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Home My WebLink About1757-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~.~..]~[eehe..~t~.i,ze. ............................... Street Mal~.Y....,k.~.?.?.'..s. ..... Block No .... ~ ........ Lot No ..... 8 .......... C=t;~oglze.,...~,~, .................. conforms substantially to the Applicahon for Build,ng Permit heretofore filed in this office dated ..................................... ~4a~.....2..~ ............ , 19...~2 pursuant to which Building Permit No .... ~7~.~.. dated ...................... ~..'t~ ........ ~, ............. , 19..~., was issued, and conforms to all of the requirements of the applicable provisions of the law The occupancy for which this cerhficate is issued is ........ .......... Pr.i.~ai.e.. ~zn~..i'~-tl~r...d.~elliz~g ..................................................................................... The certificate is issued to ..... ~b~b~.~l[1..~:..~bQ~ .~.l~.r~game ................. O:~t.s ....................... (owner, lessee or tenant) of the aforesaid building. H.~. approval Oct 30~ 1962 by R. Villa .......... ..... ........... Building Inspector / FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST 13E KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 1757 Z Date ............................... Permission is hereby granted to 8e.~e~na~y...~B~t&.e~.. A/O--~..& A.~:l:.ee B~rl~ngs~a ............ ~:~"tey' - ~'t; ............................. to.-]l~d..~te~, ozle"f~l~']~y'"dwe~.:~ ....................................................................... at premises located at ..... ][~IY~ -8'j"'~1~l~.l'~r-"~re~ .................................................................... ........................................ ~f/l~...-.Be~l~e..I~.ve9 ....... Cut:eh~gu~ ............................................. pursuant ¢o application dated .................................. I~lr'"'~ ......... 19.~,~, and approved by the Budding Inspector .... ~'x~¢ ';: ..................... u omg nspec or .~' FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y~. ~ f Application No...!..?......~.,..? .......... Date .......... .M..~.~'....~..~.. ],g~. J~. .................... 19 ............ INSTRUCTIONS .a,. This application must be completely filled in by typ. ewr!ter or in ink and submitted in duplicate to the Building ' ' b. Plot plan showing location of lot and of buildings on premises, relationship to adioining 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 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 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 Tawn of Southold, 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) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. G~..n~a~ Cont~&ot oz' Name of owner of premises ......... ~.~J,~...~.J~1,~..2~t~.~i~ ............................................................................. 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: ,.~. ......... ~'.~..~.]...~ ..... Lot No: ......'~.... ....... Street and Number ....... ~.e.l~hCL]~l~,.~lL~....~.g~k~g~,tll.~..~.~..g....~...O.~..~....: ........................................................... Municipality 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 ......... ~,~,..~.~...~..¢7~, ..................................................................................... property lines. Give street and block numbers or description according to deed, and whether interior or corner lot. 3. Nature of work (check which applicable): New Building ...... 3rJ¥.l~ ....... Addition .................... Alteration .................... Repair ................ ;,..Removal .................... Demolition ........... :;¢......Other Work (Describe) .................... 4. Estimated Cost.../~..~.~..~..)...~...~...~.....v..:~--~ "~ ................................. Fee ....'~.....~..~....~ ..................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........~11 ................. Number of dwelling units on each floor ............................ If garage, number of cars ................. .O...~..~. ..................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. ' 7. Dimensions of existing structures, if any: Front........l~.. .................. Rear ....1~1 ................... Depth ...~[~li;~J~, ..... Height ......~I1~. ................ 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....~J(~ ................... Rear ........ ~ ............... Depth ......]~.....~......~.. ........ Height ............................ Number of Stories ............................ 9. Size of lot: Front ..... .~..~.. ............... Rear .....~(~. ............... Depth ...~ ................. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ l l. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed constCuc}i0n violate any zoning law, ordinance or regulation? .... ~ .......................................... 13. Name of Owner o premises..~..,l~l~..~,;[ll~J~t~ ...... Address ..].~'l~...COIIl~,.Jl~re,~..~....Phone NO. Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor..~.e..~.~....~ta.'~.~.~..~,~.~l. ll~Address .l~l:),~..l~,e...~t;I,~'~,®.~ ........ Phone NO...&.~...;~.,?.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from street indicate STATE OF NEW YORK, ) S S ..~..7...~..~......¢.....~...~. 7~...~..q~.~-~,.~-~.....~..~.....:.: ....... v,.,,..beln~,, duly sworn, deposes 9nd soys thor he is the oppl[cont (Name of individual signing ai~plication) ~'; ~ r, ~ ~ ~ above named. He is the ............................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly (~uthorized to perform or have performed the said work and to make and file this application; that all statements containe,cl in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed th~erewith./) Sworn to before me this "".. f' · ~.:~Z'~ ~ ~ ~"~..--[Y~I,. ..... /..~ ..... day~~~~: ~..c,°f...~,~-~. ......................... 19..~'~.~u~,,o '~"0'~- ~' e ~n~atu;' °-~aP~'~l'cant)'