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Home My WebLink About2586-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPAN(:Y No..~..2,30.Q ............ Date ..................... ~o~.el'o~e;['... ~.~ ...... , THIS CERTIFIES that the buiJdlng located at ~l~.JJck~e,.~)~.:j,ve~..J/J~t,~t,~cl~ ...... Street Map No~;~'leJ~l]~l. ...... Block No .... ~ .......... Lot No ............. Z~2: ............................................ conforms substantially to the Apphcation for Budding Permit heretofore filed ~n th~s office doted ............................ JJO1~ellt]~..~l,J~ ...... , 19 ~.. pursuant to which Building Permit No. dated .................... ~:~ite~l~l'.. :tl~ ...., 19..Fe~., was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this cerhficate is issued is ........ .................. ............................................................. The certificate is issued to .......~3..l.~lt~..IB.~....~O~Ltrlq..&..~£o ................................................... C6wner, lessee or tenant) of the aforesaid building Building Inspector FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BI~ K~:P;I' ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 2586 Z Date ........................ ][~rlreljtbe~....,~ ....... , 19...t~ Permission is hereby granted to: .............. ~"!io~e"~l,~e .............................. ........................ Ii~ta~e .................................. to ...Jmita--an..,~!~a..,a...a~-. ~xi~rti~.. ~1~:~ ...................................................... at premises located at ........ ~g[JJ'""lJ~l~"J:Jl~ ,~l~jl"O~"JJl~li~"~q~lB' ijL~i~ilj/ ............................... ........................................................ ~.~t~ ................................................................................. pursuant to oppli~cati.on dated ......... ; ................. ~4;flFl~]~l~.....~ ..... 19.6~.., and ~pproved by the Building Inspector Fee $...~/~j~, ........... Building Inspector NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... ~../.....~...C ....... 19..~...c.~. Approved .......................... [.~. ........... , 19 ..... !..Permit No. ~' 6:= ~ ~ Application No....~T.....~....,~.....~. ...... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. Th~s application must be completely filled ~n by typewriter or in ink and submitted in duplicate to the Buildin Inspector. b. Plot plan showing location of lot and of buddings on premmes, relationship to adjoining premises or public streets c areas, and giving a detailed description of layout of propertymust be drawn on the diagram which is part of this applicatior 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. SucJ 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 ~n part ~or any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLiCATiON IS HEREBY MADE to the Building Department for the issuance of a Budding Permit pursuant to th. Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the constructmn of buddings, additions or alterations, or for removal or demolition, as herein described The apphcant agrees to comply with all applicable laws, ordinances, building code and regulations. · ..... ............................ (Signature of applicant,~r~ame,~f ~a corporation) .... ............... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ..... ~].~t..~,.,¢l..~Z.O.~j~...~gJ~p~t,l~ ............................................................................. If applicant ~s a corporate, signature of duly authorized officer. (Name and t,tle of corporate officer] 1. Location of land on which proposed work will be done. Map No ~,&qleatc:~ Lot No: ~ Street and Number ..... ]~..~.~...~....o.~.s....~.~.ff..~.~.....J~....~.ir,.:J: ~ 1~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o Existing use and occupancy .... ~..~.~..~..&.~.~..~.~.~..~..?..~..~..m.~;.]...~.~.~..~.?..~.`.l~..~.~..~. ............................................................ b. Intended use and occupancy .... &~J~..t~.~,f).~...t~..q...~k.~.9,.~..~. .................................................................................. 3. Nature of work (check which applicable): New Building .................. Addition .......~. .......... Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................................... 4. Eshmated Cost $3 825.00 $5.00 ............... /, ........................................... Fee ......................................................................................... (to be paid on filing this application) one family 5. 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 .............................. 7. Dimensions of existing structures, if any: Front .... J4,~.!..-.~J.?. ....... Rear .....J-I.(~.!..-.J~.?. ...... Depth .....~..~..-..~?! ....... Height 20 ' Number of Stories D. mens,on~)j~fl s e 20' '8' 't't"J'-~ .............................. _~ structure with alterations or additions: Front ..... .~..2..t..,-. ........ Rear Depth .............................. Height .............................. Number of Stories ........................................ 2 $. D~mensions of entire new construction: Front ,..~.~.! .................. Rear .....~.-~.! ................ Depth .......... .~......~. ...... Height 3_8' Number of Stories *1 9. S,ze of lot: Front ..... !,0.,0.,.~, ............. Rear .............. .3:.0,.,0..~, ..... Depth ......... ,~.f.O,..~ .............. 10. Date of Purchase ...... ~O,~..~'~.,...~l..c)~ ................... Name of Former Owner .... ~...~l,....~.~..e..~..k.~. ........... z, esidential ] 1. Zone or use district in which premises are situated ............................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... ~o .................................... 13. Name of Owner of premises ..l/~....-....T~..J?]~..i....l~.....8~.....i~...e...Address ..,.D~,...e.~.....,Hg,...1..e......D~...,-..M...a..t'...t.: Phone No...1~...9.,.-..4..0..,6.] Name of Architect ~9.~.,t,..hg. ,9,D.,~..,~R'O...,.,~J,.$~,.,.,.S,..e.?,.v...:~T~ress .,.R,.9..q,h...e.~,t~.~.~.~J'~ ............. Phone No ................... Name of Contractor ..~.e..~..t...,.J.9..n..e...$. ..................... Address ............. Phone PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions froi property lines. Give street and block numbers or descnption according to deed, and shaw street names and indica whether .nter,or or corner lot., (Fish. lc ~.~.E~.~' , ~ O0 I~)ot STATE OF NEW YORK., ._ '~ COUNTY OF ....... .~..~.. :[lv.t...~:.. ........ ~. S.S. ................... ,tnJ'.,,:J,,~,,~.J~.}~.....~,~...~J);J,l~, ................................ being duly sworn, deposes and says that he is the applio (Name of individual signing apphcation) above named. He ~s the ....................... ..°....'l~...e...:E. ................................................................................................................ (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and this apphcation; that all statements contained in this applicahon are true to the best of his knowledge and bel and that the work will be performed in the manner set forth m the apphcation filed therewith. Sworn to before me this 18th~, ,e ,,,~/day of November' 19 64- ............................. '('~ig;;~'J'~;";~' ;; ........... f' Nervy'PubliC in the State of New Yo~k Residing ~n Suffolk Count~