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Home My WebLink About1546-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ~ 3.630 Date ........................... THIS CERTIFIES that the building located at .f~a~C.,.~D,~,..qA%,,~.;[~J~'/~J~,.~ff~lJ.~ ...... Street Map No, ** Block No. *$ ............ Lot No...~k~...~ ........................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................ J~..~.~.~.~.Jl~.~.~.,~.~.., 19.....~.~, pursuant to which Building Permit No ..... ~...,~..~,~ doted Be~te~e~c ~ 61. ...................................................... , 10 ........ , was issued, and conforms to oil of the requirements of the oppficeble provisions of the law. The occupancy for which this certiflcete is issued is ........ The certificote is issued to .,~.O...~,~.~.~.....~%~-C-h..~,.~,..,.O~./..~.~ (owner, {essee or te~mt) of the aforeso,id building. '~o~¢ ~¢o. 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? 1546, Z Date ......................... Permission is hereby granted to: ~ober. t..!~d~l.£~g.%o~.... ~.C.....Mc~ ~;~..~alck,uer ......... · ~.! ~.he.~ ~ · ..~[ ~.Z.a ~ ..................................... ~, o ....... B.ui.l~...ne~.~..erie...~ a.mi.ty...8~t.l.i~g ................................................................................ at premises located et ..-.,Lo~s..~#..~.~-.~t.-.F.:~e~s...~&s~d...Bs.ta~es ....................................... ............................................... .~.~.hez~s...~.Z.e~: ............................................................................... pursuant to application dated ...... ~t~.~t..;~ ....................... 19 ~.., and approved by the Bui!ding Inspector Fee $;LO~.OO.....pa.. Ot~, Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~m~d ........ ~.....~.l~..~ ~o~e~ ......... ~.~...,~.~.~;~ ~o ..... ~.~. .... ..................... ~~:.~~ ......... {~ui~dm~ Insp*ctor) App,icat~on No...~..F..~. ........ APPLICATION FOR BUILDING PERMIT ....... ..:...>.-/.......././, ............................ INSTRUCTIONS a, 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 public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port 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 Build,nfl 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 far 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 issuanae of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Ne~w York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alteratio~>rx, l~or removal or d?molition, as herein described. The applicont°greest°c°mplywithallapplicablelows'°rdinanc/~/,/~7/?Tti~r/?~ / g ~ oj;~,cor~, o~ . -- p , _ (Address of applicant) State whether applicant is owner, {es~e, ogept, architect, engineer, general contractor, electrician, plumber or builder. ....... ~c/..~.Z ...... ~.::?..¢~..,..z:. ................................................................................................................. Nome of owner of premises .............. .~. .......... ~ .................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~,~, ~,~.....~.~.:L...~Z ....... e..~......~~....~.A.~ ................................... Municlpali~ 2. State existing use and occupancy of promises and intended use and occupancy of proposed construction: Existing use and occupancy ........ ~.~ ................................................................. f ........ ~-.~ ............... .................. ,,d ........,............, ........................... ............................ ....,,.. ................... ...... ute or work (check which applicable): New Building ................... ition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......../ ...................... Number of dwelling units on each floor ....... /~. .................. If garage, number of ears ........~.~..~,,. ................................................................................................................... 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 ........... ,,':r. ............. Depth ............................ Height ....-~--~ .................... Number of Stories ........... ---T ................................................................................................. Dimensions of same structure with alterations or additions: Front .............. ---. ................. Rear ................................ Depth ........... : ................. Height .............................. Number of Stories ................................ He,ght ..... ....... Number of Star,es ...... 11. Zone or use district in which premises are situated ......... JJr..~.,.,~.,'., .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or rQgulation? ....... _.J~.....L~.. ................................... 13, Name of Owner of prernises.L.(L,.~.~..l'7...L.7.. ...... ,..',~,x/'Address ..... .~.-<' ................. ~..~ ........... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oll set-bock 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. STATE OF NE"~/,,.YQ~K,. ~ ) S S (Name of indlv~dual si.~!ng cJ~pip~lleatian) above nam;d, He is the...,(~/~,, ,/C'.~..~...~../..g...~... ...................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this app icat on; that a statements contained in this application are true to the best of his knowledge and belief; S=ntoandrth~tbet°re me this the work wil/be performed in the manner set fortl~ in the application fil~erewith, ..... ~.t..~ ......... day of .~~. ....... .......... Nota~ Puouc, . .................. ~,.~,~,~.~,~ s~, ~. ~.. ~oun,~ ~ ~f~ ---/ FOEI~I NO. 1 TOWN OF SOUTHOLD BUILD~NG DEPARTMENT TOWN CLERK'S OFFICE SOUT,OLD, N. ...... ...... Disapproved a/c ................ ~:;.:...%....... .................................................. (Building Inspector) Application No ...... . ./. ~..~.....-~..~'~.. APPLICATION FOR BUILDING PERMIT ............................... ,,..;../ .... INSTRUCTIONS a. 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 end 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 a Building Permit to the applicant· Such permit shall 'be I,ept 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 puFpose 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 construction of buildings, additions or a Iterations, o, hfor removal or,demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances//~;:~j (Address of applicant) State whether applicant is owger, lessl~e, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem,ses ........ ~ ........................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) of land on which proposed work will be done. Ma~ No: ............................ : ............... Lot No: Location Street and Number ................................. ~ .......... ~ ............... ~' .............................................. Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ~,~:~ ........................................................... ~ .............................................. b. Intended use and occupancy.....~.~ ...... ~ ~ I 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ......... -~ --L~I)....~...O...~.. ................................. Fee ........ ~..~..~..~.../~. ............................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... / ..................... 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......~ ...... L.' ............. 7. Dimensions of existing structures, Jf any: Front .............. ' .............. Rear ............................ Depth Height .......... ~ ......... Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front .......... Z .......... ' .......... Rear ......... ~ ................. Depth ............... :% ............ Height ............. ~ ......... Number of Stories ~' 8. Dimensions of entire new construction: Front...~....~. ......... Rear ..................... Depth ............................ Height ..../..y...~, ...... Number of Stories ...... .~. .................. 9, Size of lot: Front ~ ~ Rear ...... ~.~at ............................................ Depth ..,~.~ ~...~..- ........ 10. Date of Purchase ..~!..~ ........ /..~..~..~ ............. Nome ~f Former Owner ..~...~.~.~.~..L.~ ........... 1L Zone or use district in whic~ premises are situated ......... ~.~..~...~ ...................................................................... .... ti ~ 12. Does proposed construcbon v~olate any z~nmg bw, ordinance or re~ula o~ ........ ~ ....................................... o, o' ...................... Name of Arch,tect.~..*..:., ............. --....-.~.~. ............ dd .......................... ,.~.~..,. e NO ..................... Name of Contractor g~ ~JJ~p~ %~1 ~JZ, Address ~F~ ~., Phone NO ~7 PLOT DIAGRAM Locate dearly and distinctly ail 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. STATE OF NF_}~ Y~0R,K~L ) S S COUNTY OF,..~.~ ....... ....) ' ~ ....... ~.b.].:,.......~...~..~....~..?...i~....~....'~....../~...p.U...~.., ...................... being duly sworn, deposes .and soys that he is the applicant (Name of individu~ siflning-o.pplication) above named. He is the.....~..~]7.~.E~.(~.~" ~ .................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to th~best of his knowledge and belief; and that the work will be performed in the manner set forth in the application ~¢d~herewith. ] Sworntobefore me~A~ /////~ ~ 4_ // ~