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Home My WebLink About1439-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .~.~¢~t~...E~...~...~.~.:~.~..e~../...~.~..e..* ....... Street Summe~' Haven 8our. hold Map No ....................... Block No ...... .*..~...~. .......... Lot No.5.~....~....~..0. ..................................................... conforms substantially to the Application for Building Permit heretofore flied in this office dated ................................ ~(~e~i..~e~e ................ 19...6..~. pursuant to which Building Permit No ..... ..~.....~..4..~.9 dated ....................... ~' ' '~ ............. , 19.....~...~, 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 .......... This certificate is issued to Hele~ F, ~ ~* L~o a~ M&~y Thet~gsoR~ ow~e~:a (owner, lessee or tenant) of the aforesaid building. FO~ NO. 4 TOWN OF SOUTHOLD BUll. DING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..~..11...~6 ........... Date ................... 0e, to. be~......l.~. .......... , 19-6.1- THIS CERTIFIES that the building located at ....~./~.....~.~.;~.t.e~..~.v~ ...................... Street M ~mmerhaven ap I'~o ........................ Block No....~.::¢~r~f: ......... Lot No ..... ~9"&'~O~'"(~r~er~por% ..................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................... J~e.....[~ ..................... 19..6~.. pursuant to which Building Permit No. dated ........................ ¥.~,t~.e.....~[,~ .......... , 19....6.1. 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 .......... ........... P~. iv. ate...one.. ~a...il.~-d.wel l&ng. ................................................................................... This certificate is issued to .,.Helezz..E,...Wm....H,..&..ma~'.y...~hempsea.....:...Ow~er.e .............. (owner, lessee or tenant} of the ,aforesaid building. FOI~Y/ NO, 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS P, ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1439 Z Date ............................... ~.~.~.~....z.~ .......... ~.....¢~ Permission is hereby granted to: .~]~e..~..~..~...}.~....~...~...~.~y... . ~.,....0.,...,~ ~.~ .. ~:TA,... ~..o. :~.~.h~ ~.c.L... ~ .~..¥? .......... to ...... b~tl.d.. ~drlSt;..l.c~...on...e.:c.~a .'k,.~p,.~.. p. ue....ga]$..$~...ct%,.e..:k ~,.~u. g. ....................................... ot premises Io~oted ot ...~..a .,lC~._.i..e. Yf..~.v-e.,.n..u..,e.L.$.-q.u.~.,h.°...1..d..L~f~..Y,°..~ ........................................ Lots 59 & 60, map of Summer ~aven pursuant to opplicution doted ........................... .J...~.D..e....%..2. ............. 9....6..1.., (]nd approved by the Building Inspector Fee $, .~, ~., .0. p., .~.ii~.l~. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ............ ~ ..... ..~c...~,,~(....,./...~.. 9..~..~Permit ..~c...~ No ......... Disapproved a/c ................... -.......;ZZ~,~ ......................................... (Building Insp, ector~ APPLICATION FOR BUILDING PERMIT D-' are .........././, x ............................................. 19 IN'STRUCTIONS a. This application must be completely filled in by typewriter or in ink ond 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 premi.ses available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for ony 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 issuanoe 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 nam~if a cfrporotion) ....... .............. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises...~...,,~.:- ....... ..~.......~...~.~.:....?..~..' ........ ~.~.........~77......~..~..~,...~..~..~.. .............. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) . ,;Z ~_,~,~ 1. Location of land on which/j,~ /~ __ ~/~., /~) ~/~..~ ,,.,. , /~. , ~,,.~ /~ ~//pr°p°sed work wi,IJ be done. Mgp No:, ~,~.~..:..~.. Lot No: ..~/_.'...~:....... Street and Number ....... .~..~.~..~......../.~.....~,.ZT~.~...~.'......~:~...~...~...e~..~...~t.. ...................... //' MuniCipality 2. State existing use and occupancy of pr, emises and intended use and occupancy of proposed construction: /~, , .,/. b. Intended use and occupancy...~...~..~...~......~~...~~, ........... 3. Nature of work (check which applicable): New Building .................... Addition ......... ...~........Aiterotion ................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ......... ./...~. ............................................. ee ..~ ....................................................... (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 .............................. 7. Dimensions of existing structures, if any: Front ....... ...~.....' ............. Rear ........ ~ ............... Depth Height Number of Stories ~ Dimensi~'n'~"~';";;"~"J;'i;';ture with alterationS' "~'~ ~;.i~.:..~.;~;.~....~.....~.~....~..~....~..~;.;...............~..~...........~...................~.. Depth .............. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front.......~..;..~...c.~ ......... Rear ...... ~.......~-~. ..... Depth ....... ~ ............... Height .......................... ..,_Number of Stories .~.., ............... 9. Size of lot: Front ........~ .............. Rear ............. ~.~. ........... Depth ...../...~./~.. ......... t'"'~ J 10. Date of Purchase .~~..../.~.../.~..~J .............. Name of Forme,r.;//O~ner /'.~ '-// ,//, ~.,~--~~--~'""; 11. Zone or use district in which premises are situated ....................... ~ ......... ~.C-~,....~.T_.~..fr~... ............. 12. Does proposed construction violate any zor)ing law, ordinance or reaubtion? ..~ ....... ~ ................................. 13. Name of Owner of premise ..~...~.~......~...~....~...'/~d~dress ,~...~........~......~.~.~....~hone NO. Neme of Architect ............... ~,~;,~ ............................... Address ............................................ Phone NO ..................... Name of Contra?or ........... ~.. ............................... 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. ~,~.~ STATE OF NEW 'f~Rl~ ~ ) S S ':~ COUNTY OF ......~...~...~./~..~...) ' .........................~-~'-' ~~f~.~'".~~.~ .................. being duly sworn, deposes and says that he is the applicant (Name of individual signin~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 this app Jcation; 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 applicatio~ filed therewith. ~ j Sworn to before me this ~ ~ ~,~ / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............ .(~..... 19...:~... Approved ............ u .....~.....~....../~...19.~./...Permit No...~.:~.:Z ...... / .......... ............. (Building Inspector) ~/~'b'~-" Application No .........,<~. · .~i .... APPLICATION FOR BUILDING PERM: ua e....?/x×__:..: ................... ;~ ................... 19 ............ 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 o 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 issuanoe 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. ......... ......... ........ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on wh~.ch' proposed w~grk w. ll' be done. Mqp No: ..~4~¢-zT~...~cr,L. ot~ No: :...~.~..¥-/~6 ............ Street and Number ........... 2. State existing use and occupancy of p:~n/, ises and i nte~:d~us~e and occupancy of proposed construction: a. Existing use and occupaney .............~.~.,.~ Z;7.'..'..~..,~.. .......................... ;, ................................................ ....... ........... 3. Nature of work (check which applicable): New Building .................... Addition ..... ~ ......... Alteration .................... Repair ....................Removal .................... Demolition ....................Other Work (Describe) .................... 4. Estimated Cost ........ / .................................................... 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, spec Jfy nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front .......... ..~..~. ........... Rear .............~ ......... Depth ...... Dimensions of same structure with alterations or additions: Front ...... Rear . ?..~.. ................... Height ............................ Number of Stories ............................ ....... Depth /~'~ u ~ 10. Date of Purchase (,L& .~,,~/~L~ ./ ......................... Nam f Form ........................ 11. Zone or use district in which premises are situated..., .............................. ~.~¢, '.~....~,~'.~.:~q.:, ................................. 12. Does proposed construction violate any zoning,law,grdinance o~ regulation? .... ~ ........ ,......~,~ .......... ~ ................. 13. Name of Owner of premise~,~.,..~:..~.'..~ddress~..../....~.....~.~..~.,~.f~ho~e' NO..~....~... Name of Architect ................. ~t~ ............................. 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 STATE OF NEW ~OP;,,~., /_/ ) S S c - ................ .~.~¢r'~'.....~...~.~.~.Z...~,~r.'~..~" ""~)~ / ......................... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing application) abow~ named. He is the .............. ~ ............................................................................................................................... (Contractor, agent, cor6orate 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 al statements contained in this application are true to the best of his knowledge god belief; and that the work will be performed in the manner set forth in the application filed therewith. / Sworn to befor~e this ,v / ~ / ~ ~_ ~ ~, J ..... (_: ...... ~ davgf , ~.. '.]~:g,~,.st~ 0f New York L~lgnature of applic~t) Nota~ Public, .,~(~....~~~,r~~ ~rch 30, t9 ~