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Home My WebLink About1781-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the bu,lding located at .~.g. Bc~.,~.W..]~i~,...~..}~.~.~e,~;JA~.~g~...~illk~'Street $outho:i.d Map ~..Wa~Block No ......... .~ ..... Lot No ..................~.9 ................................................ conforms substantially to the Application for Building ~rmit heretofore filed in this office dated ~e ~4 62 Z .................................................................. , ]9 ...... ~. pursuant to which Building Permit No ................. d~ted ........ ~D.~..~ ............................. , ] g...~, w~s issued, ~nd conforms to ~ o~ fhe requirements of the spplic~ble provisions of the l~w. The occupancy for which this cerfi~ic~te is issued is ........ ~A~ 0~ F~IILY Dg~LL~G The certificate is issued to .............................. ~..~...~~r.-~e~ ............................... (o~er, lessee or tenant) of the aforesmd building. FO]L~ 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.° 1781, Z Permission is hereby granted to' :Pa~?' Y~Ofe~ ~.~a ................... to at premises [ocoted at ~:i~,...l~O~..T~;i~;~r.~llrj[~;~;.~ '1~:~,~I~ ................................................. .......................................... ~.~:~"vt~',r"I~e.ne'i .... Ba~'vte-~--i ................................................... ............... ~ ................................................ '8~61iI .......................................................................... pursuant to apphcat~on dated ................................... ~ '" ~I~ ........ 191~..., and approved by the Budding Inspector Fee $"~;00 ............ ~Buildmg inspector ~ / ! FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N: Y. Approved....~ ................................... 19 ........ Permit No .............................. Disapproved a/c ............................... ~...:......./ (Building I nsp__o_ct_o r) / ............. Application No../...'~..~....../. ............ 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 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 I~ept 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 Town 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. O~rner Name of owner of premises....~.{i~,]...,~..T'~..~etCt,;Lca ....................................................................................................... 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: ...... ~......z..°t..°..! ........... L~t No: ...6..0./ ............. ,, , Longview Lmue & Watersedge Way, Terry Waters, Southold,N.Y. Street and ~umoer ......................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use end occupancy of proposed construction: a. Existing use and occupancy.....~C~L~..~aza;L]y...Cl,l~e,],l-;L~g .......................................................................... occu anc To ~dd patio to existing dwelling b. Intended use and p y ................................................................................................................................ X 3. Nature of work (check which applicable): New Building .................... Add'f'on .................... Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... $1 000 ,.--~o~.~ 4. Estimated Cost ............. ~ ................................................ Fee ...~.. ................................................................................... (to be paid on filing this crPplication) 5. If dwelling, number of dwelling units...Q~.$.,.(~.) ............. Number of dwelling units on each floor......'...-..'.. ............... No Garage 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 ......... ~.0..I ............. Rear....b~.?. .................. Depth ....2..6..! ................... Height ............................ Number of Stories l~ Dimensions of same structure with alterations or additions: Front ....... ..-..-..-.. ................. Rear .....-...-...-. .................... Depth ......... -..-...-. ............... Height ....... .'..-...-. ................ Number of Stories --- 8. Dimensions of entire new construction: Front.~...2..0...S..q.....f..~....9..f.. ~P..a..t..i...°.....~....~..h...a.~.e(~epth ............................ Height ....2,~ff.~ ..........Number of Stories .....-..-..-. .................. 9. Size of lot: Front ....... !...'~..;..le..~.. ........ Rear ..... Lc[~.:..~.~...' ........ Depth ....!..'~.. ................... ....................................................... Name of Former Owner HF--L~ G. COCH-RItI~I 10. Date of Purchase RU(~dST Z~. IqI, O ........................................................ 11.~, Zone or use district, in which premises are situated ................................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? .... /~O. .......................................... 13. Name of Owner of premises..]~.$,l~],..T'a,..l~.~.:TI..O.~...Address .Ter.:E~r...~OUt~O~...N~.Phone NO. ~...~..2,~6~ Name of Architect.......-..-...-. ........................................... Address .....-..-...-. ................................. Phone NO ..................... Name of Contractor...T...h..°..m...a..s.....L..°...C..a...s..c...i..°. .............. AddressT..~..q.1..$,~.9..m..Q.n.$...$.v..e..* ....... Phone NO..~.O....1......~..~9 N. Babylon~ NT 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 ~O~~-- COUNTY~QF .............. .) --' ~ , ............. · ~.~..~..D.~-~ ........................ ~'....~ ................... being duly sworn' depose' and says that he is the applicant (Name of individual signing application) above named. He is the ................... ~ .............................................................................................................. (Contractor, agent, corporate officer, etc.) of s~id owner or owners, and is duly authorized to perform or hoye pedormed the said work and to make and file this application; that all statements contained in this application are true to the ~st of his knowledge and belief; and that the work will be performed in the ~nner ~l~he application filed therewith. NoIa~ Public, ~te of New Yor Sworn to befor~e this · - ~44g~3, SuHolk ........... ~.~......~day of . ~~ '~g.~ '~ 1~ (Signature of applicant)