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Home My WebLink About2185-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z ~737 Date t~oveml~er 4 19 63 THIS CERTIFIES that the building located at b~..RQ~,...~.t~.~..C.l~.9.c~.~..,e. ..................... Street Map No. ......... ~e....... ........... Block No. ~e................ Lot No ............................................................... : ..... conforms substantk:fl¥ to the Application for Building Permit heretofore flied in this office dat~ed ............................ .~..e..?..~,..e.t..~..e.z'.....~...~. ......... , 19...~ pursuant to which Building Permit No. dated .................. .~...e.~.~.e...t~....e...~.....~..~. ......... , 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 ........ ................................. P.T~. ~A~.. ~T~...F. ~...~.~T~.33~..~. ............ .............. . ............. . ........................ The certificate is issued to ~7.Q~..~.[~,.....C~.e..3; ........................................................... (owner, lessee or tenant) of the aforesaid building. ......... ............... ~'~'~' v · Building Inspect FOEI~f NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'$ OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ N.° 2185 Z Permission is hereby granted to: .......... ~te.h~ue ............................................... pursuant to application dated ......................... ~-e:~.t, em~e~'....,.13 ........ 19~3..., and app[oved by the Building Inspector Fee $"~,·00 ............ TOWN OIr $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19~.:...Permit No. Approved ~ r ~/'/,.~ ~ ~-d Y,~ .......... Disapproved a/c ........ , (Building Inspector) Application No ...... :.'~. .................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be c6mpletely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing.flocatidn of lot and of buildings on p remises, relationship to adjoining premises or punic streets or areas, and giving a detailed des, cription of layout of property must be drawn on the diagram which is part of this application. c. The work covere~J;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 ~he premises available for inspection throughout the progress of the work. e. No building shall be occuF~ied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the B~Hilding Inspector. APPLICATION IS HEREBy MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of t~e Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construct,,on of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to cam.ally with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a 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. Ohtl....Elak .................................................................................................................... applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Map No: ~ Lot No: ~ Street and Number ...... ..~...~.~....~.o...~.~.L...~...~..~.e..h..°..Pz~,.e.. ............................................ ~ ................................................. Municipality 2. State existing use and occupancy, of premises and intended use and occupancy, of proposed construction: a. Existing use and occupancy ................. .~..*~.e..~...1..J....~.~ ....................................... : ...................................................... b. Intended use and occupancy ....... ~ .............. .(~a.~...~...~..~.~.....~.~..~..~.~.J...o..~ ....................................................... 3. Nature of work (check which applicable): New Building .................. Addition ........ ~"~tlC... Alteration ................ Repair ......... : .......... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estir~ated Cost .....~,.LI'DO..~./M ................................... Fee ......... ~ ............................................................................ (to be paid on filing this application) 5. If dwelling, ~number of dwelling units ..........O1~ ............ Number of dwelling units on each floor ......................... If garage, n~mber of cars .......................................................................................................................................... 6. If business; commercial or mixed occupancy, specify nature and extent of each type of use ............................. 7. Dimensionslof existing structures, if any: Front....,~,6 .................Rear .......................... Depth ......... Ll, O ............. Height ............................ Number of Stories ...... O~te ............................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ............................. Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front ............... ~)+ ............. Rear ............ .])+ ........... Depth ....... 9it. ............. Height ............................ Number of Stories..Otl~ ........................ 9. Size of lot: Front .......... .~..~'. ................ Rear ............ .~..~ ........... Depth ........................................ 10. Date of Purchase ........................................................ Name of Former Owner ..................................................... 11. Zone or use district in which premises are 'situated .....................?.A~.l...rl:J.l~.t~ ...................................................... ~2. Does proposed construction violate .any zoning law, ordinance or regulation? .,1~ ............................................ 13· Name of Owner of premises ....... ~T~JlD...~].IJ]~ ........... Address ............................................ Phone No .................. Name of Architect .~ .................................................... Address ............................................ Phone No .................. Name of Contractor ~..~.lDJ%l~..J{i~,lZl~.tZ~, ....................... Address ......~]U, tOJ~Og. Ue ................ Phone No .................. PLOT DIAGRA.M Locat~ clearly a~d dis(inctly all buildings, whether existing or proposed, and indicate all set-back dimensions ftc property lines. Give street and block numbers or description according to deed, and show street names and indicc whether interior or corner 10t. STATE OF NEW YORK, ) COUNTY OF ...J~l,~,J'.O~J.~ ........) S.S. ......................... ~.O~..~&U,~.~I~ ............................................. being duly sworn, deposes and says that he is the applic( (Name of individual signing application) above named. He is the .......... .QO~.~.~O~ ............................................................... :'. ................................................. (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 this application; that all statements contaj~ i~ ~application are true to the best of his knowledge and bell and that the work will be performed ~,th~a~h in the application filed therewith· Sworn to before me this t~o 52.0344963, SUTiOIK ................... ............. 9' .......................................................................... ..... ~ _ ~ i~ ~ ............... :.~ .................... :..~ ........... ~ou y Sionoture of opplicont)