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Home My WebLink About1752-zlmK)I~W[ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...~..~l,~jg.~. ........... Date ................... (~J;D]:~,~..~J ............. , 19..~.. THIS CERTIFIES that the building located al~lL~&~l'J.t~.~,~.el~l~.,...~ol,~ol~ ..... Street Map No .... ~.~...~.... Block No .........W.*..~. ....... Lot No ......... l~&8 .................................................. Haven conforms substantially to the Application for Building Permit heretofore filed in this office dated ................... ]¢11~...~ ................................ , 19...~. pursuant to which Building Permit No ........... ~....1752 dated ........ R~Ir...2& .............................. , 19....62, was issued, and conforms to all of the requirements of the apphcable provisions of the law The occupancy for which this certificate is issued is ........ ......... ...m.. ..................................................................................... The certificate is issued to ~]~tOtl~ & Vel~et~ McKet..g~...al~, owners (owner, lessee or tenant) of the aforesaid building. FOF,~ 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.° 1752 z Date .................................. .!!,~...24 ...... 19...62. Permission is hereby granted to: --.1~ &..Ve,~et~_~_. ll~lr~.t~ ........ .....~.i.~ &ve..~ .................................... .... .,~mt, hol<l,,. ~e~. Yo~ .............................. to .13~..~..~.~Lt-.:l.g~a.. ~ .~.. ~l~l.~'.. d~ El. ~a~j .................................................................. at premises located at .~/'~1. ~,~]F- l/,/i~..~Ue.t - I~ou~.l.d. ............................................. .............. ~ ..................... ~X...~_ven.. ~,tthcllv Is ! ~u,.. ~,ot~s .. l ~i~,t8 ..................................... pursuant to apphcat~on dated .................................. ~1~...~_~ ........ 19. ~., and appraved by the ~uddin§ Inspector Fee $.,~,,O0 ~ paid FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ...................... ~ ................ ............................... ................................ APPLICATION FOR BUILDING PERMIT 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 location of lot and of buildings on premises, relationship to adioining 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 o 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 hove 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 oil applicable laws, ordinances an,~Lregulations. (Address of' applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ~.~..~~"~...~....~..~..~...~.. ~....~.~..1~.~'~.~~ ................................ IF applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which, proposed work will be done. Map No~.~-~/~Cff..~ot No:../.~...-~--...../..~.... Street and Number ...Cr~...~.,.~...J~),~-~r~.~.~.~7......~ .............................. / (] Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... ~ther Work (Describe) ........................ 4. Est mated Cost ..~..~..~-.~..,...~.....~... ........... Fee .......~...~:)~ ..................................................................... (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 natureond extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front.:.~ ..~.j. ...... Rear ....... ..~......~. '. ..... Depth .....~.....,~.. Height ............................ Number of Stories .../...~. ................................ 2~,¢ ................................ ::::z_,,~ ............ Dimensions of same structure with alterations or additions: Front ....... ..~...~... ............. Rear ...... .~..~.......~.. .............. Depth ............................ Height ................................ Number of Stories . .........c~......~.. ..................... 8. Dimensions of entire new construction: Front ........... ,~./....c~ ........... Rear ....... .Z(.~ ........ Depth ./.....~-,,.Z. ............... Height ............................ Number of Stories ........... ./. .................... 9. S ze of lot. Front ......... ~.Z~[M~........~ ..... Rear ...... ./..' .................. Depth ..~ ......................... 10. Date of Purchase ........ ./~)..~Z. ........................... Name of Former Owner ............... : .... .~.~. ~ ..... s tuated ~....~...~...~ 11. Zone or use district in which premises are ....................................... ~.....~...~..f ........ ~ ....................... 12. Does proposed construction,,~ o ate any Ton na/~w~ ordjnaoce or reou at on~ 13. Name of Owner of pr~mise~`~.~..~b~4~....~...~/..~..~.~Cddr/e~s~`./M~'~...~...~ Phone No Name of Architect .. [/] ....................... Address ~ ~ 'Phone No i'Address Name of Contractor .......... ........ "....~...~.......':'::-~hone 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 Y~RI~/ /~! SS COUNTY OF .,,,?~..,~--/~r..~---,~ '' ~ .................. . .~..~.'~q..... ~~ ........... being (Name of individual sig6ing al~lication) duly sworn, deposes arid 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 contain.~,jnTt~i~pplicotion are true to the best of his knowledge and belief; and that the work will be performed i~ tbe~;~l['"~l'~l,~ n the appli~ filed therewith. Sw o betp me th._ ~o, ~2.0344963, Suffotk Coun~ ~.~ ~ ~ ~ / ~