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Home My WebLink About1845-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...i~...'l.~f5 ........... Date ........................ F~bU~.y.. .......1......, 19..6~; THIS CERTIFIES that the building located at ....W~.,....~e...~,e,~l~'wa~. ........................... Street M~aOUthwood p ~No ....................... Block No....~,~gr~ ....... Lot No..l~.t.....~o.~f;hO],~...~.,.~.. ......................... conformB substantially to the Application for Building Permit heretofore filed in this office dated .................................. ~11~.~,~.~.t.....7 .......... , 19~... pursuant to which Building Permit No....~.bt.~'.. dated ............................... A,~J~q.t,.....~., 19.~.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is i~sued is ........ .... · l~z,.~.vet~e..e~e...$ a~.t.ly...dw~l.li.~ .......................................................................................... The certificate is issued to .....~.~..~1~0 ................. .0.WD.~. ............................................ (owner, lessee or tenant) of the aforesarid building. H.D. appr&val Jan. 1963 by R. Villa Building Inspector 'J FORM NO. 2 TOWN OF $OOTHOLD 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? 1845 z Dote .......................... j~llgtl,~t.....8 ........... 19~1~.. Permission is hereby granted to: [~r e.~ic. - .~T-,.. · l~ s~ ~fez'~o ..................................... .... ~.....~h..~t. ................................................ ........ ~eenport~-L¥.Z.~. ....................................... to Bt~.~-d-- ~e~- -one..£~m4 .]:~r...d~e.~.~.~.~ ...................................................................................... ......... (de'cached.. Ea.waKe.. ~o..-Be..e~ttSre..~...i~..l'ea~..¥e~ .) ........................................... at premises Iocoted ot ..Zot..#..l~....~ttt, h~Ood ............................................................................... ................................... · ~/~.....l~rk~ayj.....~cho][d j....N~ .~ ....................................................... pursuant to application dated ........................ i~tl~t; .......... ~' ............. 196~...., and approved by the Building Inspector Fee $'~1' O; OO ........... Building Inspector [ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................. Approved ........................................ , 19.].'.....Permi~ No .................... ......................... Application No.../..~.....~.....~.~.. APPLICATION FOR BUILDING P~:RMIT ote ............... ....................... , 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 applica- tion. 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 buitding shall be occupied or used in whole or in port 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 al: buildings, additions, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ...... (Signature of c~licant, or na~(,,i'f aZdorporotion) .............................. .................. State whether applicant is owner, lessee, agent, o cn tect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy ...~4~.....~.~ ................................................................................................. 3. Nature of work (check which applicable): New Building ..~ ........... Addition .................. Alteration .................. Repair .................. Removal .................. Demo Jtion . ~ ........ Qthgtr Work (Describe) (to be paid on filing this application) 5. If dwelling, number of dwelling units ~A/L~'- Number of dwelling units on each floor ..¢2...,~,.&'~. ............... If garage, number of cars . 6. If business, commercial or mixed occupa,ncy, specify nature ,and extent of each type of use ....,:~...o...Ad..~ .................. 7. Dimensions of existing structures, if any: Front ........ ..,:~_.9.~...~. ....... Rear ........ -7. ................... Depth _,,~, Height ......... ,,-,, ............... Number of Stories ..... .-z- ......................................................................................................... Dimensions of same structure with alterations or additions: Front .....,,'~....°...,*Z..c.? .............. Rear ....~:: .......................... Depth .............. .-7 ............... Height ............. ..-m. ............... Number of Stories ....~ ......................... 8. Dimensions of entire new construction: Front ....... : ........... Rear ................ ~ ....... Depth Height ..,,~,. ,O..~.,...~.. ............. Number of Stories ...~..../~..~.~ .................. 9. Size of lot: Front ..... /..~.~..~.'[T... ........ Rear ........ /..~.~.~..~ ....... Depth ....L~.¢?.~...~.. ...... 10. Date of Purchase ~'- 7..' ~.~.. "Name of Former Owner .~.)~ '::~ ~...~.:~o 11. Zone or use district in which premises are situated. ~oclJr./l~ ¢,/ 12. Does proposed construction violate any zoning law, ordinance or regu at on) ,~..~. 13. Name of Owner of premises ..~.~..~..~.1 .~...Z...~.~.~...Z..Z..d.~..~.~..t'C~ddress ..':~...?~....~...:~.~.,' '.'.~.'~...e.~.~.~"~.~'.~'.'~'~'~'n"e"'~l"~'.~21'~..~fO."~l Name of Architect .................................................... Address ................................................ Phone No ................... Name of Contractor .................................................. Address ................................................ Phone No .................. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description a,ccording to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW Y~K,, COUNTY OF ...b~'~t~~' · .................. · .;~.~,.'~.~..~.4..~-.~~.....being duly sworn, deposes and says that he is the applicant (Name of indigf-~at signin~;f-/atPt~icd'tion) above named. He is the .......................................................................................................................................................... (Contractor, agent, corporate officer, etc.) oF said owner or owners, and is duly authorized to perform or have performed the said work end to make and file this application; that oil 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 forth in the application filed therewith. Sworn to before,~me this