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Home My WebLink About2322-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ...... ~!1~}1~ ,.. Date ............................. 0e.to:he~,.....10., 19.~+.. THIS'r ?~RTIFII~S that the building located at ..B~.~.....JJaJ~.:J.&¥..JJ. oezJ ........................... Street Mop No. '...~.....~... .......... Block No....:~1[~ ............ Lot No.~l~ ....... J~.otttJZQ~,l:l.~..~,~', ..................... conforrg~ sgbstantially to the Application for Building Permit heretofore filed in this office dated ............. I ............... ]~l~.~lh ...... 'lJJ. ............ , 19~.... pursuant to which Building Permit No. 2...~,~,.~.. dated .: ............. ,.'.....~..~.~l~ .. ~.l~ ....... , 19.6~.., was issued, and conforms to all of the requirements ~)f the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ....... '..,.. ~3~],T&~e...0ne.. ~'amt~...dwe,13.t.~ .................................................................................... The certificate is issued to ........]l/]~o...~,..~e~,;]lQ1_d~l .............. ~DI~F .............................................. (owner, lessee or tena,t) of the aforesaid building. g,D.Ap~rova~ Oetober by ~. V~lla Building Inspector TOWN OF sOuTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD; N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KJ:PT ON THE PREMISES UNTIL EULL coMPLETION OF THE WORK AUTHORIZED) 2322 Z Permission is hereby granted to: at premises located at J~.l~.,...~Jl~...~.t~r,.~O&d ................ ; ................................................................. pur§uant to~ application dated ....... :.... ................. ~.-.::3,~...-,..., 19~}~.., arid. approved by the Building Inspector : Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. Exam,ned ..... Approve5 ........................................ , 19 ........ Permit ~o ...... ...... 14 ......................... ......... ..... ............... 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 propertymust 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 p?mises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have 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, os herein described. The applicant agrees ,to comply with all applicable laws, ordinances, building code and regulations. ... .~/:~-..... ¢~: ~ ............... (Signature of oppli~'ant, or t~ame, if O corporation) .................................. ~., ....... .~. ....................... ~..~.~...'.¢' (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber Or builder. Name of owner of premises ....... ~ ........................................... Y. ...................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) o ~ B~ v~ ~u'~ ..~ .............. 1. Location of land on which proposed work will be done. Map N :~. ....... ~ ........ ~ ..................... Lot No: Stre~ and Number ........................ ~. ................................................ ~ ........... ~ ........................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy' 0f proposed construction: o. ~.~o~ao~c.~o~c~ ~.~.~.....~.~.~. ............ . . ...... ~ ....................... _ · .............................................................. r; ...... -~ .......) ...... ................................ 3. Not~re of work (check which applicable): New Building ............. Addition .................. Alteration ............... Repair .............. Remove Demo t on ..... Other Work (Descr be) .................... : ,~/~.,_.~ ~ ............ 4. Estimated Cost ...... /.~'~../-/_.~...u.~.2~(~ .............................. Fee .................................................................... j (to be paid on filing this application) 5. If d~e ling, nu.mber of dwelling units ....~ ..................... Number of dwelling units on each floor ..... ~ ................ If gerage, number of cars 6. If bFsiness, commercial or mixed ~cupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .......................... Rear .......................... Depth ........................ Height ............................ Number of Stories ........................................................................................................... Dimbnsions of same structure with alterations or additions: Front ................................ Rear ............................ Depth .............................. H.mght ......................... Number of Stones ..... ~ ~/~ ~ 8. Dim' nsions of entire new construct on' Front , ~. Rear ~~ ~ ..... ~Z .............................................. ~ ........................... Height ~,../.¢...~/.t Number of Stories .... 9. Size~of lot' Front ~&.~ Rear ~2' ~1' /Depth Z~' 10. Date of P~rchase";.';.~.~'~..;;.~...Z~'.]~.~;~;~;~'~'~ of For~'e;' 11. Zone or use district in which premises are situated .............................................................................................. 12.. Doe]' proposed construction violate any zoning law, ordinance or regulation? ..... ~ ....................... 13. ~a~eof Owner of premises ~..~ ~ AddCess ~ ~9~ Na~e of Architect ..~J~...~.~ ......................... Address ~.~.~.~,..~ ..... Phone No~.~T.~ Name of Contractor ~g~ZE... ?.~(~MAddress .... e. . ...... ......... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ftc property liCes. Give street and block numbers or description according to deed, and show street names and Jndica whether int?ior or corner lot.~:, ~ STA'1q: (3t-'r~bw COUIx TY ~]F ...... (blame above named. H~ LO'..~/.~.~1¢'...~. ................................................. being duly swo deposes and says that he is the applicc :individual signing application) is the of said owner or owners, and is duly authorized to perform or have performed the said work and to make and f this application; that all statements contained in this application are true to the best of his knowledge and beli~ and that the work will be performed in the manner set forth in the application filed therewith. Sworn to b~fore me this WILBURN M, .......................... day~°f ......................... q u~tt~e¢l in Nassau~5~ Count'" . ~~~:re~ M~rch 80, Nolary Pubhc, . ........................................................... ~ounty (Signature of appJlcant) 1 t $-9 SC~D SUFFOLK COUNTY DEPARTMENT OF HEALTH Date October 5, lP6~ Building Permit TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at S/~ Bayview ~oad, N/ Cedar Drive, Southold (Give deed location) W.J. Reyuolds have been inspeeted by this Department and found to be satisfactory. District Engineer