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Home My WebLink About1821-zF~I~M ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...C~.([8.~...~.O:~.~b...~I~ ............................ Street MCe~ar Beach Par~ . ap r~o -.-C)O .............. I~IOCK No ....... ~ ..... Lot No ..... 66., .....~o.u.thQ:Ld~...8.,.~., .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................ ~331~......'13 ................... , 19..~.. pursuant to which Building Permit No....~..~.~.~..~.... dated ....................~T~,~,'[:~....~.~ ............... , 19..~2,, was msued, and con{arms to oil of the requirements of the apphcoble provisions of the law. The occupancy for which this certificate is issued is ........ ........ ~ ~,.va.t e...On% .. ~.e m~ ~L~.. ~wet l&ng ....................................................................................... The certlficote is issued to ...]~(~jla~.c~.**jT.j~l.'Jg)l~a~/ ............ O%/D~lt ................................................... (owner, lessee or tenant) of the aforesaid building. H.D. approval October 2~, 1962 by R. Villa ......... ............... FORI~ 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 ^UTHORIZED) N? 1821, Z Permission is hereby granted ...... N6~i~6Td .......................................... at prem,ses located at ..~.~[jg~. ~.j/~..I~K~.....~[..~..~ ...................................................... ........................................... C~t~t*' '~'5'iI~t,"D/*'~ ...... S6~t~l'~ .............................................. pursuant to apphcabon dated .................................... ~ ..~ ...... ]9.j~ , and approved by the Budding Inspector Fee $" 1El; 12fO ......... FOR~ NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Examined ........ ... . , 19..; .~' Approved ......... ~ .......................... , 19 ........ Permit No. ~7/~- ,~L~, Disapproved a/c .................................... APPLICATION FOR BUILDING PERMIT Date ......I~.L4'....~.....~..../...~.. .......................... , 19..~..~ ..... 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 pa 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 lows, ordinances and regulations. S'~nt, or name, if a corporation) (Address of applicant) State w~,hether,applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. B .................................................................................................................................................... Name of owner of premises J/~' ~J'l~t"?~'~ W/~.'~ ~Z~ am if applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Loco ,on of and on wh,ch proposed work wi,, be d e. MapNo: ' Street and ....................... 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 . ..~..~...~77/::,...~..F ....... /~..~..~. · ~, .~. · '~'~'t(~ ............................................................ 3.' Nature of walk (check which applicable): New Building ..~1~ ............ Addition .................. Alteration ' Repair ........... ~.".... Remov_oJ .................... Demolition ............... : .... Work (D~cribe) ........................ 4: , Estimated Cost ..L ............... ~ ..................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number Of dwelling units ......~.....'~....~.....'. ......... Number of dwelling units on each floor ............................ 6. If business, commercial or mixed occupancy, specify nature and 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 ................................ 8. 'Dimensions of entire new construcfian: Front ....................... ~....... Rear ..... . .............. ......... Depth ..... ....................... 10. Date of Purchase .............; .......................................... Nam~ of FeF~rmer Owner ............................. ........................... 11. Zone or use district Jn Which premises are situated......./...~...'...:.:.:. ........................................................................... 12. DOes. proposed construction vi~la~e ~ny zgning law, q.rd,~nance or regulation? .._..~....~......~,. ............................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-backdimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. '~TATE OF NEW YO~, ~,/~ ~ ~ S ,COUNTY' OF-~~'.i~: ' '. (Nome of individuol signin, g~ppli_~cotion) .~ '~ove nomed. He is the ....................................................... (~ ~ .............................................................................................. .(Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perferm~ the said work and to make and file this ~lication; that all statements 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 fa~h in the application filed therewith. * JUD~ T, ~KEN Sworn to beforg me this ~ ~te ~ New Yo~ .E~ Public, ............. .............................