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Home My WebLink About2319-zFOH~ NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..~..]..98~ ............ Date ............................. C~,~¢~be,~......2.Ct, 19..~. THIS CERTIFIES that the building located at "~/JS":~¢)~'~g'~"~¥e .................................. Street Map No...,II::~:K ............ Block No..~'.,~r. ............. Lot No. :~-.~ ......... ~e.~.~,b[t.e[~....],~',.~.~ .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................................... ~.'~rt.....2[~.., 19.6.~.., pursuant to which Building Permit No....2~[9[. dated ............................ J~JP~.Ct~, ....... ~,i~...., 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 ........ ...... ~t~.]:ne~e..l~.~.l.d~.~ .......... ......................................................................................................... The certificate is issued to ..~l.~h...~¥..~/2.~tf~.J;o~ ........................ 0~D,/~, .......................................... (owner, lessee or tena,nt) of the aforesaid building. B ii i;g Inspttor '" FORM NO. ~ TOWN OF Sou~rHOLD 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) NV 2319 z Permission is,hereby granted to; ..... l~lJb.. · .~.,...Heu&t, ola ........ ~ ......... , ................... ................... .I'I~.'~., ~,~..¢'e.3,.k ................ , ................. to ....~ui. td...rm~..lmsirte~r~ t~tt~Ii~ili~ ............................................... ; ......... :': ........................... at premises located at ...... ~/$.,..~]EOt3~'"('JJa;~;~'Ol~jJ?~l ....... , ................................................... pursuant to~'application dated ...........; ................ ~0~'"'~*~ ............ 19.~6~1..;, artd~ approved by the Buiiding Inspector : Fee $...~O~O0. ....... Building In~peCto~ '~ , FOI~M ND. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ~ ................................. ~....., 19 ........ Permit No....~ ............................. Disapproved a/c .......................................................... (Building ~nspe~or) ~ Application No, ~,~,,~,,,,(,,c,/, ........... APPLICATION FOR BUILDING PERMIT March 23,1964. Date ............................................................ , '19 ............ 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 propertymust be drawn on the diagram which is part of this application. c. The work covered by this applicotion 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 hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department 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 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 all applicable laws, ordinances, building code and regulations. (Signature of (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0~ner Ruth T. Houston Name of owner of premises If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number YOUn~S ¢,ve,. Southold. ;D ZB,. N ~. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Gulf 011 Dealer b. Intended use and occupancy Gulf 0il Dealer 3. Natbre of work (check which applicable): New Building ....... ..~ ........ Addition .................. Alteration .............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................................. 4. Estimated Cost .$.2000.00 ~ ~lO. O0 (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ........................ If g.arage, number of cars 2 Tr~oks Busiz~ess 6. If ysiness, commercial or mixed occupancy, specify nature and extent of each type of use Fuel oils 7. Dim',ensions of existing structures, if any: Front ........ ~...0. .............. Rear ........... .~..0..~ ........ Depth .....~...0. ............. Hei'~ht .. 10~ Number of Stories 1 Dimensions of same structure with alterations or additions: Front ................................ Rear ............................ Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front 44! Rear 44! Depth 26t Hei~lht .......... ~L0!. ........... Number of Stories ............1 .............. 150' - 150' 256' 9. SizeI of lot: Front ............................ t<ear ............................ Depth ................................ 10. Data of Purchase ........................................................ Name of Former Owner ...~...°.,~,,,~.~.~.,.?,t,~l..~.~.~.;~..1.?T .......... 1I. Zon'e or use district in which premises are situated ................. !!.g.!!..~.~,~i.J~.~ ...................................................... 12. Doeb proposed construCt{on violate any zoning law, ordinance or regulation? ~O · Ruth T.Houston .,, New Suffolk,N.Y. . PE4-651~ 13. Nome of Owner of prem,ses ........................................ ,~aaress ............................................ Phone lxio ................ Name of Architect ...................................................... Address ............................................ Phone No ................ Na~qe of Contractor .................................................... ~aaress ............... , PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions fr, property lipes. Give street and block numbers or description according to deed, and show street names and india whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................................ Ruth T.Houst.qn be nq dJ~uly sworn, deposes and says that he is the applic, (Name of individual signin~ applicatibn) above na~ed. He~'he ..............................o..w...n..e..r. ........................................................................................................... (Contractor, agent, corporate officer, etc.) of said ow,her or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements contained in this application are true to the best of his knowledge and bell and that the work will be performed in the manner set forth in the application filed therewith. Sworn to b"ef0re me this ........... '..~...,'~. ...... d~y of ....Z~..I.~.Z.~'..~-~r .............. , 19....~...~ Notary Pu;blic, .~..~..'~L.:.~..r....~....~.....(.~5~y