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Home My WebLink About2546-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ..... ~...210& ......... Date ........................... P. eh~uar~...2....., 19.65... THIS CERTIFIES that the building located at M~.J,~.JB~r.~.I~..~O~.~ ............................ Street Map No ...':T....'..-...'..'..'.. .... Block No ..... ..'...'...'..-..'..... Lot No ........... ...'~...'...'..'..-...-. ....................................... conforms substantially to the Apphcation for Building Permit heretofore filed in th~s office dated ............. .Qg. to~le~...J. ............................. , 19..~.,.~.. pursuant to which Building Permit No..~.~..~ dated...O~.Ct~l~Z:..[0. ........................... , 19...~.~., was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which th~s certificate ~s issued is ........ ............................................................................ .o.~e... ~,.~....~ .e.~ ~,.~..n. ~[ .................................... The certificate ~s issued to ..... Ot;:P. J3..J[e~.l~'~, ................................................................................ (owner, lessee or tene~t) of the aforesaid building FO~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 5OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 2546 z Permission is hereby granted to: G, It/,~! ~;h..&-.t~ltS...]~'le....~/t~ ..... O/ete.~ett. i~ to ...... ~l~i~-.~..~d~ti'ow.on., ~i.- ~d:a ~t rig' Ce,,]:tt~ ................................................... at premises located at .-..~,-....]J~...¥~*~/..~R~J ........................................................................... ............................................ -~nl.~held. v..~, Y.~ .................................................................................. pursuant to application dated .............................. ~l~t[O~e~l~,....~ ....... 19....(~ and approved by the Budding Inspector Fee $..~,~) ............ Building Inspector FOP~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,OLD, Examined ........ ~...~........./...0. ......19..~,.~ Approved .......... : ............................ 19,....::..Permit No, ...,c~.,.,2.~.54.,~,,,.,,,.,~. :;:::.:.::.:,::.: INSTRUCTIONS Application No .~......'~...'.~..(=: ........... a This applicahon must be co~Dletely filled ~n by typewriter or ~n ~nk ~a.nd submitted tn duplicate to the Build,n, Inspector b Plot plan showing location of lot and of buffdings on premises, relationship to adlom~ng premises or public street or areas, and g~ving a detaded description of layout of property must be drawn on the d~agram which ~s part of this locahor c The work covered by th~s application may not be commenced before ~ssuance of Budding Permit d Upon approval of th~s apphcation, the Building Inspector will ~ssue a Budding Permit to the apphcant Suc permit shall be kept on the premises available for inspection throughout the progress of the work, e No bu4dmg shall be occupied or used in whole or m port for any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Budding Permit pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances · Regulations, for the construction of buildings, additions or a Iterations, or for removal or, demolition, as here~n describe, The applicant agrees to comply w~th all apphcable laws, ordmanc~ and regulations // _ (S gf~atu~ of applicant, or name, ifa corporation) State whether applicant ' whet, les_see, agentL architect, engineer, general contractor, electrician, plumber or buildc If applicant is a corporate, s~g~noture~duly authorized offi~r. Location of land on which proposed work wdl be done Map No' . ......................................... Lot No' . ............... Street and Number ~~"~'~'~' '1" ~'~ ............................................ ~ Mumc~pa ~ty State ex~shng use and occupancy of prLm~ses and intended use and occupancy of proposed construction. a. Existing use and occupancy....~.~~-~¢. ........................................................................... b ~tended use and occupancy. ...~...~'..x~..~4'¢..~ .................................................................... Nature of work (check which applicable) New Building ............... Addition ~ . .. Alteration .................. Repair ............ .~Removal ................... Demolition ................. Other Work (Describe) .................. 4 Estimated Cost .~..~.~.~,~ ....................... Fee ........................................................................... (to be pa~d on fihng th~s apphcat~on) 5 If dwelhng, number of dwelling un,ts ..... ~~. ....... Number of dwelhng umts on e~ch floor ..................... If garage, number of cars .......................................................................... 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ........ D,mens,ons of exist,ag structures, if any Front ..~... ~.. ........... Rear .... .-~ ~. ...... Depth ~..~..'. 7 Height .../~1~. ........ Number of Stones ......~..'¢~¢~ ............................................................ ---- Dimens,ons of same structure w,th alterat,ons or add,tions' Front ... .~....~'~ ........ Rear .... ~..~. .......... Depth ..~. ~. ...... Height ..~/~. .............. Number of Stories..C'~¢'t~, ..... 8. Dimens,ons of entire new construction Front .. ~..~,. ...... Rear ...~/ ~. .... Depth ..~.~..... Height ..... /.~.. .......... Number of Stories .~"1~,~.. ........ 9, Size of lot Front ...~'..~.~'~ ~ .... Rear .~...~.~..?~ ..... Depth .~.~4:~. ~'; ....... 10. Date of Purchase ............................ , .........Name of Former Owner .................................. Il Zone or use district m which premises are situated ... ,~'~~ ................................. 12 Does proposed construction wol~te..~.~~any~ zor;Cng law, ordinance~t~_._...._._~z,°r' regulat~oj~;~ ~ ........................... 13 Name of Owner of prem,ses~...~.~ ....... Address~~.. .......... Phone NO .. Name of Architect ............................ ~.. ................ Address ............................... Phone NO -... -~..--- .-- ---~-.... _~ Name of Contract~.-~.~..'".~~ ..... Address ~.'~~ ........ Phone NO ....... PLOT DIAGRAM Locate clearly and d~st~nctly all buddings, whether ex~stmg or proposed, and indicate all set-back d~mens~ons fro~ property hnes Gwe street and block numbers or description according to deed, and show street names and mdicat whether mtenor or corner lot STATEOF NEWYORK, ) SS.4 COUNTY O.F~ ......................... ) - ~'/ ~,¢ .......... .~..~~....~~ ........ being duly sworn, deposes and says that he is the appl,c~ - ~-~Name of ,ndi~,'r~ua/~.~n~n_g_~c~ - ~ .-~ ~-~ -~licat'°n~ above 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 one to make and this application; that all statements contained in this application are true to the best of h~s ~wledge and~el, and that the work will be performed in the manner set fo~h ,n the app~on filed ther~it~/ ~ / Sworn to before me this ~ ~ ~ ~~~~ ........... Z.~ ....... day of .......... ~.~ ....... 19...~....~ (Signature of applicant) ................... .... ,r