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Home My WebLink About1361-zI~ORM ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLI~RK'S OFFICE SOUTHOLD, N. ¥, CERTiFICATe- OF OCCUPANCY ~ ' 'o c Bay Blvd. Map .No..*.** ............... Block No ........... .~*.*......Lot No .......*...*.~. ............... Co.t~a~e...~3 .............. conforms substantfally to the Application for Bufldfn~ Pe~mft heretofore flied in thfs office d~ted ................... }~.~g~..~.~ ........... 19..~.~. pursuant to which Buildinff Permft No. .................... Z 1361 dated ................. ~h..}~. ........... 19~.~..., was issued, and conforms to all of the require- ments of the applicable provisions of the law, The occupancy for which this cert~icate is issued is PRiVA~ O~ P~Y ~R CO~AO~ This certificate is issued to M~.~...~.~....~U~....9.~9.~ ................... ~ .............................. (owner, lessee or tenant) of the aforesaid building. TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CO?~AO~ # 3 (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1361, Z Dote ................. ]~r~eh......~.t, ................... t9~t .... Permission is hereby granted to: ~4e ~.th~.. t~usi*n~ ................................................. ....... '8 6-~ t'~" 'Perk'. '~ar~e'-~ o~ t~ ..................... ........ Wo~'d~n'"2~'~'"~;'Z;'*'*"~f ..................... to ........................................... .~ ~ kt. ~.~.e. ~,......~....~ ,. .......................................................................... move and relocate an exizting cottage on new location site at premises located at "PVt'T"O'O.d'½'"~/~"P~tJ~'X~"'B~;?"BI~d .................................................. .......................................................................... · ]Ba,~z~l'i'"'"I;; 'I ~' ....................................................... pursuant to application dated ................................. ~U~v~.*...~ ......... 196~...., and approved by the Building Inspector Fee $'"~.0 ~'00 ......... FOR~ NO. I TOWN OF SOUTHOLD . BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ......................... !4 ............ 19...~/....Permit No....~.....(...?]..~...~' ......... (Building Inspector)I · APPLICATION FOR BUILDING PERMIT Applicetion No..: .......................... C~ttage I~3 Date ............. ~a~..ch...:?.5. .............. 19.~]. ...... 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 wiH 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 to the Building Department for the issuance 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 demolition, as herein described. The applicant agrees to comply with all applic.able laws, ordinances and regulations. 86-1~ f'ark Lane South, Woodhaven 21, NoY, a~d Mattituck~ ]long Island~ N.Y. (Address of applicant) State whether applicant is owner, Iessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........... ]i,?3.~'.t.~.a....C..,...[~?.~.J,n.~ .......................................................................................................... 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: ............................................Lot No: .................... Street and Number West aP $i,~b .e Ro;~d ~'nd Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ' c'- Summer Cottage o. Existing use one occupan y ......................... vr..:..i ................................................................................................... b. Intended use and occupancy ................. $.~2~.~tC.~..C~t.~.a.g.e. .................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .......~.......Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ............... $~.~Q^Q0 ............ Fee ........... $~J3,~00 ................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... Ona ................ Number of dwelling units on each floor....Qp, fl .................. If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, spec'ify nature and extent of each type of use .............................. 7. Dimensions of ex[stinf~ structures, if any: Front...,.~¥. ~'ea:b ....... Rear ............................ Depth ............................ Height .......lD...?.~t ....... Number of Stories ...... ¢ine ................................................................................................ Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ ,qee below Rear ............................ Depth ................. .~a.b~l. k. Husin~ 9. Size of lot: Front .._q.~.j_.~...~¥~,.{(j]~.:,.~.,~) ob%ained 10. Date of Purchase ..t~y...~,,i.l.t-..'L.n..t. 9~42. ........................ Name of Former Owner ..~!~:~.t..h.~...C.:....H.]'~.x~...n.~ ...................... 11. Zone or use district in which premises are situated .......... l..-...E~fls.l, dfln.tial. ....................................................... 12. Name of Owner of premises....M0,~:tSg..C,~..Hu,siP,[f....Address ~,.~.~.b.$.$.\~.g.~,...L,.~, ............ Phone NO.F~=.g~.8~.i..~. Does proposed construction violate any zoning law, 13. Nome of Architect ........................................................ Address ............................................ Phone NO.H..i.~:~.'.!~.6..2..0...~? Name of Contractor......~..~....~[P..:D ~ ~ ~ se ............ Mover.~'.~ ............... Address ...... ,~9.h.~Jc..~..~.,.$.~.~..N.,.¥.,..Phone NO. .................... (~,~alte~ Oo~clou) 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. < -145 Bu]lO,ead cottage cottage !/4 '83'- · - Driveway //3 cottage STATE OF NEW YORK, ) S S. COL~Y OF ........................... _,) .,,~..~ ~..,.~,.~ ....... being duly sworn, deposes and soys that he is the applicant ........ (Nome of 'i~dividual s'~ing application) (Contractor, agent, corl~orate 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 al statements canto ned in this application are true to the best of his knowledge and belief; ~ndortnh?ot ~ohe~orWeO~e~ihll. sbe performed in the manner set forth in the applic?tion filed therewith. ' FORI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exa mined...i.. //./:.'(.?::L.'..!i'... ~..! ...... 1~..{ ..... ,, ,, . No:'-- / ~ 61 Approved ........................................ 19 ........ Permn : ..... ~ ........................ ................ ....... ...... ................. (Building Inspector) I APPLICATION FOR BUILDING PERMIT Application r~o ............................. INSTRUCTIONS o. This opplicotion must be completely filled in by typewriter or in ink ond su~)mitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adioining premises or public streets or areas, end 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 to the Building Department for the issuanae of a Building Permit pursuant to the Building Zone Ordinance of the Town of $outhold, 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. (Signature of applicant, or nome, if o corporation) ...... ~.~:.x ~...:~ ...... .~...~. ......... ~ (Address of applicant) State wheth.er..applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ....... :~.... .: .... '[ .................................................................................. if applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will I~e done. Map No: ............................................ Lot No: .................... Municipality/) 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: b. Intended use and occupancy .......... ................... :..':-~,~ ..................................................... ' ......... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal ......~.....Demolition .................... Other Work (Describe) .................... (to be paid on filing this application) 5. If dwelling, number of dwelhng un,ts ....... : ........................ 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 ................................ 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 ............................ 11. Zone or use district in which premises are situated ....... ~.......~..~..~. ...................................................................... ]2. Does proposed construction violate any zoning law, ordinance, or regulation? ........ .../~...0. ..................................... Nome of Architect ........................................................ Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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. STA'TE OF NEW YORK, ) S S. COUNTY OF ............................ ) /¢ .......... 'C~:~2'<~...~..~.....~. ..........~ I be ng duly sworn, deposes and says that he is the applicant (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 and file this application; that ail 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 fi[ed therewith. Sworn to before me this /~ (~ ( ................. ..~....~.~day of ~,~z~ .... £*-~-~ 19..(.-./...~.'.. (Signature of applicant) Notary Public, . ........................................................... County