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Home My WebLink About2562-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..,,l~/.~...~r.~...~.,.i~)~.li(,.-.~'.~...~.~.~.e...a:~..~et Map No ..,~,~lr~ ............ Block No ...... ~ ......... Lot No ...... ~ ............ .~..~..l~..~...~..q..1..~..t...~t..~..,. ......... conforms substanhally to the Apphcation for Building Permit heretofore filed in th~s office dated .................................... ~.~.9.~f~......~, t9...6..~, pursuant to which Building Permit No .... ~..~..~..~.....~ dated .............................. .~.t'x~ ..... ~...bc. ..... 19...~. ~, was issued, and conforms to all of the requirements of the applicable prowsions of the law The occupancy for which this cerhficate is msued ~s ........ ...... ~.t..~.~.e.....o..n...e... ~.m...t..z.Z...~.~.e.?...z..~..~ ........................................................................................ The certificate is issued to ..... (}eO~l~...&....~'~...~I:~:[D,~I,D~ ................... .l~f'T~.~...s. ........................ (owner, lessee or tenant) of the aforesaid building ~.D.App~oval May 3 t 196% by R. Villa ........... Bu,lding 'i~spect~;' ..................... FORM 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? 2562 z Permission is hereby granted to: Te~,m~&..&..l~:e~e~....-A/g ..... Oeo.,...~n~JLeh .................... tlma~p~..]~9,i~ .............................. ........................... .]~.~.~ ........................................... to ...:~.1~1.. ~e~.-e~e..~'m~.X.¥-. <l~m-l-.~iJ~ ................................................................................... at premises located at ..~;..];t~t~..X~r(~,~/e...~.X~..~'~. ~0~.'~1~a',~--~1.¥~'4'¥ .............................. .............................................. · eut~tu~ld~......Ii, .X~, ............................................................................. · .-(.me ees ~.- ~pT~,o'~e ~..l~j~ .-]E~Al~ee~- ~.. ~ e~rt ou~"l~ ......................................................... pursuant to application dated ................................ ~)~01~eZ*'""~,.~", 19~..., and approved by the Budding Inspector Fee $...:lO~OO ........ Building Inspector/ FOEM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY =,,., ....... E/S Boisseatt Ave THIS CERTIFIES that the building located at ..A~'.O ..... ~Y.~'...Zl.,d~/~'l~,.~ ............................. Street Map No ..... .;:L~....~. .......... Block No ......... ~ ...... Lot No ~ ......... J]o. ll~,,ho'l~t...][..Y.. .............. conforms substanhally to the Application for Building Permit heretofore filed in this office dated ...................................... 0.C.l~g~.~'...~P..3, 19....~... pursuant to wh,ch Bu,lding Perm,t No...~.~'.6...~.....Z.. dated ............................. .01=.tol~e:[,...2.)~.., 19.~.., was ,ssued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which th~s cert,f,cate is issued ,s ........ ........ P~.l~.t.~...~n.e...~.amil¥...~l~e.ll~n& ...................................................................................... The certificate is issued to .... I~t~I:I..&..i~/J~I~'...SB,]~9~:~I~Jl ........................ 01~lel'.S ............................ (owner, lessee or ter~t) of the cforesa~d building ~.D. Approval May 3, 196~ SUFFOLK COUNTY DEPARTMENT OF HEALTH Date May 3, 1965 Bldg. Permit No. 2562Z TOW N OM IT MAY CONCERN: The sewage disposal facilities for a structure located at n/s di~t ?gad 245' ~o Boisseau Ave, Southold (Give deed location) have been inspected by this Department and found to be satisfactory. District Engineer FOt~I~ NO, 1 TOWN OF SOUTSOLD BUILDING DEPARTMENT : TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~<ommed .... ~.~.......~-..,.~... ........ , 19..~...-~... Approved ........................................ , 19 ........ Permit No ................................. APPLICATION FOR BUILDING PERMIT Application No. ':~J-'-~ ~ INSTRUCTIONS o. Th~s application must be completely filled m by typewriter or in 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 o~ areas, and gwmg a detailed descnption of layout of propertymust be drawn on the d~agram which is 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 Buffding Inspector wdl issue a Building Permit to the applicant. Suck permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used m whole or in part For any purpose whatever until a Certificate of Occupanc~ shall hove been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to th: Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construchon of buildings, additions or alterations, or for removal or demolition, as herein described ordinances, building code and regulations. The apphcant agrees to comply with oil applicable laws,~~i~'~~¢=~~k-'q ~ /,~ ....... ........ State whether applicant is owner, lessee, agen~n~r, ~ ~n~tor, electrician, plumber or builder ~ome of ownor of premises ................................................................... I{ ~pplicont ~s ~ corporote, signature o{ duly ~uthonzed officor. (Nome and t.tle of corporate officer) 1 Location of land on which proposed work will be done. Map No' . ........................................... Lot No: ................. Street and N u mb e r .~./.~......~..~. ~~...~....~....~?.......~..~.. ~}.~...,~' g ~ Municipality b/ / 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~ ........ ..~_ ............................................................................... b. ntended use and occupancy ~..~~ .......................................... 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ................. Repair ............. .~:~. Removal, ~'~ .................... Demolition .................... Other Work (Describe) ..................................... 4. st /0 ~-~ ~ Estimated Co ............l...., ......................................... 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 business, commercial or mixed occupancy, specz~ nature and extent of each ~pe of use ~ ....... 7. Dimensions of existing structures, if any: Front ....... ~ ................ Rear ......... ~ ................ Depth :'. ........ : ................ He t............................~ Number of Stories .............................................................................................................. Dimensions of same structure with alterations or additions: Front ...,~ ........... R~r ~ .............. Depth .......... ~..~ ........ ' ..... Height ............ Number of Stories ...... '~ ................. 8. D,mensions of entire new construction: Front ...~.~ ............. Rear ..... ~..~ ........... Depth ....~.~ .............. Height ....... ~.~. ............. Number of Stories ...... ~ ........ 10 Date of Purchase ...... ~.~...~.~---- ................................... Name of Former ~ner ~~T..~.~.~ ....... 11. Zone or use district m which premises are situated ................................................/~ ..................................... 12 Does proposed constructio~violate ~y zo~g law, ~dmance or regulation .................................................. 13 Nome o{ ~ner of prem,s~~~dres~ .~..~0.~...~(.~.~/~~~ ......... Name of Architect ..: , . ..... [ .~..-- Address .......................... ~one No PLOT DIAG~M Lo~te clearly and d~stinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions fret property hnes. Give street and block numbe~ or description according to deed, and show street names and indicat whether interior or corner lot. STATE OF N K,/'"~-~ ~ '~ S S ~~ beln dui s orn e ............ ~.~..~. ......................................... ' g y w , d poses and says that he is the applicc · (Nbme of ~ind,vidual s,gning appl~~~,~ 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 and to make and this application; that all statements contained in this application are true to the best of his knowledge and beli and that the work wdl be performed in the manner set forth in theq~gpplication filed therewith. Sworn to before me this II/~ ....... ..~ ............ day of ..~.,...~. .................... , 19...~.. · , ~ILL)~ ,, M^~ ...... /:" . ..... ~'~'":'2"':' ................... Noto , ...... County No 52-0618100 Surf611', County Commission Expires March 30, 19