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Home My WebLink About2191-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLER~{'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...~...~,.~,~.3 ............. Date ........................ ~!.1~.....~.0, ............ , 1~.~.... THIS CERTIFIES that the building located at ..~/~...J~.O..g~..~f).~(~ .................................. Street Map No..~....~.. ............... Block No..~ .............. Lot No.....Z~ .......... ~..~..9..e.~D.~.?..$.j....~.*..~..~ .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................. .~..~.~.,...~ ............ , 19.~.3... pursuant to which Building Permit No, ..~..~..~...~..~..... dated ..................................... ~.~]).~...2~.,, 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 ........ .......... ~R~. ~y. ~.~..e....~.~...~.~m~... d~e. ll~ ...................................................................................... The certificate is issued to ~.~...~..*...f~:~,1,le.8~..,.d.~ .................................... .0,~J'/.~.~. ............................ (owner, lessee or tenot~t) of the aforesaid building. ~.D. A~rova] Dec 3. 196~ by R. Villa ............. ...... ............ Building Inspector / F01~I~ NO, 2 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.o 2191, Z Date ..................... ~e~e~be~*....~t. .... 19.-63.. Permission is hereby granted to: G ,.W*~.Sm~*/:h' '&~ :S~n~' .~t~..-Johtt* .(]~'ue,~s...Jt' ............. S'ou'~h~'la ................................................ to ...... B~i. id..t~e~..et~e...~a~.]:y...~w~'l,~:~ .................................... ~ ........................................... at premises located at .,,W/~..~G*%III~:"~"~e ........................................................................................... .............................................. C~r e'errpor'b *~ '*'2,*; '.~' ;~ ............................................................................... pursuant to opplicotion dated ........................... ~.~.~,******~,~ .................. 19~:~****, and opproved by the Building Inspector Fee $"~C~'00 .......... S-9 SUFFOLK COUNTY DEPARTMENT OF HEALTH Building Permit No., ...... TO WHOM IT MAY CONCERN: The sewage disposal facilitiee for a structure located at Sound Avenue, Greenport, - John F. Cruess Jr. (Builder Oeor~ W. Smith ~ Sgns) (Give deed location) have-been inspected by this Department and found to be satisfactory. ~istrict FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, hi. Y. Approved ] 9 ........ Permit No. APPLICATION FOR BUILDING PERMIT ........... ....... INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showin§ location of lot and of buildings on premises, rebtionship to adjoining premises or public streets or areas, and giving o detailed description of layout of property must be drawn on the diagram which is port 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 Buildin§ 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 pc] rt for any purpose whatever until o Certificate of Occupancy shall hove been g~onted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for ~he issuance of o Buildin9 Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lews, Ordinances or Re§ulotions, for the construction of buildings, additions or ~lteretions, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Si§nature o~ epplicont, or nome, if o corporation) If c~plicont is o corporate, signature of.~uly authorized officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done Map No' ' ' Lot x~ Street and Number ...~.....~. ~ .~.g ~. ~']//'Z~ .~:Z ~ ,~' ~:-' .r~... ~ · " .......................................................... ...................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing useondoccuponcy....~'~..'~:.'..~.~...,~.....~..~..7~....~*~..4(--~ b. Intended use and occupancy property lines. Give street c whether interior or corner Io 3. Nature of work (check which applicable): New Building ....... ./~........ Addffion .................. Alteration Repair .................... F~moval .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ...... Z/....~.6...CJ....~....¢~...~ ................... Fee ......... ..~.../..~.,...-¢~.. (to be paid on filing this application) 5 If dwelling, number of dwelling units ...........~ ................. Number of dwelling units on each floor If gdrage, number of cars ............. ~ ....... /zt.~.,~.~.~...../~.12. .......... ~ ............ 6 If business, commercial or mixed occupancy, speci fy 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 oddHions: Front ................................ Rear Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front......,.Z~/.~:~..?../4~, ...... Rear .....Z.~.....~....~,./.~?~,... Depth ...... ..~...~¢.. ....... Height ......... ./..~...~ .......... Number of Stone' ~ .......... / ....................... 9, Size of lot: Front ..~.~,./.. ............ Rear ...... ~...,/.'~... ....... Depth .............. .~..,~. .................. 10. Date of Purchase ............. /....~..~../. ............................ Nome of Former Owner ................... ...~...~....~../Zl.I.~,~..'/%..... 11. Zone or use district in which premises are situated.......~..'~.. 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... ../'~... 13. Name of Owner of premises .~i/~./~...~.-..~'.~:¢L~.~...~..Address .~...~..~/....~'..'¢.'.~d.....~....:~¢..../-~./,4,../,Phone Name of Architect ~o.....L~...../~.....~...~...~....~... ....... Address ...~..~...~..'~..~,..~..~/~...'~..,~.,:~, Phone Name of Contractor ....~...,~..-. ................................... Address PLOT DIAGRA,M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions fn block numbers or description according to deed, and show street names and indi, STATE OF NEW, .~.1~,.,,/,~, . ~ COUNTY' OF .~ .... b'>' .............. ~~....~..,..~ ............................. being duly sworn, deposes he is the app,ic (Name of individual si~M~p~li~ion) abow] 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 work and fo make and t~ ~¢?~teiO~rt~a~l¢l~eSt~te~ ~n~i~e~a i~i~e~)~Ch~i~h~r~p i~i~tit~n t¢7¢e~ter~i¢~ I~ledge and bel Sworn to before~~me this ~ ~ /_~ , /~ _ // , ~ ~ o,,. ..... ........ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×om,ned ...... ..... Approved ........................................ , 19 ........ Permit No ............ ................. ..................................... (Building Ins[~ector) Application No..¢~..L..~...I ............ APPLICATION FOR BUILDING PERMIT Date .......... ~,.~.,.z._,...../...(;... ........... 19~::.?. ......... 6/ 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 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 opplicant. 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 sh~{{ have been gr~nted by the Building ~nspector. 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 all applicable laws, ordinances and regulations. (Signature ~f applicant, or name, if a corporation) .... .... ,.., ...... , .. (Address of applicant) State wh, e;ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ................................................................................................................. If applicant is a corporate, signature of,duly authoriged officer. .,. .......... (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: .......... ;~.......~-"7 ....................... Lot No: ...?......~'~'% ......... Street and Number',~..~...~,.,./x4-.--/~. ....... .~.....~....~.. ........................ ~L~Y...%';~..~:..'D..<,..?..A..~.,...Z:'...~.,.¢/~..,../.. ....................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~. '~ ~ -~ .~7 ~¢" '/ "~ ~- ' b. Intended use and occupancy ~/-7,~q/_:~ 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair ....................R.~moval .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .~./~....~...../,..~ .~....?..~..~.'. ................... Fee ......... (to be paid on filing this application) 5. If dwelling, number of dwelling umt~ .............................. Number of dwelling units an each floor If garage, number of cars ~ .~.. ~/_o¢~ ,;,' /~z u c, £ ~ 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 ........................................ r ~ '~ ! ''''''Z~'':''~'''''I~''/.'~'... Depth ................ 8. DimenSions of entire new construction: Front.....,~..,.~ ........... .~ ..... Rear ~ ..~,..... Height ........ ./.....~...: .......... Number of Star,es ......... ~ ....................... 9. Size of lot: Front ..'~..~.~....~.../. .............Rear ...... .~...../...~ .......Depth .................................... ]0. Date of Purchase ........................................................No,.L~.~ of Former Owner r e d tr t n ' ' " 11. Zone o us s c which premises are s~uated .......................... 12. Does proposed construction violate .any zoning law, ordinance or reauLation? PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fl property lines. Give street and block numbers or description according to deed, and show street names and whether interior or corner Z,,/. 6-0 STATE OF., NEW~YO~J~, ,~, ) S S COUNTY 'OF ~......) ' ' ............ ~.~.,.~.. .............................. being duly sworn, deposes he the applicc (Name of individual 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 work and to make and this application; that all statements contained in tk~is application are true to the best of his knowledge and beli and that the work will be performed in the manner set forth i,~ the application filed therewith. Sworn to b'efore me this .......... ........ I /"7__ . /z ~'..----~'./~..-~ Z/ , ....~...~'. ....................... .~...'~..~.,~'.~~J ........ Notary Public,~_..~...'...~o~fj~ ~ (Signature of applicant) T ,%