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Home My WebLink About1468-zI~R~I N~O. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..7,~.G9.~ ........... Date ........................ Allgus.~.... 2: ............ 19..~ TH~S CERTIFIES that the building located at ~e~*~.~al~..Av~ ........................ Street Map No.:KX .................. Block No. ~ ............... Lot No...xx~....F[she~.s...~[sland ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................... J. ll~r ........ .~ .......... 19..~. pursuant to which Building Permit No..~.~.Lk~.~. ...... dated ....................... ~1~...~ ....... ~ ...... 19...~ was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ..0ne...£~'0,1~,y..d~e.~,~l.~g .................................................................................................. This certificate is issued to ..~'~?~.p]~.....~t~££.t~.d. ........................ f~l~e~. ......................... (owner, lessee or tenant) of the aforesaid building. Building InspectOr FOI~M 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) 1468 Z Dote ...................... ~..tl~lr ............ ..6. ............ 1 ~...~. .... Permission is hereby granted to: Robt. ttadd~dn~t;on.. ~.C... J.c~ae.l~]~..~le;f.~. ;Le.~. d.. .... .Ftsher. s..Zs~Land ............................................. to ....Build.. an.. ad die.mn., an..an..e~t Lu&.. d~ellln~ ................................................... at premises located at .lq/,~.....F,~U~;~I~.~,~I~..~I'O .............................................................................. ................................................. ~ .s. ~r...s.....Z..s..Z..~.d. .............................................................................. pursuant to application dated .............................. J'~l,y'......~ ................. 1961~..., and approved by the Building Inspector Fee $'~ .(~. .............. Building Inspector FOKM NO. ! TOWN OF SOUTHOLD I~UILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c ............................................. ~......~ APPLICATION FOR BUILDING PERMIT Date ...... INSTRUCTIONS e. 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 [s 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 ~uilding Inspector will issue a Building Permit to the applicant. Such permit shall be k,ept 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 pu~'pose whatever until o Certificate of Occupancy shal~ 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, o,y/fc~r removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances~~_~f,~~ "' (Signature of appli~6nt, or F~me, if a corporation) (Address of applicant) State whether app/)icant is ow.~r, les~ agent, architect, engineer, general contractor, electrician, plumber or builder. ~ ~ C~ ' ~-~, ~ ............... ' ........................................... ..... ./... ........... ........ ................................................................. Name of owner ofpremises...,J../~..~?...., ./.~.~-q~'-p...~.........~..;... ........ ''~''-~' -~, '/~-~Z'~'"] ................................................................... If applicant is o carper,ate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be do,.,~_ne._Mop No: ............................. ,...~ .......... Lot Ne; .................... Street and Number ................~x ........ -~.. ,..~,.~....) .................................................. ~ Mumc~pa[ity ...... State existing use and occupancy of pr,cruises an~ intended use, and occupancy of proposed construction: a. ist,ng useo doccuponcy...../.... ....... ......................... ......................... b. Intended use and occupancy.-.~.~....~...~.. ...... .~...~..~..~...~.~.~.~.~...~'.~......~.~.~...~./..~...~..~.~/2../~..~2..~.`~.~..~4~ 3. Nature of work (check which applicable): New Building .................... Addition ....x~... .......... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ........ --~.~..~...O...~., .................................. Fee .......... ~..~...<.,~,,...C}.. ................................................................ (to be paid on filing this application) ,5. If dwelling, number of dwelling units ........... L-. .................. Number of dwelling units on each floor ........ ~ ............ If garage, number at: '~ .... 6, if business, commercial or mixed occupancy, specify nature and extent of each type of use .......... ~ ............... 7. Dimensions of existing structures, if any: Front ........ .L~....~. ......... Rear ........ . ,~..,~,. .......... Depth ........ ..~..,(~ .......... ./..;.. , IJ.~,~.~.. Height .... ................Number of Stories ......... 4..~'***~ ......................................................................................... Dimensions of same structure with alterations or additions: Front ..... ~:....~..~....~.. Rear .....~.....~..~.....'. ..... Depth ....,,~.......~...C-~.. ....... Height ...../...~... ................ Number of Stories .......... ./.../......'2z~... ....... ' ............ ~..'. ........ ~.(. 8. Dimensions of entire new construction: Front ......... ~.. ................ Rear Depth .................. Height ....... .~.~.. .............. Number of Stories ............................ 9. Size of lot: Front' ...... .~..~.. ............ Rear ....~..~....z~.. ........... Depth ...~.<~.~ ......... 10. Dote of Purchase .............. '-:. ......................................... Name,~,f Former Owner .............. ~ ......................................... 11. Zone or use district in which premises ore situated ........./'("~".~..~.,..~ .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation?~ ........... Z~..~. .................................. 13. Name of Owner of premises./!//./.,..*'~,~?'.~'.f/.'~.7.~/......Address..~.~ .~.,,~.?.~..~.......Phone NO. '~'.'2'.7". Name of Architect ................ %'::....z .................. . ....... .,...Address ................ ~ ...................... Phone NO........'-~. ............ Name of Contractor..~.~,...../~qc~,~.t~"~6,..0..~Address..~.~A.~.t~ ....... /~.....Phono NO ......... PEaT D]AGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from property tines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. /~ ~ STATE OF NEV~,YQR~K,, I,, ) S S COUNTYQF ..~~.....) ' , ...E/~.~C.L...~.~.~.~.I'.~..~....L%~....~./.., .................. being duly sworn, deposes .and says that he is the applicant (Name of individual~g~g oppl~tion) ................................................................................................................ (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 contained in this application ore true to the best of his knowledge o~d belief; and that the work will be performed in the manner set forth in the application filed therewith. ..~ .................... %ay or ...~.-..~ .................. ~.b~¢~ .... Not~W Public, ~....~W-~~.e~v~.~;~~ ~ 2