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Home My WebLink About1826-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z 1449 Date Oc~:ober 22 19.6.~ .... THIS CERTIFIES that the building located at .~.~.,~.t...~,~[.~...o..~...,.~..,~..V.,.d.~....?..e..,C..o.,~.,..%...c. ............ Street Pecan:Lc Ithores ** ......... ~...%...~.~ ............................................. Map No ....................... Block No ....................... tot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J'411y 20 19 62 pursuant to which Building Permit No ~, 182G dated ....... J...a.~....~...O. .............................. , 19..~..2..., was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is issued is ........ ................. k~, ZFATK.. Q,~I~..~AI~J~..Dt~L;I:NG. .............................................................................. The certificate is issued to .................................... George Ot/igley, owner (owner, lessee or tenant) of the aforesaid building. Buitding Inspector FO~ 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) No. 1826, Z Date .......................... ~TIZI~'"'~.O .......... 19'6,2" Permission is hereby granted to' ..... g, eo~ge · ~ti~- e'3,' ..................................... ............ l~.o~ ...................................... to '"l~ali~' an"'ad~ltion"an"-au"~r~in~-'dve~m~ ...................................................... at premises located at ..... ~,~l~...,~&3~.....p~.~ll~l~l.,~/~..~l,l.O,l~ll~ ...................................................... .............................................. H~urtir~tm~ "B'~ v~ ~ ....... l~eo~d.~ ........................................... pursuant to apphcahon dated .............................. ~ ...... ~0 .......... 19..62., and approved by the l~mJdmg Inspector FORM NO. 1 TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exomined .......... ~ .......~ 19 ........ u ,- ,, . lo 2 Approved ........................................ · 19 ........ Permit No ................................ Disapproved o/c ~~.,~~ ,/ ............................. ~¢t~ri .............................. Application No....l. ...................... 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 o 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, ar~l.~;0ther apphcable 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 regulgtions. (Address of applicant) 6/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~...~/~. If applicant is a corporate, signature of duly a~l~oriz~'d officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Map No:..~..~..?C-o-~~ Lot No: /~' ~:: Street and Number .......... ~~....~.~.i~i~ii~....,,7 ...... .~...,....... ~.~..~......~.: ..~.-.. ............ 2. State existing gse gnd occupancy of premises .and ! ntended use and occupancy of proposed construct on a. Existing use and occupancy ......... ~.....: ........ ., .............................................................................. ntended use and occupancy ~ ~ ~ ~ ~ . 3. Nature of work (check which applicable): New Building .................. Additi6p .....~..... ........ Alteration .................. Repair ................ ....~emoval .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ....... "~'~...~...~....¢~ ..................................... 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 notureand extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ........ .~...~.~. ......... Rear ...~.~..[. ............. Depth .................... Dimensions of same structure with alterations or odditions: Front ....~. ......................... Rear ..,~....¥..: ....................... Depth ~..~. .................Height ......... ~.....~ .............. Number of StOries ....~..~. .......................... 8. Dimensions of entire new construction: Frone. ............./...~...~ ........... Rear - Depth Height ......... ~/.~. !. ........... Number of Stories ......~A/F ................... z'o 7 ~'! Z ~ ~ ~' .1 ~ 11. Zone or use district in which premises are situated .......................................................................................... ....... 12. Does proposed construction violate ony zoning law, ordinance or regulation? ...................................................... Name of Ar,chitect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ............. ;.~< .... 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 .?o deed, and show street names and ~indicate whether interior or corner lot. STATE OF NEW )~OP-~'~,~ ~,~) ) c c ~ ~ ~.,~.~4~'~,~ NTY OF~ ) °'°' '--"- .~"~'~ ~ ~'...~ ': COU ............... - - ..... , y ~'. ~ , ~ ~Y~.I - ...... ............................. a,a t at above named. He is the ......... ~ ............ ~ ............................. '...:-...; ................. ~ ....... ......L.': .............................. (Contractor, agent, corporate officer, etc.) of said owner or owne~, and is duly authorized to perform or have perform~ the said work and fO :make and file this ~lication; that all st~ements contained in this application are t~e to the best of his knowled~ and belief; and that the w~rk ~ill be performed in the m~r~.~r~ the ~plication .filed ~e~ith. Ml~ St.te ol N~ · Sworn to before me th.s Not,~ ~ ...... u~ / ~ ~ .......... ~ov of ....................... ~.~'~' ~/~/~. , Not, ... ............................