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Home My WebLink About1421-zl~OPa~ 1~0. 4 ?OWN OF $OUT~OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. ¥. CERTIFICAT£ OF OCCUPANCY No. ,2~1...26. ........... Date ................. Se.p.~emher.....2~ ......... 19..62 THIS CERTIFIES that the building located at 8/.g.....~Ul~d..Irie~...Road ........... Street ivi0r~ent by the sba ~ ap .'~o ........................ ~ocl~ NO ....... ~aC...1.....Lot ~Xl'o....2.~-.~ ......... O~.;~en.t .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................. ~aY......26 ............... 19...6~ pursuant to which Building Permit No..2;...1.~.2~... ..................... ~ ........ 2~. ........ 19.6.~.., was issued, and conforms to all of the require- dated ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ,..pr~v.a~.e...ona..£aunily...c~wal]_~ ................................................................................ This certificate is issued to ..Es.tata...o£..~e.o~g.e...~ta]~e~,l~r ................. 0.~ .............. (owner, lessee or tenant) of the afo~'esaid building. H.D. approval Sept 18th, 1962 by R.Villa ......... ......... ............ Building Inspector ~j/ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 1421, Z Date ........................ ..~..?..~.......~. ~ ................ 19.6...]:... Permission is hereby granted to: Maso,~ W.e.~.~.L..~..g...~. ~.$...o...t....~ ..~......ff..~..~....r....~. ........... Greenport to ....Bu.t~d..~..~n~..£a~Ll~r...ct~e[Ll~ng .................................................................................. at premises located at ,],O~.,l~.,.~.~....,{)2t~,~.,.b,Y...tl3.O...~l.~& ....................................................... ............................................... I~.~tnd...~ £e~t.. ~o.~t,.....Or.J,.ezL~ ....................................................... pursuant to application dated ............................... .~.ay,,,..26 ................. 19.6~,.., and approved by the Building Inspector Fee $....]:..0..,~...(~... ......... Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ' Z _/q Approved ........................................ 19 ....... Permit No ............................... (Buildingr Inspector) APPLICATION FOR BUILDING PERMIT Date ................................. ~ .......................... 1 9 ............ 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 showlng [ocaHon of Jot and of buildlngs on premlses, 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 whale 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 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) ......................... State whether applicant is owner, Iessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises....~....C.~...~....~.;....../..~.~-- ~ '~ 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:~..~...~....~....~.. ...... Lot No: ....~.....~ .......... Street and Number ..~..~.......~../~.......~...~...:.M~. ................. ...~.,;....~...' .................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~ ............................................................................................................ b. Intended use and occupancy.......~....."~.......~.....~..C~......~.~ / Nature of work (check which ap Repair .................... Removal ..... Estimated Cost ........ /....~-.~...~ If dwelling, number of dwelling u~ If garage, number of cars ........... If business, commercial or mi> Dimensions of ex]sting structure Height ............................ Numbe Dimensions of same structure w ~licable): New Budding .........~.........Addition .................... Alteration .................... .............. Demolition .................... Other Work (Describe) .................... ............................... Fee ...~...O. .................................................................................. (to be paid on filing this application) 4ts .......... ~ ......... Number of dwelling units on each floor ............................ ed occupancy, specify nature and extent of each type of use .............................. ~, if any: Front ............................ Rear ............................ Depth ............................ of Stories ............................................................................................................. th alterations or additions: Front ................................ Rear ................................ Depth .............................. Heigh .............................. Number of Stories ................................ 8. Dimensions of entire new constluct.on: Front ......... .~....~. .......... Rear ..... ..~...2. .............. Depth ....~....'~ .................. / Height ............................ Number of Stories ............................ 10. Date of Purchase ....................... ! ................................. Name of Former Owner .....t~...~.~..!...'t~..~..q..~,. .............. ~' ' ' ti iaiIte an in I ordinance or re ulation; 12. uoes proposea c~cr,~qn v a y Ton g aw, g .............. ;. ...... , ...... ~ ....................... 13. Nome of Architect ........................................................ Address ............................................ Phone NO ..................... Nome of Contractor...~...(..~.....c¢~..,¢~... ............... Address ~ ............. Phone PLOT DIAGRAM Locate clearly and distinctly all ~ildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block ~mbers or description according to deed, and show street names and indicate whether interior or corner lot. fi) STATE OF NE~Y,( tl~,/,, ) S S COUNTY OF ..~ ~...) " ....................... ..~7.~...[.~..~....i...t~....~. ~ ...................... being duly sworn, deposes and says that he is the applicant obove named. He is the ......................... (Contractor, agent, corlborote officer, etc.) of said owner or owners, and is duly ¢ uthorized to perform or have performed the said work and to make and file this application; that all statements c~ ntained in this application are true to the best of his knowledge and belief; and that the work will be performed the manner set forth in the application filed therewith. Sworn to before me this (Signature of applicant) Notary Public ...................................... 1......r.. .............. County / FORM MO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. /'Z.( )/ ~' Approved ........................................ ]9 ........ Permit No. Disapproved a/c ~~ (Building InspeCtor) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. 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 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 construction 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 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) I. Location of land on which proposed work will be done. Map No: ...~.A'.~.:../.~"~"......./.. ............. Lot No: ....~..Z. ......... Street and Number ..'..~.~....~.414..~.......'1/../,~CJ~...../~.~/. ............ -- "~ '- '~' ' ..~..~./.~..~.../.....~..)~4....//[~'.....~/~...~. ................. C~.../?/.~.e/.~ ......... Municipality 2. State existing use and occupancy of pr,cruises and intended use and occupancy of proposed construction: /4Z/. ~.zFz~_~- a. Existing use and occupancy ................................................. ). .................................................................... b. Intended use and occupancy.../~.~../~.....a~.~...~./z~,z../~ ...... ................................ :...: ................. Nature of work (check which al:alicable): New Building .................... Addition .................... Altei'ation .................... Repair .................... Removal .... ............... Demolition .................... Other Work (Describe) .................... Estimated Cost..~..../...~.~.O...~. .......................................... Fee ...~'.~..~..:..O...~. .......................................................................... (to be paid on filing this application) dts...ffM~/~ .................. Number of dwelling units on each floor.....~..~..~-,: .............. ed occupancy, specify nature and extent of each type of use .............................. s, if any: Front ............................ Rear ............................ Depth ............................ If dwelling, number of dwelling If garage, number of cars......~ If business, commercial or mi; Dimensions of existing structun 10, 11, Height ..~.~L..'~.~.../ ............ Numbe~' of Stories .,.~/¥.t~ ............................................................................................... Dimensions of same structure wlith alterations or additions: Front ................................Rear ................................ Depth .............................. Heighlt .............................. Number of Stories ..t~,~.,~ .................... Dimensions of entire new construction: Front.,.~.'..Z.'.C.c'.fr .......... Rear ..,.,~_,.~....~9. ............ Depth .....~.~,..~...~,..~,z. ....... Height ............................ Numb-'r of Stories ............................ Size of lot: Front .../~.¢:. .~.'i( ....... Rear ......... /.~...:?.0..~... Depth .../..~.7..~....'7..°..'?. ...... Date of Purchase ........................................................ Name of Former Owner .~.~../~./ff'.~t~....J~.~ff.~,~'./~r,S...,.~, Zone or use district in which remises are situated ........... (.k..~ ....................................................................... 12, 13. Does propose,fl construction via Name of Owner otpremises.~.e Name of Architect ...................... Nome of Contractor....~.....~...°..~. Locate cleorh and distinctly oil ~te any zoning law, ordinance or regulation? .... .~'..~ ......................................... / .... .... .......... ................................. Address ............................................ Phone NO ..................... ..... ~./~'/./.~. ............... Address ..... . .[~..../~..- .~, .~.~. I.L'../~. ·. ............ Phone N O .~:/~:. ~..T../..q'..~...~ PLOT DIAGRAM uildings, whether existing or proposed, and indicate all set-back dimensions from property lines, Give whether interior or names and indicate r, corner Jot. STATE OF NE'vVc'¥~K,~ ,// ) $ S COUNTY OF .....~...c~.......) · .......... ~l~...~,~.~.t~..[..._./~.~../../~.~.. .......................................... being duly sworn, deposes and says that he is the applicant "(Name of individual signing ~pplication) above named. He is the ........~..~ ........................................................................................................................... / (Contractor, agent, corporate officer, etc.) of said owner or owners and is duly ~uthorized to perform or have performed the said work and to make and file this application that all statements c~ntained in this application are true to the best of his knowledge and belief; and that,the work wil be performed iQ the manner set forth in the application filed therewith. Sworn to before me this ~ J ,~ . JUDITH T, ~0g~ff ~ ~'~ ' ~4 ~ 1~ Public, ~tate of New York (S nature .............. .~,~. day of ...................... v~"'~ ..... ~/~.~a~3, eu#otk ~ . 'g of applicant) Not. Public, ~..~..~~' a