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Home My WebLink About1477-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..~..~50~ ............ Date ................. .Q~t,~t~'...~.~. .............. , 19.~... THIS CERTIFIES that the building located at .~:~'~i~l,~,~..~..,...J]]~l~'~l..~l,l:~!~l. ............. Street . Eaet l~az',i.on , Map Noir. ti/... ............... Block No...~.~. ............. Lot-No ................. ..~.~ ................................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .. ~1~. ~-0 . , 19..~.. pursuant to which Building Permit No. ~ ~477 daCed ....... ~'~..~.3 ............................. , 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 ........ ...... ~ Z/~I~.. ~lt~, .. F~LI:~:~..~:~Z,~.~ ..................................................... The certificate is issued to ............................. ..~..~...~....¥..~..~.~.~...~..~,~.....¢~...~..~. ...................................... (owner, lessee or.tenant) of the aforesaid'building. FOl~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTARENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 1 77 Z Date ............................. ,1'1;L~ ....... ~ .......19.63,. Permission is hereby granted to: Peter Fru~ent t..... ~... ,...~...~. ~ .t....a~...t..~.n...o...~..~...q.u...e..z. ................. ....... ..~.~12..Beeatu~.....~e ............................... ................ ............................. to ~u$1d..new...one..~a~iZ~..dwel2~n& ..................................................................................... at premises located at ..~/~....$~F~..la, Ol~ ........ (.Ot.])~.A,.) ........................................................... ................................................ Ea~t..l(e~.iont ....~l. go ..................................................................... pursuant to application doted ................................. ~T1.L~r. ......... ].~ ...... 19..6~., and approved by the Building inspector Fee $.lO,.~)...p~..ehk Building Inspector FORI~I NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN omo: SOUTHOLD, N. Y. [/ ........ [~' ...........1¢ ";;' "PermitExamined .............................. ........................................ Ic'L 3 Application No ..... !....k~.....~l....'] ........ (Building Inspec~r) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Pint 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 part for any purpose whatever until a Certlflcate 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 a Iterations, 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, i~ ........................ ............ <Address a"'"" ........................ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. officer. If applicant is a corporate signature of du y author'zed ' . (Name and tit,e of corporate off,cer) ~'/~g~d( ~ ' 1. Location of land on which proposed work will be done~ Map No: i~ot No: ....... Street and Number ...~..~,....~.....~..,¢....~L.~...'. ....... ..~...;..~....:......'i~..~. · ....................... ' Mt]nicipality-- 2. State existing use and occupancy of pr.emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair ........... ~. ...... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...~.~...0...O...O.. .. . Fee ..................... (to be paid on filing this application) 5. If dwelling, number of dwelling units....~ .............. Number of dwelling unite on each floor ............................ If garage, number of cars....: ....................................................................................................................................... 6. If business, commercial or mixed occupancy, epecify nature and extent of each type of use .............................. 7. Dimensions of existing etructures, if any: Front ........ ~...-m. ............... Rear ...... .,r::.. .................. Depth .....-~. ...................... 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 '~ /'' t Depth Height .~,_~,/ Number of Stories ....~. ..................... / 9. Size of lot: Front /..,)-O ! Rear /..:1'O! Depth /Z)4,~ ~ 10. Date of Purchase ....... -~..Z.~1,...~...71..~../.....'-- ............... Name of Former Owner ~....~ .................. 11. Zone or use district in which premises are situated....~..'fM~......../~...~ ....................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ~ ....... ~ ................................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... 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 etreet names and indicate whether interior or corner lot. UNTY OF ............................ ) ' .... ~f~.,....~~ ........................ be ng du y sworn, deposes and says that he s the app cant above named. He is the~~ ..................................................................................................................................... (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 ail 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 Jn fha application filed therewith, Sworn t~before me this :z:~ ,~ vUz ~ , ......... [_~ ......... day 'of ......~.~,,..,....I;~. ............. lY ........ 1... ~ (Signature of applicant) Nota~ Publ.c, '""'~h:;';~:~~/~<(~, / -~7 ' , ......... County C~ ~0 ~~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. mpproved ........................................ 19 ........ Permit No ............................... Application No ..... L...~...!...'~ ........ APPLICATION FOR BUILDING PERMIT ~7-XO 19 ./.i .... Date ............................................................. ~ Inspector. b. Plot plan showing location of lot and of buildings on premises, relotionsh or areas, and giving a detailed description of layout of property must be drawn on c. The work covered by this application may not be commenced before issue d. Upon approval of this application, the Building Inspector will issue a permit shall be kept on the premises available for inspection throughout the p e. No building shall be occupied or used in whole or in part for any purpose shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issu. Building Zone Ordinance of the Town of Southold, Suffolk County, New York, INSTRUCTIONS This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building ,, .~rsuant to the ..... r applicc~ble 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. 7~' / ' (Signature of applicant, or name, if a ~o~l~orotio/~) .¢.../....¢..{..A ( ddt'ess of applicator) /-/ ~ g' , g , ' ' , p b ilder. If applicant is a corporate, signature of duly authorized officer, (Name and title of corporate officer) I. Location of land on whicJ~ proposed work will be done. Map No: ............................................ Lot No: ...'~-....'~.. .......... Street and Number ...~..... ,~..,,~,.~.......(2~'~ ",..~~..~..,...,i .............................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... b. Intended use and occupancy ........... .................. ~ ...................................................................................... i ......... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.~..~'[ic~ .......................................... 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 ............................ 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 new construction: Front.....h..; .................. Rear ............................ Depth ............................ Height .....'.,~....D~...! ............. Number of Stories ..... r../. .................... 9. Size of lot: Front /)'O! Rear ./.2~! Depth 10. Date of Purchase 2-%'"/ --~'/ Name of Former Owner ]1. Zone or use district in which premises ore situated .............................. ~ .................................................. Does proposed construction violate any zoning Iow, ordinance or reflulotion? ..3....: ....... ~ ....... t', .................. 13. Name of Owner of prem .... ddres~../...~.'.'~.~..~..~.~(.'../...~c~n Name of Architect ~' Address Phone NO Nome of Contractor .................................................... Address ............................................ Phone NO ..................... , PLOT DIAGRAM Loca}e clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property I'ines. Give street and block numbers or description according to deed, and show street names and indicate whether '~nterior or corner lot. S'rAT OP mW YOR :, S S. COUNTY OF .................................................................. ~ applicant :(blame of individual signing application) above named. He is the......~...~.l". ............................................................................................................................... (Contractor, agent, corlborate 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 apphcat'on; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be per, f~ormed in the manner set forth in the application filed therewith. Sworn t~before me this /I, ' ............ ~4 ......... aay~