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Home My WebLink About1681-zFOP~M I'~0. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ~...~........~..O..~...~.~...?...a~.~.~.~....~..~.~..~ ............... Street Map No ,..~...~...~....e. ........ Block No ......... ~ ....... Lot No..~ ......... ..~..O...~..~...~..O...~..~,~....~..t..~.~ ................... conforms substantially to the Application for Building J~ermit heretofore filed in this office dated .................................. .~l~.~.~ ....... ~c~ ........ , 19.~.~,.. pursuant to which Building Permit No ..~,.~.~.. dated .......................... ~3~'.~....~ ..... 19.~.., was issued, and conforms to all of the requirements of the apphcoble prowsions of the Jaw. The occupancy for which this certificate is issued is ........ .............. k~.i.~.~.~.~., g~e... £m~Ll~...&~e~!~ ................................................................................. The certificate is issued to ..~.g,~..J~J,:~l,~.l~t~O ..................0~ll3.EI~ ................................................ (owner, lessee or tenant) of the aforesaid building. H.D. Approval - DeC. 28 1962~ by .... ........................ Building Inspector~ FORI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPART/vILENT 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.o 1681 Z Dote .................... l~d~h'-" 2t) ............ 1962-. Permission is hereby granted to' ~1~..&.~.~on....~..~s.. to .. ~.~:~...~..o~.. f~!y.. ~-~ ............................................................................. at premises located at .... ~..,.,~.~,.~[~,.~ ................................................................. .................................................... ~¢~ ..... ~.~ .................................................................... pursuant to application dated ................................. ~.....~ ......... 19.~.., and approved by the Bu~ding inspector Fee $ -~O0 ........... FOBM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exo mined....~.~.....~....?. ..........19..~....~.. Approved ........................................ 19 ........ Permit Na .............................. 'Application No.-./..,~.....~...I ............ D~sapproved a/c ....................................................... (Buil APPLICATION FOR BUILDING PERMIT Date ................... ~.o..~....~. ...................... 19.62. ...... 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 co~ered 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 pu?pose 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 Sogthold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) cJ og me., .. New...Y. ork ..................... (Address of applicant) State whether applicant is owner, lessee, e~e~)t, arc'~hii'~t, e~gineer, general contractor, electrician, plumber or builder. ..... a3....g, g.t, ................................................................................................................................................. Name of owner of premises....~]~.e...~..~.J~.t...~d~J~...~J~.~g.l~J~l:l,g. ............................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of co,orate officer) 1. L~ation of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ....~.~..~.~.~,...~.~.~...~.q~g.~.~...~.~.~.t ........................................... Municipali~ 2.State existing use and occu~ncy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... b. Intended use and ~cupancy.....~.~.~..~.~.~.~ ................................................................................... 10. 11. 12. 13. Nature of work (check which applicable): New Building....~ ............... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... Estimated Cost .............................................................. Fee j...,~0. A.0~. ......................................................................... (to b~ paid on filing this application) If dwelling, number of dwelling units ................................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 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 ................................ Dimensions of entire new construction: Front ......... 66!....6.".. .... Rear ....~J.!.7..~. ............ Depth ........ J~*(~.~....6.?. ..... Height .......... ~,.~..~. ........... Number of Stories ....... ~, ................... Size of lot: Front ...... ~(~..~. ............. Rear ...... ~.(~..~.~,],~,... Depth ........ ~.~ig.? ........... Date of Purchase ......... ..~.~...(~.. ..................................... Nam~ of Former Owner ....... ~.,...~fj~,.Q~.~..~,,~r~fj ............. Zone or use district in which premises are situated ............. ..~...~.q~l~. .................................................................... Does proposed construction violate any zoning law, ordinance or regulation? .......... ~9. ..................................... Name of Owner of premises..~..?...~.~.~...~.~.~...~...O.. ....... Address .].../'x.'.~.~....~..~..,1~......~.~..~.~.~J~t.~r~N~. Nome of Architect.......(~....~..%'.~....~.,~..~..~'~...[~'~ ........... Address 3.~..~(t~.~,I['...(~D.~":t~l'.llll'(tne,.~l~Dl%~il.~. Name of Contractor...~'...~J~[...~.....~...O..J'-t'...O.~ ............. Address I~.g,t~§~g~p,.~.~..~,~.~A ........ Phone N01~.../~..-.~,~.7,1, Locate clearly and distinctly c property lines. Give street and,blo~ whether interior or corner' Io~, '1' PLOT DIAGRAM ,~,bn~ildings, whether existing or propose~ tubers o~ ~e~r, il¥~ according tod~ and indicate all set-back dimensions from '~d, and show street names and indicate STATE OF NEW YORK, ) COU NT*f/gFJ. ....... ., .--. -._.t. · ....x. ~)-- ' (Name of tindivid~ 'signing:~~ '-~pplicati°n) above named. He is he ..............~..~.....~.~.~.,..~.........--'. ....................................................................................................... (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 ~s} of his knowledge and belief; and that the ~ ~ormed in the ~nner set fo~h in the application filed therewith. Sworn to befgr~0~Ts ~ ~Publj~ in the. State of~. ~ __ r ~ ~ ~ (Sig~f ~ppli~ant) ........ ........ .......... 19 ............ [IR IV E ?NORTH PAR[Ski PI~ I VAT E OqlVE DAYTOI'q ROAD 4.5'0 ': L2, LJ~ L,,_h CLOSET [- N 'BED F~O Y:,E R t/, , J '? 5 ~ c