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Home My WebLink About1678-zFOR]M[ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ....~]:I~L.,~ ............ Date ...................... ~.~;.....~ ........... , 19~.. THIS CERTIFIES that the building located at ..,j~.8 ..... JJo~'.th...~d ............................... Street Map No ...~..~ ......... Block No .....~ .......... Lot No. "~3~: ......... I~e~s,3~ ............................. conform~ substantially to the Application for Building Permit heretofore filed in this office dated ................................. ~:p~.~. ....... ~ ........... , 19./Or~. pursuant to which Building Permit No....~.~.~.~.~.... dated ............................. ~_.j:y~.~. ..... ~....., 19...~,~., was issued, and conforms to all of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ........ .......... ~z~tv~t~"on~'"~ii~r"dwelTIr~ .................................................................................... The certificate is issued to ..... ~e//ltie~:...N/[~e~L~e.~/~...; ........ 0%~te~ ...... : ......... : ............................. [owner, lessee or :enant) of the aforesaid building. H,D,aprroval A~g 1, 1962 b7 R, Villa .............. ........... ....... ~ ' - Building Inspector / ! FOI~J~ NO. ~ 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°. 11378 z Dote ................... ~.1~.~,....~'. .............. ~9~.. Permission is hereby granted to' · ~ut~l~ ...................................................... to ]Jl~..],~...new.. ol~e £~m:[.l~. ·. d.~el. 1 ~n~ ................................................................................. at premises located ct .~.. ]Jo~'.~.~..l~ea.~. ..... (~.e~.,...~.*~Jt.~J ........................................................ ............. :' ..................................... gr. ee=T~,~ .... ~[.~ .................................................................... pursuan(to opphcohon doted ............................. ~2~*~.....~ ........... ]~......, ond opproved by the Budding~ Inspector Fee :$.~,Q~O~.~I ............ Budding Inspector TOWN ElF . EIUTHEILD OFFICE DF BUILDING INSPEBTOR TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Mr. H.W.Bishop Commissioner of Pubhc Works Suffolk County Yaphank Ave., Yaphank, N. Y. North Road OR 27A Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Lows of the State of New York, this is to not~fy the Commis- sioner of Public Works of the County of Suffolk that · ...~.O~. ~a.~OD:::LO ~.Btt::CLlc~er ..... ~/.C.. S a~ue&..~.~ ~s ~. ~1 d ................................................... ha~ applied to the Town of Southold for a permit to construct a budding on ...N ./~.. ~or.~ h.. Pi~ a~ ~...C~ .2.7~,.. Gr.e ~n.po~.t ~ ..N.,.~. ............... as shown on the attached plot plan, submitted in triplicate, da.ted ............... .... ~Q~...1.Q~:~cj61 ............ and t,tled ..~&D. ~-¢...pz'.op~z:.t~...zEo~"...&a~,el & Jea_tt Nissenfeld We shall withhold further action on this application far ten days or as otherwise pray,deal ~n the aforementioned Secbon 239K 4/4/62 approved pursuant to Sec. 239~ery truly yours, of the General Mu~icipal Law. SUFFOLK COUNTY DEPT. PUBLIC WORKS H. F. BISHOP, COMMISSI0}TER BY William S. Matsunaye,Jr. Chief Eugineer Budding Inspector Town of Southold, N. Y. FORbi NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ ~..~... ~....~., 19..~.....'~ Approved ..~.......~.. ................. , 19~...~.. Permit No ~' ./....~'. ~ ~ .... ........... Application No...,(.~..?......~... ....... APPLICATION FOR BUILDING PERMIT Dote ';..~.(~....:.~....;~ ...................... , 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 lactation 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 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 applicable laws, ordinances and regulations. (Address of applicant)J ~Ote 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 wor,.k will be done. Map No: ........ :~ .................................. Lot No: ....... '. ............ Street and Number ..~..~...~..,..~..~.~/...~ ..... 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 ..... 4~,x,~....~. 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .....~....~,,....~.:.,.c~. ........................... Fee .......... ../.~.~..~... ................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... .J.. ............ 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 .~/..,~.. ~' - 10. Date of Purchase ................ ./..~...~../. ........................... ". Name of Former'Owner".....~..~.~'',' --'-'" --'z:~~ ........ . .... 11. Zone or use district Jn which premises are situated......,.~....~: ......................................................... 12. Does proposed constFuction violate any zoning law,~ordinance or regulation> ...~ .... 13. Name of Owner of premises dress . ..~.~..~ Phone No ..................... Name of Architect ...................................... .. ............... Address ............................................ Phone No ..................... Name of Contractor~~ .......... Address~...~....~.,. Phone No~'P.~.~.,~..~.../.~. 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 "~OR, K~ ~,~ , ) S S COUNTY OF ..~.....) ' ' ........... [ ......... .,~~ ...................................... being duly sworn, deposes and says' that he is the applicant (N~'me of indivfdual signi~gjx. -_ ~e., ~applicati°n) ' ~above named. He is the ............ ~:z~.~ .............................................................. (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 wJJJ be performed in the manner set forth Jn the application filed therewith. Swam to before me this ~ ~ JUDITH Z. BOKEN ....... da of ....... _Z'. Notary Pubhc, .~..~_~/.......~~/..,--'~, ,,L~ (Signo~ilJ~'e of applicant)