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Home My WebLink About2148-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ~/~......~...'q~.~...~..~..e.~..~.~.~ ........................ Street Map No....:F-,~ ............ Block No .......... ~ ...... Lot No...~ ...... ..~..O...~..~.g.O...~..~.Jl....~..?..~..? .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .............................. ~,13~1~J.~ ....... ~ ......... , 19..~..~.. pursuant to which Building Permit No......Z*.~..~..~.~ doted ......................... ~.~.~.1~..~......~...~. ...... , 19..~., 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 .; ...... .... T. em~ol'.a~'~... ~.es~'td~nzes.....,~atum. e.. ~a~age.. &.. B ~;o_~age. ................................................ The certificate is issued to ...AD.~hOI~...J~J~O]211~ ........................ 0.~.e..~. ....................................... (owner, lessee or ten~.nt) of the aforesaid building. Building Inspector FOP,~ NO. 2 TOWN OF $OUTHOLD 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? 2148 Z Dote ................... .August .....~. .............. 19..6;~. Permission is hereby granted to: · ~t'ho~y. · .l~a~' seh~ ........................................ ........... ~Lot~c~ ..V~ew.. JL~.e ................................... ................... ~o.utBo:L~ .......................................... to ....~.u~;~.. g~.~..~....u.~...~..s...~..~...~..o.~...?..~..d.~..n.?.. ..................................................... at premises located at ....N/~,.....8O~II~...~.~W...~'~.~ ........................................................................... pursuant to application doted ................... ~;....../~1, ...................19.~].., and approved by the Building Inspector Fee $...10,00 ......... Building InspectoF ~ TOWN OF SOUTHOLD BUILDING DEPARTMEFIT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Approved .................. L.( ................... , 19...~.....Permit No. ~ Disapproved a/c ............... ~~ ............ :~ .:~..~/ ............... (Su~l~ Inspector) 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 p remises, 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 sha~l hove 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 Ordinanc& 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 end regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, el.ectricion, plumber or builder. Name of owner of premises ,~.~....~.ho.~.~.....~.818¢~.~ ............................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on v~fiich proposed work will be done. Map No: ..... ~ ........................... i.... Lot N~ .............. Municipality State existing use and, qccupancy of premises and intended use and occupancy of proposed cons[ruction: a. Existing use and occupancy ~R~38,~t, ~L~tllc~ 3, Nature of work (check which applicable): New Building ...~,~. ....... Addition .................. Alteration Rep.air ........... : ........ Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ..... -aO.Q0...~./.M ................................... 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 ...... .t~//~ ......................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimension's 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 .......... ~l~l ................. Rear ....... ~0. ............... Depth ......... il~O. ........ Height .LL..: ...................... Number of Stories ....... ..0~11 .................... 9. Size of I~t: Front ....'~00. ..................... Rear ....... ~0~0 ............. Depth ........ v~O..~. ................... 10. Date of Purchase ......... : ........ ~i,~.~1 ............................ Name of Former Owner 11. Zone or use district in which premises are situated ........... i ........ 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... 13. Name of Owner of premises A.~...MIR~.$.~I~ .............. Address ......... A~I~.¢~O~ ............. Phone No. Name of Architect .......... ' ........... .q ............................... Address . ........................................... Phone No. Nam. e of Contractor ....~.O~...]]~l'l~e~ ..................... Address ........... ~.t~G'].t~ .............. Phone No. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bqck dimensions fr, property lines. Give street and block numbers o[ des~cripti~ according, to deed, and show street Dames and india whether interior or corner lot .... ~'~-...,__..~.,~?. ~ /~/ ~1 ~ STATE OF NE~,Y YORK. ) COUNTY OF I~.~.~'.~lt: ........... ) S.S. 0 ...................... ~g~OE~...~ili~.~g~'t~t, .................................... being duly sworn, deposes and says {hat he is the applicc (~ame of individual signing application) ebove named. He is the ......... .~.~'~0~. ...... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sa d work and to make and f this application; that",oll statements c~[~t~d~4[~lhi~ Oppl cation ore true to the best of h s knowledge end bell and that the work w, II be perform~. 0~.un~t~cn~i~Y~,l forth ,n the apahcat~on filed therew,th. Sworn to before me th,s Comm,s~tton. Exp,r~, March 30,~ 1~,~'~' ~.c~' ,~ ~~"~