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Home My WebLink About2175-z~O~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCC, UPANCY THIS CERTIFIES that the building located at (~e~e~,..A¥e..~,~..~e;2e~v.i.e~..9.~ ............ Street Map No ..... ~,~% ........Block No....:?'~:;y~r~ ......... Lot No..~..~ ............ ~;~bh'~'~'~'~'"'~.'~'~- ........... conforms substantially to the Application for l~uiIding Permit heretofore filed in this office dated .......... ala~e~d.ed .......... ~p.~..~. ............ , 19~... pursuant to which Building Permit No....~,~..~Z. dated ........................ ~e,.~cezilb.e,~.:.....~..., 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 ........ ..... pr.i.v.a.t.e...mia.. ~.m~i 1~.. rl.w ~.], lin~. ........................................................................................... The certificate is issued to .~.O~e~,.~oC~,2.t~. · ............... Ot4~e~'. .................................................... (owner, lessee or of the aforesaid building. H,D. approval Jan:20 196~ by R. ~o Villa ....... ................ ........................ 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? 2175 z Date .................... ~t~mb~m.:...~. :......L Permission is hereby granted to: . ........ ]~ox.. 3.b-9 ........................ : ......... : .................... ................ 0.or~..L~. ......................................... to ~Ut~d.. ~e~...o~e.. ~amil~... ~w~lii~ ..... at premises located at O. eda:...~iv~..&..Wa~;e~w..I~, .................................... ........................................... ,~ o.~ho 1~. ~...t~...~Z. .............................................................................. pursuar~t to application dated ..~el;~;....~s...~,~iL~te.~t,~. ........ 19..6.~., and approved by the Building Inspector~ ~Z'o~tt se¢baek o~ ~ate~few ,3~t% mtn, o~ O~d~ 9~ average ot setbacks on that block (w/S) 2~ rain Rear ~ard F~e $.~.Q*D0. .......... FOI~M ~O,. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIC~- SOUTHOLDo N. Y. NOTICE OF DISAPPROVAL File .No ................................. Date ................... ..$.~l~b.~._.. ~ ........ 19..~3. To ..~a..t...c.~..._C. cnstruc.ticn...C.or.p.....A~g. Joseph Box 3~9 .......... ........... ~r~, ....L..I. ....................................... PLEAEE TAKE NOTICE that your application dated ................ ~.~l~h~r......~... 19..~.~. for permit to construct ..... ~.~9.Q ........... at thc pr~m]ses located at ....~.~...~ ...... ..... ~ ..~.~l~...~ 0~ ................... Street Southold Map ......... ~ ...................... Block .................~ ............. Lot ........ ~w~ .............................is ~ . ' disapproved on the followinff ground~' .......~fiQ.19.~ .gB...~.9~.h..~.~.~.~.,. possible ~.~C~n~..~e.ar. ~d.. satback ................ FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×am ned ........ ^pp, cot,onNo. Approved ............... ~ ...................... , 19 ........ Permit No .............. .................................................... ~-~ .......... ::.~ ....... .... ....... , ....... ................................ ~:::G;~"i;::r::;;~ ................................. APPLICATION FOR BUILDING PE"MIT Dote ................ ~.._...~... ............. , 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 bedrown 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 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 oil applicable laws, ordinances and regulations. ..... ....................................... (Sign.oture of applicant, or name, if a corporation) ~ ,~ ¢.'Z.......~:.~.~. ........... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicc~is a corpo~r~e.,,.-~ggature of duly authorized offic'er. ........................................... (IKiame aM title of corporate officer) 1. Loc.orion of land on wlpicb proposed work will be done.j Map NO./ ............................................ Lot No: .................... Street and Number .~././~..'.~.,... ~..~.....~.~..~.~.......~'...~./~.~.~., .~..'~..t~.~..~~j ~1 Z' ' "~ ~ ................ ....~.~.f-,~'..~.d2../&. .............. Municipality State existing t~se and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ...... ~ ............................................................ . ......................... b. Intended use and occupancy .... Z ................. . .................. 3. Natlure of work (check which applicable): New Building ............. Addition .................. Alteration R epmr ................ ,,~. Removal .................... Demohtion .................... Other Work (Describe) 4. Estimated Cost .!J...~.....7.~..~. ...................................... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units .....~..A".4~:. .............. Number of dwelling units on each floor ....~'..~...~.~ If garage, 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 Depth ............................ Height ................................ Number of Stories ........................................ Heig~ ht ....~'..~...' ................. Number of Stories....~M~/...~... .................. 9. Size~, of lot: Front ...... _/J,-- .~/"~"~'"~' ................ Rear ..... /.~.4~.. .............. Depth ../...~.~.. ....... ~ ................ 70. Date of Purchase ..................................... Name of Farmer Owner ..'/.U. 1 1. Zone or use district in which premises are situated ............................ 12. Doe~ proposed construction vi,o~ any zoning law, ordinance or regulation? .....~..~. 13, Name of Owner of premises .-.,~.~,~-m,~.....,,~...,~...e,.::..~..~aa~ess ............................................ Phone No. Name of Architect ...................................................... Address .................................. .......... Phone No. Name of Contractor Z~//~.~..~....E.~..~.KrZ/~.~..~'~.~'Z..~J~..Addross ...~.~, ~..~....,~.~...,~...~..'.'~.~..../~. Phone No. PLOT DIAGRAM Locat~ 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. STATE OF NEW/~'O~I~, ~// ) ~ ~ ................ i':"~.~'~Juol signing application) ............... J~'ei¼g duly sworn, ~eposes and says that he is the applic( ~bove n~ed. He is the ....... : .................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said wQ[k and to make and this application; that all statements contained in this application are true to the be~0t~T~¢~o~ae and bell and that tBe work will be performed in the manner set forth in the application filed tk~pe~tt~'~;, Sworn to b~fo~e me this ~ ~ ~J~ ~of ~.~, 19 ~ { J, /// /~~ ' '~