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Home My WebLink About2087-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..Z*..1,9~.] ............. Date ............................. 0a:~ob/)r.....1.Lk, 19..6~. THIS CERTIFIES that the building located at ~8,.[0~-.&..~a.:[le.~...~'J'~ .......................... Street Map No ...... X~ ......... Block No.x~l[ ................ Lat No. Z,~/; ......... G~,~et%lgO;.tt...[..~Z, ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated .............................. ~,1h-'¢~.,....~', .................. , 19.~).~... pursuant to which Building Permit No. dated ....................... J.tl~e ........... 3.2, ...... , 19..6~., 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 ........ ...... ~.~&v.a.te...on~.. £amiX~...dme.lling. .......................................................................................... The certificate is issued to ,.Cl$$~'¢)~'¢l..&..Jean..i~le,[1 ................... .0~nez'.s .............................. (owner, lessee or tenant) of the aforesaid building. FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2087, Z Date ........................ ,ItJ/qe ........ 12 ............ 1~5 .... Permission is hereby granted to: Cli.f.~l... U~tl.. &..~i.f.e .................................. 2.02..Ir, lna.pp...Plae~ ........................................... ... Gr-ee~pa~r.t.r...~ . t., .......................................... to ~uild..,an- · a4d,i,~;-i~n.,.om., a.n.. e~-i.s.timff- ~wel~.im~ ......................................................... et premises Iocoted at .....2.~......~J~a~p..~taee. ................................................................................. ..................................................... G~'.e~ztpo~. ~ ~ .. ~..~.. ....................................................................... pursuant to application dated .................................... J~q~ ........~' ......... 19..6~.., and approved by the Building Inspector Fee Building Inspector t FORM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..................................., 19 Approved ........................................ , i 9...:'...·Permit No ................................. Application No....?....~.....~....7. ......... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink ond 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 gr.anted by the Building Inspector. APPLICATION IS HEREBY MAD'E 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 b~ildings, additions or alterations, or for remova~ or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ........ ...... ............. (Signat/L~re/6f applicant, or name, if a corporation) /- .............................. i~;~'~s'Z o~' '~;~'~'l'i'~;~;~f "' ......................... State,whether applicant is owner, lessee, agent, architect, engineer, general contractoq electrician, plumber or builder. , ?' of rem ses~..~. - '~.~l 7 2¥..~.. / ~ g"~c;/~ /l ~/~J~/.~.. Name of owner p ...... .~.~.,.' ............................................................................................................................... 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: ............................................ Lot No: ................... StreetandNumberr~.~..~..~.~.~...~.. fl, L~.~.~,/~L /?~'k-..~.. ................................... ~.d~.~.~b~;~iii~; ......... ~ ...... /.. ...................................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. E ,st, g ase and occupana .................................... b. intendeduseondoccuooncv~.~,d/~j,~U,.7~x/, ~Z~.TZ,C~/CW/e~// /~f ~Zf,_.~.~f.~ .......... - -' ......... 'r- .............. ;;L"")~';.;'7~ ...... /;';'{,~'"'"~' ......... ~' .......................... 3. Nat.,ure of work (check which applicable): New Building .................. Addition/~,....... ......... Alteration Repmr .................... Removal .................... Demolition .................... Other Work (Describe) ............. ........... 4. Fst~moted Cost ..... ~ ............................................ Fee (to be poid on filing this applicotion) 5. If dwelling, number of dwelling units ............... 72_ ............ Number of dwelling units on eoch floor If g? roge, number of co rs ....... .~.~.~../~...~...~...~ .~.',. ............. J,.,...~..~'/- 6. If business, commercial or mixed occupancy, specify nature,and extent of each type of use ~ ...... 7. Dim'ensions of existing structures, ,f any: Front.....-.~-..~./. ............ Rear ........-~-...,~../, .......... Z) z Height ....... ./..~.. .............. Number of Stories ............. ./.. ....... ..(-'-~..~.,~'.~..;~...~(~.. ....... ../~.'../..?~..'......./'~:.~/...~.....~....,~...~. ....... Dirdensions of same structure with alterations or additions: Front ............. ,.~. ................ Rear ..... ~,.,~.. .... Depth ....... .~....~..,/. ............ Height ............ /.,t~ ............... Number of Stories .......... ../.. .......................... ' lo; .......... ...... 8. Dimensions of entire new construction: Front ........../..~.. ................ Rear ........................... Depth Height .......... ~.. .............. Number of Stories .......... J ..................... 9. Size] of lot: Front ......... ./..Q....~ ............ Rear ....... ~.~" Depth ./.~Z~.~t(.?~..'~.6~ '..~...~/~ /J-~ i 10. Dat~ of Purchase ..... ~L/-~.'l,~...J..~.~-L~. ................... Name of Former Owner .~._~.f..,'~....~..~.~..~.y.....J~.~..~.....¢~. 11, Zon'e or use district in which premises are situated., 12. Does proposed construction violate any zoning law, ordinance o~ regulation? .............. ~.f.O. .................. 13, Nome of Owner of premises ..~.~.LI.~.~.o.:'C~I... ,~.J~/~.¢,//Address .:~,~.,,O..f,~../~.].~./?/g../..~..?.t~.CPhone No. Name of Architect ...... .~..~..0,.~..?.~.~.......0...(~? ~.~. ~.O~('fl"dress '' Phone No / Name of Contractor ....................................................Address ............................................ Phone No. PLOT DIAGRAM l.ocot~ clearJy 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. ~Jf I'~ I'[ ~ ~/j,~ ~i'~C ~ ~ 0 /f/¥a P? PLA c E STATE OF NEW ~O.P, IK, _ / ) ~ ~ COUNTY OF .~..'.'.'.'.'.'.'.'.~...(. ...... ) N.b. .......... ~..~.~'TI:.:-; ................................... ~ ................................... being cJuly .sworn, deposes and says that he is the appJil ~[~XJame of individual s~ication) above nan~ed. Ne 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 J]ile this application; that all s~t,~p,~/~J~'~'~d in fk~is a~plicotion are true to the best of his knowledge and beli~ef; and that the work will be p~r~.s~J~l'rJ~r set ~orth in the application filed therewith. Sworn to~lSef°re me this ~o~s)/o~ ~x~l~s ~¢~ ~0, ~o._~_uT ~-.,, ~ ,~ ,-~ ~ ,, ~ //' , ........... .~...~..' ..... day of ..........~...~.. ......... ~ ....... , 19.~:.~',......~..~....~.....:~r...:.~...~.. ................. : .... Notary Puilic, .~...~....~.....~f.~_..~.,~,...~...~..."~. County~ ------~ ~' (Signature of applicant) /' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................................... /~' 19..f..~. Approved .......................... : ............. , 19...~.....Permit No, ~:~ u'>'~ 7 (Building Ir~pector) 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 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. 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 part 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. ......... ....... (Signatu~ ? applicant, or name, if a corporation) .... ...... (Address of applicant) ' ~ " State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. ............................................................................................................................................................... Nome of owner of premises ....:.././.: .~.' ./~.~ .¢'...~?..(/. ........ .~..'....:.~.....~. ,.~......///...,...¢..... Z'~.C.~. i..~, .~'./~...... ,~...'....~ .~....~.....~...~.. ........... 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: ............................... . ............ Lot No: .................... Street and Number~,'~.d~..../~.~...~.~,~.....~..:: ......... : .~....~....~.~...>'/...~..~....~.~Zi..~.....~..'.. ,~.'..: ........................................ / / Municipality · 2. State existing use and occupancy of premises and int~ded use a~d occupancy of proposed construction: a. Existing use and occupancy . .../~,..~../..-~. :..~..~.-'.~-~..-.. ~ .~...5:./:.i...~<...~-..~....~-......~.. ........................................................ b. I ntendeO use and occupancy ......~.....~.....'~., ..~.....~..77...~-. ...... . .~,...~. ,~'...C~..C...~..:e .~/..........7~..a.: .....x~..~../:..Ct..:..~ .......... 3. Nat?re of work (check which applicable): New Building .................. Addition ......~.... ....... Alteration ............. Rep~air ................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Esti~mated Cost~...Q..~ ......................................... Fee ..................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................. Number of dwelling units on each floor ........................ 6. If business, commercial or mixed occupancy, specify nature .and extent of each type of use ............................ Dimensions of same structure with alterations or add'' ns: Front .............. ~..77~.' .......... Rear ........... . .7~...~... ....... 11. Zone or use district in which premises are situated ............................................................................................. 12. Does proposed construction violate any zon ng aw, ordnance or regu at on~ ...................... Na~ne of Contractor .................................................... Address ............................................ Phone No ................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr~ property li. nes. Give street and block numbers or description according to deed, and show street names and indic~ whether interior or corner lot. 70~ ............... 0~.....~.~..~ ............................. being duly sworn, deposes and says that he is the applicc (~ of individual signing application) above na~ed. He is the ............ ~.' ........................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owher or owners, and is duly authorized to ~erform or have performed the said work and to make and ~ this application; that all statements .~~pplication are true to the best of his knowledge and beli and that the work will be performed~~[~ in the application filed therewith. Notary Public ~......~... County (Signature of applicant)