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Home My WebLink About2287-zNO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY 0' October 2.9 19 ........ No. Z 2; 23 Date THIS CERTIFIES that the buildin9 located et .....~../.~.....,.~l?,.t.t..~....~...~: ............ '., ...................... Street Map No. :~X Block No. ~K~,~ Lot No. :~'Y~ conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................. f~.a.~.~]~.~..,...~.8......., 190..~..... pursuant to which Building Permit No..........,......228'? Z d~, ~ ,.T~tl~r~.~ ~8 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 ........ Private one ~.am~l~ dweZling Owner The certificate is issued to ..~..~:.~..e..¥..t:..~f~g,.?..~.~.~..~.. ............................................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector TOWN OF$OUTHOLD BUILDING DEPARTMENT TowN CLERK'S OFFICE $OUTHOLD, N. Y. I~UILDtNG I~IERMtT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 2287 Permission is hereby granted to: at premises located at ..... ~2~"3~0~{~ .................................................. ~ ................................... ....... pursuant to a~plication dated .......................... ,~al~,a~,~,~....~..~ ......10.(3~,., o/nd approved by~the Building inspector Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No...~..&..~...Z ............ Disapproved a/c ..................................................... ~ ............ ......................... "' ................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely fiJled in by typewriter or in ink and submitted in dupJicate 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 property must be drown 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 wJJJ 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION [S HEREBY MADE to the Building Department for the issuance of o 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, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ail applicable laws, ordinances and regulations. (Signature of appl,~nt)or, name, if a corporation) (Address of opplicont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......... ~..~....~..4~...~~.~. .................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) State existing use and occupancy of premises and intended use and occupancy of proposed construction: £xisting use and aCC upa ncy b. intended use and occupancy ...................... ~./...~...~'~'~ ~"~ ~ J / 3~ Nature of work (check which appllcable): New Building .................. Addition .................. Alteration ............. RePair .................... Rem~o~d_.~.. ............Demolition ................. ~6' Other Work (Describe) ........................ 4. Estimated Co t .......~ .-o_..~_ ~ ......................... Fee ..................................................................................... (to be paid on filing this application) 5. If d,welling, number of dwelling units_ /s '''' '/' ...................... ,-,~'-~-~/%//Number of dwellings/, units on each floor ........................ If gprage, number of cars .............. /.....(,...~:~4~, ....... .~-.~.~"f~...~..Z1,~lf.. .............................................................. 6. If business, commercial or mixed occupancy, specify nature/and extent of each type of use ........ ...._.z ........... 7. Dimensions of existing structures, if any: Front ........... ..~..../~....¥Z .... Rear ...... :..~...~ds/ ......... 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 ......... ..~.....f~... ........... Rear '/~ Depth .,/.~ Height ............................ Number of Stories....../.. .......................... 9. Size of lot: Front ............. ~ .......... Rear ....... ~...~.. .............. Depth .......... ./...~....'~..."" ............, 11. '~}' '~ ~2 ~}' ........ Name ,Orf/,jF%m ~': ......... r ' r' ' w ' p m' r ' uated ............ ~ ......... f ............................................. 12. Nar~eD°es proposed construction,,'~ ~-~,/~~- ,,/c¥,, .~ ~ ~/z~ L-~J//~4'~/~jvialate any zonjng law, or, dipance o~ regulat~ ...... ~...:/. ...... ,~ ............... 13. of Owner of premises .~:,4;<r4r~/..,et . .~ess ~/.~.......~_~x.~.Z .,f~...T T~hSne-No.~" ............. Name of . Architect ................................................... ..~,~...._._._ ~~~Address .......................................... Phone No ................ Name of Contractor ....~~.....Address ~..~/.~~ ....... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions fr property lines. Give street and block numbers or description according to deed, and show street names and indic whether interior or corner lot. STATE OF NEW YOI~K~/7 ~//) ~ ~ COUNTY ',OF ...~.) ~.b. ................. duly sworn, deposes (Name of individual signing application) above named. He is the ........................ ~~ ................................................................................................... (Contractor, agent, corporate officer, etc.) of said o~ner or owners, and is duly authorized to ~erform or have performed the said work and to make and f this applidation; that all statements contained i~u~jf~tion are true to the best of his knowledge and bell and that the work will be performed in the,~,c,s~t~at~e application filed therewith. Sworn to ~efore me this ~o. 52.0344963, Suffolk C~u,]ty ~ ~ '~ -~ ~ Corem ,sion Expires M~30, 19~ / ~ --