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Home My WebLink About2312-zFO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No....Z..,"Lg.0~. .......... Dote ................... AH~II~t.....~.O. ............ , 19~.~.... THIS CERTIFIES that the building located at ...O~L~$'I...I~g...[~]...&..C],8~..~.~Jg.~....~/. Street Map No. 3¢,~3Qr~ ..........Block No..~.~:;~3~ .........Lot No~3{~ ....... J~t~.t, ho~d.j....]~,~, ..................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................................ ]~&~.C~.....'I.(~...., 19.6~.. pursuant to which Building Permit No..2,~12-.~... dated ................................... J~a,~l:~.....~L~,, 19..6.~.., wos issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ........ ~iva~e...one..J~f~.t...ZZ....a.,~..e..Z...Z..t..n..~ ........................................................................................ The certificate is issued to ....~,...I)~l~&],d...8.~a~..; .....................~;~r~e~. .................................. towner, lessee or ten.o,nt) of the aforesaid building. H.D. Approval ~'une 30, 1961+ by R. Villa .... ........ ............... Building Inspector / ' FOl~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, BUILDING I~RMiT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2312 z Permission is hereby granted to: Ohet Or :],o~'.Sk.t · · .. ~,C. · ~e.v,,. · · .~or, a3,,d~..~ te,,i~ ............ ........... Cu~;el'~o~e ................... ........................... pursuant t6 application doted .; .................... ....... J~.g~ .......~L6; ......... 19~,.,i andi qpproved bythe Building Inspector F~ ~....:~0 ........ SUFFOLK COU~@Y DEPARTF~ST OF HEALTH Date June ~0, 1~64 Building Permit No. 2312Z TO ~IOM IT MtY CONCERN: The sewage disposal facilities for a structure located at e/s Gagen's Landing, Southold (St~cey) (Give dee'd lo%ati~n) have been inspected by this Department and found to be satisfactory~ District Engineer TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ...~~-~ (Building Inspector) ~ APPLICATION FOR BUILDING PERMIT ........................ , ...... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate 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 drawn 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 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 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 Deportment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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, or name, if a corporation) ................................ 'Y'" ...................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ............................................. ~¢:,.,_._,._..,,/. .............................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No: ........................................ '.,.. Lot No: .................... Street and Number '"'~'~"'¢J~'"'~"~""¢~"~i"~~'~'''~'':''''''~''~'''~'''~'' U Muni~ litr~, /) ~ .~ -- ~/ P Y State existing use and occupancy of prem~ses~..and intended use and occupancy of proposed construction: - a. Existing use and occupancy ~~ b. Intended use and occupancy ...~...~ .............. ~ '~12 3. Natbre of work (check which applicable): New Building ......'~.. ......... Addition .................. Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4, EstiFnated Cost .......... /..¥...~ ............................... Fee ....... /O, ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ~.....Number of dwelling units on each floor ........ If garage, number of cars 6, If ~usiness, commercial or mixed occupancy, specify nature and extent of each type of use ........ 7. Dim,ensions of existing structures, if any: Front .......................... Rear .......................... 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 ............ '..2rr..¥. ............ Rear .......... ,,~-.....~.. ........ Depth ....tT(.....~.. ~ ...../..~. / of Stories......(~ .............. Height ................. Number 9. SizeI of lot: Front ...... /..~.~..../ ........... Rear ...... /..~.,~..,.'~... ......... Depth ./..~....2:....¢z.../...~....O. ........... 10. Dat~ of Purchase ..../....7....~...~ ................................... Name of Former Owner .....~...M...~.~.....~ kJ 11. Zone or use district in which premises are situated...../'.~.v,~.....~g~....~ ........... 12. Does proposed construction v oate any zon ng aw, ordnance or reaulation~ ~ ~ 13. Name of Owner of premises Z-~' I,J~,,~..~ ......... Address ......... ~- h. ~ ~ ........ .~. Phone No. Na e of ^rch tect ................. Add,'es .g. . h ............ ~ ..... Phone No. Nar~e of Contractor ~~.,.~...: .................... Address ..~..~.~....~..,'..~, ......... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property lines. Give street and block numbers or description according to deed, and show street names and indic¢ whether interior or corner lot. /fro STATE OF NEW Y/ORK/~. ~.~) S S COUNTY4 above named. He is the .................................................... .,~.~c....~.~ ............................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in tills application are true to the best of his knowledge and beliJ~f; and that the work will be p, erfot~Btt ~n I~l~iXtmanner set forth in the application filed therewith. Sworn to b~fo/e me this , o~, f'tJ~,lc~ Slate of r¢ew Y0[k ........... · /'~"'!': ..... ~lc~/of ................ o.,:'~.)..rr.'.~.~, 19.~ // ~) f ). 1~ ~.,.,'