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Home My WebLink About2572-z1~01~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ......~,..Z3A8 ....... Date .................. ~Ti~nkt~.~'~...~.Q .............. , 19....6...6. Fishexs Island THIS CERTIFIES that the building located at ,L~J.~:TL~Qt~£.~O...&...Q.q-~.~.,~. ~g....~..~.-e.?..e ....... Street Mop No ...... ~ ......... Block No .......~ ........ Lot No .................. ~ ............................................ conforms substantially to the Apphcation for Building Permit heretofore filed in this office dated ...................................... ~1'.o.~.~.e,3¢...4...., 19..6.~.. pursuant to which Building Permit No. 2...5.,7...2...~.. dated ............................ ~Q~?,,~C:t.f~3Z...~...., 19.~.~ .... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ .: ................................ ............................................................................ The certificate is issued to ..... ~g .....~.f~.~.e...~...~qD...~.QlT ...~..o..~..e...z'..~.....~..~...o..~.~...&...]?..~.... ................. (owner, lessee or tenant) of the a(oresaid building. r 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? 2572 z Date ............................. Permission ,s hereby granted to: ]~. C · :l~o]~;Le.. &.. ~.....A/4~..-Reheat...~___~3~c· .&..1/ ....... ................... ~ehe~a...:[..~and ........................... to ... ~ t4-~__~,..~1,~t~-~., x~.'a~-' ~xi'~l~g'*'dw~lT/z~ ...................................................... ~t premises located at ...... II~.~l~e..&..~[:l~.~.O~]3j~.t~..;~¢l~ .......................................................... .................................................. · 1~..~' ............................................................................. pursuant to opphcotion dated .................................. ]i0~,..,.~ 19.~+.., ~nd opproved by the Bu~ldzng Inspector Fee $..~,00 ............. Building Inspector ~ N'O. I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.' Y. Applicati~ Ma ........... ...oLo~ Approved ........................................ , 19 ........ Permit No ................... D,sopp roved a/c ......... ~~'~ (Building Ir[spector) APPLICATION FOR BUILDING PERMIT Date .............................. ~[Q .~.~m_ ~ 3~......If...., 19~*bx ....... INSTRUCTIONS a. This application must be completeJy filled in 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 or areas, and giving a detailed description of layout of propertymust be drawn on the diagram 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 Building Inspector will issue 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 South0!d, Suffolk County, New York~ and other applicable Laws, Ordinances or Regulhtions, for the construction of buildings, additions or alterations, or for ~emoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildin~ code and regulations. ............ ................................................ (Signature df applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or b~iJder. ............................................ .g.o~t~z'~mt~r ...................................................... i ................................................ ~; ..................... Name of owner of premises ........ ~o~ez'.t;..J~o%.t,..&..Wi.£e .............................................................................................. If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ...... ~ .............................. Lot No: ...~r~, ......... Street and Number ...~l.d].o.[l~azL&..0~,ea~.:l.~...Aye ....... ~J, sJ~el~.s..,T,s,]~,r~ ................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy, of proposed construction: a. Existing use and occupancy ..... clw~].l~L~g. .......................................................................................................... " W/ addition h, ~ntended use and occupancy ...................................................................... ~ .......................................................... 3. Nature of work (check which applicable): New Building .................. Addition ...... ~ ..... Alteration .................. Repair .............. :...~emoval . Demo t on Other Work (Describe) .. . 4. Es mated Cost ~ ............. .~ ......................................... Fee ...... ~..~.(~) .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ .9..~..q. ............ Number of dwelling units on each floor ............................ 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 ............................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories .................. .....: ................. 8. Dimensions of entire new construction: Front ...3,0 ................... Rear ......~O. ................. Depth .......... 6. ............... Height ............................ Number of Stories ....gD,~t ........ ~. ........ 9. Size of lot: Front ............................ Rear ............................ Depth ................................ 10. Date of Purchase ............: ............. : ............................. Name of Former Owner .,,Q.e...W,.I,~t~t:~.(t,~,D.g ....................... 11. Zone or use district in which premises are s tuated ......... !!.[!!...~.~.~; ..................................................................... .12. Does proposed construction violate any zoning law, ordinance or regulation? ........... ~ ..................................... 13. Name of Owner of premises ..,,~.,...~P,o.t~.~....; ............. Address .....~'d..s[le~...~,s ............... Phone No ..................... Name of Architect ...................................................... Address ............................ ................ Phone No ..................... Name of Contractor ..... ~.t.(~.t...~',~,~...~...~g~ ........ Address ......... ,~,[~,l~e~.~...[J~. .......... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. G~ve street and block numbers or description according to deed, and show street names and indicate whether interior or comer lot. To P~ STATE OF NEW YORK, COUNTY OF .......... [ ................ ;.....~~...~.,~..%~. ................ be'rig duly sworn, depos~ and says that he is the applicant (Name of individual signing applicbtion) above named. He is the ........................................ Do~'&¢.I~o:~. ........................................................................................ , (Contractor, agent, corporate officer, etc.) of said owner o,r 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 a.ppli.ca~tion, are true to the best of his knowledge and belief; and that the work will be performed in the manner set torth m the application filed therewith. Sworn to before me this ..................... ................ ......... , ' . \ ,, lq~~~~,!.~....~.....~.~....f~?'.....-~...,.c~att~ct t= s~flo,, tT~'' ~,~ County' ......... "'xt~"~~"~Y~~ ................ ..... -(