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Home My WebLink About1327-zFi}EM NO. 4 TOWN OF SOUTHOLD BUILDING DEPART/,4ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CeRTiFICATE OF OCCUPANCY No...Z..l~4fi ........... Date .................. .O~./;~ht~X...~.~.,, ........... , 19...6..2... THIS CERTIFIES that the building located at .~p,~%~/~.~.~..~.~.~,...C..U..t..c.h..O..Cj..U...e. .......... Street Nassau Po~nt , Mop ~l~'~'"PrOp';'"' Block NoSO6.,...$ee,...l~ot No ........... 178 .................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................... ~[t.~.~'~l...~L.~. ........................... , 19....6..1.. pursuant to which Building Permit No ............~.....1:~27 dated ......... Ma~'"]:6' ......................... , 19....6.~ 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 ........ ................... ~I~.A~E..13NE..FAMIL.Y..IY~LLX~G .............................................................. The certificate is issued to .. ................. .%t'~/~eD, t .&T~.~.~,~.c~p,~'.~.~...~T.~.~)~..o...n.,....?...w~....e...r.~ ...... (owner, lessee or tenant) of the aforesaid building.. TOWN OF SOLITNOLD BUILDING D~:PARTME~T 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? 1327 z Dote .................. Permission is hereby granted to: Vine e?~¢.-.&..-}~ gt, e~b-.,~ot~sen .............................. .... 1'2" C ~;h~dz"~l" '~v~ ..................................... ............ M~mp~te~..----B:..~ ~-T"'"N'~ T ~' .................. t o. 'Bu'i t~" ~n" ~d~]'i t']: or/" oza' "an' "exi ~t in~" dw~T1 Iz~g ........................................................ at premises located at ..,.~oj;..~.~.½....~a,~sa~...~u:~.~..~.~.,.~p~l~ .............................................. ...................................................... ~ay~a.~e .F.~ .. ~ead ......................................................................... .................................................................. ~. u.~h~g-ue.~-.....N'~.~ ........................................................ pursuant to application dated ......................... ~?¢h'"'"~'~ ................. 19...6.T, and approved by the Building Inspector Fee $"'"~;~0 .......... Building' Inspector f FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Ex°mined ...... ............................... 19. ..... r Approved ........................................ 19 ........ Permit No .............................. (Building Inspector) APPLICATION FOR BUILDING PERMIT ................................... :./...i.,.....c...... INSTRUCTIONS o. This opplicotion must be completely filled in by typewriter or in ink and submitted in duplicote to the Building Inspector. b. Plot plon showing location of lot ond of buildings on premises, relotionship to odjoining premises or public streets or areas, ond giving o detoiled description of Ioyout of property must be drown on the diogram which is port of this location. c. The work covered by this opplicotion moy not be commenced before issuence of Building Permit. d. Upon.opprovol of this opplication, the Building Inspector will issue o Building Permit to the opplicant. Such permit shall be kept on the premises avoiloble for inspection throughout the progress of the work. e. No building sholl be occupied or used in whole or in port for ony purpose whotever until o Certificate of Occuponcy sholl hove been gronted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuonoe of o Building Permit pursuont to the Building Zone Ordinonce of the Town of Southold, Suffolk County, New York, and other opplicoble Lows, Ordinonces or Regulotions, for the construction of buildings, odditions or olterotions, or for removol or demolition, os herein described. The opplicont ogrees to comply with oll opplicable laws, ordinances ond regulotions. ...... .................... (Signature of app~ant, or name, if a corporation) Crate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· :. ................ ....... ................................................................................................... Name of owner of promises .~./~...~,~..~.: .......... -.....~.'.~.?,~.~.~..~..// ....... ~o~...~.~ .................................. tf opphcant 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: .r/..~..~....~.....~..: ............... L,0,ot No:~...7~.. ....... Street and Number ..... :.~../....'.~'..~..~...~.~`.~.~....~.~.~..~.~..~.~..~.~..~x~... 2. State existing use and occupancy of pr,amides and intended use and occupancy of proposed construction: o. Existing use ond oceuponcy ............................................................................................... 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 .......~.'.=P.....~....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. ~Z ~) / / Dimensions of?"at'ne structure with alterations,,,~/~/ar ?ditions: Front .... ~A? ~.,.~,'i' Rear ...... ~...~.... 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 10. Date of Purchase ....... /..~.~.'.."'.~ ............... Name of Former Owner ..~~......(,~tz~... 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction wolate____ _~ , ,any zoning law, ordinance or regulahon ............. Z"..~... Name of Architect .............. , ............. rm......~ ................... 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 NE.W_ YORK, / ) S S ............. U~~.~ ...................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) abow, 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 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 application filed therewith. Sworn to before me this / ~.]. 1~.... dayx_of ..... ./~.~ ~C/~.~,B¥..I]UJ~,~l~l~.p.f New Yq~ (S~gnature of app[,cant) Notary Pubhc ........