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Home My WebLink About1470-zFOPvM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..~...,1,~.2.?. ............ Date ...................... ~.~..~.,,e,~,.,4,. ......... , 19.....~.3 THIS CERTIFIES that the building located at G'~'ea.t../~.o~d,...~l~l~-~o,J,d. .................... Street Map ~:J'~' ~o,5, BLock No ............ ~.... Lot No .................. ~ ................................................. .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................ ~1~.~...~. ....................... , ]~L .... pursuant to which Building Permit No. ,~.,..]....~.~..0. dated ..................... ~TI,t],.~.,.2 ..................... , 19J~],..., 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 ........ .......................... I~I~,~V~*~E,, QI~T~...~ ~...~ TJeT~JtG ..................... The certificate is issued to ..~'O]'It~.,L~J~l~t~'.:L.TL,t.e...O~_~ .................................. (owner, lessee or tenant) of the aforesaid building, TOWH OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF 'I'HE WORK AUTHORIZED) N? 147o. z Dote ....................... Permission is hereby granted to: John..~cCa~ill ................................................... .. 1 .~.O...E..H~r ~.s ~t~ !.e... A~:e ................................ ..... .Ha~. ~;~da,1 e.t.. ~, ~.,~ ....................................... to ...buil6~.. fin .. addi:t ~,on ..on...~...e.~:[,~.C.$tqg...~:~. !$~g ....................................................... at premises located at ..E/S.....I~.i;...ltd~..E/S...Som~d....~ie~../k~ze...[..;[~l~,$.~..). ............................ ........................................ ~ .o.u.tho~.d.,..... ~.,.'J[, .................................................................................... pursuant to application dated ............................. ~3,~ .......... ~. ............. 19.~],.., and approved by the Building Inspector Fee $.~.,.0.O. ............. ' ' 1%i 8ins nspector// TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. examined ............ ':'i]...~..:...! .......... I... 19.4 ..... ^ roved /,, , Z I' t '7 o pp ............ : ........................... 19 ........ Permit No ............................... / Cl '? 0 Application No ............................. Disapproved a/c .......... k'~iJ' ;:" .................................. '~?'"~.£ EZ.';-:::::~ .... ~'~:: .... APPLICATION FOR BUILDING PEP-MIT -- ........................ .... INSTRUCTIONS ' a. This application must be completely filled in by typewriter or in ink and su%mitted in duplicate to the Building Inspector. b. 'lblot 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 cowered 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 fbr any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspectqr. 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 to all old inances,4and regulations. ...... ( d less o app icant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem,ses..../~....~....7~. ........ ~ ....~...~..~.. ................................................................................... If applicant is a corporate,~ignature af duly authorized officer. .................... (6~'~T~"/i~B"~/'~'i6~'i~'f~"~6ii~ ................... ~. ~o~o~o. o~ ~a o~ ~i~ v~o~o~a ~o~ ~i~ ~ ~o~. ~p No: ~Zl.~aZ~.~...:. ........ Lot ~o:~...~ ........ ............. ...................................................... Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy bf proposeS.construction: a. Existing use and occupancy ....... ~ .............................. . ....... :L .................. ~ ........................... b. Intended use and occupancy .................................. Z ........................................................ 1,7 4~,,': 3. Nature of work (check '~hich applicable): New Building .................... Addition ..~..~.....Alteration . ..~....: ........... Repair ............. ~....Removal .................... Demolition .................... Other Work (Describe) .................... ' 4. Fstimated Cos.~..~...~..~..~.~..~ ........................................ 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, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front....d~..~,,.~ ................. Rear .....~.¢./. ................ Depth ...~..~. ................... Height ...~...fc.,.~-rf~,.Number of Stories ............ ............................................................................................ Dimensions of same structure with alterations or additions: Front ...... ~.~..~ ................. Rear ....~'/.~..~ .................... Depth ...... ~?..,~.~, ................. Height ...... ~.****.,f,~i'. Number of Stories ......... .a ...................... 8. Dimensions of entire new construction: Front ...... ~..~.~ ............. Rear ....... /..~.../ ............. Depth ...~..(./, ................. Height .....~,...~..~'11~ Number of Stories ........ ~. .................. 9. Size of lot: Front ..._....~...~....~.. .......... Rear ..... .~.....~'...~..~. ........... Depth .......,~....~,.~ ......... ~ ,~ 10. Date of Purchase ..~.....~..,..~.,,..~..~?~ ....... .~,.~,,~, ......... Name of Former Owner~/~.,~./~....~*~....-~'~' .... 11. Zone or use district in which premises ore situated ................................... .~. .......................................................... 12. Does proposed construction vi~late g. ny zoning~la~ ordinance or re~ulation? .................................................... 13. Name of Owner of premises.~.~...~..'.Address ~..~.../.,.~.~~Phone NO~.~..~.~...~...~.~ Nome of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DI~,GRAM Locate clearly and distinctly oll buildings, whether ex~fing orf~roposed, and indicate all set-back dimensions fram property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. I ~ ~o~ STATE OF NEW YORK COUNTY, OF, ..,~ ..................... ) ~z/~/~/ ~~,: ..... ~, ....... ~i~ duy sworn deposes and says that he .s the opp,cont ~'~e of individuol~ninfl opphcot,on~ bow omed. He is ......... .............................................................................................................................. (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that o]1 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 application filed therewith. Sworn to before me this d~y of ,~,.~..[.~(..-~..,~ ..... ;~.~ ...... i re of a plico~t) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .......... ......... Approved .......... .t:.?.. ........ ..i.~..t .......... 19.~.....Permit No....~.~....,....z_.( ............... Disapproved a/c Application No....~.-~...~....~. ........... APPLICATION FOR BUILDING , .... 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 drown 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 issuanae 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 lows, ordinance,~ and regulations. f/ (Signature of applicant, or name, if a corporation) r_ '- .......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premise .... ~ ..................... .~ ............................................ ..: ..................... If 'applicant is a corporate,~ignature of duly authorized officer. ................................................................................................. (Name and title of corporate officer) 1. Location of land on which proposed work will be done~ Map No: ,~.t~.~r~./..~..~A/~....e..~...~.~..r~..~t~o*t No: ~...~.. ......... Street and Number .~....~ ....... Municipa ity ~' ¢ ................ '""~ .................... ; ..................... 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: a. Existing use and occupancy..~ .............................. ~ ......... ] .................................................... b. Intended use and occuponc~.~~ ................................. ;~ .................. ¥....2; ................................. 3. Nature of work (check which applicable): New Building .................... Addition ..~ ...........Alteration ...... ~ ........ Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Co/~./.~.~...~'.1~..~. ..................................... 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, specify nature and extent of each type of use .............................. ¢*~ Rear ~ ~! ..../.~°. ................ 7. Dimensions of existing structures, if any: Front......~ ............................................. Depth ...~..~....-~..Number* I~ ' of Stories .~........ ......... ...... ........... . . ...................... Height Dimensions of same structure with alterations or additions: Front ......... ~..~'. ................. Rear ...... ~ ....................... Depth ....... ................HeiC~'t ........ .¢E...~,.~..Number of Stories ............. ................. 8. Dimensions of entire new construction: Front ........ .~.~'.. .............. Rear ........... ~..~..! ......... Depth ....~f..~.~.. ............... Height ......~..!..~l.~f. Number of Stories 9. Size of lot: Front .....~...~....~.. ........... Rear .~..~.,.¢~...~./.. .............. Depth ........ ~'~....~... ....... 10. Date of PGrchase .~ ..... /...~.~.?,,] .................... Name of Former Owne .~. ~... 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction v~lat, e ar~ zoning, law, c~rdinance or regulation? .................. ~ ................................. 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 whether interior or corner lot. STATE OF NEW YORK, ) S S , ;~ ~,o.~¢.. ,,¢ ~~ ¢~~¢..¢ .................... boi~?~rl;;worn, deposes and soys that he is the applicant .... of individual ~igning application) ~b~//-na~ed. He is the .......~~ ......................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du y authorized to perform or have performed the said work and fa make and file this application; 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 application filed therewith. Sworn t~ before me this m t ........... ......... ...... o, _