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Home My WebLink About1458-zF01~M NO. 4 TOWN OF SOUTHOLD BUILD~NG DEPARTmEnt TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...~.]:~,(;:rg .............. Dote .................. ~.~.]g.'l;~l~.er.....~0 ....... , 19.61.. THIS CERTIFIES that the building located at ........ ~..~.e..oD~.~ .......................... Street MGr,~e~ oft ~hor~- al) ixlo. ...................... t~TOCK Mo...~.~ ............. Lot No....~.g ......... ~r. em~Do~.t ............................. conforms substantially to the Application for Building Permit heretofore filed in this office doted ................................... ,~'lJ,~,e.....~.~. ............ 19.~.. pursuont to which Building Permit No..~..~-.~.~. doted ............................ ,Tl,13te. .. .. 2,~.. .. ..., 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 .......... ............. Pr.i.v.a.t.e .. aue...£.~m&l.y...d:~ell~.~ g .................................................................................. This certificote is issued to ..... ~&~/'.t.e%..A.,..- 'J~r~ '~ ....... ~')."~ ............. :' ....... Z ................................ J[ ~owner, lessee or renam') of the aforesaid building. Building Inspector FOI%M NO. Z TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS F~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1458 Z Dote June 27 19......6.:1 Permission is hereby granted to: . ~?~._~.~....z.,. ?.~ ............................................... 205-27 lllth Avenue PIollis 12, New York to. ~.u..%~ ~..~,c]~t.~..o..n.....o.~.,..e...x..%s..~,z.' ~.~....o.B.e... .f..a...m...i..l.¥....d_.w.,e. l..1..i...n.~ ............................................ pursuant to application dated ................................ .~.~..e...~.~ ............... 19...~-., and approved by the Building Inspector Building Inspect(~r FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......... .--~/¢~-f~.. c~...~..~.... 19.~../. Approved ~.~.,~.~. 19 ~./Permit (Building Inspector) Application No....../~......~:.4~.. APPLICATION FOR BUILDING PERMIT June 27 ,,, 61 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 p art for any purpose whatever until o 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable lows, ordinances and regulations. (Signature of applicant, or name, if o corporation) 205-27 lllth Ave. t Hollis 12, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner · . David A. Long . Name of owner of premises .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of [and on which proposed work will be done. Map No: ..G...r.e...e..n.P.9..r..t.....S.h..qr.~.s..... Lot No:H..o.g,s.9...~.8.... Street and Number .............e.~./.?.~.`~.~.t~.h.~".~..h.~.~.~.e.~.D.~.~.~.e.:~.G.~`e.?~?...~.~t~~ .................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: , One family dwelling a. Existing use aha occupancy ..................................................................................................................................... " " w/ addition b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (ch~ck which applicable): New Building .................... Addition ~ ............... Alters, rich ..." ........... ~ .... Repair ....................Removal .................... Demolition ....................Other Work (Describe) ................... 4. Fstimated ~ 1~ 200.00 ~ $5.00 (to be paid on filing this appli¢~tic~n) 5. If dwelling, number of dwelling units ....... .]: ....................... Number of dwelling units on each floor If go[age, 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 ............. ,2,,,6, .......... Rear ..... ~..6. .................. Depth 24 Height ............................Number of Stories ............................................................................................................. Dimensions of some structure with alterations or additions: Front 38 Rear 38 Depth 24 Height .............................. Number of Stories 1 12 12 24 8. Dimensions of entire new construction~ Front ............................ Rear ............................ Depth 1 Height ............................Number of Stories ............................ 9. Size of lot: Front .... .7...5. ................... Rear ......... .?..5. .............. Depth ...1..2..5. ................... 10. Date of Purchase 1960 Name of Former Owner Oreen~ort Shores, 3:nc. "A" Residential-Agricultural 11. Zone or use district in which premises are situated ................................................................................................ no 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... David A. Lang ---- Hollis, N.Y. PhAn~ NO. ]3, Name of Owner of premises ........................................ ^aoress ............................................u ~ .................... Nome of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor..~..~?..e..~.~...~...~.~..~..i.~ ................... Address ..... ..G-r,,9.9.~..°..~.~. ................. 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 ¥OR~, ) S S. COUNTY OF ~p..~..z:..o.~ ........... ........... g,~.'¢.ic~ .~,. ~g. ¢ ................. ~ .......... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .................. ~. ............................................................ ; ................................................................. (Contractor, agent, cor~orate officer, etc.) of said owner or owners, and s duy authorzed to perform or have performed the said work and to make and file this appl caton; that al 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 n the app ication f led therewith. Sworn to before me th~s ' J uno N -,~te o~ N~w ~or~ Nota Public, .... TOWN OF SOUTHOLD BUILDING DEPARTM£NT TOWN a. ERK'S OmCE SOUT.O,D, N. ¥. · Examined .............. ~.c~....M~...Z.. 19....~.../. Approved ........... ~ .~-- .eL .~[ .:~. · 19.....~.~. Per m it No ........ ~.....~...~i.?..' ....................... .g ,nspector ........ Application No..../..~ ..~.~'.. ........ APPLICATION FOR BUILDING PERMIT 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 adioining 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) 205-2'/ ll]Lt~h Ave., Holl~s (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. O~e~ Dav/.d &. T~anc~ ~ame of owner of premises ..................................................................................................................................................... if applicant is o 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: ..G..~.e..e.~.~..o.~...~.q~..~.~.... Lot NoH~.~..~I... Street and Number .............e.../..~.....~...°..~.~..~.°..~.e.....D.,~..~...v..e..:....G...~..e...e..~..,~..~x...~...~. .................................... Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing useandoccupancy ........ . .O..~1..?.....~. _~....~. ~..~'... ~.3....~. ~..~..~. ............................................................................. " ' w/ add:Lt:ton b. intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Additior~ ~ ............... Alter~tigl~ ............. P, epair .................... Removal ./. ................. Demolition ....................Other Work (Describe) ................... 4. Estimated Cost ....... .~ .~. ~ .0.0.~. ,O.0. ................................... Fee ~SoO0 (to be paid on filing this opplicc~ti~n) 5. If dwelling, number of dwelling units ....... ~ ...................... Number of dwelling units on each floor ........................... Jf garage, number of cars ............................................................................................................................. , ....... ., ...... 6. Jf business, commerci'ol or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing'structures, if any: Front .............. .~.~ .......... Rear ..... ..~..~. .................. Depth .~...4, ....................... Height ............................Number of Stories Dimensions of same structure with alterations or additions: Front .......... .~.~ ................. Rear 38 Depth.........24 .............. ...... Height .............................. Number of Stories ........... J. ................... 8. Dimensions of entire new construction: Front ........ .~..~ ................ Rear .......... -~.~. ............. Depth ..... ~.4 .................. Height ............................Number of Stories 9. Size of lot: Front .... .?..5. ................... Rear ..........?..~. .............. Depth ..~.~.~ ................... "A" Re8 :l. den~::i.& 1-AGE :Lc~u 1treE& ~ l~. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation ..................................................... 1~. Nome of Owner of premises ............................... ~. ....... Address ................ ~ ......................... e NO ..................... Nome of Architect ........................................................ Address ........ J ............. Phone NC) PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, property lines. Give street and block numbers or description according to de~ whether interior or corner lot. ~nd indicate all set-back dimensions from d, and show street names and indicate STATE OF NE~-~.~.L~,~ ) S S. COUNTY OF P.~?.~ ........... ) ...... [l.~.¥.~1;[.An ~1.~ ., ....................... being duly sworn) deposes and says that he is the applicant (Name of individual signing application) above named. He s the .................. ~ ............. (Contractor, agent, core,rate 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 ication that a statements contained in this application are true to the best of his knowledge and beJief; and that the work wil be performed in the manner set forth n the appiica{ on filed therewith. Sworn to before me this JUDI]H~.~ BOKE~ ~~-