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Home My WebLink About2561-zFOIh%I 1%10. 4 TOWN OF SOIJTHOLD BUILDING DI~-PA RTMI~--NT TOWN CL~IRK'S OFFICE SOUTHOLD, N. ¥. EIERTIFIP. ATE OF OP.P. UPANP. Y No...Ill. 2592.. Date ........... 0c~l:ob~'. 2'/ ....... , 19.66 THIS CEI~TIFIES that the building located at .-lf~-/l~-~t~-Road ............ Street Map No... XX~ ..... Block Ho...~ ...... Lot No... ~ ........... I~tl;t.~.t~IC~ conforms substantially to the Applicati, on for Building Permit heretofore filed in this office dated ........ 0C~O~1¢. ~ ..... 196~. pursuant to which Building Permit No. 2561.. dated ....... Octobel~..23 .... , 19.64, was issued, and conforms to all of the require- ments .of the applicable provisions of the law. The occupancy f. or which this certificate is issued is ...... addition, !;o. husines~, build~tr~ ................................. The certificate is issued t,o ,.. tial~,~'.& .~'oseph. P~,lllli[.1.1.l> ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...................................... FOI~I~[ NO. ~ 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? 2561 Z Date ....................... ~f~]:~.....2~ .......... , 19..~.~ Permmsion is hereby granted to: ~hoS,..~m~e~....,&/e,..l~r.~..&..~h..~lo to ..,~,.e_~..~d~t~..~..~..~s~n~,,~e.~nes~-.~Z~ ................................. ot premises l~oted ot ..~ ..... ~..~ ...................................................................................... ..................................... : .................. ~tt[.~k,t..~.~ ..................................................................... pumuont to opplicotion doted ................................ 0e.~.-..~].., 19...~, ond opproved by the Building Inspector Fee $.,..~,,.l~tO ........... FO~ ~0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ..~..~.....~....~.. ........ , 19..~....~.. Approved ........................................ , 19 ........ Permit No ................................. ....................... ................................. App,cot,o. APPLICATION FOR BUILDING PERMIT Date ............................ .~C.t.Q~.e~ ..... 2,~ ..... , 19.6.~.... INSTRUCTIONS a. Thru application must be completely filled m by typewriter or in ink and submitted in duplicate to the Buildi~ Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout of propertymust be drawn on the diagram which is part of this applicatio c The work covered by this opplicobon may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Budding Inspector wdl issue a Budding Permit to the applicant. Su, permit shall be kept on the premises avadable for inspection throughout the progress of the work. e. No budding shall be occupied or used in whole or in part For any purpose whatever unhl a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the msuance of a Building Permit pursuant to t' Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulohons, for the construction of buildings, addihons or alterations, or for removal or demolition, as herein describe The apphcant agrees to comply w~th all apphcable laws, ordinances, building code and regulabons. ~'~ ..~kos ..... Eisher. ............................................................... (Signature of applicant, or name, ~f a corporabon) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build C ontr ac tor Nome of owner of premises ..Ea&'~.¥..~...J~se.ph...Pu~i.llo ......................................................................................... If applicant ~s a corporate, s~gnature of duly authorized officer. (Name and htle of corporate officer) 1. Location of land on which proposed work will be done. Map No ..... ~ ............................... Lot No: ..~ ....... Street and Number ~/.~ . ~.~:13. ~.0.9,~ ~ . ~.~.~.l¢.l&q~.~...~.,.~r., .................................................. Municipality 2. State ex~sting use and occupancy of premises and ~ntended_use and occupancy of proposed construction: b Intended use and occupancy ss_me with addition 3. Nature of work (check which applicable): New Building .................. Addition ...~r.~T. .... Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................................... 4. Esbmated Cost ...... ~.~'~0.....l~'_T~ ............................. Fee ....... ~. ............................................................................... (to be paid on filing this application) 5. If dwelhng, number of dwelling units .... ~ ...............Number of dwelling units on each floor ........................... If garage, number of cars .......................................................................................................................................... 6. If bus,ness, commercial or mixed occupancy, specify nature and extent of each type of use ..]~lzsztt'~s.~. ........ 7. D~menstons of existing structures, if any: Front ..... ~F. ................ Rear .......................... Depth .....,~.. ............... Height ............................ Number of Stones ....QBe .................................................................................................. Dimensions of same structure w~th alterations or additions: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. D~mensions of entire new construction' Front ...... ~ ................. Rear .......... ~.~,, ............ Depth ........ ].~..-.15. ........ Height ............................ Number of Stories .... f)~e ................. 9 Size of lot: Front ....~,~.~....~./.~ ....... Rear ..... ~,~..~...,~./.~ ...... Depth 10. Date of Purchase ........................................................ Name of Former Owner ...................................................... 11. Zone or use dlstnct in which premises are situated ....... !~.~.!~...~;l,,~.t, ..................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ................ ,,tlD ............................... 13. Name of Owner of premises Ff..&:..~..]Eb.~mf.].;].o ........Address ....... ~I,~.t,;;L.t,~I.~ ............... Phone No ................... Name of Architect ...................................................... Address ............................................ Phone No ................... Name of Contractor ...~'~q¢~...~;:fkf~ ....................... Address ......... zvl&~:L.t, lz¢.~ ............. Phone No ................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all 'set-back dimensions fro~ property hnes. Give street and block numbers or descripbon according to deed, and show street names and indical whether ~nterior or corn~lot. STATE OF NEW YORK, ? COUNTY OF ..~.u.f.~o~k ............. f S.S. .......................... ~J'J, ClT~CL..~;LS}~.~. ........................................ being duly sworn, deposes and says that he is the applic, (Name of individual signing application) above named. He is the ............. .q~2.~o2. .............................................................................................................. (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements contain~ in this application ~re true to the best of his knowledge and bali and that the work will be performed in the manner set forth in the apphcation filed therewith. .................... ~3. day of ........ ~~b~ ......... , 19.~.. ~ -~.~/ .~ ~. ~ ...... ~~.~ ...... ~ ...... ~...~ ............................