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Home My WebLink About2214-zFOi~M I~0. 4 'FOWI~ OF SOU?HOLD BUILDING DEPAI~TMEI~T 'l"OW'l~ CLERK'S OFFICE SOUTI'IOLD, N, Y, gERTIFll~ATI~ OF BG~UPANI~Y No...Z..2..4.2.?. Date ............... ~.~Be..2. ......... 19,6~ THIS CERTIFIES that the building located at . .0..~...~..v.e.n..~.e. ................ Street Map~TS.t~.~t~.~t~lt .... Block No... ~ ..... Lot No. ll~.~l.-191 .... Sot~thol, d,. EIe~, ,York conforms substantially to the Applicati,on for Building Permit heretofore filed in this office dated ........ ~.~.O.~..e.~, ..~ ...... 1~..3.. pu,rsuant to which Building Permit No..~4.Z. dated ........ .O.~,t;9.~.e.~..9. ...... 19.~.~,, was issued, and conforms to all of the require- ments ,of the ,applicable provisions of the law. The ,o,ccupancy f,or which this certificate is issued is ...... ~..C1.~..ig.~.O..El..~.0..C~.e...~t~,r~i~-y...clwe~l,lincj ................................ The certificate is issued t,o., .~rt~l~l~. I~I~. ~on~[It~,..01~.~e~',. ................... .......... (owner, ]essee or tenant) of the ~ore,said building. ,Suffolk County Department of Health App,,oval ........... ~ .................... FOl~ NO. 2. TOWN OF SOUTHOLD BUILDING DEPARTMEHT 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? 2214 Z Date ......................... 0~.'/~Ob~t.,...9 ......... 1963-. Permission is hereby granted to: .~z, ezt~,,F~nd4~ .................................................... ........... O. eJ~...Av.e .................................................... ..................... Bo. as.et..Bny, s ........ B.O'O.t, ha,tcl. ........ to ...... ~ui.1 s...ad~ ~.t i~n. · ~...an .. ~.~.i. ng-. ~et t.~.ng ......................................................... ~. at premises located at ...~0.~.~..].~/...~.....(~0,0~..]~. ...................................... ~ ........................ .................................. .Oak..Av.e.,. ....... 8.out;tmld ................................................................................ approved by the pursuant to application dated ......................... O~g ....... .~ ...................... 19~.3..., and Building Inspector Fee $... ff.e..0.0. .......... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .........~..~.....c,.~ .......... , 19....~.> Approved ........................................ , 19 ........ Permit No Di d / .~~~~ sapprove a c .......... ..................... Application No. ~ )-~1 c~ APPLICATION FOR BUILDING PERN~IT Date ............................. , 19... INSTRUCTIONS o. This application must be cornplete~y 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 drown on the diagram which is port of this 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 a 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 occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy shall hove been granted by 'the Building Inspector. APPLICATION IS HEREBY M,ND'E to the Building Deportment 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 r~g)~lations. .t ~f>~' ~' .... . .......... . ........ . .............. . ....................... : .................. : .............. (~>, ~ ,,-' ~ (S~gnoture of oppbcant, or nome, ff o. corporation) ............. ......................... i~ddress o~"op~licant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................................................................................................... Nome of owner of premises , If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No.: .~...q.9.~..c~..~J./}.~..~%~':/.f~.Z4~.. Lot No.:/..~..~...~..../..~.,(.. Street and Number ....~,)./~..J~...../.~.~.(~ ........................................................................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy ~.~..~.....~ ~.'/. ~ 6 ~v ~ c.q/.¢E...~; ........................................................................... b. Intended use and occupancv ..........G ....... M/..¢.¥. ............. / 3. Nature of work (check which applicable): New Building .................... Add,ition ..... ~...... ..... Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. 4. Estirpoted 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. If business, commercial or mixed occupo,ncy, specify nature .and extent of each type of use 7. Dimensions of existing structures, if any: Front ...... ~..~. ................ Rear .....~.~.. ................. Depth Hei~jht ..... J.~...I. ................ Number of Stories .....~).~/.~ .... '/ Dimbnsions of same structure with alterations or additions: Front .......... Depth ..,..~.~. ...................... Height .............. .~.. .............. Number of Stories ....~..~..~ ...................... 8. Dimensions of entire new construction: Front ~....~.~. .................... Rear ........ Depth Height ...... /;~..I. .................. Number of Stories .,.~...~...~'~, .................. / 9. Size of lot: Front ..... ~.,!)...~ .................. Rear ..... ,~.~ ........................ Depth .Z.'~...O, ..................... 10. Dot~ of Purchase .......... .~. ....................................... Nome of Former Owner ...(,~.~/..~.~.~....~..~.~ ................. 11. Zon~ or use district in which premises are situated ..... 12. Does proposed construction viol.ate any zoning taw, ordinance or regulation? 13. Name of Owner of premises ....~.q.(t.d.~...~.'~.:..~".q.L.V.~lAddress ....'~'.~..q, .~.~...q~.¢1.....~.~ ........... Phone No.~.~...~.(~ Name of Architect .................................................... Address ................................................ Phone No. Name of Contractor .................................................. Address ................................................ Phone No. PLOT DIAGRAM Locete clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions f~om property lines, Give street and block numbers or description a:ccording to deed, and show street names and indidate whether interior or corner lot. ~, ~ ~:.i ~, /c., STATE OF NEW ) COUNTY OF .~ ~,.) .......... ........................................... being d. y wom, deposes oys that is the (Nome of individual sig~licotion) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner Or owners, and is duly authorized to perform or hove performed the said work and to make and file application; that o[I statements contained in this application are true to the best of his knowledge and belief; that the work wiU be performed in the manner set forth in the appUcotion filed th~with. : ~ ~o. 52-~1344~[3, Suffolk ?unt~ ~ / ~I NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE~ SOUTHOLD, N. Y. E×om ned ....... .G. .......... Disapproved e/c .................................... ~- .............................................. ........................... ~;2z .................................................................................... .......... ......................... [ '4 (Budding Inspecto~ Application No...~,...,t,,.J...~.~, ...... 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 o 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 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 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 H,EREBY MADE 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 regulgtipns. ............... :: ................ (Signature of applicant, or name, if a corporation) .............................. .................... / State, whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... : .~.(~.,~..~/.~...../.~..,..../.."..~.:/2...~; ............................................................................................... 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. k~:~.&ff../;'~.~.~..~.i~.~.l,~.J..b.~.~kot No.: / Street and Number ...~.....~.~.~:: ...................................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy ,,,G~7,!~,,L~./~z.~.~,,:'~.~:~.~.~LJ;~ ....................................................................... b, Intended use ~nd occupency...........¢...,~*N¢ ............. ~/~¢~z, c>/.. .................................................................................... 3. Nature 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) 5. If dwelling, nurnber of dwelling units ...~..N..~.. ................... Number of dwelling units on each floor If garage, number of cars ............................................ 6. If business, commercial or mixed occupa,ncy, specify nature <md extent of each type of use ................. ) ............ if any: Front ...... ,~.~. ................ Rear ........ ¢~.~.. .............. Depth ....~.. 7. Dimensions of ex/isling structures, / ! Height ........... /~ .............. Number oF Stories ......~.!Y...~.... Dimensions of some structure with alterations or additions: Front ........... ~../..~. ............. Rear ..... ~...~.. ! Depth ..... .~.~...! .................. Height ....... ./...'~.../. ................. Number of Stories ...~.~/~ .................... 8. Dimensions of entire new construction: Front ....... ~.¢.!. ............... Rear ...... ...~..../ ................ Depth Height ....... /x'~../. ................ Number of Stories .... .~...N....~. ................ 9. Size. of tot: Front ..... ~.~.1. ................. Rear ......... ~..~.l. .................. Depth ....,/..~.?..../. ............... 10. Dat~ of Purchase ....',,/..~.~.~...../.~.i;~.,7." ............................ Nam~ of Former Owner ...~.~./....~'..¢.'..~.......~..~...~..',?i ........... I1. Zone or use district in which premises are situated ........ 12. Does proposed construction violate any zoning law, ordinance or regulation? 13. Nome of Owner of premises ....~..q~ .~..1.('.../~...~.a~.,fl Address .......................................... Phone No...~.~'~'f' '~'~ Nome of Architect .................................................... Address ................................................ / Phone No. Name of Contractor .................................................. Address ................................................ Phone No. whether interior or corner lot, PLOT DIAGRAM koc.o',te dearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions property lines. Give street end block numbers or description .according to deed, and show street names and (~/; ! !' t,:',~ STATE OF NE~ /O,P>Kx,./~),SS ~ /-T~" IZ-' A t¥~L .... COUNTY OF/~ ..~ ' ' ............. .~.~.~..~. ~.... ~.....~-. ~..~..~./;I ........................................ being duly /.j-' l led therewith. (Si~ hature of opplico,nt) sworn, deposes and says that he is the opplic~ (Name of individua! si ning )licotion) ~bove 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 file application; that all statements contained in this application are true to the best of his knowledge a/nd belief; that the work will be performed in the manner set forth in the application