, rr .............................. 3 Nc]l~ll~of~work (check which applicable) New Budding... v. ........... Addmon ......... Alteration ................ Repair ................. Removal ............... Demohtion ................ Other Work (Describe) .............. 4 Estimated Cost .... .~...~.. tO~. ? ................................Fee ......... .~..O..~. ~ ........................................................... (to be pa~d on fihng th~s apphcation) 5 If dwelling, number of dwelhng umts ................. Number of dwelhng umts on each floor ..................... If garage, number of cars ....................... Museum 6 If business, commerc,al er m~xed occupancy, spec ify nature and extent of each type of use 7 D~mensions of ex~stmg structures, ~f any Front ......................... Rear ........... Depth .. Height .................... Number of Stories .................................................................. D,mens~ons of same structure w~th alterat,ons or addmons Front ............. Rear Depth ....................... Height ...................... Number of Stones .............. 8 D~mens~ons of enhre new construchon Front. 6Or' Rear 60~- Depth He,ght ....~..~.I..._ ...... Number of Stories . .O.1~. ........... 9 S,ze of lot Front .~.... - .'/-~.~.,,~ Rear .~..'. /'..~..-~..~' Depth ..~-. ~. ~...,~ 11. Zone or use d~str,ct ,n which premises are situated .......................................................... 12. Does proposed const~t4~9~ ~.lzoning law, ordinancej(~)~ 13 Name of Owner of prem~ses.....~.9.~.9.~. .............. Address ..................................... Phone NO .............. Name of Architect.....O...h.a..~..~.e...s. ...A.a..WO...O..~. ...........Address .... .W. ad...~..~ ...R.$~.e.? ....... Phone No~/A. Name of Contracto ..r]~...tOld RolRee~re & ~orls~Address Mat,~:~t,~c'k ...Phone NOMA .................................... ~,. ........................................ PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether exishng or proposed, and indicate oil sehback d~mens,ons fro property hnes G~ve street and block numbers or descr,pt,on according to deed, and show street names and md,ca whether interior or corner lot /.~-~,; STATE OF ROY ~. R£EVC, No. ~Z-s~u~uO I{otary Fubhc, State of New Yur~ Caun~ of Sull~t~ COUNTY OF ............................ ) .... ,,~ ?~A) ~ ...... ...l~..~..o../....d....R...~.....R..e...e..~..e).....J..~..:. .......................................... being duly sworn, deposes and says that he ,s the applic, (Name of ,nd~vidual signing application) General Con~ractor above named He is the ...................................................................................................................................................... (Contractor, agent, corlborate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and this apphcation; that all statements contained in this application are true to the best of h~s knowledge and beh and that the work will be performed in the manner set torth in the opphcation filed th_,erew~ith. / ~ Sworn to before me this ~ /~" - ~/,~, ~"~ / ) ~ (/ ...... ~.~.. ....... day~f .~ ................. ~ .............1~..~ ..... ~ (Si~o~ure ot appncant) .....