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Home My WebLink About1456-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located atO~'~,~&~J...&..j~..~.~,t, ................................. Street Mop No....~.~1~ ......... Block No ....... ~ ..... Lot No ...... ':X~,~,~ ....... ~'"~'~'~ '~ ................... ' conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................. ~.~.....2(~ ............... 1~2 .... pursuant to which Building Permit No..~!f.~'~... dated .......................... .~.....~'.~. ...... , lC).~2.., 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 .......... .a..~p.::/,f~ ...(~...~,.¢.)...r.~al..~.o.¢.t,~e ....................................................................................... This certificate is issued to ...~.~,~],~..,~,(~L..~...~./~,~,.'J~O{;t.¢~ ................... 0~'~ ...................... (owner, lessee or tenant) of the aforesaid building. FOP~ NO. 2 TOWN OF $OU'THOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, .N.Y. BUILDING PERMIT N? 1456 Z Permission is hereby granted to: (THIS PERMIT MUST BE KEPT ON THE P~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORI:~) HaF. ~..a.~.f. Or.d ...... ~C J. ack Leaeh..&...Thelma Dodd ..... ~atti.tuck ....................... ; ............................. pursuant to application doted ......................... ,T.1J21¢'_...26 ................... ]9.6.~.., and approved by the Building Inspector F~e $~:..o..9 .............. Building Inspector 0 0 C OWNER [ ~T~E, V~Lb~GE ~ DISTRICT ~ SUB. LOT FO~ER OWNER ~ ACREAGE TYPE OF BUiLDiNG RE ~ SEAS. ? VL. FARM COMM. i ' i ,, S.~. ~ , i IND. j CB. I ,M~SC. [ Est. Mkt. Value LAND TOTAL DATE AGE NEW NOP~MAL Farm Acre TiJJab!e ~ i Tillable 2 TiJlab!e 3 I Woodland ~ Swampland BrushJond House Pier T BUILDING ,~OND~ ~ ,ON BELOW Value Per Acre ABOVE Value FRONTAGE ON WATER ROD,. ,,- : A x. ->~, / v BULKHEAD M. Bldg. ~> X ' '~ * "¢ Bath ..... ~/~ i~ , Extens,on '/ ~ ,' - - /~ c - ~ Basement ~ Floors Extension ,,~ ] p-..'/, (./ L/~;~;, Ex~'. Walls _ .~..~! Interior Finish F~re Place Porch Heat / Roof Type P, ooms !st Floor Rooms 2nd Floor OWNER ~ OWNER i FO~C~E R OWNER TOWN OF $OUTHOLD iSTRE~T LAND AGE FA~ FilJable ~/~ic~nd PROPERTY RECORD CARD LAND I IMP. DIST.! SUB. LOT ~PE OF BUILDING ~ SEAS. VL FARM COMM. CB. MICS. Mkt. Value ~E.S....¢// i TOTAL DATE REMARKS ~ oo J AGE BUILDING CONDITION N~,V NORMAL BELOW ABOVE FAPJ~ Acre Value Per Value Ac re Tillable Woodland Meadowland ¢,eodowiond qouse Piot rotaJ ', House Plot Total FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................................... 19 ........ Approved ........................................ 1 9........Permit No ............................... Disapproved a/c ................... 1......~:...:7..x. ...... ,,"~'~.\:,, //,.,. .................... ................................. Application No..Z.../?.....~.'i.~'~. ......... APPLICATION FOR BUILDING PERMIT Date ........................ ~.lZtte ....... ~,6 .............. 19. ~o,1, ..... 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 Ioc~tion. 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 sha[~ have been granted by the Building ~nspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pe, rmit 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. ............. ]~¥aoad..S~.{l .............................................. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................ ,~o~,~ae.'bo~ ............................................................................................................................. Name of owner of premises....,~Tao~...,I~eet~h.....& ....... ~e~&"::Do~,'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 ..[[/.,~....~l?~,h~.z~.d...~.l;l!. .......... ltl~¥..l~'~'~.'O']..l~ ......................................................................... ~umc~pality ' 2.' State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~...~.,~...~..'~...~..'~ ... ~l,i.t, ........... b. Intended use and occupancy..~.l~'e~il.fr~.,..~..l...~.....a.~...~..fl..~.,.~..i..~.ltl .......................... ' ................................. ..... 3. Nature of work (check which applicable): New Building .................... Addition .....7¢¢.~ ........ AlteratiQn .............. ,, .... Repair .................... Removal .................... Demolition .................... Other Work (Describe) ................... 4. Estimated Cost......~OOQ..~/.l~ ................................... Fee ...... .................. 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 existirlg structures, if any: Front .......... .,~ .......... Rear ............................ Depth ..~1~.. ................... 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 ..... ~l.e ................ 9. Size of lot: Front ...300 ................... Rear ......... .'1~)0 ............ Depth ....... ];00 .............. 10. Date q~f. Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....... ~ff.....~lJ.~.~ ................................................................... 12. Does p~posed construction violate any zoning law, ordinance or regulation? ........ ~O ....................................... 13. Name of Owner of premises.~',~.~,~,~,..~....])o~l....Address e~e~.~-e..f¢...l~e~...~tt:~ NO ..................... ~Name of Architect ........................................................ Address ............................................ Phone NO ..................... ~ Na~ne of Contractor......~,..~.~l::t~D~.~ ...................... Address ...~,~.~.t:t.~tt~,,~ ................... Phone NO ..................... i PLOT DIAGRAM !~ Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from ,property [Jnes.'Give street and block numbers or description according to deed, and show street names and indicate .whether interio~ o~. comer lot. STATE OF NEW YORK, ) S S. COUNTY OF l~.1~1~.O~]~..; ........ ) .............. ~y.~O~...~&l~'~O~ ...... :.'"',' ............... being duly sworn, deposes and says that he is the applicant (Name of ndivldua sign ng app cat on~ above named. He ' the ...:..z::.~z.$.~ ........................................................................................................ s ........... (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 application; that all statements conta ned in this application are true to the best of~is knowled~ an~elief; and that the work~ill be performed in the manner set forth in the applic~on fi~ there~h. Sworn to before me'this ,~ ,... /IJ ............... da .......................... , ,~ .~.~g~ ~ ~' o y ~ ~1 g p ...... . z Notaw Pubhc, ......~¢~:,&~,~.,...~.~.~..~?Z:~ .......~nty '-