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Home My WebLink About1795-zl~)l~lVi N'O. 4 TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .]~r.t~..t~.O~.W.~...o~.E...~/~q..Cazl~p..~13eo~J:~reet Map No. /{Q]~/..I,L ...... Block No ........ O.D.l.. Lot No...:~2X, ...... ~ttit~k ................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................................... J..IZUe.....2.~,, 19.62_ pursuant to which Building Permit No .... ~..,~o~.~ doted ........................ ..').1113e ....... ~tg. ....... , 19..62., was ~ssued, and conforms to all of the requirements of the apphcable provis,ons of the law The occupancy for wh,ch this certificate is issued is ........ .......... P~.~v~to...or~...f. ami.l.y..~wet.~.tng. .................................................................................... The certificate is issued to ...Hil~.!cer~+,..~tfan~ .......................... g~aqe= ..................................... (owner, lessee or tenant) of the aforesaid building. H.D. approval ~ct 2, 1962 by P. MaJkowski ..... ........ ............... Building Inspector FOE~I NO. ~ 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.o 1795' Z Date ......................... i]'~'le'"" 28 .............. 1962'" Permission is hereby granted to: R. D~ld er.....A/~..!~t.l.i~ent..Tuf~n~ ....................... 1.1.t.. Be~eh..Road ............................................... ....... lie s thampt,'or~ - 'Bea c'h ................................. to .. · bu~..id...ne~. · ~ne .. £.~t. t~r ·. d~el..l~A- .................................................................................. at premises located at ~'8'"I~T" R';~I;W';'"O~'£" W/~" Cii~lY'"'Ht'fi~'~JI~'" ff6~'d'"(~6~II'"O'. D. JI,. ) .............................................. ,~4at.tl.tuek~...N~.~, ............................................................................... pursuant to opplicatioa dated .................................. *Tl~l~'""2~" .......... ]9..~., and approved by the Building Inspector Fee $-10,00 .......... u a'ng n~j~-~for/ .......... FOF,~ NO. I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Exom,ned ............. Approved ........................................ , ]9 ........ Permit No ................................. Disapproved a/c ......... ~..........~.~.... ~ ... ~. i~.~. ......... ............................. ................................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or oreas, and giving o detailed description of layout of property must be drawn on the diagram which is port of this application. c. The work covered by this application moy not be commenced before issuonce of Building Permit. d. Upon approval of this opplicotion, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises ovailoble for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in po rt for any purpose whateve~ until a Certificate of Occuponcy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with oil applicable lows, ordinances and regulations. ' (Signature of ~licant, or name, if a ~(~;l~(~/'~i;;i ......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................... ...$'. ............................................................... i .......................................... Name of owner of premises ..... ~~ ........ )..~..~....-'~...m.n.~ ......................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Loc~tion of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ~.~....~..~,..~...).~...~.....~/~.~...~/~[~lil.~i~j~t~)f.~...W...~.¢.~..~.(.~..~.~..~..~.~t~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: occu nc ~1,~ l/- '"~"~ / ---'T:-"- o a. Existing use and pa y ......................... ~ .................... ~z..ce,.~.~.~.v.......~,.~ ....................................... ............. ' .................................................... b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ..... ~ ....... Addition .................. Alteration ~'~ Repair ............... ~. Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .......~...O...~....O...;...o....c?. .............................. 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 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 ....... ~...~.. ............... Rear ....... ~,~..~.. ........... Depth .......~'..~. ................ Height ..... I./~...~'.~.. Number of Stories ....... ~..~..~..~. ..... 9. Size of lot: Front ........ ~..~.. ............... Rear ........ ~..o"~... ......... 'Depth ...... /...7...,.~.... ................... 10. Date of Purchase ........................................................ Nome of Former Owner .~,.~'.~...~.x~../Z 1 1. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zonina law ordinance or regu at on? ....~..~ .......................................... 13. Name of Owner of premises .~.//.Z/.,/.'C.~c.~.~..~.~.c~. Address/...~.~,*~..~/.~,~'~r~t-~'hone k~'--~z~ Name of Arch,tect ..~.~/,~.../~.~S'.....~.e..~..~.~ ......... Address .~.d~./...?.~.~..~.~./~.~...~_'l~one N~.~...?-,.?..~./.~ Name of Contractor .~.~./'~..~.~....~. L~.~ ~; .......... Address ./.././..~..~..e¢~4'...~.._.~.~.-~-~,,,,,, 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. JOHN E. HURL~'Y NOTARY PUBLIC, State of hk*w y~rk Suffolk County No. 52-70;650~ Commission ~xpir~ March 30, 19~ ~1~ STATE OF NEV~/~YOP~, COUNTY OF ..~.....) °'°' "~~(Nom "e~f'i~~--'~"~ ................................... being duly sworn, deposes and says that he s the applicant (N e~f' d'v'dua~ above named. He is the ..... L~..~...~.....~...~.~....c~....~..z ............................................................. (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 sta.tements contained 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 therewith. Sworn to be~ore me this · .~...~. ........ day of ........ ..~....~ ............... !, ]9.~...~.. Notary Pub c ~ '~ x~ ,/ ~J"~J~ount ...~.~..../~...'...~....4~...~...~,~ .................................... ,X~/'~/~'""¥".~ ..... t-. ~-- y ~'Signarure of applicant) Plot Plan showing location of Lot and of building on premises, relationship to adjoining premises or public streets, accurately draw~l to scale. NORTH aN. _SJ_~ U£ V~ T!=?_H_.=_.__ U .I 0 P r f FI~.%T FLO-'DE' pL/4tq ,; L