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Home My WebLink About2580-zFOruM. NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTt~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, CERTIFICATE OF OCCUPANCY No..[..~C1~7. ............ Date ........................ D. ea.eat]~er...2,9. ..... , 19..~.~.. THIS CERTIFIES that the building located at . ~//~ .~'[d~,:le..Rea([ ............................... Street Map No...~,~[~ ......... Block No ......... ~ ...... Lot No~r.~ ........... ~e.~.:[.~,'~_..~...~,.~A ................ conforms substantially to the Application for Bu,ld,ng Perm,t heretofore filed m th,s office dated ................................ Noveat~$~...~L.~....., 19~)~I-... pursuant to which Bu,lding Permit No .... 2.~.8~)..Z dated ................................ ..~. ........... .~.3....., 19...~..~.., was ,ssued, and conforms to all of the requ,rements of the applicable provisions of the law. The occupancy for wh,ch th~s cerhficote ~s issued is ........ ...... .......................................................................................... The certificate is issued to ..]~ff.~.~..~;~[:L~ ........... J0Mzte:~ ......................................................... (owner, lessee or tencmt) of the aforesaid build~ng Buildin~pector FOI~i~ 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) 1~? 2580 Z Date ............................. tl~'li~ll~l~......t~.., 19.(~1~ Permission is hereby granted to: R, R,l~eev~..&..~r~..&/¢....;F~e~t..~,...T~tl~:t~. ..... ........ l~tt~.t~e~ .................................................. to .... -R~t~ea-t~.. ~1~..~.. ~l~ee~[.~t~ ........................................................................................ at prem,ses located at ...... ~....4~.,-l~.,.~'~-A ....................................................................................... ................................................. ..... ........................................................................ pursuant to application dated .......................... I~lll~l~ ........ ~ .... 19..~., and approved by the Building inspector Fee $'"~O.0~ ......... Building Inspector TDWN O F S O UTH OLD E]FFIP. E OF BUILDING INSPEBTO~ TOWN CLERK'S BFFIBE ~BUTHBLD, N. Y. Mr.H, F. Bishop Commissioner of Public Works Suffolk County Yaphank Ave, Yaphank, N. Y Dear Sir: In accordance w,th Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, this is to notify the CommJs~ sloner of Public Works of the County Of Suffolk that .. H~,~e¢~f~. ~.. ¢.OXls .A/g..F~.nas.t..T.u~hill ~ ...... Ma.t ti.t. uck,. N.,.Y, ......................... Inc. relocate has applied rathe Town of Southold fora permit t~w,~.lJ2a building on ~Z.~..IVJJ-dd3e...RDa~ ~C2~..~3,~.~..~, ...... as shown on the attached plot plan, submitted in triplicate, da.ted ................ .......................................... and titled .Ito.~d...LmM. o.ut.,..F~.p,e$.t....C.,....~uthill We shall withhold further achon on this application for ten days or as otherwise provided ~n the aforementioned Section 239K 11/23/64 Approved to the Town of SouthO~eClry ptt~suaut to Sec. 239K of the Gen~l truly yours, SUFFOLK COUNTY DEPT PUELIC WORKS ~ H. F. Bishop, CoE~issionem Chief Engine e~ Y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Appraved ......................................... , 19 ........ Perm t No ................................. ................. ~ .............. :. ~...~................... ........ ~ ................................ Application No. APPLICATION FOR BUILDING PERMIT ' t ~ Da · ...~.~.~.....~ .......................... , 19.~..~ ..... INSTRUCTIONS a. This application must be completely filled in by typewriter ar in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings.on prdmise~, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn.o..n_t,he d~J.a, grq, m.wl~ich is i~rt 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 BuJldin'g Inspector will issue a Build!ng 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 pa rt 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 I~Uilding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other 6pplicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, o,r name, if a corporation) ......... ................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of o~. ner of premises ...~.~...~.~ ........................................................... i ............. i ..... If applicant is a corporate, signature of duly authorized officer. ................... . ................ (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: Municipality 2. State existing use and occupancy of premises and intended use and occupancy of praposed construction , a. Existing use and occupancy ............. b. Intended use and occupancy ................ ~ ........................................................... whether interior or corner lot. 3. Nature of work (check which applicable): New Building .................. Addition'.~,~............~. Alteration .................. Repair .................... Removal .....~ .........Demolition ................. :.. Other Work (Describe) ........................ 4. Estimated Cost ..................~....,~....c~.....~....~....~.. ~.'~.. ............ Fee (to be paid on filing this application) §. If dwelling, number of dwelling units ....... ./... ................. 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 ................................ , e, .....~....?...~..~.... ..... , 7. Dimensions o~f existing structures, if any: Front.......~ff...../...7...~...... Rear Depth ...... .~...~...-~...~.. ....... Height ......~'....-ff~..~...O...?. ...... 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 ................................ Rear ............................ Depth ............................ Height ............................ Number of Stories. ................................. 9. Size of lot: Front ................................ Rear ............................ Depth ........................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation.;> ...................................................... 13. Name of Owner of premises ./,~:~4~T.~..~/,~3~/Address ~/~...../'~.~..~.... Phone No~'lq.~.-~,~..~.~.~? Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of. Contractor ~.q.,~..Z.r~4~....Address ~.,~,~,,,.~.~, Phone No. PLOT DIAGRAM Locate cJearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate STATE OF - G'OU NTY OF '~-~ .... .~:....: ..... .~.,...~..; ..... ; ........ i~ejng duly s_worn, deposes and says that he is the applicant (Nome of individ~l signing application) ~ ~ above named. H.e is the Z/~...~.~..~~.~..~~~..~~~~ (Co tractor, agent, co,orate offi~r, etc.) of said owner or Owners, antis duly authorized to~pe~rm or have perform~ the s~d work and ~ make and file this ~lication; that all ~statements contbined in this application are true to the best of his knowledge and belief; and that the work w~l be per~6~ ~t~anner set fo~ in the application filed therewith. Sworn to before m~thi~ARYPUBLIC~T~ OF NEW Y02~ ~. _ ~ ~ ~ ~ ~ ~ ......... , _ , ................. - . -: ............................ Nota~ Publi~.~.~ .............................................. County (Signature of applicant)