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Home My WebLink About2048-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OC:CUPANCY THIS CERTIFIES that the building located at ...~./.~....¥.~.~..~..~!'..~.~....~:~.~?....~/~?.~..~...~..~..!.... Street Map No....~¥...~. ........... Block No ........ .~..~ ..... Lot No ........ ~?. ....... ..0.?...~.?..~..~2...~:.~.~. ................. conform~ substantially to the Application for Building P,ermit heretofore filed in this office dated . ~. ~0 , 19 ~3 pursuant to which Building Permit No. Z ~)"~8 dated .............................. .J.~'~..~.~......~..~..., 19...~.~, was issued, and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is ........ ...... ~.~.~.~.~ ~.~... ~.~ ~. ~.~.~....-....~..o.~.~ ~..... ~ .~.~....z.~ .t.~...~.~.~.~ :...: ................................. The certificate is issued to ......~.?...~.~...~..b...~.....~o...~..~. ................................. ~.e.?. ............................. (owner, lessee or tenant) of the aforesaid building. FOI~M NO. 2 TOWN OF SOUTHOLD BUiLDiNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS FERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 2048, Z Dote .................... April ...... 2.9. ............. 1963... Permission is hereby granted to: Tony l~ork.t~ · · ..-A/~. ·..T. ,-..~.~tb~ .. ~o~ ..................... ........... 01~ .ie~t ~. · .N, :~:~ ........................................ to ....B~$t~..en...ad~.~.~len..en...am..e~$.st~ng..~us.tnes~..~t~t.~i~ ............................... at premises located at .~.~l.~g~-.~r~...(.~..~;.~ ...................................................................... ...................................................... Or ~en.t.~-...-.]i.~ .~ ............................................................................ pursuant to application dated .............................. ~;[,~ .......~: ......... 1~.~.., and approved by the Building Inspector Fee $...~.,.00 ............ Building Inspector TOWN OF SOUTHOLD BUILDLNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............ ~'~.....~. ~., Approved .......................t.t ........ 19 ........ Permit No ................................. ...... ....................................... (Buildi~ }nspec~or) Applicetion No. r~L D Cl ~c~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the E~uilding 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. ~Jpon approval of this application, the Building Inspector will issue o 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 laws, ordinances and regulations. (Sign~/ture of applicant, or name, if a corporation) .............. ............................. (Address of applicr~nt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ~-'-/~ ' .... j ......... ~:.~.~_.~'-/~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which pro, posed work will be done. Map No: ............. ~ .............................. Lot No: .................... Street and Number ..~r~..~. ....... ~-~.~; ............ ..~....,.'~...~..~.~,~.,........~...~....~....,': ......................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing useandoccupancy....~..,.~?.'~..! .............................. ..................................... b. Intended use and occupancy ... .......... '.~...~......r ........................................... 3. Naf"ure of work (check which applicable): New Building .................. Addition ......~... ......... Alteration Repair ............... ~./. Removal .................... Demolition .................... Other Work (Describe) 4. Estimated Cost ..../.¢...?...L~....~I.. ..................................... Fee.L~.. (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... ~ ................... Number of dwelling units on each floor ....//' If gcrage, number of cars ......................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature.and extent of each type of 7. Dimensions of existing structures, if any: Front ...... ~ ................ Rear .._.?;..'..(?...f. ........... Depth ~¢,~ r' ! Height ....~....~.. ................ Number of Stories ..... Dimensions of same structure with alterations or additions: Front ...... ..~....~.~...~. .............. Rear 2~ ¢ Depth..../-° ................. ~' t~ ... .... Height .......~..-.~ ................... Number of Stories ........................................ 8. Di~ensions of ent re new construction: Front......~...'. ..................... Rear ............... ~/' r ............. Depth ...~....~....~ ..... Height .../.~... ................... r Number of Stories .................................. Siz~ of lot: Front .....~..~..~...¢ ................... Rear .....~..*7.~..f ............. Depth ..../..~..~....~.. .................... Date of Purchase .,~...-~./~. ....... .................. Name of Former Owner ..~.....~..~ . ..~_.~ Zone or use district~/ //in which premises are situated._.,~ Does proposed construction violate any zoning law, ordinance or regulation? ....~_....~./. ...... Na~e of Owner of p em.ses-~z ....... .~......~ ............ Address ' Phone Name of Architect ................................................... Address 0 ,¢ Phone No. Nar~e of Contractor .~.¢...%~?~.~... ~-, ...~..~ ~ .............. Address .......... Phone PLOT DIAGRA.M Locate clearly and distinctly oil buildings, whether existing or' proposed, and indicate ail set-back dimensions property lines. Give street and block numbers or description according to deed, and show street names and indic, whether interior or corner lot. 10. 11. 12. 13. STATE OF NEWc~YOF~<,, /2// ) S S COUNTY ]OF ..~.~.....)" ' ............... ~~~ ..................................... being duly sworn, deposes and says that he is the opplicc tN.ameba(individual~igning~....~.~application) /I above named, He is the ......... ............................................................................................................. (Contractor, ~~[[i~i, of said owner or owners, and is duly authorized to perform or have performed the said work and to make and this application; that aH statements contafned [n this application are true to the best of h[s knowledge and and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Notary Pu~Hc, ..~.:.~.~...~ ............. Coun*y':"'}~ ............ ~' (Sionoture o~ opp~cont) TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........... ,~ ........................... , Approved ........................................ , 19 ........ Permit No ................................. Disapproved a/c ........... (Building I~pector) Application No..?...~.....t~..~.. ........ APPLICATION FOR BUILDING PERMIT Date ................. ..~..~...%~..:.~. ............. , 19 .d.'.~.~. ......... INSTRUCTIONS e. 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 bedrawn on thediagram 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. ....... ............................. (Signatu~ of applicant, or name, if a corporation) ................... ....................... (Address of applicanl~) 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, signoture of duly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ................................... ' ......... Lot No: .................... Street and Number ....... ~~~. ....... ~ .............. ..~...~~.......~.~..~.../~.~.~.4. ....................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ';:x~stmg use and occup y ................................................................................................................................... b. Intended use and occupancy .............. : .................... ' ................. .*r ........................................................................... 3. Na,ture of work (check which applicable): New Building .................. Addition ~ Alteration RePair ............... ..,e/Removal .................... Demolition .............. ~._. Other Work (Describe)..~~ (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 nature.and extent of each type of use ...~.....,(.z..~..,.~..~... 7. Dir~ensions of existing structures, if any: Front ...... .~....~...~. .......... Rear ~' ~) ' Depth 6 ~- Height .....~:....?...( ............ Number of Stories .... ~ ........................................................ 7~ r Dimensions of same structure with alterations or additions: Front ........... ~ ................. Rear .....~....~.....~ ............. Depth .... .~..~.'. ................ Height ...... .~.....~.. ................. Number of Stories ..... ~ .............................. 8. Dir0ensions of entire new construction: Front.......~....~ ................... Rear ..../T..(..~ .................. Depth 2-- Heibht / 7 / Number of Star es .................................. 9. Size of lot: Front ,~--~4~' r Rear ~'~ / Depth / ~-'O I 10. Date of Purchase ~B / ~ ~/ ~- Name of Former Owner ~ ..~...~..~_ 1 1. Zone or use district in which premises are situated ...... ~.~..-~..-~..~ ~ 12. Does proposed construct on v o ate any zon ng aw, ordnance or regulation? .... ~.. PLOT DIAGRAM Locate clearly and distinctly all 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 indic whether interior or corner lot. STATE OF NEW,~,YO~I<;c~,~ ) S S COUNTY,_z_~ ..~iOF ..:~,~.w~..~.~ ...... ) '' ......... '../..~....~-~..~..(-~.~ ........................................... being duly sworn, deposes and says that he is the applicc (,~lef~ne of individual signing ~pplication) above named. He is the .......... .~.~'M~..~.,~t:~ .......................... (Contractor, age4~,corp~'~ e~Lf.~.,~,~ etc.) of said owper or owners, and is duly authorized to perform or have performed the said work and to make and t this application; that all statements contained in this application are true to the best of his knowledge and bell and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~. ~....~{..~...~~ .~.. ........ .................... . ........ Notary Pul~lic, ...~.J., ....... ~...~ ....................... County /_,/ ( 'g ature of applicanti ........... Je