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Home My WebLink About2180-z1~01~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..Z.....~.~.9 ......... Date ....................... No.~.embeE.....2.0...., 19.63... THIS CERTIFIES that the building located at .~/.W..~'3,O~,],~D.O~ D~ ................. Street Mop No ...... ~ ......... Block No .......~ ........ Lot No. ~ ....... J~,t.~.~t,.!,Ze~ ............................... conforms substantially to the Application for Building Permit heretofore filed in this office doted ...................................... ~t~.t, ezl~l~e.~,....6 19.6.,:1.. pursuant to which Building Permit No ..... dated ................................. ~.~t~.t;eral~e,~a., 1~....6~., wes issued, and conforms to oil of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ........ .......................... ~.r..~ .v.a.t.e.. ~ne. · ~am~ 1.~ .. d.we.l.%in~ ...................................................................... The certificate is issued to ...,Temes..&...Do~,o.t,~,~....De,.1.eh~;t,¥ ................. ,O~e~,~ ................... ' towner, ~essee or tenant) of the aforesaid building. Building 'lnspecto;- (~ ' FOP~ NO. 2 TO~,VN 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.° 2180 Z Dote ............... i ...... Septem~ee~, ....~6.~ .... 1963.,. Permission is hereby gronted to: ~ Qua~er'..~'~ge...,Bu.i. tde~.~.~...-.A/C....~TS~..~eh~t¥ & Wife~ ................... Aq. ue. bog. ue ....................................... to ....~.~&..a,. 'a~d ~'t t~n'"ozr.a~.. ~cc~.st~z~g.-~'1' '~,g.-' ................................................... Ot premises Iocofed ot '"~/~'""~..~o~'"~:~I~e ........................................................................... ......................................................... ~'~t.~t~k. ................................................................................. pursuant to opplication dated .............................. ~t, ....... ~ .............. 19.~.~.., and approved by the Building Inspector Fee $...~. ~0 ............ TOWN OF SOUTHOLD BUILDING DEPAP~TMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ~f}..~ ..................... ; 19.....;.. Application No ............................. Approved ........................................ , 19 ........ Permit No ................................. Disapproved a/c ....... ' ................................ JJi ........................ : ....... APPLICATION FOR IILIIIDING PEP. M~? ~~./p. tember 6 , Date ................... ~.~, ............................... 19.~..~. ........... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and subFni~ted in duplicate to the Building Inspector. b. Plot plan showing location of lot end of buildings on premises, relationship to adj~oining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagrqm 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 6f the work. e. No building shall be occupied or used in whole or in part for any purpose whatever antil 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 dpmolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ......... ..................................... (Signature of applicant,.~r name, if a corporation) A .ue. o U.e, ................................ (Address of a?plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electri,~ion, plumber or builder. ...................................... .a...o. ~.r..~.e..t..9.r. ........................................ ~i ................................................... ...................................... Name of owner of premises .....~..a..m...~...~.D.o.~.c~.thy...D~lehar~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map N~: .... X~v~x~Lx ........................... Lo~t No: State existing use and occupancy of premises and intended use and occupancy of propos,~c~ constYuct~on: a. Existing use and occupancy f~.~],~llg. ; I ' ' b. Intended use and occupancy ............................................................. , ........ ~..~.....~ ................. 3. Nafure of work (check whk:h qlSplicoble): New Building ........... '.~ ...... Addition ........ ~.. Alteration .............. Rep',¢ir .................... Removal., .................. Demolition ...................~.. Other Week (Describe) ........................ ..................................... Fee 4. Eshmated Cost ~ ' e paid ~n filing this application) 5. If dwelling, number of dwellin~ units ..one .................... Number of dw,,elling units on each floor ........................ If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature.and exten~of ~ach type of use ............................ 7. Dimensions of existing structures, if any: Front .......................... Rear ..... i~'. .................. Dep~ .......................... Height ............................ Number of Stories ............................................... ' ............................ ............................. Dimensions of same structure with alterations or additions: Frant .............. i ................. Rear .. ............. Depth ............................ / Height ................................ Number of Stories ....... .\ ...................... ........ 8. Dimensions of entire new construction: Front.....T~. ...................... Rear ..... _'1'~'""~ ............... Depth .... ~[ ............... HeiCht Number of Stories .................................. 9. Size of lot: Front ........ ~.~ ................. Rear ............3~8 ......... Depth ...... ]}-99'"P/' ................... 10. Date of Purchase .......... : ............................................... Name of Former Owneq .' .................................................. 1 1. Zone or use district in which premises ore s~tuoted ............. u~,l...~[~.l~l~; ....... ~...~ ................................................ 12. Does proposed construction violate any zoning Iow, ordinance or regulation? :'~'"~i .................................... 13. Name of Owner of premises ..~. ~J.'t~l~.~'l~,,~ ....... Address Phone No ............... Nome of Architect ...................................................... Address .............................. '.., .......... Phone No ................ Name ,of Contractor ....l~k~....R;i.~g~..l~ll~.l;Cl~l,~cldress ............................. ..;..~ .......... Phone No ................. V PLOT DIAGRAM Locate clearly and distinctly all bui d ngs whether ex st ng or proposed and indicdteXa~l set-back dimens ons fr property lines. Give street and block numbers or description according to deed, and ~hoW~street names and indic, whether interior or corner lot. ~j~/O L-L, 'Z ~,-,-v ,',r- aRK, ! S.S. COUNTY OF .... S'~]~]~ ....... ) '' (N~ ~ual signing application) bain duly sworn, deposes and above named. He is the ............ P~l*%~li~"~l""blrl.'Z~'¢~'~'~¥~'~, agent, corporate officer, "i of said owner or owners, and is duly authorized to perform or have performed the said work 'and to make. and this application; that all statements contained in this application ore true to the best of hi~ knave!edge and and that the work will be performed in ~'~,¢h~9.nr~-k~set forth in the application filed therewith. Sworn to before me this ~mar¢ Pnbl~c, State 0t Ncw York ~o. 5241344963 Suffolk Coun ..................... (~. of Comrr . ~ta~¢:ll ~,. Notary Pul?lc, (Signaturel of applicant) says !.}hat he is. the applica