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Home My WebLink About2531-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ...~..~35.9 .......... Date ............ ~.anu~l::y...~0. .............. , 19.~..6.... THIS CERTIFIES that the budding located at ~ll(~Fzl~w..~J~.Vent~8.~ .J~:lut,~o'l-~ ... Street O~d Cosden Bstate Map No. aa ..Vatl,..!J~l~J~[ock No ........ ~ ..... Lot No .......... ~ .................................... ~larch 1944 conforms substanhally to the Apphcation for Building Permit heretofore filed ~n this office dated ................... l~t.~t~l~ .29.. , 19.~.. pursuant to which Building Permit No . dated ...................JJ~J~t,~l:~. ~10 ..... , 19~4 .... was ~ssued, and conforms to oil of the requirements of the apphcable provisions of the law. The occupancy for which th~s certificate ,s ~ssued ~s ........ ...... addit ~.. ~o...one...fam~.ly....dw.el ling ...................................................... The cerhficate ~s ~ssued to ...T.V~:E..J~j.~,.~.I1 .......... (owner, lessee or tenant) of the aforesaid building FORM NO. 2 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? 2531 Z Dote .................... i~ejgge~l)e~.....30 ........ , 19~¢i.... Permission ist/hereby granted to: . l~..&., jea~.....~e~[~ .............................. ............. l~.o~*ohot~r ............................................... to ..... ]B-~._'l:d--.~n..~d~tto~..o;a.._m~_..~:t~-~, 'dve'~l~g ................................................... ct premises located at ..~l'~....~o~;~..~;ett/..A~lret ............................................................................ ....................................... 8oGt~o~.d~.. 1~, .Z... ...................................................................................... pursuant to application doted ........................ I~e~pt,~3~2~e~ ....... ~.., 19~..., and approved by the Budding Inspector Fee $...~'~.00 ........... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application N~......~..?..../.. ............ Approved ........................................ , ........ ' ~ ...... ~ Disapproved a/c .~~ ........................ ~ (Building/4 ns?ector) , APPLICATION FOR BUILDING PERMIT D. September 29, 1964 ate ............................................................ , 19 ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or Jn 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 propertymust be drawn on the diagram which Js 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 i~sUe 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 part 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 all applicable laws, ordinances, building code and regulations. · , (Signature of applicant, or name, if a corporation) Soundview Avenue~ Southold~ New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises ...... ..Z..v.~.~.....&......~.e...~..~.~........t'y~..~.~...~..~.. ........................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Old Cosden Estate Location of land on which proposed work will be done. Map No' Ot.t.o_V_~n~]~l, Lot No: 4 ..... ~]arc~%'" -L~e~' ................................... Street and Number ......... .S..~...u..n.~d.~¥.i.~.e~.w.~.A..¥~.e..n...u..e.~.S.~..u.~.t..h...~.~..d.~"N.~-.~.Y.~: ............................................................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction'. a. Existing use and occupancy Residence b. Intended use ond occuponcy ............................................................................................................................... 3. Nature of work (check which applicable): New Building .................. Addition * Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost .~350. O0 (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... ...!.. ............... Number of dwelling units on each floor ....... .Ir. .................. If garage, 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 ....O..~.,e. ..................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ 18'., 8. Dimensions of entire new construction; Front .......................... Rear ....... ; .................... Depth ............................ Height ]-5i +- Number of Stories One 9. Size of lot: Front ].00' Rear 100' Depth 600' +- 10. Date of Purchase .....Z..9..4..7. ........................................... Name of Former Owner .~.,.~,A"~-?.~,....(Qc~,~.~.g~.~l,.~.Tl .... ~Sl:a~e) 11. Zone or use district in which premises are situated ........ .R...e..s..$..d..9.~.qg. ................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .A'N]'Q ................................................ 13. Name of Owner of premises ..I.v.a~....J~;~'t..i.n ......... Address ..So~nd.lzi~w...A~/~e .......... Phone O~lner .,, Name of Architect ...................................................... /~aaress ............................................ Phone No ..................... Name of Contractor Owner .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE'~YORK,~.~ ~z . ~) S.S. COUNTY OF .... . .-..~..~...~..'::.'. · · · · ', ........ Tvar Martin ~. be nn duly sworn, deposes and says that he is the applicant (Name of individual signing appli(~atioh) above named. He is the ...... .O..w..n..e...~. ....................................................................................................................................... (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 this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to befo~ me this /2 ~ / ~, .................... =.. ..... ~,:~ ~xpires March 30~ 1~ ~'-