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Home My WebLink About2261-zNO. 4 TOWN OF SOU?HOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No....~..~1~..~ .......... Date ............... ~,.~.,Z. ~ , 19.~.~... THIS CERTIFIES that the building located at ~...~D~i~..~.~ ................................. Street ~[sher~ I~lan8 Est~te~ Map N6 ....................... Block No ....................... Lot No ...................... ,,~,,tE~D~JL,T,~lf~k'~.t...~[~.Z., conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................................... ~O.~.e~Or.....~, 19.(:~... pursuant to which Building Permit No..~.~.~J,~... dated ....................... }J~e~l~D.....~.~...., 19..6.~., 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 ........ ............. ~* ~L~a,t;e...a ;t,~b..hm~e .................... (.no~...fa~...,~h~ .. n~ e...oZ...t!o,e...P_~l~li~,), .......... The certificate is issued to ..... ~'ishez~s..~sl~nct..De.v. elapmem~:...OO~.p ................. ~ ........ (owner, lessee or tenant) of the aforesaid building. Building Inspe~or FOI~M NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PR~'~ISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 226! Z Permission is hereby grarited re: A. Jot'm I~&~ a ,... ~'. ~.. ~J.~e~ ~.,.Zsl ~ .De~eIo~o~en~ ......... 3'~he~:;,%s~Lt .....~,,~ .................... to,,, .hi~.~1~1. :.ne~/...F~i~at ~ ..~un~r~. ;: ~l'Ah · .hu~l~ .......................................................... at premises lo~oted at ...Y_~.;e~.(l..!.'.Park -Az~ea.!~. ...................... ' ........................................................... ....... , .............................. .L~.sher~.. Zz].ez~ t ..,~, ;~. .................................................................. pursuant to application dated ............................ ,~0~."'-~'~ .... 19~,~..,., and approved by the Building Inspector Fee $..]~0.00' ......... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... .......... , ........................................ ~ 19 ........ Permil' No ....................... (Building I/~spector) APPLICATION FOP, BUILDING PER/~IT ote ....................... , INSTRUCTIONS a. This application~ Must be completely filled in by tyj~ewrite'r or ~n ir~k 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 opplica- 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 applico.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 MADE 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 Lows, Ordinances or Regulations for the construction of buildings, additions, alterations, or For removal or demolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinances and regulations. J/(Signature of applicant, or nome, if a. corporation) ........................................ (Address of ~'applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 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 ....~.~..~.~ ........................................................................................ :....Z ............................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed constrdction. a. Existing use and occupancy b. intended use and occupancy Coun¢~ Club Nature of work (check which applicable): New Building ...~ .............. Addition .................. Alteration Repair ..... ~ ............ Removal .................. Demolition .................. Other Work (Describe) .................. 4, [stimated Cost .~.~.~.~ ........................................... Fee ....1..O..~...0~... (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 occupe,ncy, 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 .............................. Depth Height .............................. Number of Stories .............................. 9. Size of lot: Front .............................. Rear ................................. Depth .............................. 10. Da]mot Purchase .......................................................... Nam~ of Former Owner 11. Zone or use district in which premises are situated. 12. Does proposed construction vi~lq.te amy zo~in~,n~q,]aw, ordinance or regulationP .... l~ J,~ Deve~Lop ............ ]3. Name of Owner of premises ..... ~teu.'l;...~c~l~, ........... Address .1~.,.~:...,...I~[,...~,, ........... ./~.y.~c.Phone No....F.....I..~...~. Name of Architect ...~..r..o...~..s....&.....S..o..n. .......................... Address ..7..7..O....~..n.~.o..n.....A..v..e.... ........ Phone No. Name of Contractor ...A..,.....~..o..h...n.....C~...d...a. ................... Address ..D..~.~.w...e.~...~..~....F.~..h..e..r.~ .......... Phone No. ~ ~ene~al Contracting, ][nc. ][$1~nd~ I~o¥o PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, end indicate all set-back dimensions fr, property lines. Give street and block numbers or description according to deed, and show street names and indic~ whether interior or corner lot. Attached STATF: OF NEW YORI< ) S S COUNTY OF ....S.,u...~..ff...o..1..k. ......... ) .. ..... ,~~.~....~ .......................... .' ......... ~being duly sworn, deposes and says that he is the app (~rame of individua],,~.~ .~j .,,/, ~ // .~ . ~ / ,~ ~ .,~.._.....,_ ~signing application), ,~ ~ , above named. He is the '~..~.../~.~.,..~.~...~.~..~.....~.....~....~ .................... (Contractor, agent, corporate officer, otc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ell statements contained, in this application are true to the best of his knowledge and belief; that the work will be performed in the manner set forth in the application filed therewith. · Sworn t,o~b~efore me this ........................ of ......................... , ......... FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... 4~,;-.'~,Z .¢?;L,. ~ .......... , 19.(o.~ Approved .................. ,..,. .................. , 19 ........ Permit No. 4~ ........': ................ Application ~lO ............................. Disapproved a/c ........................................ .~,~ ................................................ ................................ ~ilding I pector) INSTRUCTIONS a. This application'most Be completely filled in by type~write~ 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 adioining premises or public streets or areas, and giving a detailed description of layout of property must be drown 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 applica.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 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 oil applicable laws, ordinances and regulations. (~fgnoture of applicant, or nome, if a corporation) ( ress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... ~..e.~.e.~..Z....C..o..n...'c,~.e...~,~x. .............................................................................................................................................. Name of owner of premises ....... F. fs.her~...I~l~ud..P~.v, el.opmen.t...Clorpo{:a.t~,on .......................................................... If applicant is a. corporate, signature of duly authorized officer. ............................................................ P.;~. ~ .-.'E x'.e~o,~ ~ .......... (Name and title of corporate officer) 1, Location of land on which proposed work will be done, Map No,: ........................................ Lot No.: ...................... Street and Number Pa~k A~ea ................................... . . Municipality 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 C~.'~;~'..C~.u~ 3. NatUre of work (check which applicable): New Building ...~.. .............. Addition .................. Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. 4. Estirhated Cost .....~;.1~15.~.000 ....................................... Fee ..... .1..0.,...OD..... (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 b0siness, commercial or mixed occupa,ncy, 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 .............................. Depth Height .............................. Number of Stories .............................. 9. Sizelof lot: Front .............................. Rear .................................. Depth .............................. 10. Date of Purchase .......................................................... Nam~ of Former Owner 11. Zon~ or use district in which premises are situated ..... 12. Does proposed construction violate anv zooing.law, ordinance or regulationP · F. I- DeveAop 13. Ix~ame of Owner of premises .men~..C.o~.p, ............... Address ...F..e.L,e.,~..~/'~,...../..N~.Y~c.~Phone No. Name of Architect ...C.~..o..s.~....~....S..o..n. .......................... Address .7.7...O....L..~..i.,n. gt..o_.n....A..v..e.., ........ Phone No. Name of Contractor ..A.,...j.o..h...n....G..a..d...a. ..................... Address ..D..r...a..w..e..r.....~.~..F.~s..h..e..r..s. .......... Phone No. General Contracting,Inc. Island~ N.Y. ~ I~LOT DIAGRAM Loca~/e clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions fr property lines. Give street and block numbers or description .according to deed, and show street names and indic whether interior or corner lot. Attached STATI-- OF NEW YORK, ) S S COUNTY OF .~$.~.~,el~, ......... ) .. ....... ~.~ .............................................. being duly sworn deposes on(] says that he is the opp ica b'(Rlame of individual signing application),~ ..~ ~ above named. He is the </~'~...~......~..~.....~,~/...~...~..'~.~~. c/ (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 filed therewith. Sworn to befoze me this ~~. z../. ..... ~':~""7"~ '~"' of ..../~../.~'~.....~...[~"~-...t~ d ~, ,~.~ ............ , 19~2' ........ ~u' ",~/N ~ ..~ ....... :....~.~ .................... County ...... ~' ' ~ ~' '~ I~ '[~'~')' ............................. iiiiI -- .1 i f 770 1