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Home My WebLink About1415-zFOI~NI NO. 4 TOWN OF SOUTHOLD I~UILDJNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~D.b:~t~.QH...L~ri~ .................................. Street MPe~onie Bay Oa~L~ .. ap ,No .......................DIOCK ,,~o ....... XX. ..........Lot No. ~{....(~.'10..c~n...p~al/.~...t~aD)../~.ee. oD, ie, conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................ $;~y......C). ........................ , 19..~,~1,.. pursuant to which Building Permit No....7.~.)+.].~'. dated ........... .},~.....~-~ ............. 19...6~, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... ............... ~.~.~,~.~.~.e...p.~.. J:~,$~....cl~.~i.!~g ................................................................................ (owner, lessee or tenant) of the ~.foresaid building. H.D.Approva~ Nov. 22, 1961 by R.Villa ............ : ....................... Building Inspector I FOI~M I'~0. 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.° 1415, z Date ...................... ~-.-..~1~ ................... 19~'! ... Permission is hereby granted to: S t,m~ le~... &. ~,el),~.... ~o.'L ~,~1~, ................................. ........... ~o.~.~o],d .................................................. to ... ~l,l~..r~w.. or~.. ~'.am~ ;Ly.. ¢l, we].:l~l,n~ .................................................................................. at premises located at ...P~OFl;lul~..l~i~,..O~k:~ ................................................................................... ........................................... .W/l~...Psd;..Rom:l_.(.Rob,'Ln~n,..i,~ne;) ............ Peaenil,e .................... pursuant to application dated ......................... 1~1~'.....9 ......................... 19~.'L..., and approved by the Building Inspector Fee $. ,~1~1...0~... 1~ ... Building Inspector FORI~I NO. 1 TOWN O,F SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLO, N. Y. Examined ........ ~ ~1. ~......~..,.. 19..f~.[. ~ Approved ........................................ ]9 ........ Permit No ............................... ...................... ........................... Applicotion No ............................. APPLICATION FOR BUILDING PERMIT Date ................. M.ay....cJ ............................... 19..(~1 ...... INSTRUCTIONS o. This applicotion must be completely filled in by typewriter or in ink ond submitted in duplicate to the Building Inspector. b. Plot plan showing Iocotion of lot and of buildings on premises, relationship to adjoinin9 premises or public streets or areas, ond giving o detailed description of [oyout of property must be drown on the diagram which is part of this Iocotion. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon opprovol of this opplicotion, the Building Inspector will issue o Building Permit to the applicant. Such permit sholl be kept on the premises ovoiloble for inspection throughout the progress of the work. e. No building shol[ be occupied or used in whole or in part for any purpose whatever until a Certificate of Occuponcy sholl hove been gronted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuonoe of ~ Building Permit pursuant to the Building Zone Ordinance o~ the Town of Southoid, Suffolk County, New York, and other applicable Lows, Ordinances or Regulotions, ~or the construction of buildings, additions or a rterations, or for removal or demolition, as herein described. The applicant agrees to comply with all opplicable lows, ordjne¢~s and regulations,, ~ ..... ;...~..V.. ~I~YW.~ .................................................... (Signature of applicant, or name, if a corporation) .................... ....................................... (Addross of opplic*nt) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Dwners Nome of owner of premises ................ ..A..p...p..1..i...o..a...n..t...s. ............................................................................................................ 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' Ma~ of "Peconfc Lot No' Bay Oaks' presently bezng filed. Street ond Number ..~,~.~..~.~.O.I~...~.~P. QT~f~.~..,-~ ......................................................................................... Municipality 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...................... ~.A;L~.~,~,a.],]L:,~ .............................................................................. b. Intended use and occupancy ................... ~.e.~j~ct.~.zLt, i~.l:Ly .............................................................................. 3. Nature of work (check which applicable): New Building.....~, .............. Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ....... .$]._~,~0D.~O.O .............................. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... 0zle ............... 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, Jf any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................ Dimensions of some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ Size of lot: Front .......~...£.t. ...... Rear ....... 12.~.,£t .......Depth ....... .]..80...~..~, ..... 10. Date of Purchase ..... .]v~.,....~.~.~ ............................. Name of Former Owner ...~Zen~.~...~,....~,nt~..,%te.'L~L~, ...... Smith 11. Zone or use district in which premises ore situated.....~..e.~.~.e.-~.~.i..~.l. ................................................................. 12.' Does proposed construction violate any zoning law, ordinance or regulation? ................... ~.0. ............................ 13. Name of Owner of premises....~.p~..g.~t~,~5 ............ Address ............................................ Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address ............................................ 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 ....... ~,_*'~.~...e.~..,.?.,..~.~:?i~ ........................ ~ .......... be ng du y sworn,, deposes ~nd soys thor he is tbe applicant (Name o~ individual signing opplicotion) .... above named. He is the.. ~ ........ ~ ............... ~.: ..................... 7;i'~'"~:~'; ........................................ ' (Contractor, agent, corjborare orr'c , of said owner or owners, and s duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this appli'cation are true to the best of h s knowledge and belief; and that the work will be perform~d~in the manne? set. forth in the application filed therewith. Sworn to before me this ... 9th '~' of ~jay. ~ . ~¥flTA~lf)~'~c ~¢o~ of N~ y (Signature of applicant) f.,_ Notary Public,. .......... ~ .................... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examine~ ........... '~,. 1~,..~ .'~,1,.~),....,(~.... Approved ........................................ 19 ........ Permit No .............................. Disapproved a/c ................ L:~¢..'I.~..~.'../ ................... ~.<:} ................................ ....................................... ":...:..............k. ....... ~(Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................. ~a~..9 ............................... 19..61 ..... 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 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 p art '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 construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all opplicable laws, ord~ng~ces 9nd . .................................................. ($ionoture of opplicont, or name, i{ o corporotion) ................... ....................................... (Address of opplicont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ................ 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. ,~ ~...~.~f~..~ ~ ............. 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 ...................... ~D.~.~ .............................................................................. b. Intended use and occupancy .................. .~.~.~.~.~ .............................................................................. 3. Nature of work (check which applicable): New Building.....~. .............. Addition .................... Alteration .................... Repair .................... Removal' ...... .............. Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ....... $:1..~]¢00.,.0~1 .............................. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... One ............... Number of dwelling unffs 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 ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front .......].~,,~..-¢.~o ..... Rear ....... '12~..,.¢..t~. ..... Depth ....... 180...ff.~. ..... 10. Date of Purchase ..... .~...~.~.~....~.~.~...~ ............................. Name of Former Owner ...,.t'JeI~t~...X....Jl~l...J~-'l~ ...... 11. Zone or use district in which premises are situated......~.~.J..~...~..~...~..~.~'.~.~. ........................................... ~..I~....~..~.. ........ ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? ................... .~...~. ............................ 13. Name of Owner of premises....~.J~X~¢l.llll'¢,~ll ............ Address ............................................ Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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 iai STATE OF NEW yQRI~,,~_ ) S S '"'~ ' ¢r~ mtTV ~NTY, OF'~"~~~ ' ........ .~,~...,.~.~..:..~.,.-.....,....:..~...=~...-.~.~ ................................ :...being au~y sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .................. ~ ........ ~......f ..................... fy .......... ~...; ........................................ (Contractor, agen , carl')orate o icer, e cJ of s~ d owner or owners, and is duly authorized to perform or have performed the said work and to make and file th s app icat on; that o statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth n the appl cot on filed therewith. Sworn to~l, tbefore me thisf ~J~ N~A~j~JU BLic,L F [[{TS pAIN[state EgSONof N~w York ~ ........................ day o ..................................... ?~'~:"¢b'~&ty No 5z- 0~76SS (Signature of applicant) ~ Nato P SUTTOIK' ' ry ublic,~..~'rm'......~ ......... .T.L_~L~¢, March =JO, 196~