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Home My WebLink About2207-zFOI~M NO. 4 TOWN OF SOUTHOLD SUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CeRTIFICATe OF OCCUPANCY THIS CERTIFIES that the building located at ...... /~.d~tel~$..L~i, ne .............................. Street Map~r.....~.~..?.~lock No .......... ~:~; .....Lot No .... 1 ................ .(~.O.%~.~.J~g.~,~. .......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................... J~.G.l~.~f~l~.~......3g 19..~. pursuant to which Building Permit No ...... ~..2...0..~...~ doted ............................. 0~'l;o'~t~....3..., 19.~..~.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ............ .~.i.v.a.te.. ~n~.. £ami 1.~ .. dw~l lin~ .................................................................................... The certificate is issued to ....~O]~..&..][~$~.~J.C~.~e..[~i~,]g]p ............ .(]W~.~J ....................................... (owner, lessee or tenant) of the aforesaid building. H.D.approvat April 21, 1965 by R. Villa Building Inspector FO~M NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS ~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2207, Z Date ......................... .Oe~O~-.....,~ ........ 19.6.~... Permission is hereby granted to: Geo. AhZer.~.....A/.C...Joh~.~app...&..W. .................. ....... C~teho~ue ................................................... to..B.u:~].d., ne.~., nn~..£a~l¥...d.~e~l:~ng .................................................................................... at premises located at ....~.o.~..~.~.....~.~..t.~-~t'~e.'~.,~al*.~ ...................................................................... ................................... G.2r~lner... &. Cu~t e.~. ~ ......... Southei~ ....................................................... pursuant to application dated ............................ ~-l~t~,....~0 ................. 19.6.~.., and approved by the Building Inspector Fee $10. QO ............ Building Inspector SCHD SUFFOLK COUlffY DERikT';ENT OF HEALTH Date April 21; ]96)! Building Permit No. Z2207 TO ~0M IT MAY CONCERN: The sewage disposal facilities for a structure located at N/E/c Custer Avenue ~< Gard.~iners Rd, Southold, (RaDD) "(Give deed location) have been inspected by this Department and found to be satisfactory. oistrict En~z~e ~r NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No ................................. ................................. e'~..T:2X .................................... Application No ............................. APPLICATION FOR BUILDING PERMIT Dete ..~ ~-~,,~,.'~:t-~'"~'~,,.,,~_.~, ................, 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 e 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 o 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 (~plicont, or name, if o corporation) ...................... ....... ...... ........ ~1 (Address of applicant) ~' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (Nome end title of corporate officer) ~. ,ocaton of and on whch ~roposed work w'be done. ~op No' ~','~ ~.'~-~.~ at No' '. Street and Number ...... .~...!':?..~.'?~.%:2 ........... ~...~ ................................................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy .................................................................................................................................. b. ntended use and occupancy .~ ................ 3, Nature of work (check which applicable): New Building ........ .,~,,..-... Addition .................. Alteration Repdir .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .........]..~.t.O.O.(,/_ .................................... Fee (to be paid on filing this application) 5, If dwelling, number of dwelling units ..... ~..~/~ ................ Number of dwelling units on each floor ........... If ga,rage, 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 ........................................ 8. Dimensions of entire new construction: Front .............,,~'..~. ............ Rear ............ ~'T.,.~. ......... Depth ....... SO ............ Height ......... /.3 ............... Number of Stories ............ ~ ..................... 9, Sizelof lot: Front ...... I..~..~,..9..~. ........... Rear .......... ~'..~ ......... Depth ........ /.~.~/,.1~/. .................... 10. Date of Purchase ........................................................ Name of Former Owner ...... 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.~c,/~j9 .......... Address .~.I.,,~.~...~.$.~...1~.~¢~.~,~,.. I~ong No. Name of Architect ...................................................... Address ............................................ Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property lines. Give street and block numbers or description according to deed, and show street names and indic~ whether interior or corner lot. STATE OF NEW YC~K/J' ~/ ) COUNTY !OF .... ,~f~,'f,/..~L.) S.S. ....................... f~..~..~ ................. being duly sworn, deposes and says that he is the (Name of in~vidual sign'ng pp' a' ) abow, named. He is the '. .......... ~g.l.l~ (Contractor, agent, corporate officer, etc.) of said o~ner 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 ~l-~Jta~p*~ion are true to the best of his knowledge and h~ t N ~ c and that ~he work will be performed in the mann~ ,~f~r[~,,f~ou~ app[' arian f' ed therewith. Swam to before me this /7~ ~¢omm~'szsJ~[~s~,~ ~0, ~ ' ~ J ~ ~, , z ...... ~. / t ............... ~.~,..~....,.~_~ .................................... ~ .... FOI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ ~....~.. ........ , 19,.'~...~.... Approved ........................................ , 19 ........ Permit No ................................. Disapproved a/c ................. (Building Inspe~or) APPLICATION FOR BUILDING PERMIT Dote ................ , ........ 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 wilt 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 o 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances and..~....~regulations.~"~'l~{~] (Signature of ~d/)p icont, or nome, if a corporation) ~ (Address of applicant) (/ State whether applicant is owner, lessee, .a~ent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .............................................................. if applicant is a corporate, s'ignatu- -"""- . . . (Name and title of corporate officer) 1. Location of land on whi~~k will be done. Mop No: .. i.~...~/.~.....~.-.~... Lot No: .../'. ............... Street and Number...~ ........................... ~...~ ........................................................................ MunicipaJity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy .................................................................................................................... . .............. b. Intended use and occupancy .................. 3. Nofure of work (check which applicable): New Building .................. Addition .................. Alteration ............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .......................................................... Fee ..................................................................................... (to be paid on filing this application) ,,-'MI 5, If dwelling, number of dwelling units ..... .'),.(~ ................ Number of dwelling units on each floor ........................ If g~rage, number of cars ..........J. .............................................................................................................................. 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 ........................................ Front ................. ~ ............ Rear 8. Dimensions of entire new construction: O- ............ .4~...q. .......... Depth ....... ;~..O.'. ........... Height ......... f.3..:. ............. Number of Stone ................................... 9. Size of lot: Front ...... f...~..~.~..q. ............ Rear ......... .~..0....0.. ......... Depth ........ ./..0..~.,..// ..................... 10. Dote of Purchase ........................................................ Nome of Former Owner ...... ,m~..~.,....~'....¢..'..'-..¢.!.....~-..~.:..~..:~. 11. Zone or use district in which premises are situated ................ ..~.. ........................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~ ...................................... .?.C':.6...~..~.~&..t.....l~.o..o.d.~.e~..~.. Phone No ................. 13. Name of Owner of premises ......... ..,.:.~/72 .......... Address Name of Architect ...................................................... Address ............................................ Phone No ................. Name of Contractor ......~..e..°.5~.~.. ........ ~..~../e...¢.,,3.. ......... Address .~¢.~.¢~ J ~ Cu/4~'/{. Phone No..2~.~..5Z.~..( PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-bock dimensions property lines. Give street and block numbers or description according to deed, and show street names and indic~ whether interior or corner lot. Iq' STATE OF NEW Y~I~ ) S S ' COUNTY rOF ....~..) ' ' .......................... ~z~.~ ....... ~.~./.¢~.~. ................................. being duly sworn, deposes and soys that he is the applicc ('Name of in~vidual signing a~plicayi~n) above na~ed, He is the ..................... ~5.~.I.I.~I~C .............................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to ~erform or have performed the said work and to make and f this application; that all statements contained in~o~ ~p~k~tion are true to the best of his knowledge and beli and that the work will be performed in the ~l~dt~e~e application filed therewith. ~ ~ 0844~, Suffolk C0ant~ Swart to before me th~s ~ ~, -' ,~ ......... ....... ....... . .............. .......... ................................ ~t