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Home My WebLink About1729-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...~/.~[.....l~'a.t!E~tOZt..~qa~ .........................Street /v~....?..O,.~..~..~.,..?..~l~ck No ....................... Lot No. ~ ........ C.~t~lO~l~et,...N,.~, ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................. ~ ....... J~ ............... , 191~... pursuant to which Building Permit No...~].~,~.. dated ....................... _M.~r ........ ~' .............. , 19.62.., was ~ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ...... ~ml~at e...o~le.. ~Camil~.. ~w~ll~-nE ........................................................................................ The certificate is issued to .... Jobl~..~...Glarke .............. JOW~:tez' ..................................................... (owner, lessee or tenant) of the aforesaid building. H,D,approval ...... ..... ......... Building Inspector ~ FOR~ 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) No. 1729 Z Date ..................... Permission is hereby granted to: ....... H~h~.~l etd .La~ .................................. to. ;l~:L4~..~ew m~e- £m~t .Z~r. ~et.~.i~ ................................................................................. at premises located at .I¢~B~;~1 "~0~1~',~ ..... ~tt~&~, ~:[~ ................................................ ..................................................... ~C~mrae.~ ..... ~.~.¥'~ ................................................................. pursuant to apphcatlon dated ............................. ~1~ ......... ~1- ............. 19.6~.., and approved by the Budding" Inspector Fee $..]LO,,.CIO. ......... Building Inspector ./ j? ,, FOILM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved (~ , ') ~- / ~ -~ 7 ........................................ ]0 ........ Perm|t No ................................. APPLICATION FOR BUILDING PERMIT~ Date ................... ....... INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing Ioco~ion of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o detailed description of layout of property must be drown 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 ~pplicant. 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 po rt for any purpose whatever until a Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Sou,hold, 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, ordinanc~ations.~,,_ ~ ...... ~;?d;g.~;¢ g~:....~..... .............................................. /(Signature of applicant, or name, if o corporation) ' ................ ~~"opp licg;~') ............................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... ................................................................................................................. :::::::::::::::::::::: ......................................................................... (Name and title of corporate officer) Locahon of land on which proposed work willie done Mop No' ~¢~ ~ )c~ ..... · ~; .~,'/ ~' -~a' m/~" ' .............................. ~..,~ : ............ LOT INO: .............. ~., ...... ......... Municipality ............................... 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 Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Otl]~r Work (Describe) ........................ 4. Estimated Cost ............. .~....O..'.~.....~....~..~.. ..................... Fee .............. ...~.../~..~ .~..~... .................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...........Z ............... 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 ................................ Nu, i;nber of Stories ................ t ....................... J 8. Dimensions of entire new construction: Front ......... -- ,. .~....~:.-., ........... Rear ........ .../~...~.. ........... Depth .......2r...?... .............. Height ............................ Number of Stories ........... ../..././...~../' ........... 9. Size of lot: Front ......... /.X¢.~ ........... Rear ....... ~.. .................. Dep .........~....~.. .................. , Date of Purchase .............../1 ,/~, .Z~... ~.....~../..Z .~...~.....~.... Name of 4 .~'7-- //. J..~F°rmer Ow n~~...~. ~..~..~~::~ -" ~ ~' '"~ '~ '~//.-~ ~' 10. 1t. Zone or use district in which premises are situated .............. .,,~.....~--~ ...................................... 12. Does proposed construction vitiate any z~oaing law, ordinance or regulation? ........ ./'..~.~2.'. .............................. , e lib ~ /t) ~ Address ¢'.~-)CZ/.,.. ~1/¢, Phone No ~'~ ~'/;'~-/,¢/ 13. Name of Owner of prem's,~,~(~,/ .,s ..~:/.~..' .............. /.~.."~r~ ........................................... Nome of Arch,tact' ..... ..~...'~..(..~~.....Address' ' ............................................ Phoen No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distincdy 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 ~OJR~, ~// ) c c COUNTY OF ~...) ~ f ,n~ii~vi~~ "cat'oni''''' 'g ' g '~17'"'" be ng"'"'"" i ... ..... duly sworn, deposes and says that he is the applicant 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 all statements contained in this applicatiCn are true to the best of his knowledge and belief; and that the work will be performed in the mann~)~' {o~[ht~i~ th~ application filed therewith. Sworn to bef~e~me this .............. z..:z. f ii -f 0I fl-!'& h.o. 4~ 5 5°~ 5