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Home My WebLink About2085-zFOI~f NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY ~o. Z..l?7.a ............ Oate ..: .................. Ne~eml~e.~. ....... 7......, }~..~3.. THIS CERTIFIES that the building located at ..... E/~.....Wood...EI~,d..~;,~. ........................ Street MapJ~o'~.%..~.?..O...O..~.. ....... Block No ......... ~ ...... Lot No..39.s .......... ~o.~thold~...N.Z~ ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................................... ~.l~,e ....... ~,0....., ]9~3... pursuant to which Building Permit No. Z2.0.8~... dated ................................ J.%%~.....1.0....., 19..6.3.., 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 ........ ............... Pz iv.s.te...orm., f. amt .1.,~., ....dwe. llinp. ................................................................................. The certificate is issued to ..Jo. se. ph..&..F~'.ar~ce.a..Li~s; ................. O.~.e~.~ ................................. (owner, lessee or tenant) of the aforesaid building. H.D. Approval Nov, ?, 1963 FOI~M 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) N? 2085 Z Dote ................. Permission is hereby granted to: Engene..Hor.t o~....A/C. ~.o ~l~h..&..~.~.~.~.... Link ........... New..S~etk ........................................... to ...... ]J,~z~.,-~e~" o~e'-'~'~t'3:~'' 'Qwe'l']: ~_§ ................................................................................ at premises located at '"'l*o~'".~gf .........'~'O-~,~r~o~ ......................................................................... ....................................... Wood.. ~nd...W. ay.~ .......... Sotli~ho.ld ............................................................. pursuant to application doted .................................. ~lLr/e.,...].O .......... 19..,~;~., and approved by the Building Inspector Fee $.....1.0 ............... S-9 SUFFOLK OOUN~Y DEPARTi~T OF HEALTH Date ~0~/ ? Buildin~ Permit TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at ' ' (Give deed ioca~ion) have been inspected by this Department and found to be satisfactory. Distric~i~ngi~eer, FOI~V~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. "~'" 0 c;' 6 Approved / '~ r ' ~'~c~ O ~z- x~ .......... : ............................. , 19 ........ Permit No ................................. ....................... :.~Z;/. ............... >~ .~.~'¥ ....... ~,~ ................... Disapproved a/c //. --x . .. ................................ ................................ 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 crud of buildin9s on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drewn 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 laws, ordinances and regulations. ............ ,tiaa..¢ .o.n, ................................................... (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................................... ~' o.~ae/eo~· ................................................................................................................................ Name of owner of premises ........ ~ros~..&...~.~t~oe.g..~t¢~ .......................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: .80~Oo~ ..................... .Lot No: .....~ .......... Street and Number ....... ~...e~..~yt .......... ~O~.~hO~ .................................................. ~ ................................ Municipality 2. State existing use and occupancy of premises and intended use and ~cupancy of proposed construction: a. Existing use and occupancy .............. ~e.~..~O~ .................................................................. b. Intended use and occupancy ............... O~e..~...~ ........................................................ 3. Nature of work (check which opplicable): New Building .................. Addition .................. Alteration Repair .................... RemoYal .................... Demolition .................... Other Work (Describe) ........................ 4. Est/mated Cost ......... 1.t.t:.~.~).O..~./~vl .......................... Fee ............~_...0. : (to be paid on filing this application) 5. If dw.:elling, number of dwelling units .............................. Number of dwelling units on each floor If ga,~oge, number of cars 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 .............................. Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front ......... (~1. .................. Rear ......... ~2, ..............Depth ......... ~..-.~. ...... Height ............................Number of Stories ...... .QD..e ..................... 9. Size of lot: Front ....... :[..(~.~. ................. Rear ............................ Depth .......... :i.Lk0/...:L~.~). .......... 10. Dote of Purchase ........................................................Name of Former Owner 11. Zon~ or use district in which premises are situated......~.~..A.!.~....c]..~-.~,t;. ................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .................. t'LO ............................. 13. NonCe of Owner of premises~.,.._].'~$~0,l.¢ ........................ Address ............................................ Phone No. Name of Architect ...................................................... Address ............................................ Phone No. Name of Contractor ....~:t~g~lf~...[:.~.0.~.9..~.. ................ Address ........... ~.~.~.~.,. ........................ Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr, property li6es. Give street and block numbers or description according to deed, and show street names and whether interior or corner lot. ........ I STATE 0~: NE'C/ Y~QRI~. ) COUNTY! OF ............................ ) .............................. ~:g.e.t't~..,]~.ca~.Lo~ ................................... being duly sworn, deposes and soys that he is the applic (Name of individual signing application) above named. He is the .................... (Contractor, agent, corporate officer, etc.) of said o~,ner or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements contoir)~lT~Jn~.t~ppllcation are true to the best of his I<nowled~e and be[ and that the work will be performed i~l~m~P~n~¥ ..de}le~¥~ in the application filed therewith. Sworn to Aefore me this ,o, 52-0344963. stii~OlK uounty ............... :: ................. ..... Notary Pt}blic, ....,~Z~..~:....zx~....~.. r..~....,z~m... ...... :. ~,cyan~y ~ (Signature of applicant)