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Home My WebLink About2132-zFOI~H NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No....F...1685 .......... Date ..................... AI~L~t.....~.~. .......... , 19...0.,3.. THIS CERTIFIES that the building located at ..~.e~,o~3~J,(3...]~l,~...~.V.d ............................. Street MajOr..e...1.......P...a~....k.... Block No ......... ~ ...... Lot No ..... 11.t ........ Laktlr.e.~.,...~.~., ..................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................... ~%1,..1,~ ....... ~.'~ ................. , 19~.~... pursuant to which Building Permit No..~-,],3~... dated .................. J~]~'""~'9 ................... , 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 ~ ....... ...... i~.~.Vate .. ~e]~.~.~.~...~.¢h... ~.ee.~ e~,~.. ~¢g&ee..e~e ........................................................... The certificate is issued to ....~)~..~...1~¢~.C'[~,~.~1~..~.~.~ ................. f¢~/~¢.~. .......................... (owner, lessee or tenant) of the aforesaid building. FOR~ NO. 2 TOWlq OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y. BUILDING PERK(IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 2132, Z Date .................... l}'~ ...... '~ ................ 1963 .... Permission is hereby granted to: ,1'o seph Ke~t;.....~.....F:reae;e.~L¢t~:.. ~.eeht,,,'Lg .............. Z~-u~,e~ .................................................. to ...;B~i. ld... aR.. a~d,~.t;.~om..oa., ea~.. e:a:.:L ~ t-$~_g.. ~twe .~.l-~mg ...................................................... at premises located at ...].~(;...;LTL. r..7,~a~e.~...~.a~]¢ ............................................................................ .............................................. ~eeo~.e. · .B~ · .B:]:1~(l,~ ........ ~ttr~t. ................................................... pursuant to application dated ............................. ~;~r....-3)~ ............... 19..~., and approved by the Building Inspector Fee $"~.*00 ............. Building Inspector( FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ , 1 Approved ...................... -'~.....: .......... ~ ....... Permi No. ............ ...... ...................... .... (Buildin~/fnspect(~) Application No ............................. APPLICATION FOR BUILDING PERMIT Date .................... ................... ,19,63 .......... 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 o detoi[ed description of layout of property must be drown on the diagram which is port of this app~icQtJon. 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 inspect!on 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 Buildin9 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. .......... ..................................................... (Signature of applicant, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................... ................................................................................ ,:.. ........................................ Name of owner of premises ...... #.~.'.~.~.~J,:~g~..~'.~.~.~l.t,.4,~ ...................................................................................................... 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: ....~,tS~lll?.e[L..l~ ......... v: ......Lot No: ...[~ ............ Street and Number ~.f~.O~:~Ck..~D~...,~-.~.~.~ .................. ~11~.~:~ .............................. {..i. ....................................... Municipality ~ . 2. State existing use and occupancy of premises and intended use and occupancy of pr',op, osed construction' a. Existing use end occupancy ..... ~.I/l~.],~,,~rJ~..&..~Oe:t;.O~.a..Q..~C.~ .................... '.....~ ...................... b. Intended use and occupancy ............. t~l~l.O...~..~.~h..~.rl .&~(t~..~.$~ll ......... i(; .................................... 3. Natbre of work (checl< which applicable): New B0ilding .................. Addition.......~"30[. Alteration Repair ..................... Removal ................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .. (to be paid on filing this application) 5. If dwelling, number of dwelling units .............................. Number of dwelling units on each floor If gmroge, 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 Dep}h ............................ Height ................................ Number of Stories 8. Dimensions of'entire new cons?uc~ion: Front...~:.. ........................ Rear ............................ Dept~i, ....... Heig'ht ......................... i~l~umber,~_ of Stones ......... 13'0 .................. ~'8/ 83 " 9~ Size'of lot: Front ................................ Rear ............................ Depth ................................. 10. Dote of Purchase ........................................................ Name of Former Owner "A" dist ] ], Zone or use district in which premises are situated ................. 12. Doer proposed construction violate any zoning law, ordinance orL~J~on? F, Feoliti~ ]3· Nonce of Owner of premises ........................................ Address ............................................ Phone No. Name. of Architect ...... ~;'"]~.~tj ............................... Address ......... ]r.~l,l~e'~; ..................... Phone No. Name 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 lines· Give street and block numbers or description according to deed, and show street names and whether interior or corner lot. 8 vO IL' STATE OF NEW ~',J~-~'lle ) COUNTY iOF ............. "'"~"..~....."~. ....... ) S.S. ~ose~h 14. Eent .................. . ............................................................................... being duly sworn, deposes and says that he is the applice (Name of individual signing application) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said wo, rk and to make and this application; that oil statements contained in this application are true to the best of his knowledge and bel and that the work will be performed in the mannf~fa~t ~lin th~ application filed therewith. Sworn to bbfore me this ,,,,,~ ~(~ Sta~,e o~ ~e~,?~7 ,- ~/'5 , ~ ' / .................. .~...9. day of .,: ................... ..~..~....~.. ....... ; .,~ ~i~; !i:~ c,~ 'S 0 .~,,~/J~ ...~....'.~...[ r~~*~ Notary Public, .~....~..~..~.~..i,~!~t¢'"'""~' ..... ~'!-"(~'i'~'~'~'t~'~;"[~";'l~'i[&;;;i .........................