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Home My WebLink About1509-zFOI~ NO. 4 TOWN OF $OUTHOLD BUILDING DEPART/v[ENT TO~VN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at~,~'BeL..~a-t~e~..lr'a.,.,,...O~'.,'l.eal:. .......... Street Map No.~,,Se& ...... Block No. Se~,.~Q~...~ Lot No .... .~$ ............................................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. ~,t~g~J~lt:...7 .................................. 19..63, pursuant to which Building Permit No. dated ...,~.t/.cj[t3~il.~...'/. .............................. , 19....6.1, 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...V~_~..~.S....~..~...~..~..~..e. .................................................................................. This certificate is issued to l~,O ..¢~e~.. ~ai .~.~...a..~..~ .....o~...~..~..~. .............................................. (owner, lessee or tenant) of the aforesaid building. ,~,~ ~.:~:::.~- ... .~..:~ ......................... .................... i~'~'ii~l i ~'~' 'i~'~p e c t o ~l FO~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) 1509 Z Permission is hereby granted to: Walter....Uh:L.. Zne..... A/CL. P~o. dne¥...~a~.~t ~. ........... ............. ~3...G ten...La-ne ...................................... ........................ G3,e~wood...La.ndlng ................... to. ]~ui.ld...new.. 4~ne.. £~.i.!?f...d.we!l&.n~ ..................................................................................... ot premises located at ...~o.t..¢/,3.,~.~...eec.¢...t.~....O~&e.~...by'-.~he...se~ ....................................... ............................................... ~.h.~. e~..-~.,~¢;~,,~ ¢.. La~.e ~. · · · · O~ Len.t ................................................... pursuant to application doted .............................. J~l&.~.8~,......~. ............ 19~..., and approved by the Building Inspector Fee $..lO.DO...pd*.* Building -'lnspect~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ........ ........... Approved ........................................ 19 ........ Permit Disapproved a/c .......~~ .......... : ............... ................... (Building Inspe(ct~/r) . APPLICATION FOR BUILDING PERMIT Application No./....~._0...~ ............... 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 covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector wilt 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 Certificat:e of Occupancy shall 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 buildlngs, additions dr a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all, applicable laws, ordinances and reaulations. ,,, ,,~ .... bor t on'"'i ......... .......................... 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 authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No: . .~/~....~Lot No: ......... Street and Number ....................... .~....~..~.. .................................................................................................. Municipality State existing use and occupancy of p~emises and intended use and occupdncy of proposed construction: a. Existing use and occupancy ................................................................................................ b. Intended use and occu anc ~/. 0~...~...~..~.~.. 3. Nature of work (check which applicable): New Building......~.... ........ Addition .................... Alteration .................... Repair ..,~.,;..Removal .................... Demolition ............. ,~.....Other War ¢ (Describe) 4. Estim(:ted Cost...~r.../..~.~.~.....<~...~.....g~...r....":~... ........................ Fee ....2//..~...~......~... ....................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .........~.....(%r~..~]~. .......... 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 ............................ He!ght ............................ 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 ./..~..:.~.' ~:~ Number of Stories ............... ./. .......... 9. Size of lot: Front ......../]...-~..~..."...'~.. ........ Rear ...../.~..~....~.. ........ Depth ...../....~'....~...~ ......... 10. Date of Purchase .................... '.: .............. ./..~....':~..l....Name ,o,f F~?rmerz2__Owner/',~,'~'-----------------~'"'"'~'"'~'"'~"~"~'""~'""'~'"~-'~ 11. Zone or use district in which premises are situated ~ ./...t~..t.~,- ~...7]..,~....~. Does proposed construction violate any zonina law, ordinance or regulation? ........ ~ ............,.~...'..~....~,...._...~ 13. Name of Owner of premises..~.~...~...~.~2*~)f'M~,~J~ddress ....~....~.(...~'..~..~..~...~...~.~..'~one NO ..................... Name of Architect ................................... '. ........ J ..... ~,...Address ...................... : .................... Phone NO ..................... Name of Contractor..~rC~....z~....'~.~.....~..~dress ~~~~g)N/,~.; ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property Jines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE QF NEW.~.C~.,.~ ~,~' ! S S COUNTY OF ~) ' .......... ~~ .............................. being duly sworn, deposes and says that he is the applicant '(Name of individual signing application) ~.* ~ ~ _ above named. He is the..~~...;~..~~'"~ ................. (~ontractor agen?, corporate Ottlcer, of said o~ner or owners, and is duly authorized to ~erform or have performed the said work and to make and f le this application; that all statements contained in this application are true to the bests'of Els. knowledge and belief; and that]the work wJ~l be performed in the manner set forth in the application filed therewith. Sworn to b~fo~e me th~s . _ ~ ~u~ t. ~ ' ruMic, State of New York · Nota~ ~ubJ~.....~.,~-.~ ......... ~Y ' /~- TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. % Approved ......................... ~ ............... 19.....:..Permit No. ,,~..../...~...~?....~ ...... Application No. j...~...0,../; ...........................(Building"'~":;"lnspec~:;":' ................................. ' ,, APPMCATIOH 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. 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 part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE tb 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 de,molition, as herein described. The applicant agrees to comply with all applioabte laws, ordinances and regp~Lq~/L/~,~¢ /,~- (Signature,>of applicant..or name, if ~orat~on) (Address of a~licont) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... e ...................................................................... Name of owner of premises ....... "'¢-- / -- ~.~..~./¢L/.(¢~../~.........~..~..../~...,~.../~..~....~. ................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~%-~..,. ~// ~ ,~ 1. Location of land on which proppsed work will be done. Map No: .~../~../.;¢../~..~...~/....~.....~...~..... Lot No: ...... Street and Number 7~'/~,¢" ~///7~Z'/~C ~/¢',¢¢/~Z ~,q*~/~,~./,2~ Municipality 2. State existing use and occupancy of pr~emises and intended use and occupancy of proposed construction: o. Existing use and occupancy ....................... ~..,, ........ , ....................................................................................... ' ........... b. ntended use and occupancy % % ~ .¢....~..]~:. % .~: ........................................ 3. Na~lure of work~(check which applicable): New Build ing.....~.... ........ Addition .................... Alteration .................... Repair ............. ~.Removal ....................Demolition ........... ,~ ....... Other Work (Describe) .................... (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, speclfy nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ He!ght ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~ .................. : ........ , ...... Na. me of Architect .................................... r. ........ : .......... 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/?O~.I~,./ ) O NT¥! OFS S. ~~-~~ be ng duly sworn, deposes and says that he is the applicant . ~ ~~f piicatlon) this appJicatiron; that ail statements contained in th'!~,atpa~p~op.. ~Lrl~/tr.u.e ~o th~' ~es~:~f. b? knowledg~ and beJief; and 'that the work w I be performed in the manner s~to~Hi~J~t~T~on t,ed therew~m. . - ~24J~449~3, Suffolk Bounty , ~' ~ ' , ' Sworn to b~fgre me this ~ ' ' / '- C~fi~?~ ~xpires ~arch 30 ~ .~. do" of ~~ 19.~Z:~. /~ , ~Signature of ap~ant) ........... . '7 ....... > Nota~ Pbbl~'~......~r...~'~f':~ .......... ~[~ ~ - ~~~ ~