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Home My WebLink About2520-zNO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE: OF OCCUPANCY No ~..2~)81~ .............. Date ....................~'~]:~Z'.Uaz:~r...2~ .........., 19...65 THIS CERTIFIES that the building located at ..... of~..~,,~¥e~llae,~e...]RG~ .................. Street Map No ...~,-.,,~*~ ....... Block No .......... ,.,,,~,,... Lot No ................ ~,,,,,. ....................................... conforms substantially to the Application for Building Permit heretofore filed ~n this office dated ...... ~e~tF, eml~e,l~...~..*. .......................... , 1954, .... pursuant to which Building Permit No..a'~,~J.0~... dated ....JJ~plF,~tJ~...~L~v ..................... 19..64., was ~ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ~s ........ ......................... ........................................................................................ The certificate is issued to ............ ~...&..J/.~l....St;O~lJ ............................................................... (owner, lessee or tenant) of the aforesaid building TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 2520 z Dote ............................ 2, el~t, embe~'......,'i.~, 19 ~1~. Permission is hereby granted to: ..~11~..;~oe.~er.....A/fl....~o:el~m ............... .... ~,3..;~....l~k,r~. Jc=~ ................................ to ...... ~..~..~..dd~.~&~..e~.-~--e~e~-.d~*~ ................................................. ct premiss located at ...~..~...~..~..~ ........... O~een~..m~e~ .......................................... ............................................... ~. ~ ....................................................................................... pursuant to application dated ............................. ~ ....... .~ ......... 19.~.., ond approved by the Building Inspector Fee $.5.,,.Q0 ............. Budding Inspector FOR~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. om,ned ...... ...... Approved ........................................ , 19 ........ Permit No ................................. Application No ............................. APPLICATION FOR BUILDING PERMIT Date ............. .~....~..~ ..~... ........ ~..~......'../' .~......~.... INSTRUCTIONS a. This application must be completely filled in by ~ewriter or in ink and submi~ed in d~licate to the Building Insp~tor. b. Plot plan shying I~ation of lot and of buildings on p~mises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of pr~e~must ~ drawn ~ the diagram which is ~ 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 Ink,tar will issue a Building Permit, to the applicant. Such permit shall be kept on the premises available for inspection throughout the pr~ress of the work. e. No building shall be occupied or used Jn whole or in pa~ for any pu~ose what,er until a Ce~ificate of Occupancy shall have been granted by the Building Inspector. APPLI~TION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pu~uant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and o~er applicable ~, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for mm~al or demolition, as herein describe. The applicant ~rees to comply with all ~plicable laws, ordJnanc~c~e and r~ulations. (Addre~ of applic~t) State,whe~,_er applicant is ow, ner~ssee, agent, arch~te~ct, engineer, general contractor, electrician, plumber or builder. ...... ~.......,~..~.~.~Z......i....~ .................................................................................................... Name of owner of premises ]~..~......~.'~.-~.~..'~.~.~..'~'"""" ~~ ~' ............................................................... ,, ..................... If apj~licant j~ a corpor~te, sigr~ture of duly autho~rized officer., ...... ~ (Name a~ title of co~omte o icer) ~ /~. L~ation of land ~ ~ich p~os~ work will be done. Map No: ............................................ Lot No: .................. ~,,,.~ ~,~,~m~...~d~,. ...... ~. .................... ~.,~.~.~C ........ ~.~.:. ................. Municipali~ ~ 2. State existing use and ~cupancy of promises and intended use and ~cupancy of pr~os~ construction: ~. ~x~t~.~~.~ ........ ~~ ......................... ~ ......................................................................... b. use and ~cupancy ~ - ~ ~ ....... ....... ............. ........ property lines.' Give street and block whether interior or corner lot. 3. Nature o. ~vrk (check which applicable): New Building .................. Addition ...............Alteration .................. Repair ......_.~ ......... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ............................................................ Fee r ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ / ............. Number of c:welling units on each floor ...... ~...~'.~:~-,~.. If garage, number of cars ..~./....~.~ .................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. D mens~ons of e~<,st,~g/structures, ff any: Front ..... ~.~.. ........... Rear ......~...~.~ ............. Depth ....~.$~... .............. Dimensions .of,same structure, with alterations ,o~/~ditions: Front ........ ..~.,~. ............... Rear ....~..~... ................. ep ................. He ght ........................ ~.....Number of Stories ......... i. ............................. 8. Dimensions of entire new construction: Front ...... .._~...~.~.... Rear ....... L~..~... .......... Depth ....~..c~.. 10. Date of Purchase .............~...~..~.~... ......................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ............................................................................... 12. Does proposed construction vJolate~any zoging law, ordinance or regulation? ......... PLOT DIAGRAM /i/~/~e,~')e Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fram numbers or description according to deed, and show street names and indicate STATE OF N~~-.~ )- SS' COUNTY. OF .~...7-,/~'~'. .......... , .......... ~ ''~ ........... , ..................................................................................... ~ing duly ~orn, d~ ~ m that ~e is t~ applic~t (Name of indivi~al sign~ appli~p~ ~ -- ,,L . ~bove ~med. He is the ......................................................................................................................................................... (Contractor, ogent, co~e officer, of soid owne~ or ~ne~, ~nd is ~ly ~ut~oriz~ to ~rform or h~e pe~ormed the ~id work end to moke ond f · t~is ~ppli~otion; ?ot,?~l stot~n~, con?in~ in this o~pliFeti~' ore t~e to the ~ of .~is b~ledge end belief; ond thet the worR will oe ~rto~ i~ t~e m~ner ~t tach in the oppjcoti~ fil~ Sworn to ~fore me this ~ ~ z- [ . -~ ... /~ da of .......... ~ ........... J... 1~ 4 ~ ~ ~ ....................... ................, ...... ~AJY ~ ~'-~."~'~""': '7 ....................... J: .................. ~.~.~ motaw ~um,c, ....................................... ~ ................ ~o~2~01k Co,,,~y iSIgnature of apphcant)