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Home My WebLink About2607-zTOWN OF SOUTHOLD BUILDING DEPART,~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the build,ng located ct ..~/(.~.....~o~d~l~_f~'...DZ'.i~ ................... Street Map No ....... ~ ....... Block No .::~g[:2¢ ........... Lot No .~ ....... ~.t*~.!~IA~J:.t...~.,.~.~ ................ conforms substanhally to the Application for Building Permit heretofore filed in thru office dated ....................................... D~ell~b~Xt...'l.),l,, 19.(:~i-... pursuant to which Building Permit No .... dated .............................. D~(t~. ..... ~1,~'. ...... , 19..6.~.., was issued, and conforms to all of the requirements of the applicable prowslons of the law, The occupancy for which thru certificate ~s issued ~s ........ .P~.i.v.~te..~ne..fa~L17...~wellin~ ............................................................................................ The certificate is issued to ..J~'~e.....]~J;~e~ ....................... 0~l~e~. .......................................... (owner, lessee or tenant) of the aforesaid budding H.D. Approval April 29, 1965 by R. Villa Building Inspector FORM NO. 2 TOWN OF $OUTHOID BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2607 z Permission is hereby granted to: ...... ~..~..~ ........................................................... ....... Ym:l.tng..R,t'~az~.~ ..... 8.Z, ....................... to ...~Bu~l,d.. ~e~.. one.. ~'~m~.~... ~1.I..~ .................................................................................... at premises located at .. ~.~r~ .I~1~.~1,:~...][~-~/'0 ........................................................................... ............................................... l/a~tl tuek~ ..... N.:/. ........................................................................ pursuant to application doted ............................. ])$~lll~e~....~l~.., 19.(~11..., and approved by the Building Inspector Fee $-IO.00- .......... s-9 SUFFOLK COUNTY DEPARTMENT OF HEALTH mdg. P.~it No Jr0 ~ , The sewage disposal facilities for a structure located at ~G£v~ ~eed location) ' have been inspected by this Department and found to be satisfactory. -District Engineer NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ~( (-'- /" [/ /~ Y Approved .................. ,x 19 .....~..Permit No ~ ¢ C~ 7 ~7'~ APPLICATION FOR BUILDING PERMIT ....... /....f ...... , ...... INSTRUCTIONS a. This applicahon must be completely filled in by typewriter or ~n mk and submitted in duplicate to the Budding Inspector. b Plot plan showing focabon of lot and of buildings on premises, relahonsh~p to adjoining premises or public streets or areas, and gwing a detailed description of layout of property must be drawn on the diagram which ~s part of th~s apphcabon c. The work covered by th~s apphcat~on may not be commenced before ~ssuance of Building Permit d Upon approval of th~s apphcat~on, 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 budding shall be occupied or used m whole or in pa rt for any purpose whatever untd a Certificate of Occupanc? shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Budding Deportment for the ~ssuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, add,hans or a lterahons, or for removal or demohbon, as hereto described The apphcant agrees to comply w~th all apphcable laws, ordinances and regulations (S~gnoture of apphcant, or name, ~f a corporahon) (Address of apphcant) State whether applicant ,s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ........... ...... ..................................................................................... Nome of owner of prem,ses .'~....~.....~...~. C ..... · .--~....~...?.~....~ ~ .................................................................. If apphc_g_ant ~s a corporate, signature~of duly authorized officer (Name and t~tle of corporate officer) 1 Location of land on wh,ch proposed work w,II be done Map No ~:~r,;~.~...C~....c~...?.~ . Lot No ............. Street and Number ................................ C?../~F'-/-I ~...O.C.../~... ..................................................... Mumcipahty 2 State existing use and occupancy of premises and ~ ntended use and occupancy of proposed construction a Existing use and occupancy ....V'/}~L-I?~.~ ................................................................ b Intended use and occupancy ~. ?.../~-~ I ~ ~ . . ~.t'.~ .~.....~..~ ............................................... 3 Nature oF work (check which apphcable)' New Buddmg ..... ..~'... ....... Addition .......... Alterat?lon ............ Repair ................... Removal ................ Demohhon ............. Other Work (Describe) ............... 4 Eshmated Cost z/..~.../ ~'~.(R::~::~...-T ........................ Fee (to be pa~d on fihng this apphcahon) 5 If dwelhng, number of dwelhng umts ~/ Number of dwelhng units on each floor ............... If garage, number of cars ..'~.....~../f/'~. ~/~'. -¢~./~-~ez7~..~x--~..~ ~ ......................................... 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ............................. 7 D~mens~ons of existing structures, if any Front ..... Rear ............. Depth ......................... Height ........................... Number of Stones ................................................................................ D~mens~ons of same structure w~th alterahons or ~dd~hons Front ..... Rear Depth ........................ Height ........................ Number of Stories .................................... 8 D, mens,ons of ant,re new construction Front..~-~..'~...~.'. O cl... Rear .... ..5-..~...~..O...'.'. ....... Depth ....'~..~.~...O..~ ........ Height ...[.5 .~.Q ..........Number of Stories ~ .......... 9 S~ze of lot Front ..... /. ~,~..(~ ............ Rear ~---~.....?,.¢c~.. .... Depth..~...'~L .O. ....................... 10 Date of Purchase .................................... Name of Former Owner ............................ 11 Zone or use distr~ct ~n which premises are s~tuated ..... 12 Does proposed construchon wolate any zoning law, ordinance or regulahon~ ............................................ 13 Name of Owner of prem,ses .~'~;~...~.~...(~'~. ?~'~'~L) Address ~'.1.~ ~[~:~.,~ ~c~'.)"..~.,~.?-Phone No ........... Name of Architect ................................ Address ................................... Phone No ................ Name of Contractor~./.M~S¢~.~../~./~/~?.~..l../x~..~.'. ..... Address ~.~ .~./~.~ ...(-~J./?~4..~.~r.~ Phone No./-.?~'.....-...¢,(.o..~..~. PLOT DIAGRAM Locate clearly and d~shnctly all buildings, whether ex~st~ng or proposed, and red,cate all set-back d~menslons fro property hnes. Give street and block numbers or description according to deed, and show street names and ind~ca whether ~ntenor or corner lot STATE OF NEW//YO~q~, C~Y OF ... T_.~Z~: ..... ~. .... ~~Z.. ........ .. be,rig duly sworD, deposes and says that he ,s the apphca, (Name of individual s~gning apphcahon) above named He is the .............................. (~ ~L(~-.~.~, ............................. (Contractor, agent, corporgte officer, etc ) of sa~d owner or owners, and ~s duly authorized to ~erform or have performed the sa~d work and to make and this apphcahon, that all statements contained m th~s applicahon are true to the best of h~s knowledge and beh, and that the work wdl be performed m the manner set forth m the apphcat~on filed therewith Sworn to before me thi~ ..... ( Z ...... day of p b ,c d, .......... : ...... :: .... ....