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Home My WebLink About1294-zFOR,~I ~0. 4 TOWN OF gOU?I~OLD TOWI~ CL'~RKq$ OFFIC£ $OUT~IOLD, N, CERTIFICATE OF OCCUPANCY No., Z~l-03~. ........... Date ........................... Alaril....~.0. ......... 196.~.. TH~S CERTIFIES that the building located at ..~/..~.. }?~.~..,~.~..~.~_~1~.~ ................. Street Ceada~' ~each Park Map No....~O ................ Block No ..... ~ ............ Lo~ No..~ ....... ~hO~.r.....~.~ ................. conforms substantially to ~he Application for BuilOing Pecmi~ heretofore filed in ~his office dated .................... ;Ja~.y..-..~..., 19...~ pursuant to which Building Permit No Z dated ........... ~a~¢ar.y......6 ............ , 19.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ssued is ...... flae~..~otgage ............................................................................................................ This certificate is issued to ..... ~.~.,..~is....,.~e~ ........................................................ (owner, lessee or tenant) of the aforesaid buildin',~,. Building Inspector / 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) 1294' Z Date ............... ~anua~¥ ...... '6 ................. 19..6.~. Permission is hereby granted to: C or~.d.~ .. ~-r ~t.h.~o.h~......~..~...J.,.J.~ ~[a~r ~.~ .............. .......... ~u¢'c~og~te-~r"~.~ .................................. to ..... .Bu&.td...at~..a~t ~&~. ~.o~..ot, l.....e.x.~-s.t .~?~...bui.Z-~.~.ng ......................................................... at premises located at '"~O1~"~"~6 ....... ~'e~'~Z'"']~D'~l~"~'~t~ ...................................................... .......................... (~e~a~"'"Po'l'nt'Dr lve'""~l; ............................................................................ .................................................................... S ~.l~h~]:d'~' ' · "'N'~ :~ ......................................................... pursuant to application dated ............................. ~r~/,.....~ ........... 19..~t., and approved by the Building Inspector Fee $..~.~,.00 ............. Building Inspector NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLDr, N. Y. Examinea ....... ,'; ::....~'; .................... , ........ Approved ................ ~/ ..................... 19 ........ Permit No ............................... ........... ....... APPLICATION FOR BUILDING PERMIT ............................... , .... INSTRUCTIONS a. This application must be completely filled in bv 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 port 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 l~ept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in port for any pu~'pose whatever until .a Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Sou'thold, Suffolk County, New York, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or o Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with oli applicable laws, ordinances and regulations. (Signature of applicant, or name, if o corporation) - (Address~f applicant) 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. Map No: ..~/...6~...~':..~..~.~.'."..~....~..~..~.Y:.~..~Lot No: ...~/...('~ .......... Street and Number ...Ud'~..~-xZ....~~,..~~..-.~...'~-:..'~..r........';~..<....~'~'.. ............................................ Municipality 2. State existing use and occupancy of pr, cruises and intended use and occupancy of proposed construction: o. Ex/sting use and occupancy ........ ~...,.~~'""~ ................................................................. b. Intended use and occupancy ....... ~'~..~'~"'~ ..................................................................... ~. ................ 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .................. .?~..~....¢~...'.....'~... ........................ 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 ........ ~9..~...../ .............. Rear ...~ ............... Depth ~.~b.~ / Height ....... /.. .................... Number of Stories ...........,'(.. .................. 8. Dimensions of entire new construction: Front ............................Rear ./...~. / ....... Depth ............................ Height .......... ,~..¢,.,/, .......... Number of Stories .............'{.. ............ 9. Size of lot: Front ............................ Rear ............................ Depth ..: ......................... ]0. Date of Purchase ........................................................ Name o¢ Former Owner ........................................................ ] ]. Zone or use district in which premises ore situoted .................................................................. ]2. Does proposed construction violote any xoning law, ordinonce or regulation? ............ ~ ...........:~t~.~... 13. Name of Owner of premisesJ.~.,...~./.~ ......... Address .~,,~..~..~,~.~..~...~.....~.¢~.,..~/9¢t~ NO~'.-~/;(...~...~....q7..../~ Name of Architect ........~, ................................ ~ .............. Address .................... ...... ....Phone NO ..................... Name of Contractor~: .~r..~..... Address .,~/~..~..'..¢r~..~.¢ .~.'.ZPhone~7~i" NO/.~..~.:~..~.~.,Z... 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. C/QJ~ NI'Y OF ........................... ) ' ' / ~,,^ ' [ ' bein duly sworn, deposes and says that he is the applicant ..~r.~...k?~....~.. ........... ~:¥., .~:~. ,~ x:¢~, ......................................... g (Name of individual signing application),~ 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 end 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 applicatioJ;t filed therewith. . Sworn to before me th s ........................ day of ...................................... 19/~,~t ~r~¢, -- 3, sul[o~ c¢,, (S~gna ute of apphca ) Notary Public,~. ~,¢~ ..~,~4...~--~.'hc~'~c~c......~,ou y