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Home My WebLink About1425-zNO. 4~ TOW~ GF SOUTHOLD ~UILDiNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOL~, H. Y. CER]IFICATE OF OCCUPAI~CY THIS CERTIFIES that the building located at..~.~.~'.~..e..~....~..o.~..~,....~..Q~.~..~.~..~ ............. Street p 'NO ....................... ~IOCK I~O ....................... Lot No..~...~...~.?....~ ............................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. ~.~..~. ..................................... , 19..~.~. pursuant to which Building Permit No. ~...~.~.. dated '"~e"~' .................................. ' 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 .......... ............. ~. · .0~., ~., E~G ................................................................................. this certificate is issued to ............. ~...~.~e...~?~.~ .............................................................. (owner, lessee or tenant) of the aforesaid building. Building Inspector FORM NO. 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.o 1425 Z Dote ........................... ~...~.~ ........ ~. ........... 19~-.... Permission is hereby granted to: Geo ........... ~s,tt-e...:i~.eh ........................................ to ... ~t~i.l (~.. r~w.. ~rte.. £.am~. ly.. 4wel t.$ng .................................................................................. at premises located at .-.L~t..~...1.--&..t~t2.r..Goose..~e~...t~$at~e .......................................... ......................................... ~I/8.....Ba~.,.V.~e.~..Road ............................................................................ ............................................................. 8~l~thold ................................................................................. pursuant to application dated ........................... ,~.l~lO ....... ~ .................. ]9~]...., and approved by the Building Inspector Building Inspector / / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......... Approved ........... ~ ............................ 19 ........ Perm t No ........................ : ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. / t-,~ L- '~ 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 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) Center Mor£chea. ~e~ York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Agent for Contractor Name of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) t. Location of land on which proposed work wi.II be done. Map No: .G.,O.0.~?..~?..~.~.....~...~..~...~,.~_~..~ Lot No: .~. ...&. . .. ~.~. ...... .2 Street and Number ...... .~..~...~....~..e.,~...,.R,.°,.?.~",,.,,8.°.'~°,,Z.~q..?,.e,,~,,~,,,°,,~.~,, .................................................................. Municipality 2. State existing use and occupancy of premises an~l intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................................................. Private one family dwelling b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building....J~i; .......... Addition i ................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost..~..9.~.~..O..O.,.O..0. ...................................... Fee ...~.1:...0..,.~....0. ...................................................................... (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 .................. .a.~.~..a....c~....e..d....~...~..a..~.....~.~.~..~. ........................................................................ 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 .r~ Depth Height ............................ Number of Stories ..... .]'. ..................... 9. Size of lot' Front 80 Rear BO Depth ~0 , 10. Date of Purchase ................ ./.~/~/. .............................. Name of Former Owner ~..,.~./..~..~.::.;..:'.~r(~/...~..~!?f.%'..~... ....... 11. Zone or use district in which premises are situated ....... ~.~..l~.....~..~..~.~..~...~..~.~....~.....~.~l'~.~...~..]'.~.~..~.~..~.. ................ 12. Does proposed construction violate any zoning law, ordinance or regulation? .....n..O.. ........................................... ]~. Nome of Owner of premises ........................................ Address ............................................ Phone NO ..................... N~e of Architect ........................................................ Address ............................................ Phone NO ..................... J~C~ Bill~x~e~ l~:~.e Beech, ~. Y. p- Name of Contractor .................................................... Address ............................................ none NO ..................... property lines. Give street and whether interior or corner lot. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from block numbers or description according to deed, and show slreet names and indicate STATE ) S'. ........ ...... ~eo~e ................................................................................................. being duly.sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ................... (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 th s app cat on that all statements contained in this application are true to the best of his knowledge and belief; and that th~rk will be performe~e manner set forth in the application filed therewith. Sworn to be~Pe~me this ........................ do~f/.:.~....~.~.~......] 1~ ~ ($ifln~tur~of~°PPlic°nt) ~ TOWN OF 5OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19...?....Permit No. ~ / Disapproved a/c ......................................................... ...................... , ....... ............................. (Building Inspector) APP~.ICATION FOR BUILDING PERMIT Application No. Date June 1 ,~ 61 INSTRUCTIONS a. This application ~us.t 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 ar 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 cov. ered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector w/Il 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 Certificafe of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanoe of a Building Permit pursuant to the Build~ng 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) Center Moriches, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Agent for Contractor Mrs. Joan Berry Nome of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: Goose Neck Estates Lot No: 1 & pt. 2 Street and Number Bayview Road, Southold, New York Municipality 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: Vacant lot o. Existing use ond occuponcy ..................................................................................................................................... Private one family dwelling 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...?...9.:..5...0..0..:..0...0. ...................................... Fee $'10o0 0 (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... ..1. .................... Number of dwelling units on each floor ............................ If garage, number of cars .................. .~...t..~.a.q.~..~..d.....]:..g.~...~.~...~..~.~..e. ........................................................................ 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.....~..1. ..................Rear 51 Depth 35 Height ............................ Number of Stories ..... .1. ..................... 9. Size of lot: Front .... .8...0. ................... Rear ........... ..8..0. ............ Depth ....... .3:.5.,.0. ..... ~ ........ . __ 10. Date of Purchase ................ /.~/~/. .............................. Name of Former Owner~......~..'~¢¢~'Z.-~..J,~... ........ 11. Zone or use district in which premises are situated ....... ~.A.~....~.e...~..~1r...~..e..~.~.~"~.~.~T..~..A~f..~..Jr.?..u..~...~..~...~.9.~. ................ 12. Does proposed construction violate any zoning law, ordinance or regulation? .....~..o.. ........................................... Mrs. Joan Berry Orient, N.Y. p, . ................... 13. Name of Owner of premises ........................................ Address ............................................ none NO. Name of Architect ........................................................ Address ............................................ Phone NO ..................... ~ . Ace B~ilders ,,, Mastic Beach, N.Y.~- Nome of ~ontracTor .................................................... ~aaress ............................................ wnone NO ..................... property lines, Give street and whether interior or corner lot. Locate clearly and distinctl block numbers or description according to deed, and PLOT DIAGRAM all buildings, whether existing or proposed, and indicate all set-back dimensions from show street names and indicate % STATE OF NEW 8Yt,gzi~lk ) S S. COUNTY OF ............................ ) George Brooks , ,. be ng duly, sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .................. ..~.~.e...~.~...~.O..r.....q.O...~..~...r.~..q~.9.~¢ ............................ (Contractor, agent, corlborate 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 the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 1st June 1 61 ,{ ir5 P LA H ' ? K ) T C H E ri C:/',.::.. )'lET L, E T/-. '..:; ............ L 3,5'- o" N'o -~ ,k-'A LF :! d t-t D/z, T~,O H F LA N G CT i OH "A .... - ~.,'"" ,t: L J ','J E.?., 'r.: r E VA?~