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Home My WebLink About2583-zNO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No .j~.,~.,~3 ............. Date ............................. ~l~%~bel'"'~'f'.']LC)~· ..... THIS CERTIFIES that the building located at ..~./8 ..... ~eot~&~.'Ba~..B'l~'d. ................ Street Map No "~X~ ............ Block No .... ~ ........... Lot No .... ~ ....... [~[t~'e'].'j ...... N'i'¥'~ .................. conforms substanhally to the Apphcahon for Building Permit heretofore filed in this office dated ................................ · '1~.... Jj~relii~.., 19.(~.. pursuant to which Building Permit No. dated .............................. ~o~re~i:lez,..~L~ 19..(:~., was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is msued is ........ ......... P~-,t.a.t~e..erte..~'~.t.~..d~e.l.l&~4~ ........................................................................................ The certificate is ~ssued to ..... J~:~"S~dO:L'"",]"~ ...... ; ............ ; ...... (~¢~'"'";~ .............................. Lowner, lessee or of the aforesaid building E.g. Approval ~u17 20, ~96~ FOR~ 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) 2583 z Date ................................... ]loIgea113~l~... ].6 19...6~ Permission is hereby granted to: ...... ]4aZ. t~n. S ~.d oz... ,Iz ..................................... to ... ]~ild.. neg.. a~e.. _fmall)r...d~e lliz~ ................................................................................... at premises located at ..... ~/~.....Peeea~.e..~y...lFl~,6~ ...................................................................... .............................................................. Lm~et.t......N.~.~~ ..................................................................... pursuant to application dated ..................................... l~l~'~.ml~Z'..],619....6~, and opproved by the Building Inspector Fee $...],OeQO ........ Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date . Bldg. Permit TO WHOM IT NAY OONCERN: The sewage disposal facilities for a structure located~$t '.-% "' ' - (~iv~eed -lOcation) - ~ - have been inspected by this Department and found to be satisfactory. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y.' ~×~,~ ..... ~..../...~ ........ , ~ ~..(.~. t.... ~, Approved ........................................ , t9 ........ Permit No. v ,~'0c~3 (Building Inspector) APPLIGATION FOR BUILDING FERMIT Date ............................ INSTRUCTIONS o. Th~s application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildir Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and gwmg a detailed description of layout of propertymust be drawn on the diagram which is part of this applicotio c. The work covered by this application may not be commenced before issuance of Building Permit. d Upon approval of th~s application, the Building Inspector will issue a E~uilding Permit to the applicant. Su, 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 Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the censtruction of buildings, additions or alterations, or for removal or demolition, as herein describe The apphcant agrees to comply with all apphcable laws, ordinances, building code and regulations. (S~gnature of apphcant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build. Name of owner of premises ...... ~..'g.:;l,~..~,.cl, p.~...~.~. ....................................................................................................... If applicant ~s 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' ...,.,~gg~ .............................. Lot No' . ...... ~. Street and Number ...~./.~.....~..e~.oz~L~..~,~....l~L.Y.~ ...... ~.l~,:R.e]. ....................................................................... Municipality 2. State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Ex~sting use and occupancy ............ ~.~...O..~..~..~....~..~...~..c]. ........................................................................................ b. Intended use and occupancy ................ .o..~...e.....~.~.m..~..].~.....~..~...~.~..]..~.~.~. ............................................................. 3. Nature of work (check which applicable). New Bulld,ng ...... ~ .... Addition .................. Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................................... 4. Estimated Cost ..........],~4.Q.Q.Q...~./.~ ......................... Fee ......... .1...0. .......................................................................... (to be paid on filing this application) 5. If dwelhng, number of dwelling units ...... P,,"lf~ ............... Number of dwelling units on each floor .......................... If garage, number of cars ....... .O,,"lf~ ........................................................................................................................... 6. If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. D,mensions of ex,sting structures, if any: Front .......................... Recur .......................... Depth .......................... Height ............................ Number of Stories ............................................................................................................. D~mens~ons of same structure with alterations or additions: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ...... .Lj:.(~ ................. Rear ........ .Lk6 ............... Depth ...3~, .................. Height ............................ Number of Stories ....l~...C~.p.l~.~...level) 9. Size of lot: Front .,],.Q.Q ................... Rear ............ .1..0...0.. ........ Depth .......... ~'.~.0.....~.~'...~. ..... 10. Date of Purchase ....... ~9.~.~'. ....................................... Name of Former Owner ......... .B...a....u~......Fe..s..~..~..t...e. .................. · I1 11. Zone or use district in which premises are s~tuated .....................,i~....,~.f~. ........................................................... 12. Does proposed construction wolate any zoning law, ordinance or regulation? ................... ~O ............................ 13. Name of Owner of premises ...... }f.e...~.O~....~lt ........ Address ....... ~.~.J~;~.~l,19~: ............... Phone No ................... Name of Architect ...................................................... Address ............................................ Phone No ................... Name of Contractor ....~....u~..e..n...e....H...o.~..t..o..n.. ................. Address MaJzt±tuck Phone No ................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro property lines. Give street and block numbers or description according to deed, and show street names and indica whether interior or co_r_n~ lot, STATE OF NEW YORK, COUNTY OF .S f Zk .............. ................... ~th..S~o:-.$~ .......................................... being duly sworn, deposes and soys that he is the applio (Name of individual signing application) above named· He is the ........ 0~e~. ................................................................................................................................ (Contractor, agent, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and tbs application; that all statements contained m this application are true to the best of his knowledge and bel and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................. ~. .... day of ........................ ~Q~.~., 19...~. ~ . ~ ~ t _. , · ............................ ~W..~...~.~ ............................. Nota~ Publ,c,J.].)~.~¢.~-..~ ...... ~;~k.Z:.C.....~eg~ty ~ (Signature of ~plicant)