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Home My WebLink About1535-zNO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~, H. Y. CERTIFICATE OF OCCUPANCY No.............................Z 13e6 Dote ............................. A10~'.i[.....~,7...", 19-62. THIS CERTIFIES that the building located at .....A~.sD.a,l~,0,/i~,q~z,~Iz~ ........................ Street B~execlon ~ No ........................ $~o~k No....~ ........... tot No...~.:~.:~....~.,~oa~O~ .................... conforms subst~nt~Uy to the App~;c~tfon for ~f~df~g Permft heretofore ff~ed fn th~s office d~ted .................................. A~.~.~.....~ ....... , ~.. ~t ,o ~ ~g ~,~t ~o....Zlff3.ff. d~ted ............................. ~S.~. 2~, ]9.~, w~s fssued, and conforms to ~( of the requirements of the ~pp~c~b~e provisions of the ~cw. The occup~scy for which th~s cerfificcte fs fssued ;s .......... . .~$~.~9...9~.~..~m~ ~w~.%~l~ ..................................................................... Th~s certff~ccte ~s ~ssued to ....~RQ~....~.~ ................. ~ .................................................. (owser, ~essee or tencnt) of the .a.fores~fd Building Inspector FOI~WI NO. 2 TOWN OF $OUTHOLD BUi~Dil4G DEPARTi~ENT TOWN CLERK'S O~FICE SOUTHOLD, N, Y. BUILDING PERMIT (THIs PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 1535 Z Permission is hereby gronted to: J ohu.. ~, P.O. ~ lc...,. ,~ZC..... ~ .o.n.. ~..t..a...n_d. ]:..e.y.. ........... .......... ~ ~u.thold .................................................. to ...... Build.. ae:,~., o~e...family...d.%z, ellin~ ..................................................... ........................... at premises loccted at ...~Ot.~.,1.~..~..l~.~...~;-l,~,~,O~**~,~- ,,9;l] ,,S ................................................. ........................................ ~.S .~a ~a~ClLte.. A'~z.e... (... ~:~ iY.L. ~ ~.:.q .~L:~Le.,.(;~ )..... ......................... S outho Id pursuant to application dated .............................. ~'~u~t.....2,9. .......... 19...~1.., and op"roved by the Building Inspector Fee $...'!-~, BO .......... Building Inspector FORM NO. 1 TOWN O,F SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ^-- '~,-~pproveu ........................................ 9 ........ Permit No ............................... D sapproved a/c . ..-:.:.' ......... , ....... >,,.,.~.~:::::'F.::,,. ............. ::~,~.,~..,~ .......... ~ ...... Application No..../,.~ ..... '~ ~ ...... APPLICATI'ON FOP, BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su/omitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship fo adioining 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 Sauthold, 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. (Signature of applicant, 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 ~O,.~....~...~..~.,~..~..~. ...................................................................................................... If applicant is a corporate, ,signature of duly authorized officer. (Name and title of corporate officer) Map No' 1. Location of land on which proposed work will be done .............................................. Lot No: .1.~...~..1~... ' Street and Number ....~.~l~..~ie/{e.e/on..~oa~ .......... S/~II.~,~O~t]....(.....~. .,~..l~...t~..g..~..a..q.~..~.,..A..~..~..l .......................... Municipality 2. State existing use and occupancy of pr,emises and intended use and occupancy of proposed construction: a. Existing use and occupancy.....~...~.~ ...................................................................................................... b. Intended use and o'ccupancy O~ f~l~ 3. Nature of work (check which applicable): New Building...J¢3~, ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimoted Cost......~.~.t.~ .......................................... Fee ....... 1.~.~ ....................................................................... (to be paid on filing this application) ,5. If dwelling, number of dwelling units ........ Olltl ................. 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 existln~ structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Npmber of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ............. .9~ .......... Rear ....... .~.~. ............... Depth ..~. ..................... Height ............................ Number of StoriesQ~,.O. ...................... 9. Size of lot: Front ..... 1,~'~, ............... Rear .......... ~.~ ........... Depth ..~60 .................. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ........ .".ll."...~t~& ....................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... J~l~l ...................................... 13. Name of Owner of premises~,~lO~..~.t~la~J,~t~. ........ Address ............................................ Phone NO ..................... Name of Architect ........... 0.....~.01:11~ ............................ Address ...... .~..~.~,~..~.~.~.~l' ......... Phone NO ..................... ............................................ Phone NO ..................... Name of Contractor.....~ToJaD,.~&l~¢ll'llll .................. Address ~Ol.l~;llO~l.l~ PLOT DIAGRAM Locate clearly and d~stinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or~:fe~}ib~ according to deed, and show street names and indicate whether interior or corner lot. STATE Of NEW YORK, ) COUNTY OF ...l~'tl~..~O~, ....... ) SS. ........ d]'..O...~...~l~.]~.~.~;~ be ng duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named, He ]s the'..~... ........... ~~ .................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owne'rs and is duly authorized to perform or have performed the said work and to make and file this application; that at statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the ~an~¢l~tT.f~Nin the application fJ~ed therewith. Sworn to before me this No, 52.0344963. Suffolk CounW~ ] -, (SI n f ' )' Nota~ Public, ~-(A:~:;~.f~...,.~..'.z.~¢;.~.~.~...~.~.~oun~y , '1¸ CH'ARLI:'S A. WOOD, R. A R C H I T E C T 425 WEST MAIN STREET RIVERH HAD, NEW YORK PHONE pARK 7-3470 PLAN NO. zl(~, ITHIS PLAN IS THE IpRo~ERT¥ OF THE ARCHITECT AND SH~LL 'NOT EIE DUPLICATED WITHOUT HI~ PF,~RMisEION SHEET ,,, ....... ' ' "- -"' ' ' -: ' " :--- ; --- ................... ....... '" ;I : ~ ] : } .i_,l .,l : _ _ . l L~F:'7- ~' '~ - _ I 'l iI ,--,m~l?l', [ ] :~ l: ........... ,' ~-- ..Z ..... ~": .: :' ':: . - ' ', / - . ' ' ~.~ ~:" -~' ~ ~ , . ,~ o,._ ,- [ : ' ' '.'~"' t ' ' d , ~ ...... - , ~ VOU~DATI CHARLE~ A. WOOD, R.A.' ,.' ," 2'5 W ~ S T M A I N g T R E E'T ,' :,,~ H~O N E P A R K 7 - 3 4 'R'I V R H E A D, N £ W Y O ~ K r: ~ I L I P'H O' N E P A R K 7- $ 4 7 0 - ' ',~' t ' ' :, ' ,, ' ...... /, , , ~.' ~ATe C'H!ARLES A. WOOD, R. A. ] T E C T MAIN STREET ~tl~V,:~'m~E A D. N £ W y~o R K· PARK 7-347'0 A ' I~: ' C H ~ ~':s:" w ,£ s T LAV. FI.F~. FLz4J ,) F R O M T H E O F F ] C £ O F CHARLES A. WOOD, R. A. A R C H I T E C T 425 wEST MAIN STREET RIVERH EAD, NEW YORK PHONE PARK CHARLES i ' r- ......... ~7.m i ~:, , ,, ~ "' bi E ~ ' ~'' '" ' ' "' ' '"'"" "" '" ..... , ,, :,~[ , . i ~ ,., - ~,l~ : , , i ,, i ,i . ,..,i.. i . , . %~I~,.. A R C H I T · C T .,i ,. i i.. ,,,, . ~ i:~,~. , ., . i . ,~ , .%~i; ~ ' * 'i i'~i i, i~r~ ; ~ .... ~ ..... J"liI ;. , u' i i ' :,',:h." C~dK~ aY .~ ~V. '~ ~ ~, ~. ~ . ii. i i'.. i ~ , iii i i , , ';,' ,'. ~ , . ., ~,,,~. . ~ ~ ~'~;I'I: 4 2 ~ W E S T M A I N ~ T R E ~ T ' IIIi , ,:r. ,~?';, i ' ' ,i I :i ;. i i'' i.'l- ', ' ' r~,' ' . iC . ' iii ~'"II'..,, E ARCHITEC~ AND':, R I V'E R H E A D, N W Y O R K ' I ~ ~ J Lr (k :r ~ I I ~ I ~ ~ ~ ~4 k' ~ ~ ~ ~1 % P H 0 N ~ P A R K 7 - 3 4 7 0 ~JJ[;l~/ ' '~ ~ ... , ,] ~ ., ~r,,