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Home My WebLink About2088-zFOP.,M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFIGE SOUTHOLD, N.Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at N/~.....~1~...V..~.OW...Av~ ........................ Street Map No...~T'~r~ .......... Block No....ZX~Q~ ......... Lot No. ~ ......... ~.O~].C].t..~.~, .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... ~e ....... 10. ......... , 19~,~... pursuant to which Building Permit No. ~0~.~..?.. dated ....................... ~.~..~..e. ....... ~.,~ ............ , 19..~,~.., was issued, and conforms to ~1 ~f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ .P.r.i.Y.a.t.e..olie...fo,~il~r...d.~.e lli~.~g ................................................................................................ The certificate is issued to ....L{~.~'...]~.....~.~]~O ......................................... .(l~'. ......................... (owner, lessee or tenant) of the aforesaid building. FOP~H 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? g088. z Date ................. Permission is hereby granted to: Goldsmith .Building..&..C~atruchion....~g.~..Henry B~ Lytle ...... &omthet&. ...................................................... to .Bu.~.td-..rtew..~rte...~.a~it~..&~ett.~-ng ..................................................................................... at premises located at ...~/~S...~O1LIF~--~:~'~r-'~Te .............................................................................. ........................................................ ~ot~het~.~.....~-g-, ..................................................................... pursOant to application dated .................................. '~t~e'""'~ ..........19~..., and approved by the Building Inspector Fee ~'LO-~.O0, ............ ~0~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ~..~ /3 19~ Approved ........................................ , 19 ........ Permit No .............................. Application No. APPLICATION FOR BUILDING PERMIT Date ........~,~Z~.'~ ....... ~. ............ , 19.~.. 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 drown 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 applioa,nt. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No bulb[ding 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 MAiDE 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, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ............... (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. ..... .......................................................................... i ......................................................................... Nome of owner of premises ....... If applicant is a corporate, signature of duly authorized officer. ........... ......... /~Name and title of corporate officer) 1. Location of land on which proposed ~vork will be done. Map No.: ........................................ Lot No.: ...................... Street and Number .../.~.~).~L" .~...~...~°~n~......~..~.,.~..~YI?~.......~.~..'~ ............................................................................ Municipality 2. State existing use and occupancy of prem.lses and intended use and occupancy of proposed construction. a. Existing use and occupancy ................................................................................................................................ b. Intended use and occupancy ..... ,/.~,~.Z~£~'/~.~ ................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition .................. Alteration ............ Rep4~ir .................. Removal .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ........ ~....'~..~.~'~.i~.,....~.. .......... Fee .......~..,/.~..:..~.. ............................ (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 bL~siness, commercial or mixed occupancy, specify nature 4]:nd extent of each type of use ............................... 7. Dimensions of existing structures, if any: Front ............................ Rear Depth ......... ~ ............... h He~ t ............................ Number of Stories ....................................................................... D~m'ensions of same structure w th a terat on .............. · , ' ' s or additions: Front ................................ Rear ........................... Depth ................................ Height ................................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... ~....~...¢. ............. ~' ~ Rear ....... ~...,f~.. ............... Depth ...,~_..~. ................ Height ......... /.~...! ............. Number of Stories ........ ~. ................... 9. Size.of lot: Front ....,.~...~.. ................. Rear .. .................. ."¢-"¢~'~' ............. Depth ..../~'.¢2~...."'~... ....... 10. Dat~ of Purchase ..(,/.&,r~'x~R.r,,~.~. ................................ Name of Former Owner ¢/V,~z~/z¢~... 1 1. Zon.~ or use district in which premises are situated ................................................................................. t2. Doe! proposed construction violate any zoning ]aw, ordinance or regulation? .. /~. .¢..-. ........... 13. Na~e of Owner of premises .4¥/,¢¢~rC.~/~f..~.,..x..~Z-~.-'Address .b.f/21~.;f"~.~.~.~.~.;~.,~..4 .......... Phone No. Name of Architect .................................................... Address ................................................ Phone No. Name of Contractor ~..¢.~4;~¢~¢:~/./f"~tr..4¢¢. '¢/.:..~/¢.~.',Address ..~'..4g~..~.¢.~ ...................... Phone PLOT DIAGRAM Loca,fre clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions f property I!ines. Give street and block numbers or description .according to deed, and show street names and indk whether interior or corner lot. STATE OF J NEW.~'O~I~, . ,¢ ) COUNTY OF ~' .~~.) ........ · ~"~'~-.('%'~. ........ ~.~.,~.'~./'~.J.~ ......................... being duly sworn, deposes and says that he is the applica (~ame of individua! signing application) above nam.~d. He is the ......~..~....~./~..~-.~.../...~-:-~.. ........................................................................................................... I (Contractor, agent, corporate officer, etc.) of said owrjer or owners, and is duly authorized to perform or have performed the said work and to make and file ti' applicationi that all statements contained in this application are true to the best of his knowledge and belief; ar that the work will be performed in the manner set forth in the application filed therewith· Sworn to bbfore me this ( t) Com~lSSlO~ Expires t~srch 3D~ m F~EM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......... ~, ......... ~ ...... /....,~/ .... 19...~;~ 7 Approved ........................................ , 19 ........ Permit No. , Disapproved a/c ................. .~: .~..~ .................. ; ._..::.; ................ ;-":~4 ...................... ................. ~"'"'5"~'~4~'--"·', ............................... , "(Buffding Inspf~ctor) / Application No...~....;.~....~.~....~... ....... 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 adioining 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 thi~ 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 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 MA;DE 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, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a. corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ~..c~. z~z...~..,~.~ ~: .~. ~;,~. .................................................................................................................................................. Name of owner of rem~ses ............. ~zC~.~ ,.. ~, t . ~9 , 7 ...................................................... If applicant is a corporate, signature of duly authorized officer. ............ ......... ......... ,~ame and title of corporate officer) ~ 1. Location of land on which pr~osed work wi[[ be done· Map No.: ........................................ Lot No.: ...................... Street and Number ..... ~/.x~...u~./.~-.....¢;~ ~/~......~.,.; ..................................................................... ' twunicipalify 2. Sfate existing use and occupancy of premises and intended use and occupancy of proposed construction. a. ~isting use and occupancy ................................................................................................................................ b. Intended use and occupancy ........ ~,~.~..~ .............................................................................................. 3. Natbre of work (check which applicable): New Building ....... ~ .... Addition .................. Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. 4, Estimated Cost .........z ........... ~. ...................................... Fee ....:.../~,,~,~Z~ (to be paid on filing this application) 5. If d~velling, number of dwelling units.... ........ '/.........._........ Number of dwelling units on each floor / If g~rage, number of cars ............................................ 6. If bHsmess, 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. Dimiensions of entire new construction: Front ..... ..~....~....*. ............. Rear ....... ~....~ ............ Depth ....-~...~....~ Height ........ ./4~.i' ................ Number of Stories ........ ../. ................... 9. Sizelof lot: Front ...~;~ .................. Rear .................... ~'~" ,............. Depth ..../.~,:.~.~......~.. ........ 10. Dote of Purchase ,.~..../M...~,.,n.O..~..~..4~.. ................................. Na,m~ of Former Owner~;,~.'a/.'./~..,Y..~:..~M...~.i 1 1. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ....A(...~..:.. premises ............. ~.i .......... ~ ........ Address ,~t,'2-~-/~, ~, A/// Phone No. 13. Naroe of Owner of /'/'~?/v¢,¢ 4s, Naphe of Architect .................................................... Address ................................................ Phone No. Contractor ........ ~. ...... ~./..... ?~. Address Norfle of L,,,~, f~'~/*~?t / · ~'~' , ..~.~..2'..~...~..~....~.. ...................... Phone No., PLOT DIAGRAM Locqte clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions f property lines· Give street and block numbers or description according ta deed, and shaw street names and indi whether interior or corner lot. STATE OP, NE, W.4YO/RJ4, .,,~ ) SS ...... Z~.'~4~_~.'.(,~21~. ........ (L~,~.~.~,~.k/~.,/.~ ........................... be.rig duly sworn, deposes and says that he is the applic¢ (Name of individual signing application) (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file applicatiod; that all statements contained in this application are true to the best of his knowledge and belief; that the work will be performed in the manner set forth in the application filed therewith. Sworn to ~ef~re me this (]~mml~,~lon Dm ate