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Home My WebLink About2047-zFOI~WI NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y. CERTIFICATE OF OCCUPANCY No ..... Z~5~7~1 ........... Date ..................... Att~1:~;.....]L~ ........... , 19.~4~.. THIS CERTIFIES that the building located at ...~otlJt',~..~e~h...~.~4a .......................... Street Meant Kidd Esta~ea "o ap ,90 ....................... t~,OCK ,'~ . ..~'~Y,~ .......... Lot No..~6tt .......~8.~t:J,.'J;,lZ~l:~ ............................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................... A.~0~'.~..~ ....... ~.C)......, 19..6.~. pursuant to which Building Permit No...~,0~.. doted ............................. A~70.~..'1......;~9....., 19~3..., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ......... .p~.~vat ~ ..er, e...£a~k.l¥...dwe t.l.~mg ....................................................................................... The certificate is issued to ...~IL~.[~.~..~[;[,~:~!$. ...................... 0W~e2~ .............................................. (owner, lessee or tenant)' of the aforesaid building. ~,D. Approval ~uly 1963 by P. Majkowski ......... .................... FO~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2047 Z Dote .................. .A~-s-I......~9 .................. Permission is hereby granted to: Origirml...E~e~.....A/~.,~a~.~e~,.Wi.l. ki,~ ................ ........... ~$.d~.~...t~./~. ..................................... to ....B~, I~.. ne~..me...£ am~.y...~l~ .1.1 f~ .................................................................................. at premises located at ....~O.~_:~...~t~)~...~.~L,~L~..~,~.~,. ...................................................................... .......................................... ~e'amt. ~e~l~..D~.$:~e .............................................................................. ........................................................ ~a£~unk ................................................................................... pursuant to application dated .............................. ~.~1 ....... ~9 .......... 19...6,~, and approved by the Building Inspector Fee $..~De 0.0 .......... Building Inspector ( SCHD TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at --'" ' (Give d~ location) ,.,~ve b~en-inspected .,by ~s Department and found to be satisfactory. District Engineer TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...~..~.........~....~...., 19..~-..~. Approved ........................................ , 19...!....Permit No ...... ~.. Disapproved ............... ....................... APPLICATION FOR BUILDING PERMIT Date ............... ...~./...~...~.. .................... , 19....~....~ INSTRUCTIONS o. 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 applica.nt. 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 alterations, or for remov~h~r, demolition, as herein described. Regulati°ns f°r the c°nstructi°n °f buildings' additi°ns' ordinanc/~ re~ulat~n~s. ) // The applicant agrees to comply with all applicable laws, ......... /~ ~f~i~nt, or name, if a corporation) ......... ......... (Address o~ ~pplic~nt) Sta'(e whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................................... ......................................................................... .................. Name of owner of premises ....... ...J'~.!.¢,/?,O-~..~... ....... ~..~.~-../.-~f.~.~./~. ...................................................................................... if applicant is a, corporate, signature of duly authorized officer. . .................. i i[ ................... 1. Location of land on which proposed work will be done. Map No.: ....'..../...~..~......'~'.' ~ "'~ ............. Lot No.: ..... ..~...~. ......... Street and Number ....~.....~..~,...~..Z~.~...~."~...[~.~.t%.... 7......~.~>..~t.~.L~...~.~.~.~.....~...~..f..~..~?..~.....~...~..t~t.~.~.~. Municipality 2. State existing use and occupancy of premJses and intended use and occupancy of proposed construction. a. Existing use and occupancy ................................................................................................................................ b. intended use and occupancy ............ . .n~........~...~.~.~'/..¢~~T ...................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................. Alteration Repair .................. Remora! .................. Demolition .................. Other Work (Describe) .................. 4. Estir~ated Cost ............. .7.~.O.. ................................... Fee ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... J ...................... Number of dwelling units on each floor. If garage, number of cars ...................................................................................................................................... 6. If business, commercial or mixed occupa,ncy, 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: Pront ................................ Rear Dep{h ................................ Height ................................ ~Number of Stories ................................ 8. Dimensions of entire new construction: Front ............ ~.. .............. Rear ........ ..,~.....~-'/. ............. Depth ......"~..~. ............ Height .....)..6 ................... Number of Stories ........ .J ..................... · ~ I I 9. S.ze ,of lot: Front .......... ~...., ............. Rear ....... ~.~.-Z~ .................. Depth ....... ,./...~....~. ........... 10. Dat~ of Purchase ..........~./~...'~. ................................... No,me of Former Owner ..... ..~..~,~M.../~.-~'~..~../'~T.~.,~ ....... 11. Zone or use d str ct n wh ch prem ses are s tuated ................. t,...~/~ ................................ 12. Doe~ proposed construction violate any zoning !aw, ordinance or regulation? ...... /~.~ ........ · xl 13. Na~e of Owner of premises Ll/.t..J~/,~.L...~..~.....~ ........ Address ................................................ Phone No. Name of Architect ....~...~.~,./:..~.~.(~...~.~..~. .......... Address ....~.*.~..:.~..~...../¢.~.'~.~..L,~..~f,,~/~Phone No. i Name of Contractor ~ ' ~ Address . : ...... '.:.., ' ~ Phone No. ~r PLOT DIAGRAM Loca,le clearly and distinctly ail buildings, whether existing or proposed, and indicate all set-back dimensions fr property lines. Give street and block numbers or description according to deed, and show street names and whether interior or corner lot. STAT~: OF ~ N~W Y~)RK.'" '~ ) .... COUNTY (DF .~....) S.S. ......... ..'~....¢¢.~.J.~i~. ......... 'tb~.f,.~.~?~..../~..~ ..................................... being duly sworn, deposes and says that he is the applica (Name of individua! signing application) above named. He is the .................. .......... ......................... of said owner or owners, and is duly authorized to perform or have perforr'r~ he aifJ/~ork aXgd to make/6nd file ti application) that all statements contained in this application are true, th, b ~,t/of his krJowledg~ .~d belief; ar that the wo,'rk will be performed in the manner set forth in the applicat;i6~l~d Sworn to before me this '. ///..._j .q / / //- ........ ...... dc, ....... .......... ._. ............ ..,