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Home My WebLink About1528-zTOWN OF $OUTHOLD ~UILDING DEPARTJ~ENT TOWN CLERK'S OFFICE SOUTPIOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z~I~9.~. ............... Date ..................... Deeembe~......~t....., 19:.6t. THIS CERTIFIES that the building located at ..W/S.,...~.~...T~ne .................................. Street ~%~o~?~..~...~.°..~o&l~o ...... x~ ........... Lot No...~., ....... ,~U~o~ ................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................. A.I~ ......... 2.~ .... 19~].... pursuant to which Building Permit No....Z~..~. dated ........................ ~.~..g.~.~..~.....~....., 19..~.~., was issued, and conforms to all of the requirements of the applicable provisions of the I~w. The occupancy for which this certificate is issued is .......... ......... P~.i.v.a.te.. ~na.. famil~..d.~elling. ..................................................................................... This certificate is issued to ...... C~A~,~,..&..;[~O~..~;~I~II~...~ ............... 0~X~I~ ............................... (owner, lessee or tenant) of the rO.foresaid buffding. H.D,approval Dec ll, 1961 by Villa Bui ding Inspector 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°. 1528 Z Dote ..................... '~UgU~'t~' '"'23 ............. 19.61.. Permission is hereby granted to: ~¢i!.!ia~...Wells.. ·..ib/~. - g-. a~.t · · 8 ~ m'm~ ......... .......... ~in....t~.ne .................................................. .................. S~thotd. ........................................... to ...Brai .14~.. ~e~.. et~e...f em~ ..¢..1.y.. ~}wet '1._~ n~ ................................................................................... at premises located at L<>l:;..~-..~. ......... .~..a.~..~f[,~ven'..~.'~...~otl;t-ho.td ................................................ ............................................. ~i~..l, arte .................. ~'o:.t'bh'c id' ......................................................... pursuant to application dated ............................. ~.Xl~.llg.t~.....~3 ............ ]90.'1..,.., and approved by the Building Inspector Fee $1.0...00 ........... t "~ ~' Building Inspector ?~ ~"£~._ ~._.?j~ TOWN UTHOLD OPERTY RECORD CARD OWNER ~C ~fj, ~ ~ ~ ~' '~ ' / 5 W ~PE Of BUILDING RES. L~ND SE~S. IMP. VL. TOTAL FARM cOMM. IND. CB, J MISC. Est. Mkt. Value ,~ ..-~_= ,. (,j DATE AGE BUILDING CONDITION NEW' NOP~AAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD Tillable 2- DOCK Tillable 3 Woodland Swampland Brushlbn~ ~ ~ ~ House Plot - - Total E~tension Extension Extension Breezeway ;6'undotion Basement Ext: Wells Fire Place /~0..¢c.~ Parch Parch CO Bath ~¢/I/ Floors Interior 'Finish Heat Roof Type Rooms 1st Floor Rooms 2nd Floor FOR*M NO, ! Approved .................................... , ,,Tq~N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~ SOUTNOLD, N. Y. 19...~./...Permit No......~...../....~...~ _. ,_ O, - l~ ,j- APPLICATION FOR BUILDING-PERMFT ' .... Date ............ ~.~Q~.1~..2,,~ .............. '......, 19...~.~. INSTRUCTIONS ............... -.~X.' . a. ~ This~pplication must be comptetelyfilled, in by typewriter or in ird~and ~-ubmitted 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 prop~.rty 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 0f 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 th,e premises available for inspectiOn thrqughdut 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 c~)hstruction 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 a corporation) (Address of applicant) State whether c~oplicant is owner, lessee, agent, architect, engineer, general contractor, e!ectrician, plumber or builde, r. .................... ........................................................................................................................... ................ i ................ Name of owner of premises......Ca~.]....0e...e,~CL..~[a~.;~..~.l~,~ ..................................................................................... 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. Map No: ..~...~.~D, ................. 3.'L~t No:...~. ............. Street and Number ..... .(~.~..~...~.~.,...~...~..~...v..e..~..~....~..o...~.~o].~ z ~_ _ ~1 ~ I ~ 0 ~ Municipality ................................................. 2. State existing use and occupancy of premises and intended use and occupancy of ~roposed construction: a. Existinguse and occupancy b. Intended use and occupancy .......... ~.~[~,~-.~[ ................................................................................................... 3. Nature of work (check which ap~olicoble): New Building ......... .x.. ........ Addition .................... Alteration .................... Repair .................... Removal'. ................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ....~Q.~,~Q.Q~.QQ ................................. Fee ..~:I,I~I~Q.Q .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units.....~. ........~ ......... Number of dwelling units on each floor .................................. If garage, number oflcars ............. .~,....~ ...................................................................................................................... 6. If busi~ness, commercial or mixed occupancy, specify nature and extent of each typi~ 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 ................................ ...... (~Q .................. Rear .......... 60..I ............ Depth .....~..~ .................. 8. Dimensions of entire new construction: Front I Height ....... 1.(~.I. .............. Number of Stories .......... 3. .................... 9. Size of lot: Front ..... ~00.!. ............. Rear ...... ~L00.l. ...... ; ..... Depth ..... l~.l ................ 10. Date of Pumhase ...... A.U.~IAS.'G..8.~..].~t~i ................ Name of Former Owner ....W;L].lJ.8, rn..We~.l~ ..................... 11. Zone or use district in which premises are situated ....... ReI~.IcLeD_$.:L~L~. ................................................................... 12, Does proposed construct ~n v o ate any zon ng aw, ord nonce or regu at on? ........ ,NB ........ ' 1E Bra~ley Road ................................ 13. Name of Owner of premises..l~,~']L..J~.$1~,~ .............. Address ...,clo,~z's:llLl. e.~...NY ....... Phone NO. J~..~..-.~.~l Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor ..~.ll.l.;La,llL.~eLls ................... Address .~r4~.l:et~ ................... Phone NO. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing orproposed, and indicate all set-beck dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or comer lot. /-.or ? l/V STATE OF NEW YORK ) S.S. COUNTY ~)F Sa£f~l~. ......... ) ................... W,L],~*~,~/R..~//.~.~,~Ji .................................... v.g.....being duly sworn( depo=ses and says that he is the applicant · (Name of ~ndividual signing oppl'cat'dn)' ~ ~ - abOve named. He is the .............. g. IRJl~.l~.§.~.~.q.~ ..................... ....................... i ................ ~ ..................................................... (Contractor, agent, corporate, officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sold work and to make and file this application; that all statements contained in this application are true to th,e. best of his knowledge and belief; and that the wOrk will be Performed in the manner set forth ih the applic, ation filed therewith. Sworn to before me this