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Home My WebLink About1688-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ~. 1599 Date J~ue 17 19....?..3. THIS CERTIFIES that the bu,~d~ng located ot .~A~...¢.~;C,~...O~.~iV..~.e..,.....~....t..t.~.~.u....e~. %reet Map No ..........~.W ......... Block No ,.e.. ................. Lot No .......... ~ ...... .~.. .................................................. conforms substantially to the Apphcation for Building Permit heretofore filed in this office dated ...................................... ~m~l~..~..~..1.....~. ........... , ]9...6...~.. pursuant to which Building Permit No....~....~..6..B..8. dated ........................ ~;~.:K,~.~...~. ......... , 19.....6..~., was issued, and conforms to all of the requirements of the opphcable prov,s,ons of the law. The occupancy for wh,ch this certificate is ,ssued is ........ PRIVATE ONE FAMILY DWELLING The certificate is issued to Wi11/~ua Stars, owner (owner, lessee or tenant) of the aforesaid building. __~_ALTH DEPARTMENT APPROVAL May 8, 1~2, Robert: A, Villa Building Inspector ~L ' FORM NO. 2 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? 1688, z Dote .......................... .A, ~..~. ~..]: ....... .~. ........... 19..~.,,~... Permission is hereby granted to: ..~.~....s. ~.~.~ .............................................. ............ l~a.~.t ~.t~c~,..... 1~ ~ ~, ............................. to ....... ~.l..a....um~..~ue...~.~,.~....d..~.~.~,~,u~ ............................................................................... at premises located at ..W...~...~/~...O.~.~..~..~,.l~...~l~r~l~ ........................................................................ .................................................... F~ttltnck~..N.I. ........................................................................ pursuant to application dated ............................ ~z~J,~,, ...... .3 .............. 19..~., and approved by the Building Inspector Fee $.~.~.t...O~... ........... ~ ° ~ ~' FOI~M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...........~..~.. ~....., 19.~..'...~:d.. Approved ......... ~..~.......~-/'~' ~ ....., 19..~l~ermit No.......~../...~.~..~.. ........... Disapproved a/c ............................................................................................ Application No ............................. (Bu~nspector) APPLICATION FOE EUILDING PERMIT Date ................................ ~...~.~. i.../...?..., 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 port 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 part for any purpose whatever until a Certificate of Occupancy shall I~ave 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, end 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 oil applicable laws, ordinances,//and regulations. (S'g a ure o 9~plicont, or name, if a corporation) (Address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................. =.. ........................ Name of owner of premises ../..~/.' ...l.!.~..'.}.]....L.~...y.~/.~..~ .................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work wilt be done. Map No: ............................................ Lot No: .................... Street and Number .... './-~/..'~.~-....(:~J..~.....~...//~.~..~Z.../.~../~.~-,~....~ ...... ~/,/,~,~.._..~..~i..~..c.;f..C...~. ...................................... Municipality State existing use and occupancy of ~p~44is~s and intended use and occupancy of proposed construction: a. Existlng use and occuponcy .......... ~,./.~..(:.. d.../././././././././~:,../. ~ ................................... b. Intended use and occuponcy ....~?i~J( .~...c~.,(~2..:.:.~.~. ~..L,~.~././,',C/~ ........................................ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ~. ~..~..b-~o ... Fee.~...D...~.-~.°. .............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units /...~.~../~..L.L..~'. ........... Number of dwelling units on each'flor ............................ If garage, number of cars ..........~ ....... Z ............................... z: ........................................................................................ 6. If business, com~rcial or mixed ~cupancy, specify naturea:nd 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 n~ construction: Front......~ ....................... Rear ............................ D~th Height ............................ Number of Stones ...... ~..l./~. .......... 9. Size of lot: Front ...Z.~.~....~.~-. ........ Rear .~.g~.~..~ Depth 10. Date of Purchase .~.f..~....~.~.~.~.~.~.,..~.~..Name of Former Owner ..~...~:...~.~7.~.(A.~ .......... 1 1. Zone or use district in which premises are srtuated ................................................................................................ . ]2. Does proposed construction violate ony zoning law, ordinance or regulation~ ..... ~ ........................................... ]3. Name of ~ner of premises .~.{Sf.~.~....~.~.~ ...... Address ...,~.~.{.~.~.~..~...~.~.:. Phone No.~:.~:~ Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ~/~L/~ 5~ 5 --~- ....~Ll.~f.~...~...~.~... Phone No.~? .................................................... maaress ............. 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. ~q STATE OF NEW. Y~)RI((~/~.,~_ , ) ~. ,- COUNTY OF :._...~...~;..) 3'~' ./~..~..~....~....~2Z'~"/ be,n' dui sworn de oses and sa s tht .............. .~x,,~,/, ....... .; ..;.....,,~'..,..~.:.. .............. ; .......... ., ........... : .... g y , p y a he is the applicant uNome or inaiv,aua~ signing al~plication) ..~ above named. He is the ................... ~..~C...FT.~.~. ........................................................................................ (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 will be performed in the manner l~e~0fk,~h in the application filed therewith. Sworn to before me this ]o0rrH , ~ 0tar/ Puh!Jc, ~State 0, f ,New York ' · , , ;>~ ...... ;;.,, ....... . ................ : ..................................... Notary Publ,c, ....~m.~.~...~......~..../.~.....L~Co~n,,t.y,/~/ / (S,gnature o)~pplica~:~'i ..... SUFFOLK COUNTY DEPARTMENT OF HEALTH Building Permit No., / $ ~o° ~-~ TO %~HOM IT MAY CONCEPd~: The sewage disposal facilities for a structure located at "'~-~q~ ~ (Give deed location) have been inspected by this Department and found to be satisfactory. Distriot Engineer