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Home My WebLink About1454-zl~OP~d HO. ~ TOWN OF SOUTHOLD EUILDING DEPARTMENT TOWN CLEP, K'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ~P~...~.~..&..~Q(3~.e]-e..~.],/~.~. ............ Street Map No. :~:;,~ ............... Block No..:Y~-~ .............. Lot No....~.~ ....... ~::{~.~.~,~.l~e...~i'.*.~[~ ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................... ~...1.~..~.....~'.~. ..................... 19.~.~.... pursuant to which Building Permit No..~.....~...~..'~'.... dated ......................... ~..e......~. ....... , }~..~.~., ~es issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... Privat? one .f.a..m...f.~y....d..~.e...~...]~..z~p~ ................................... this certificate is issued to ..~.o...~..e.~..~....~...~..e.g ........................ 0.~K,~ .................................. (owner, lessee or tenant) of the ,aforesaid building. FOI~M NO. 2 TOWN OF sOUTHOLD BUILDING DEPARTMENT TOY/N CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1454' Z Date ......................... ~r~e.....22 .............. 19(~,.%... Permission is hereby granted to: ~ ~o~. ~'.~...~ ~,~...z!.r.' ...~q ..ff.o,~?.~...~:~..g. ........... .................. ~.o.~hc~,!~ .......................................... ~o bui]x~ .a.n.,...a..d...d..l.,t.i..o..n....~.~ ~ .e,~.tln6 .~walltn$ at premises located at B.~..~...Ay.e....~....~.]...~...~.~..~..~..~..V. ill~e Ro.a~ ............................. Mattituck pursuant to application dated ......................... ,.l'~e.....~.~ .................... 196~L..., and approved by the Building Inspector Fee $..~ .................. Building Inspector FORI~ NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ ....~,~.. ¢,~..,¢~'x.. 1 Approved ......... No Disapproved a/c; .................... ~.~,,,.~ .............................. ~.- ~ ~-.~ ........ ............................. Application No.../.~..'~...~ ........ (Bu.ldmg In~lSector) Date ........................ .~.111~e ....... 22 .............. 19..6Z ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su/omitted 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 shah be kept an 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 issuanc.e 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. ........... G.e.o. rge.....B, erry. ...................................................... (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,..,.~,....~.oesel~..~ ......................... 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: .................... Municipality , State existing use and occupancy of premises and intended use and occupancy o~ii,proposed construction: a. Existing use and occupancy ........... d.~elli~g ....................................................... ,'i .............................................. b. Intended use and occupancy ............ d.~ell~J:lg...~i.ti:l..8~..,ac]~[i.~,o~ ........~.;i ............................................ 3. Nature of work (check which applicable): New Building .................... Additi~ ....~,~l:~.......Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ......... ~..~.~....0~.....~./~...~ ............................... Fee .......... ~. ............................................................................. (to be paid on filing this application) umts ................................ Number of dwelling units on each floor ............................ 5. If dwelling, number of dwelling ' If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 4:: 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 n~w construction: Front .......... ~ .............. Rear ........... ~,6 ............ Depth ......... 3~ .............. Height ............................ Number of Stories _.0....I~-. .................. 9. Size of lot: Front ........~..~..~. .............. Rear ...... ~.~.~.. .............. Depth ...~.~..0. ................... 10. Date of Purchase ........................................................ Namb of Former Owner ........................................................ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning Iow, ordinance or regulation? .................................................... 13. Name of Owner of premises ........................................ Address ............................................ Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contrector .................................................... Address ............................................ Pbane NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from proporty lines. Give street and block numbers or description occor, ing to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW ,~Y...C)~,.,~,~.,.. ) S S. COUNTY OF .... P....~...~..°....~":~.. · ...... ) GeO ~e~..~.~ ................................ ~ duly swo~, d~ses and say,that he is the applicant ............... ~'~'g?'"i'~i~dgi'~'~f~ application) ~ // // . / above named He is the ~O~.~.~.~ ~~.~~ .......................................... ....................... (Contractor, age~t~ice r, -~c.) of said owner or owners, and is duly authorized to perform or have performed t~e said work and to make and file this appl cat on that all statements contained in this application are true to the best 0f his knowledge and belief; and that the work wi I be performed in the manteletr f98~ n the application filed therewith. Sworn to before me this '.t~,rv Pubhc, State of Ne~ York Nota~ Pubh~ .................... .