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Home My WebLink About1396-zTOWN OF SOUTHOLD BUILDING DF,.PARTMENT 'I'OWN CL~RK'S OFFICR SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY TI-IlS CERTLO'I~:S that the building located at .~..h~...~.~.o..~..h.~' ..8..t. .......................Street 0akwcod Park Map No ........................ Block No ...... ~ ............. Lot No....~.. ........ ~.9..~..~.~.9~d. ................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................... ...~.........~.0. ............. 19..~!. pursuant to which Building Permit No........~...~... .... dated ......................... ~.~'.......1..0......., 19....~...1., 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 ,...l~...i...v..~.~....o..n~...f...~....1.1.~....~.~..l~t~ ................................................................................. This certificate is issued to .~.i...~.~...O~.~..~.O...b.~ ............................ .0~l.~. ............................... (owner, lessee or tenant) of the aforesaid building. HoD. 0~ 8/1~/61 FOP~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) N.° 1396' Z - Date ............................ ~.....10. ............ 19.61.. Permission is hereby granted to: G.1~.~1.th &..So~s..~C..R&.ehal'd..~aeol~ ...................... ......... $mat, bo-14~.....I,.~., .................................. to .... ~U~,~.. ne~..o~e.. ~. a~r.. ~lur~l.l.~ ................................................................................. at premises located at ..ll/6..-.~$.mtopher..St ............ {~k~od...l~tl.k.) ............................... ........................................ ~ut]~l.,.....l(,.¥, .................................................................................... pursuant to application dated ............................ !~'......'1~ ................... 19.6~,.., and approved by the Building Inspector FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. E×om ned ........ ......... I% Approved .......................... ~..~ .......... ]9.....~...~ermit No. ~ Disopproved o/c ............ : ........... ................................. Application No ............................. APPLICATION FOR BUILDING PERMIT Date ............................ ..... 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 location. c. The work coYered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o 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 hove 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 dem/olition, as herein described. The applicant agrees to comply with all applicable Paws, ordinanc~Jnd regulations. - (Sigq~fure o~Tapplicant, or .name, if a corporation) // State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......... ~~~..~..~.~..~'...~...~ ........................................................................ If applicant is a corporate, signature of duly authori~e'dr officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No'. ~....~....~...~..~.~.~...~....~..~ Lot No:/~.~.....~'..(..Z· Street and Number ................................................................................................................... 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......./.~..~..~./.'.~-.~...~..~ .................................................................................. 3. Nature of work (check which applicable): New Building ~" Addition .................... Alteration Repair .................... Re~oval .................... Demolition ............... ,~.Other Work (Describe) .................... 4. Estimated Cost .............. 4~....~.....~...~.. ............................. 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 .......... .~....~....~ ..... Rear ............. Depth ..~-:.....~...]. ................ Height ......~.s~Z...~. .......... Number of Stories ..~/'~'.~ ........... 9. Size of lot: Front .... ./..,~:.~.~ .......... Rear ....... ~....~.. ............. Depth ...~1...~....~......~..~..~..~ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....... ../4~¢11..~..~.'.~...~,~..~..~...c...~.. ......................................................... 12. Does proposed construction Violate' any zoning law, ordinance or regulation? ...~...~. ......................................... ..... ........ .~........Phone 13. Name of Owner of pram,sas ~..~.y'.)~..Address / Name of Architect ..........~ ............................................ ._/._..j_.~; Address .......... ~__~.: ................................ Phone NO ..................... Name of Contractor~.~.....~..:..~~ddress ../,~--,¢~--~' .......... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly alt buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Gige street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. 1 STATE OF NEW YORK, S S COUNTY~"'~ _ ~,,,~OF ............ ,..~. .......... .~, ..~...~~. . ~ ..... r].~.;, being duly sworn, depose~s and saysJth t he is the applicant ............ ~-i'~g'?rr'ng application)' above named. He is the ...................... .~...~'~~1~7~ .................. . ....................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to p~rform or have p~rformed the said work and to make and file th s application; that all statements contained in this' applicatidr~ a~e' true to the best of his knowlec~'e and belief; and that the work wil be performed in the manner set f,orth !n the application filed therewith. Sworn to before me this ' : ' ' ' ' ~ ..... ' ~//. ....... ~ ~"/ ' .~ '~--~.,~., ~-". ~' · ~..~,t/'~'0344963, Suffolk County Notary Public,~c~f~.Y~. ~¢..-....,e..m~..~.~.~*.~.....,~ .... , . _ ~ _~ FORI~ NO. 1 · row. omc; SOUT,O, , ,. Y. Examined ........ ....~...~....L..O. ......... 19.,.~..!.. Approved .......................... L.k. .......... 19.....c.C..Permit No......~......{..~..?'....~.. ..... Disapproved a/c ........................ ~ ..... Application No ............................. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plon showing location of lot ond of buildings on premises, reletionship to odjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diogrom which is part of this Iocotion. c. The work coYered by this application moy not be commenced before issuance of Building Permit. d. Upon opprovol of this opplication, the Building inspector wiH issue a Building Permit to the opplicont. Such permit sholl 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 ony purpose whatever until a Certificote of Occupency shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuonoe of a Building Permit pursuont to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ond other opplicoble Lows, Ordinances or Regulotions, for the construction of buildings, odditions or o Iterotions, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinanc~,~nd regulations. (Sigr~ure o~applicant, or name, if a corporation) ...... ~'~ ................ (',~Jdr~ss at ap"~"-'~"'~"e~"~p~i~')'"~' ..................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premmes ......... ,*..~..,~....... .................... ~,-~.~.. ............................................................................................ If applicant is a corporate, signature of duly authoriL'~[ officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ~:' .~...~.?~..~..(.~./2../.~....~.~.~!~.J( Lot No:/~-~..~.'(.~ Street and Number ..... [,.~Z~./.~/...-!.../-~..~.::-./ZC..~.:~. ........ :,~./...,~.C,~.-:.~;.-.(. ................................................................. Municipality 2. State existing use and occupancy of pr.emises and intended use and occupancy of proposed construction: b. Intended use and occupancy......~.:~.-.z.~.-.~.!-C ~,~_~ .................................................................................. property lines. Give street and block numbers or description according to deed, whether interior or corner lot. 3. Nature of work (check which applicable): New Building /~'~' Addition .................... Alteration Repair .................... Removal .................... Demolition ................... Other Work (Describe) .................... 4. Estimated Cost ............... 6?......~...~ff...~. ............................. 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 ...........7."..~-.~r:'z ...................................................................................................................... 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 .......... ?/.....~/.. ........ Rear .....~...~;~.f ............. Depth ~.'r....~....~ ................ Height ...... ~..~, ................ Number of Stories ..~/~..¢,,~ ........... / ' ~*" . ...... ~.i..~.. ............. Depth ........................... 9. Size of lot: Front ........ ,¢,.. ................ Rear 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are s tuated ....... t.~:~2:.~...x"(4.~-K.:.-.~:. ......................................................... 12. Does proposed construction ~'iolate' any zoning law, ordinance or regulation? ...Z/...¢. ......................................... 13. Name of Owner of premises.~.!~.:.~.'~:~.~./,:?'~..:.~F..~..':..Address ..... ':.::f.¢¢"';'"~:~'~ ........ ~:....Phone NO ..................... L! Name of Architect ~ · ~" · ................... ....... '~i'""~ ................. ~'"":'""! ........ Address .....~:;~7'~" ............................. ?*'e~ '" PhonePh°~e NoNO' Nome of Contractor~.:~':.~.~.:~/.....~..r..~.'~.~.~..*~..Address ..z~.~,~:f.~:~,.~,/.,~.:~:f~,.:f... .......... ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set~bock dimensions from and show street names and indicate ~'~'('lqlame"~]~c~"~-d'ual s~g"'ffr~g applicat on) · ' ' abave named. He is the ....................... (Contractor, ';~';'l~i"~;['~;~'~'~";~:¥i'~;~';";[~ii ........................................ of s~ d owner or owners, and s du~y ~uthoriz~d .to p~rform or hoye p~rformod the said work and to make and file this application; that all statements contained in thb applicatid& a~e' true to the best of his knowle~ffe and belief; and that the work will be performed in the manner se~ f~rth ~n the application ~d therewith. ?/ ~ Swo~n to before methis ~ ' '' ~ ~ :~/'/- · ~ · - .- --' . ,~-~f -:~.~ 19.~J~ots~ublIc State of New(~atur~f applic~n~ Nota~ FUDi ic~:.~r~. ~-x.;.../.~.. ~., ........... ~ ..... , -' ~