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Home My WebLink About2093-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..]~.et,ts.,~c,,~5,~,.,~ ................................ Street Map No...~ ............. Block No.....~...~... ............ Lot No .......~ ....... .C..'~.~.~,O..[.:.~..?.!....~..:.~.*. .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................................ [V,~r.....~......, 19...63. pursuant to which Building Permit No. ~.0.~3 .... dated ..................................... ~T~e.....~c), 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 ........ ..... ~&v&t e...o~e...$am~,.3.3r.~.ell~z~ ........................................................................................... The certificate is issued to ..~,~tO~..~e]. ............................. ,(~e.3~..,' ..................................... (owner, lessee or tenant) of the aforesaid building. H. D. Approval Oct. 11, FOI~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? 2093' Z Vote .......................... June.....2.9 ............ 1~o3 .... Permission is hereby granted to: .......... ~t....2.5-¢ ....................................................... ..................... ~,:Le~'..?21ae. e ............................... to ..... .B~.~&..~w...o~e...~a~.]..;~.. &'we.~.:]..~,~ ................................................................................ at premises located at ...Be.t~L~..~;t..&..~a4~.'l;..~!, .............................................................................. ....................................... F~Leet~..~o_~ ......... G"ut, obaa~te ................................................................ pursuant to application dated ................................ ~m~ .......... ]L-~/. .......... 196~..., and approved by the 13uilding Inspector Fee $..~0...00~ .......... r-~ ..... Building Inspector '~" ........... S-9 SCHD SUFFOLK COUNTer DEPARTMENT OF HEALTH Building Permit No, ~(~ Y-~ ~) ~-~,, ~-~ TO WHOM IT MAY CO~TCERN: The sewage disposal f~cilities for a structure located at (Cive doed location) NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING PERMIT - 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 detai[ed description of layout of property must be drown on the diagram which is port 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 6pplic~=,nt. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No bui]ding shall be occupied or used in whole or in po rt for any purpose whatever until o Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS H,EREBY M,~D'E to the Building Deportment 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 corporatlon) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... ~.~P.~. ~.~,...~ ~ ~ ;~.~,~.~ f~. ............................................................................................................................................ Nome of owner of premises .,l~'t~,q~.(:t...~:~Z~ ................................................................................................................ If applicant is ~ corporate, signature of duly authorized officer. .................................................................................... .[~.~., A~8~e?¢ ~ZZe~ go~¢~o'~ (Nome and title of corporate officer) I. Location of land on which proposed work will be done. Map No.: ........................................ Lot ~o.: ...................... Street and Number .~...O~...O$...~e~.~..S~ ...&..~¢..~.~...,~¢,o]~o~e.~..~.....~ ........................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. ~isting use and occupancy ........ ff~O~...~ .............................................................................................. b. Intended use and occupancy ...g.~...~.$.~...~.~$~ ................................................................................ 3. Natt~re of work (check which applicable): New Building ......... ~ ........Addition .................. Alteration Repc~ir ..................Removal .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ..~'l~.,,.~9.1.,~0D. ................................... Fee (to be paid on filing this application) 5. If d~,elling, number of dwelling units ................................ Number of dwelling units on each floor If g~rage, number of cars ......... ~.~...0.9,~. .................. 6. If b~siness, commercial or mixed occupa'ncy, specify nature ~nd 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 ..... ~Sb..~ ................... Rear ...... ~,5! .................. Depth ..~.~Y. .... Height ...~.! .................... Number of Stories 9. Size~of lot: Front ..... ~..~..0. .............Rear ........ ~..~.~.Q ............. Depth ,.,,].,~,~,~,c),,~, ........... 10. Dat~ of Purchase .......................................................... No,me of Former Owner 1 1. Zonb or use district in which premises are situated ..... 12. Doe~ proposed construction violate any zoning law, ordinance or regulation? .......... .~.g. .......... t3. Nar~e of Owner of premises]'~.~'~r~c~..~$c~r:~.~L ..... Address .J~o.~tJ.~'~rt...~.ig~;b,~ ............. Phone Na~e of Architect .................................................... Address ................................................ Phone No. Nar~e of Contractor,~tX~:~.~.~'...~..~;],~.~: ................... Address .~£.Z'I ~...P.J..~,e,.~. ................. Phone No. PLOT DIAGRAM LocaCe clearly and distinctly uti buildings, whether existing or proposed, and indicate all set-back dimension property lines. Give street and block numbers or description ,according to deed, and show street names and whether ~ntenor or corner tot. STATE OI~ NEW YORK,, ) COUNTY iOF ..~.~.~'.q~, ......... ) S.S. ........ ~*~~(..~ .......................... being duly sworn, deposes and ,says that he is the (Name of individual signing application) ~bow~ named. He is the .......... .Qg~.o..~g.? ...... (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 application; 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 i~efore me this ............... i ........ .... ,, Notary PgbJic ..,,~....~~.~.~--~Co~i~?~AI~DERIGK W. LOr, kl~nature of appli~'~'i ......... ; ~/ No. 52-7597250; Suffolk County Comnfi,~ion Expires March 30, U~6 l~Ol~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c .......................... ,..:.. .............. 7.,,,~ ............ .== ............... / --z-,." " (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No...~'~.'...g...~...~. ....... 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 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 Deportment for the issuance of a Building Permit pursuant fo 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 ~ corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... gene~.~l., o.¢m~.~.~.(J ~o~. ........................................................................................................................................... Name of owner of premises ..K~n&.K~i ................................................................................................................ ~f oppJicont is o corporate, signature of duJy authorized officer. ..................................................................................... ~.~ ~ew ~ulle~ Oon~o~r~ 0o~ (Name and title of corporate officer) 1, Location of land on which proposed work will be done. Map No.: ........................................ Lot No,: ...................... Street and Number ..~...~...~...B~...~.~..~..~..~.~..~.~.~..~.~...~ ..................... ~unicipoJ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy ~ ~ . . b. Intended use and occupancy ....g~...~...~.~ ............................................................................... 3. Nat?e of work (check which applicable): New Building .......... X .......Add,ition .................. Alteration ............ Repc~ir ..................Removal .................. Demolition .................. Other Work (Describe) 4. Estir~ated Cost ...~'l~j.~,.,~O .................................. Fee I (to be paid on filing this application) 5. If d~,ell/ng, number of dwelling units ................................ Number of dwelling units on each floor ....................... If garage, number of cars ......... ~e"~ ............................................................................................................ 6. If b0siness, commercial or mixed occupo,ncy, specify nature and extent of each type of use ......... ~. ................. 7. Dimensions of existing structures, if any: Front ....jr,~ ................... Rear ....... ~ ................ Depth Height ............................Number of Stories ........................................................................................................... D~m~ns~ons of same structure with alterations or additions: Front .............. ~,~ .............Rear .......................... Depth ................................ Height ................................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... §i~! .................. Rear ....... §~! .................Depth ...2~! ............. 9. Size of lot: Front ...... ~l~jO ............ Rear ..........~,.~0 ............ Depth ..... ~JljJ~ .......... 10. Dat~ of Purchase .......................................................... Na,m~ of Former Owner ................................................... 1 1. Zon~ or use district in which premises are situated ................................................................................................ 12. Doe~ proposed construction violate any zoning ]aw, ordinance or regulation? ..1'1~ ......................................... Name of Architect .................................................... Address ................................................ Phone No .............. PLOT DIAGRAM Loca.te clearly and distinctly all buildings, whether existing or proposed, and indicate all 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. STATE OF INEW YORK, ), ~ COUNTY OF ...~ilCg.~O~]~~ ......... ~ being sworn, al signing a~J~[i'c'~'i'~'~i ................ '' duly deposes and says that he is the opplical above named. He is the ............ ~JOi~t~l~.~O~. .................................................................................................................. ~ (Contractor, agent, corporate officer, etc.) of said own'er or owners, and is duly authorized to perform or have performed the said work and to make and file th application; that all statements contained, in this application are true to the best of his knowledge and belief; ar that the work wil be performed in the manner set forth in the application filed therewith. Sworn to b~fore me this ............ .r...x.. ..... Notary Public ..... ~~~'~~nty No~ ~u~Lic. ~(~te'~'e~),? applicant) No. 52-75972.50; Suffolk County j Commission Expires March 30,196 :i