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Home My WebLink About1317-zTOWN OF SOUTHOLD BUXLDING DEPARTMENT 'I'OWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFXCATE OF OCCUPANCY TH]IS CERTIFIES that the building located at ......................................................... Street E/S Oakwood Drive IVIap No ....................... Block No ......................... Lot No ....................................................... Oakwood Park ............... ut Qld~ eonforms subslantially to the Appncation for Building Permitheretofore filed in this office dated ................................................... 19 ........ pursuant fo which Building Permit No ..................... dated ...................... ~1~ ...... .9 ..... 19~1..., was issued, and conforms to all of th~re- ments of the applic~j~ovi~ns of~e law. The occupancy for which this certificate is issued is ................................................................................................................................................... This certificate is issued to ............................................................................................................ Private one family dwelling (owner, lessee or tenant) of the aforesaid building. Nicholas ~hick Owner Building Inspector / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS P, ERMIT MUST ~3E KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1317 z Dote ..................... H~l, eh..._tO ............... 19.~]:... Permission is hereby gronted to: Don" ~a~'"'-~'/'fl' ' ............ ~a~i-~:te~--.... ~-~-?f.~ ................................ to ..... l~al']:d" new" o'ne- - '£~mi-3:¥ · 'd,~e'2'~:i~g ................................................................................. at premises located ot "E/8'""Oak~o'od'"Drl~re ............................................................................... ......................................................... ~eu~,i~o.l~.~..-..~.~Z~ ................................................................... pursuont to opplJcotion doted ............................. ~,~,e~l....¢) ................ i,°..l~.]:., ond opproved by the Building Inspector Fee $'"~0'~O(~ ........ FORM NO. 1 TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam ned .~.L':.'~..~%..t..~... 19L. (... r " ' ........... App oved ........................................ 19 ........ Permit Disapproved a/c .................. t......_~c~_..~_..._......... ........... ............................ ................................... · (Building Inspecto~C) Application No...../..'~../...'~ ......... APPLICATION FOR BUILDING PERMIT 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 o detailed description of layout of property must be drown on the diagram which is port of this location. c. The work covered by lhis application may not be commenced before issuance of Building Permit. d. Upon opprovat 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 throughgut 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 o 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 applicant agrees to comply with all applicable laws, ordinances and regulations. Pow/ eJi T', (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricon, plumber or builder. ~ome of owner of premises ..................................................................................................................................................... if applicant is~ cor~porote, signature~ of duly authorized officer. (Nome ~d title of corporate officer) Location of land on which proposed work will be done. Mop No..~ ................................ Block ........... ¢ ..................... bTreet and INumDer ~. . . · .~.~~.~.~. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................................................................................. b. In~ended use and occupancy ................... z .......................................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal ..~, ................. Demolition .................... Other Work (Describe) .................... 4. ~sTJmared L~ast ..................... ~. ...................................... ~ee .......................................................................................... (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor...~.~...~. ................. If garage, number of cars ........................................................................................................................................ 6. If business, commerical or mixed occupancy, specify nature and extent of each type of use...'~:.....~. .................... 7. Dimensions of exlsting 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 ........ !..r~... ............... Number of Stories ..... .?...~'.!~ ............ 9. Size of lot: Front J OO Rear JO O Depth J ~ 10. Zone or use district in which premises are situated......~.. ....................................................................................... I t' ~ JVO 1 1. Does proposed constructio~ violate any zoning law, ordinance or ragu a .on ..................................................... f J'/. ,,~, ~rl~.J~ i'l~l~J~l'"' fl0..~... ...... -....-.-.Phone 12. Name o Owner of premises ....................................... Address Name of Architect .........~.:.J...'...~..~...~...~.!..~i ................... Address J'~'["~'"'~'~';:~/" /~/;~'.:] Z.Phone NO.~.~..:..~.,.'..~!.I..~., Name of Contractor ...... .?..?..~.....?~..t~....C.!..'...~....i ........... Address ~iii~ii~Jii~ii~ii~i~iiiiilPhone NO.~'.~L..~.."..~.~..~..V Locate clearly and distinctly all bt property lines. Give street and block nL whether inte/rior or corner lot. :ddmgs, mbers or d PLOT DIAGRAM whether existing or proposedJ s_~cription according to and indicate all set-back dimensions ed, and show street names and indi t STATE OF NEW,,~ORK, ,~ ) s COUNTY .............. ..~..~.~.~£~ .............................. being duly sworn, deposes and says that he is the applicant. (NaffoJe of individual signing application) above named. He is the ................ .~...0...~.!.!./.:....0...~.-.~!..~...~.~.~.~ ............................................................................... : ................... (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 are true to the best of his knowledge and belief; and that the work will be peH:ormed in the manner set forth in the application filed therewith. Sworn to before me this ............. ........ ....... day of ..... Notary ~ ur~ d c,.....~.~. ~ .~.¢.~. -. · ..t~..,....J~4.:~.~ ................. JUDITH T, BOKEN Notary Public, State ol New York No. 52-0344963, Sfl[folk Colmty , (Singature of applicant)