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Home My WebLink About1772-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No '"Z~[~'~2' ............ Date ................. xTa~l~.'..'2~'. ..........., 19~3... THIS CERTIFIES that the bu,lding located at ....... ~-'~e3~,V~ew"~Ti~'e ................... Street Map No .... ~O~ ....... Block No .....~ .......... Lot No..~m~x .......... ~,t.~~..~Y~ ............... conforms substantially to the Applicahon for Budding Permit heretofore filed in this office dated ...................................... EtH'~e ..... '!'~: ......... , ~9.~... pursuant to which Building Permit No -...Z,.%~ d~ted ......................... J~e'""~t~ .........., ~9.1~2" was ~ssued, and conforms to all of the requirements of the opp]moble provisions of the Iow The occupancy for which this certificate is issued is ........ .......... Pr ~'a~e-.one.-~,~m~tr-.ctwe~-'l'~ng .................................................................................... The cert,ficote is issued to ..... '~h_~"l~or~:[:son ......... ~;~"1'~"~;'~'~ ............................ of the aforesaid building. H.D. approval 1963 by R. Villa Z/ ~ ................. ....... ........... ~ ~Bbilding Inspector / 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? 1772' Z Date ................................ ~'lll~l''' "~IT ...... 19~.... Permission is hereby granted to: Or ~Lg~l.n~!... ~!o~e ~... - ~Ct · .~T~h~ ·. 1~1~1,I;~. ........ .............. l~dd'l'e'"~ star~ ................................... to 'tJu.~']:d"~e-~'-o-ne'"~'a:~I. Iy,..~,i~l:.T.l'~ ..................................................................................... at premises located at ..... ll~es.t..T~.~,li...I)~,.~V.~ ................................................................................... .............................................. l~/att ~.~el~ ............................................................................................ pursuant to application dated .................................. ~Ti~j......~.~I. ........... 19..~., and approved by the Building Inspector F~e $'10~ OO' .......... s-9 TO VEqOM IT MAY CONCERN: The sewage disposal facilities for a structure located at (Give deed location) have been inspected by this Department and found to be satisfactory. Dist~§%r~E~iEm~neer FORM NO. I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Approved('/ r, 19..JJ....Permit No. '~ j Application No..../...!...~...?~. ....... (Building Insl~ector) APPLICATION FOR BUILDING PERMIT 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 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 po rt 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 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 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. ................................................. C~m,~.a~t,~. ......................................................................................................................... Name of owner of premises ...... ~D~3...J'~D~:~J. SQ~ ......................................... 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: .....~..e..s..t,.~..~..e...~. ..................... Lot No: ,~.~...~. .......... Street and Number ....$ ./..~.....~..~.$..~...V~.e..~....g.~.;i,.¥.e..~ ........ Jv,~.l;;.:[.~.l~C~. ...................................................................... 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 ...... :.q.~..e...~..a~...:~.]..]/'...~¥/.e.~,]-~gl[ ........................................................................... 3. Nature of work (check which applicable): New Building ...J~lf.~ ...... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .......... ..~..2..~..0...0..0....?./..~.. ........................ Fee .......~). .............................................................................. (to be paid on filing this application) 5. if dwelling, number of dwelling units ........ .q.~....e ............... Number of dwelling units on each floor ............................ If garage, number of cars ......... .O.~e....~.p.O~,.) ............................................................................................................ 6. If business, commercial or mixed occupancy, specify natureand 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 new construction: Front ........ ~.~J ................... Rear ..... ~8 ..................Depth ....... ~ ............... Height ............................Number of Stories......O.~D ...................... 9. Size of lot: Front ...,~.0..P~. .............. Rear ..........S.~ ............. Depth ..],.~.~./...~.c).0 ................... 10. Date of Purchase ........................................................ Name of Former Owner ....~,~.QI'~, ....................................... 11. Zone or use district in which premises are situated ....... ?.,~.?...~,~.~ ....................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation? ....... ~0. .......................................... 13. Name of Owner of premises ..... .,T..QJ'~t...~Q~..~,S.O~....Address ............................................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .0...~..J:.~.~.~...~..]:....~..o...~..e..~ .................. Address ......~.~.~.¢,~...[~,~f1~1. ........ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly oil b~dings, whether existing or proposed, and indicate all set-l:x:ick dimensions from property lines. Give street and bJ~ck n~m~ers or description according to deed, and show street names and indicate whether interior or corner lot. J ,~ / STATE OF NEW YORK, ) ~ ~ J COUNTY OF ....~..l~.~.q~.~ ........ ) 3.3. ............................ ¢~.u...s..~.e,~.e... ]?.o. er.s ~3~. e .................. ~.... being~du~J; sworn, deposes and says that he is the applicant (Nome of individual signing application) above named. He is the ........ (~orl.t. Ito, o:t;ol? ...................................................................... ~ .................................... (Contractor, agent, corporat~officer, of said owner or owners, and is duly authorized to perform or have performed the ,~aid work lnd to ~'/~ke and file this a,pplication; that all statements containecljl~lTl~ht~ ~l~l~lication are~'~ to the I/est of his j(nowlejJ~e and belief; and that the work will be performed in t~..~b~t~rSt~t~t?.lf~l ~L/nYq~ the 9~pp, N~qBtior~filed Jthe, fewith./ Sworn to before me th s ,~o. bz-0344963, Sa.oil( uounty, 5 ! / J / # ................... .]:..~. day of .......................... .~..lz~....e,. ......... , 19...6.2 ( ~. , /J~