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Home My WebLink About1334-zI~OR~W 1~3. 4 TOWN OF 50UTHOLD BUILDING D',EPARTMENT 'I'OWN CLERK'S OFFICE SOUTHOLD, N, Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located atP~..'..13.~...~..e..c:.k......R..d,.* .~....~.~.~...~....o..~.~.... Street Map No ........ ~ ........ Block No. ,~ .............. Lot N'o ............... ~.~ ............................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. ...~...~.Cl)...~? ................. 19....~..1' pursuant to which Building Permit No. Z laa4 dated ........... ...~..~..C.h....~.7.. ................. lS..~.[., 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 ................................. $tt.~V~.. 0Nt~,.l~'rllO ................................................... This certificate is issued to ...... g.a.~o.,,1..d....c..h.a.~..~.~...a..~....~.~ ............................................. (owner, lessee or tenant) of the aforesaid building. ' . ..... ~.,~.X~, ..................... 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) N? 133 t' Z Dote ......................... [~a~h-. ""~ ........... 196.].._ Permission is hereby granted to: Gold smfth.i~o~.... ~/~.....tta,x:old.. ~b~d.bu~.n ............. .... S.o~thold~.....?~.,3f ......................................... to ......... BI~&18.. an...ad~ t%1 an.. eh...e~t~ .. e~ls.~i.~., al.wet ti. ng. ................................................ ct premises located at ....}l/S.....Pl.~e--.Neek...Roa~ ........................................................................... ................................................................ S~u~hO.ld.~......N.~.~. ~ ............................................................. pursuant to opp[Jcation dated ......................... It~F~.h ....... ~.~/ ............... 19/~.1,..., and approved by the Building Inspector Fee $~.O0 ............... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ....J. .............. .. ..... ~ .......... ... ........ ................................ APPLICATION FOR BUILDING PEP, MIT I N'STRUCTIONS ,, ,~q. This application must be co~pl~etel¥ filled in by typewriter or i~ 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 Igspector. will i~sue.~a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughou~ ~he p,!ogress of the work. e. No building shall be occupied or used in whole or in part fo'r any purpose Whatever until a Certificate of Occuponcy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildinq DeRart~en~ for the issua~c.e of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southo d~ Suffolk County, ~ew York, a~d 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 aH applicabl~ laws, 0rdinances and regubtions. . z ,. (Sigsature of a~plicant, or name, if a corporation) ............. ...................................... (Addres~ of a~licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumbe.r or builder. .... ~.-~,:.. ~ ,<,, ~.... LC, ........................, Name of owner of premises...../...~..~..~..0..~.?. .......... ~;Z././~/,.)..Z.'~t~.~/.~ ............................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and htle of corporate oTficer) , 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ...~./.'.,~...,(~,~.~:~Z<......b~,4~F/. ................................................. L....; ........ ................................. i .... Municipality 2. State existing use and occupancy of p~emises and intended use ond'oc~updncy of proposed construction: a. Existing use and occuponcy....,,~/~..~?~.~Z.~ ........ ,~Q?.>...(.~.i:J~.~.~.c.(~,i ..................................................... .b. Intended us? and occupancy ......... ~.?~.~.~.~.~..' ................................................................................................. 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estlmoted Cost ................. .?.../..2,/.~../...~..~.. ..................... Fee ....... .~.~.,~."X.~?. ................................................................. (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 ........... ~,~..C¢~IZ~.. ................................................................................................................... 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 .......... ~. '.7.. ............. Number of Stories .../. .......................... 8. Dimensions of entire new construction: Front .......... ./.~.~ ............. Rear .......... F..~.~ ........... Depth ..../..~ .................. Height ....... /..~...~ ............ Number of Stories ...... ~ .................... 9. Size of lot: Front ......~Y.~.'...~....~.. ....... Reor ....... .~...~...~. ......... Depth .....'z/.~.~...':...7~'.. ...... 10. Date of Purchase ....... ..~'.. ............................................. Name of Former Owner .'. ...................................................... 11. Zone or use district in which premises are situated ................................................................................................ 121 Does proposed construction violate any zoning law, ordinance or regulation? 13. Name of Owner of premises.....~".~...~..~...~..~..~t~. .......... Address ............................................ Phone NO ..................... Name of Architect ....................... ., ................................ Address ............................................ Phone NO ..................... Name of Contractor.~.*P,~,',Iz'~.<?T~.....~....~.,?..~.-~/~Address ...... '~'~/T/3/~. Z. Y,2 .................. Phone N O. -~...::.~.. 7..~..?. ?,.~ STATE Of NEW Y~RI~,,, .~,,~ ) COUNTY OF ..... ~..¢,~....) S S. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set,back dimensions from property lines. Give street and b/od< numbers or description according to deed, and show street names and indicate whether interior or corner lot. I' ...~..,.....~...~.2....~....~.~,/;~,.~.,~.~7:;7..~. ......................................... being duly sworn, deposes and says that he is the opplicont (Name of individual signing application) above named. He ~s the...~}~.;t.~f./:t~.T....,~. ......................................................................................................................... (Contractor, agent, coriborate officer, etc.) of soJd owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that a~l 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 therew~ Sworn to befor~ me this ......... ~Z ...... day~f .... :~~'"'~' 19"~'""~0t~y eubl~o ~ ~ature of apphcant) Noto Public~ 6~~~ ~Count, ~o