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Home My WebLink About1645-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ..... ~1403 ............ Date ....................... J.~.~.-.~.~ ....... ~,~. ........... , 19.~... THIS CERTIFIES that the building located at ..... M~o~...W..~..~.~.~ .... Block No ........ ~=~ ....... Lot No....~, ....... ~t~oZ~,...~..Z. .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................................... · T~a~'..~...~ 19.~2. pursuant to which Building Permit No..~... doted ............................. ~T~.~..~.~, 19. ~., was msued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ...~i~at~..one..~ami~..dwel~i~ ........................................................................................... The certificate is issued to ...~aZ',~.~...~t.....~To}~.J~,:5~ .............. J~rl~eJ' ................................................. (owner, lessee or tenant) of the aforesaid building. H.D, approval July 2~, 1962 by' R. Villa Building Inspector( FOR~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 1645' Z Date ............... ~T.~ ...... ~-6 ..........19..6~-. Permission is hereby granted to. Jo-~'a. 5o~es..:~e.....,/J~. 1~-~ .Jolm~on ........... 188%..,g,. ,'rex~t,che.. ~p~ ........... ......... ~%~t~a~....-L, .I., ........................... to ..... ~ld...new.. ~lle..f~e~.ly..cl.W~ll.[.n~ .................................................................... at premises located at . Lot....~.97...~rr.~..Wa$.e.l..s .............................................................. ......................................... L~a4Lr'~:~ev.. ~. &..:~e~tez,~ec~e..-~e~T .................................................... ............................................................ ~le~.tho;Ld ..................................................................... pursuant to application dated .......................... ~T~l~l~n~.....'[.~ ........... ]9.~.., and approved by the Building Inspector Fee $.~,~.,.~ ........... Building Inspec~r S-9 SCHD SLrFFOLK COLH~TY DE£'AET~NT OF HEALTH Building Permit No. TC ~'YHOH IT MAY CONCEPJ~: The sewage disposal facilities for a structure located at have been inspected by this Department and found to be satisfactory. Dlstrie~ w=~ .... District Engine~ ..... ' FOI~M NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE (~ SOUTHOLD, N. Y. Fxam'ned .... ..~'TX....]..'T.~ ...... : ............. , 19 ......... Approved .........~ ............................. , 19..~.....Permit N.o ...................... .................... ...................................... ................................ ................................ APPLICATION FOR BUILDING PERMIT Date ...................................................... 19 ..~ INSTRUCTIONS o. This appiicotion 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 application. 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building !nspector. 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, ar{d other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or (rffm~ions, or for removal or demolition,.,~3.~erein described. The °pplicant agrees t° c°mply with all applicable laws, °~e.s a~'~lati°ns' / ............... ? ,7 ......................... .............................................. tf~licont~ is a COrl~ate, signatureC_~' '//of duly a~/f~ri~r~ officer. I. Looat,on of land on whi~,~ro/posed w,,.o~will b; done. Mop No: Z~...~..~....~...~..~...:.~L.. Lot No: ...-wO...~'.. ......... Street and Number ..~.l~..~/¢~.....~..,'~..~.~.~.~..'.-~..~........~......~.......~...../....~....~ ..~.~..~ Municipali~ty ~/- ~,'~.~'~ ............................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~. ............................................................................................................................ b. Intended use and occupancy ..... ~',i~..~.:~-q.. ............................................................ 3. Nature of work (check which applicable): New Building ~" Addition Alteration Repair .................... Removal .................... Demolition ........ ~ ...... Other Work (Describe) ........................ Eshmoted' Cost /,,* ~__/ Fee ~..~.~...r (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 natureand 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......~.~..~../.':E...c;~......~... Rear ..... ...(-4'....~....~T......2-.....~ Depth .~...~....../.?......~. ...... Height ............. ../..~. ....... Number of Stories ........... ./. .................... 9. Size of lot: Front ......~...7~... .......... Rear ........ ./.~.... ......Depth .. 10. Date of Purchase ...../..~.O..X~../.~.,Z ........................ Name of 1 1. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zor/l~ Iow, ordinance or re~ulation2~ ...~ .... ~ ....................... t3. Name of Owner of I~re~ises~:~'-~...-.~es~7~..~~.i~C.'.~hone N'~'~o"~../....~..~..} Name of Architec .~~ ...... Address .~..~...~.~~.~..'~.L/ ~// Name of Contractor~..~~.....Address ./.~ .~....~..'~~.~.~o~.~...~..~.~ 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. Z? ~, IO STATE OF NE.W//~.gJ~_., ~/' / ) .. ,~~ ................................. being duly sworn, deposes and says that he is the applicant (Name of individual si/g~l ~ic.a,tioG ,/,~/~_ , -. , above named. He is the ........... ~.~ ............................................................................. ~/ //)~,ontractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to ~erf~n' or have performed the said work and to make and file this application; that all statements contained in this applicati,0~,-~'e true to the best of his kno~ge and belief; and that the work will bej~erformed in the manner set forth ir~the )~ppiica,~ion filed therewith. Sworn to before me thi~'~'~ ~ ~_~~~ ............ ............ Notary Public ................ ~:: .... ~t-y$~ ~ ~ ¥o~ (Signature of applicant) V ,~ /~// buffolk County No. $2-0803§00 w tw Term Expires March 30, 19~r=J