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Home My WebLink About1371-zFOR~ N~O. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT TOWN CLEHK'$ OFFICE SOUTHOLD. N. Y, CEI~TIFICATE OF OCCUPANCY No...Z103.6 ..i~ ...... Date .......................... April~....25. ........19.61. THIS CERTIFIES that the building located at ............ ~.i. lma~th. Ave ................. Street Map No, ...XXX. I,. .......... Block No...XXX~X ......... Lot N'o .......... [~l?~Oll.1O0I'.t.~...~.,.I~ ..................... conforms subslantially to the Application for Building Permit heretofore filed in this office dated .................... i~l~.&l.....7. ........ 19.~L. pursuant to which Building Permit No...~],~1 .... dated ...................... AP~t.I.....-7 ........19..(~1, was issned, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .Prl~a.~e...one...Iluail,~...~wolling ................................................................................. This certificate is issued to ...h[lt.lliam.....l~laaoml~e.~. .................. Ownt~:c' ................................ (owner, lessee or tenant) of the aforesaid building. ...... Bmlding Inspector FOR~ NO, ~ 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 1371, Z Dote ............................ ~'.~,~...~. ............. 19....~,1, Permission is hereby granted to: .~...~.J,~'.~l~..&~ ..................................... ~..~...~..~..~.,...11~...~.~'1~ .................................. to ..~.i,l.~..iJ.~.~l;;I,~n..~;.~..~l~st,,tr~ ..o~..tm~l. ly...~1~1.1~ .............................................. at premises located at ...2..~.....~'.~....~.?...~_l~.~l~...,....~'~.~.J~l~.t, ..................................................... ..................................... ...i~..~...O..g.....~..~.~ .~..~...~. ~..$.gh.t~.,...;~..ll~ ,....~ ~. ................................. pursuant to application doted ................................... ~.~..Z'...~..Jt...?. ............ 19...~, and approved by the Building Inspector Fee $...~...,..0...0...~,~,1~...~ JJ:l,d Building Inspector FOR~ NO. 1 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ............. ~ .................................. (Building Inspector) ~, .~. APPLICATION FOR BUILDING PERMIT Application No ........./~..'.~..~/../. ...... State whether applicant is owner, lessee, agent~ architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......... /m/~t~.Lf ........ ~.~..a. l.~ ........................................................................ If applicant is a ~:orporate, signature of duly authorized officer. · (Name and title of corporate officer) Location of land on which proposed work will be done· Map No: ~.~...~ ,/~.../~.//:~../1~../.¢.#.':. LbtC'[xlo:'~,...: .~...~..' ....... Street and Number ......... ..~....~.~.~i .............. ../¢';..'f.~ ........................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructio~,~, a. Existing use and occupancy ........... ~...¢:~..',~-~.-~.. ;..,~ .......................................................... , ................... :'. ......... b. Intended use and occup, y .................................. ~ B "/" ......... ' ...... ' ........................................... · (Address of applicant) -- · a., '[:hi~ ~application must be"comp ere y f e~,in by typewriter ,or iq ink and submittad in duplicate to the Building inspector, i , ' '~ '~ ~:' : .... 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 ia I~u~'tlding Permit to the applicant· Such permit shall be kept on the premises avaibble 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, th the Building Department for the issuanc.e of a Building Permit pursuant to the Building Zone Ordirfance of the Town of Southold, Suffolk County, New York, and'bther applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, or for removal 'or demolition, as herein described· The applicant agree~ to comply with all applicable laws, o, rdinances and regulati(~n~s. · ~ , ,(Si~ture alt: applicant 'or n~me i.~-~a~'corporation) ' ? INSTRUCTIONS 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration ...~ .......... Repair .................... Removal .........~ .......... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ......... .~C.....~... ......................................... Fee ...... ~ ................................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units.....t~..~ .............. 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 ........ ~..'~... .............................. ; ....................................... Dimensions of same structure with alterations or additions: Front ........... .~......O. ............ Rear ........ ..~...~..~ ............. Depth ~ ~'' ~ ¢' ............................. Height ......... :~...~. ............. Number of Stories ...... ,.~....~. ............... 8. Dimensions of entire new construction: Front.,.,.~......T. ............ Rear ............................ Depth ............................ Height ~4~:7 · ............................ Number of Stories ..... 9. Size of lot: Front ...... t~....~..*....~..../. .... Rear ....~-...~...*...?....~.. ...... Depth ......~.?.,./.~...O...~..~... 10. Date of Purchase ....~..~....~..,.......~.~..../..~.....~...~. ............... Name of Former Owner ....~..,~....~.....U.~..~......~....~...~.../....~.:..~. ......... l!,~,¢Zone or use distri~, in v~i~:l~\p,r~ises are situated ...... ...~..~...~....~..~....~....~....~. ..................... ; ....................................... 12. Does proposed construction violat~ any zoning law, ordinance or regulation? ......... ../~/~...f? ................................... 13. Name of Owner of premises.~..~....A~....~...~...~....~r'~....Address Name of Architect ........................................... ~ ............ Address ............................................ Phone NO ..................... Name of Contractor......~.e.f~...~et./~.....'~...~..:..~../~...?m...... Address ...~...~....~./.~.~.....~...~..~./~.4..~..~.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. N ~l/J/ STA"[- E OF cOU .T (~ i~ljdxu~y~ sweat,n, 4c~epos~es~n d ,~ is the applicant (Name '.rig opF above named. He is the ........ (Contractor, agent, cQr~borate officer, etc.) ~ of said owner or owners and is duly authorized to perf,~'~'~,bJ~J~dve p~A'~rmed the said work and to make and file this a icat on; that all statements cgntained 0 this al~pl[c'a~;~'on ~re 'tru8 to the best of his knowledge ~nd belief; PP ........ ~ and that .the work will be performed D, the ,~a~p~ set ~or~ .~e apRhegt.on filed therew.th. - Sworn to befg~e me this ""' ~ .... , ~ "' ' ' '~,,~ ~ ,