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Home My WebLink About2211-zI~O1MVi NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY ~o. Z 178~ Date December t, ~ 63 THIS CERTIFIES that the building located at ...... MAddell~on..Romd .................... Street · Fleet field Map ,~o ....................... Block No ....................... Lot No..P.t...3~J~? .......... G~.e.e~or.t ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................................ 8,eP,t.,,,,S,O ~9..63.. pursuant to which Building Permit No ..... ~,~,~. dated .......................... .Q~..~.O.~'.~......~......, 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 ........ ................ .P.~..$.v.~l;.e...o~..~...2.~m~,lM...dw. eLllr,,¢ ................................................................................ The certificate is issued to Robert & Mary.. Muller Owners (owner, lessee or tenant)' of the aforesaid buiidin9. ~ ~ Building Inspector 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? 2211, Z Permission is hereby granted to: ........... :~/ilmar. t~..Av~ ....................................... .................... G~. ~n~or.~ ....................................... to ..~u.~.Z.d...an..a~tc~.~t.~n...on..~..ex~.e¢.~.n~..~e]..Z.~.~ ....................................................... at premises located at ........................................................................ .................................................. ~.~r[,~e.~t~..~ ~ ............ G~.ee~.¢ ......................................... pursuant to aj~plicotion dated ....................... ,,~,,,:f;~.~O~'...~O....19.6.~.., and' 9pproved by the Building Inspector Building Inspect6,r' TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,O,D, N. v. £xomined ........................................ , 19 ........ Approved ........................................ , 19.....'..,Permit No, .... ~,........................ ~ [ ~ Disapproved a/c Application No. ~ ')~' I ~ APPLICATION FOR BUILDING PERMIT 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 applica- tion. c. The work covered by this application m~y not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o Building Permit to the opplico,nt. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupiad or used in whole or in part for any purpose whatever until o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MA,DE to the Building Department for the issuance of o 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, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Address of applicant) ..... ~4 State wh~ther opplicgnt is owner, lessee, agent, architect, engineer, general contractor, electrician, pbmber or builder. Name of owner ................................................................... ~ ............................ : ................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which Dropose.d work ~ill be done. Map No' / ~ ~''/ Lot No' Street and Number fi "..~.~JL~/~ ?..~./~r ...~..~ g ~ ............ '~'~'~i~i~i~ .~.. ~: ................. .............. ']~i~ipality ~ ......... ~' .................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy ~.,. ~:::.~ '~: b. Intended use and occupancy ........ /. .............................................................................. 3. Nature of work (check which applicable): New Building .................... Addition ...)~. ........... Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ........:~'~'~""~7.~ ..........................Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ~.~/~_. ............. Number of dwelling units on each floor f garage, number of cars .... 6. If business, commercial or mixed occupa.ncy, specify nature .and extent of each type of use 7. Dimensions of existing structures, if any: Front ....... ~.~...~ .......... Rear ...... ~..,~.~. ........... Depth .....~.~..f. ........ Height ...... ~..._..,~ .............. Number of Stories ........ Dimensions o~- same structure with alterations or ~s: Front ........... ~.: ........... Rear ...... ~..~..( ......... Depth ........... ~ .................... Height .......... ~..~ ................ Number of Stories ..... 8. Dimensio~sCf entire new construction: 4ant ...... ~)~.~/ ................. Rear ......... ~,~.~. ............. Depth ......;/.~,.~....~ ........ Height ................ ~ ............. Number of Stories .............................. Size of lot F/o~ ............ Rear ............ .Q..~.,,..~ Depth ,~'l f' h 5 ............ uare o ~'urc ase ................. ,, ........................................ No,me of Former Owner ..~.~ ........ Zone or use district in/wl~icl~p"~mises are situated ..... ~ ...................... ¢ .................. Does proposed construction violate any zoning Jaw, ordinance or regf, fl~ionr ........ )~"l~"~ NameName Ofof OwnerArchitectOf premises R;,; f;'~'r~/~;~;~, ..)~/).~/6/y,.Z;.~r~.,iZ...~.;~.~ ........ Phone No. ......................................... f ......... ,~aaress ................................................ Phone No. Name of Contractor "~'~';'~l~'~'"'~'~j,"~'~ ............. Address .~/;~.~,,,,.~,.~:4~,...~r.l~..,~ ........... Phone No. PLOT DIAGRAM Loc~¢e clearly and distinctly ail buildings, whether existing or proposed, and indicate all set-back dimensions property lines. Give street and black numbers or descriptian ctccording to deed, and show street names and whether interior or corner lot. 10. .11. ]2. 13. STATF OFl NEW. Y ,,~1~1~,,/. ~,,~ ) COUNTY OF ....~:.) S.S. ................. ~ ................. ~...../:'~ ............. /../~.,~ ...... ! ............. being duly sworn, deposes and says that he is the applice of i' e o o nors ' '~ '" - sa a own r r w , and ~s du~y authorized to perform or have performed the said work and to make and file application; that all statement.s-contained in this a~plication are true to the best of his knowledge and belief; that the work will be performed in the manner ~;~r~f~t~:~l~,~j'~?l~0cr~tion filed therewith. Sworn to bi~fo~r~ me this ~1o Eg6~'--S~larc~e~ 52-034496 , Suffolk Cou ............... .,.~....,. day of ........ r Notary Public ... (Signature ~E~I NO. TO~N O~ $OUTSOLD BUILDING DEPARTMENT TOWN C,ERK'S SOUTHOLD, N. Y. Approved ~k 19...2..Pe,mi, No. ......... ........ Disapproved a/c ................ ...................... (Suildin Application No...~-~..'..~.....I.../ ........ APPLICATION FOR B'UILDING 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 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 thin applica- tion. 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 po 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, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ....... ............................ ~ignat~re of applicant, or name~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 ....~'~.0...~.....~....~....~....:.......~...~....~.~g ....... ~:~.~':t.~ ....................... If applicant is a. corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ......................... Lot No.: ...................... Street and Number ........ po ty " 2. State existing use and occupancy of premises o~d intended use and occupancy of proposed construction. a. Existing use and occupancy ~,...~..f&.. ............................ ..................................................... b. Intended use and occupancy 3. Nat~ure of work (check which applicable): New Building .................... Addition ....X ........... Alteration ............ Repbir .................. Rerr~oval .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ...........~...~..,/....~..~...~..~. ......................... Fee .................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .~../~..~ ............. Number of dwelling units on each floor ...................... If garage, number of cars ...................................................................................................................................... 6. ~f business, commercial or mixed occupancy, specify nature and extent of eech type of use .............................. 7. Dimensions of existing structures, f any: Front ....... ~;.~.. ............ Rear ...... ..~....~ .............. Depth .~'~' .......... Height ...... /...~..: .............. Number of Stories ........ !Z~ ........................................................................................... Dimensions of same structure with alterations or additions: Front ........... .~....~..~ ........... Rear ........~..:..~...f. ........ Depth .....~...~...~ .................... Height ....... ~.~ ................ Number of Stories ..... .I,~ ..................... · 8. Dimensions of entire new construction: Front ...... ..~..~...*. ............. Rear ......... .~.../..~ ............. Depth ....../...~... .......... Height ........ .~...~....~ ............. Number of Stories ..... ~.~IK.'..~.. .............. 9. Size of lot: Front .......~...~.. ............. Rear ..... ~...~...,~..~...~. ......... Depth ....~.....~.~...~.~.......Z.~//~· 3¢ ~Da,~ of Purch, ase ...... ~...,~....~.~---- ..................................... Na~,~ of Former O~wn.~ ..C:.~..~./~..~.~.....~..~./~.~.....~._.~.: 10. 11. ~one or use aistrict Jn wnicn premises are situated ....... .~.~2~..~..~./~.~...~.~ ...................................................... 12. Does proposed construction violate any zoning ]aw,,~rdinance or regulation:~ . ...~...~ ./~...,~. .......... Name of Owner Of prem scs ................................ 13. Name of Architect ...:_~/ ............................................ Address ........... ; .................................... Phone No ............. Name of Contractor ..~.~?.r.K~...~./.~/...~m ............. Address .~/~...~.?..~.~. ~..~.1/..?. ............ Phone No~..~.~l PLOT DIAGRAM Locqte clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions f~ m property !ines. Give street and block numbers or description .according to deed, and show street names and indic te whether interior or corner lot. STAT£ OF N£~ORI~, /Z COUNTY ' ' // ~l'qame ~ individual sigr~ng applic~tig~ above not'ed. He is the .............. ~......-~¢~. ~ ........................................................................................................ J.... (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 file application; that all statements contained in this application are true to the best of his knowledge and belief; that 'the work will be performed in the manner ~J~T~o~th~E~he qpp[ication filed therewith. Sworn to b~o~ me this .-'~ ~'0t~y p~bh¢, State al New ¥0r~ .............. ~...;.... d,a¥ of ..... ~ .......... Notary P~blic ..~.. (Signature of c