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Home My WebLink About2560-zFO.l~lVi IgO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOU?HOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ~ .. ~,~,~, .............. Date ............................. THIS CERTIFIES that the building located at ...JJ/fJ ..... C, li~,t~-.-~'Ve. ........................... Street MFa~rview Park ~ec. ~, ap ,~o ...................... ~IOCK ,~ro ........ ~ ........ Lot No. 3'¥ ......... ~(~U~e't~'t'"~*"~ ................ conforms substantially to the Apphcahon for Building Permit heretofore filed In th~s office dated .............................. t~: ..... ~,'t .......... , 19.(~J~.. pursuant to which Building Permit No..~.~0~.. dated .......................... ~l~C.~..~,q_ ....... , 19~-~-. , was issued, and conforms to all of the requirements of the applicable prows~ons of the law The occupancy for whmh thru cerhflcate Is issued is ....... ................ P,i.va.t e...ome...~,mi t.y.. ,[we .Z- t. tn~ .............................................................................. The cerhficate is issued to ~,~.~;el,...]~epp.~ .............................. 0~rt~l~ ................................. (owner, lessee or tenant) of the aforesaid building H.D. Approval Oct. 2~, t96F by R. Villa ....... ~...*~. ~..~,..~......~.~x~.~ ..................... Building Inspector\ 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? 2560 Z Date ......................... tJ;)O~131b~Z'.....~ ........ , 19..~ Permission is hereby granted to: · .. Olde ~.t,e~ ..]~e~ ~r ............................................. .................. ge~t~ .......................................... to ~ ;],~1.. ~e~..ol~e...t. ~m~.~.y-. ~__, .~.Z.~t~ ...................................................................................... at premises located at ...~...~,/ ..... ~ll~gt~.~ff¥.JL~9/..~l~L~. .................................................................. ................ , ............................ ~u,~ .~t .......... ISot~t~c~:Lct ......................................................... pursuant to application dated ................................ 0~0~1~:~'-"'~.~", 19...(~)~, and approved by the Building Inspector Fee $.'],.,.Q *..~ ."~ ........... Building Inspector ~, TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT.OLD, N. ¥, Examined Approved ........................................ , 19 ........ Permit No ............................. Disopp roved~~ APPLICATION FOR BUILDING PERMIT Date ..... ~ ................................ z ........... , INSTRUCTIONS o. This application must be completely filled in by typewriter or in mk and submitted in duphcate to the Buildir Inspector. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public streets and g~vlng a detailed description of layout of property must be drawn on the diagram which is part of this applic areas, tion. C. d. The work covered by th~s apphcat~on may not be commenced before ~ssuance of Building Permit. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Su permit shall be kept on the premises avmlable for ~nspect~on throughout the progress of the work. e. No building shall be occupied or used m whole or in pa rt for any purpose whatever untda Certificate of Occupan shall have been granted by the Budding Inspector APPLICATION IS HEREBY M,~DE to the Budding Department for the ~ssuance of a Budding Permit pursuant to tl Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances , Regulations for the construction of buddings, additions, alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all apphcable laws, ordinances and regulations. g pp ant, or home.if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, archffecf, engineer, general contractor, electrician, plumber or buildc owner of premises .......~.~'.~.~.dT-,~ ..... .~..~/.~.,~.. ....................................................................................... Name of If applicant ~s a corporate, s~gnature of duly authorized officer. (Name and htle of corporate officer) 1 Locahon of land on which proposed work will be done. Mop No ,~¢;....~...~./'~1['../~¢,-~.... Lot No.: ..-~.. ............ Street and Number ~Z.~.Z~-z-~.....~./,~'.~L~..~ ........................................................................................................... Municipahty 2 State existing use and occupancy of prerr~ses and intended use and occupancy of proposed construction. a Existing use and occupancy ........ .]<'/',~_-,~.a/,~... .... .~o.Z~'.. ................................................................................. b. Intended use and occupancy ....... ~--~?~O.~A~¢.~.-T ....................................................................................... V 3. Nature of work (check which apphcable)' New Budding · ../~... ....... Addition ................ Alteration ................ Repair ................. Removal ...............Demoht~on .............. Other Work (Describe) .............. 4 Est,mated Cost ....... .?~..../.~...~..~..,..'~.. ......................... Fee..~/~,...'~. ............................................................ (to be pa~d on fihng th~s apphcahon) 5. If dwelling, number of dwelhng umts .......... ./. .......... Number of dwelhng umts on each floor ......... ./. ............ If garage, number of cars .......... ./. .................................................................................................................. 6 If business, commercial or mixed occupa.ncy, specify nature and extent of each type of use .................................. 7 D~mensions of ex~stmg structures, ~f any. Front ................... Rear ............................ Depth ........................... Height ............................ Number of Stones ........................................................................................................ D~mens~ons of same structure with alterations or addmons Front ............................ Rear ............................. Depth ................................ Height ........................... Number of Stories ................................ 8 Dimensions of entire new construction' Front .......... ~./.. ~ ............ Rear ........ ~...~ ..........Depth .....~,.~...'(..,~..'.~. ...... Height ......... ./.~.. ............... Number of Stones ........ /. ................. 9 S~ze of lot: Front ......... ~'....~...o..: ........... Rear ......... X~..o...~. .......... Depth ...... Z.~7.~.~...~ ........... 10. Date of Purchase ...................................................... Name of Former Owner 1 1 Zone or use dJstr~ct m wbch premJses are situated...,,~.-'~r'4~.~.ZZ.~.f,~ ................................................................ 12 Does proposed construction v~olate any zomng taw, ordinance or regulation;) .. Z~.~..¢ ................................................ 13. Name of Owner of premises .~Y~.z~..~.....,~4~%q¢'~.~.... Address ~/-,4./7..J.~.z.~.....~,.Z~.~.--~../L('..~...~.~. Phone No..-~.?..~..? ! Name of Architect ................................................. Address ............................................... Phone No ............... Name of Contractor .................................................. Address ............................................... Phone No ............... PLOT DIAGRAM Locate clearly and d~stmctly ail bud&ngs, whether ex~stmg or proposed, and indicate all set-back dimensions frc property hnes G~ve street and block numbers or descnpt~on according to deed, and show street names and indic: whether ~ntenor or corner lot STATE OF NEW YORK, ) COUNTY OF ........................... ) S S. ..... ....... ..... -z~...~'~.--~..7;.*. ..................... be,ng duly sworn, deposes and says that he is the applicc (Name of mdiwdua] signing a~phcat~on) above named He is the ..~~ .............................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and f~le t apphcation, that all statements conta,ned ,n th,s apphcation are true to the best of h~s knowledge and belief, a that the work will be performed m the manner set forth m the apphcat,on filed therewith. Sworn to before me this ....... ~.~ .......~day of ....... "¢~~~ ~, ........ /~' 19~.~(,.~.. Notary Pubhc .qz..~.~..:~ ....... t..;...:.~~ Co~qt~. ~ ~"'~ q 0~ (S~gn~ ~ ........................ U ~0T~Y ~u Term Expires Ntarci~ 3J,