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Home My WebLink About2329-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..Z..189~ ............ Date .............................. ~.~...~.;Y'......~ ....... , 19...~.~.. THIS CERTIFIES that the building located at .TI3~.C~.~..~.O,.~,.~;['~....L.~3.~. ............................ Street ~%~.~o,.~...?.~...t~.7...~ock ~o.~L.z. ............. ,or ~o ...... .z...o., ............ ..0.~.~.,..~,....~.:.~... ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... .,~.~f~..¢~....~.. ........ , 19..~.~.. pursuant to which Building Permit No ..... .2.~.2..?.~ doted .......................... ~[¢4~.~.....~.~/ ........ , 19....~..b¢., was issued, and conforms to ~11 of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ~vate one fa~il,v., d~¢e~iin~ The certificate is issued to ...F~:t~ahe.th..~e.V.e.C.t, ........................ ~.e.~ ....................................... (owner, lessee or ten.ot~t) of the oforesaid building. ......................... ~;~ii;]ing Inspector "~ FOEM NO. 2 '~ TOWN OF sOUTHOLD ·~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (~rHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2329 Z Permission is hereby granted to: ........ Ol'~ent .................................................... ~ .... at premises located ct '"~.~)'I~"~ .......... t'~:~g'"1~'~f~'~l~':'~i~"~'~;~'"~ ...................................... .......................... ~ ...... ,:....1~/8.-..~hr'ee 'wtft~' I~ t~:1,'~11~ ...... pursuant to,application dated .,. ................... .......... 1~'~1~/'"'~ ...... , 1~....., ood opproYed by the Building Inspector I ' ~ TM · Building ~nspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. t~' 19. t .Permit No. c=~3~2- ~' . Approved ........................................ , ...................................... Application N o .~....: .-?..°~..... ~. ............ APPLICATION FOR BUILDING PERMIT Date ............... ' .~...~.. ................................. , 19....~....zx ..... INSTRUCTIONS a. This application must be completely filled in by typewriter o~r 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 shol~ 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 o 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, as herein described. The oppticont agrees to comply with oil applicable lows, ordinances and regulations. ..;...., .............. ................................ ~' ~ '~ppli"'~ ~' ............................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..: .................... ~ ...... .:.~.~:.'~ ................. .. .............................................................. Nome of owner of premises ......... f:~....../..~....(...f../. ........... ...... t"~'" '~'~ .................................................................................... If applicant is a corporate, signature of.rduly authorized officer. (Name and title of corporate officer) 1. Location of land on which p~roposed work will be done. Map No: ~:~..'~......(:~....~..~.~.......4~..,~..k.... Lot No: .~....~.C~.. ........... Street and Number ....J.~'..~...:~C..~..:.~.../'fC~-......~ ............... ...~...'~./':~..~..'~.~...'~......%~...~ ............................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~-r.~ b. Intended use ond occuponcy ........... ~. .......................................................................................... 3. Nature of work (check which applicable): New Building .................. Addition ~ Alteration .............. Repair ................. Remova ........... Demo tion .................... Other Work (Describe) .. 4. Estimated Cost 2.?..~.. .......................................... Fee ............................................................................ ]: .,., ...... (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 business, commercial or mixed occupancy, specify natureand extent of each type of use ............................ 7. Dimensions of existing structures, if any; Front.....~...~. ..............Rear j O ' Depth " Height / c~ r Number of Stories Dimensions of same structure with alterations or additions: Front ....... ~. ..................... Rear ............................ Depth .......~./...'..~.~.i ...... Height ................................ Number of Stories ....~ .................................. 8, Dimensions of entire new construction: Front ......... ~,'...~'..( .............. Rear 5"'~'/// Depth ........... f ................ Number of Stories ......./. ........................ Height ~ ' 9. Sizelof lot: Front ........ f.:'.:M ................ Rear ............................ Depth ........................................ 10. Dat~ of Purchase .............................. ./..~.,..~..~. .......... Name of Former Owner (~..:....:L.../..c.::'.'C.:,~;/~.,:~...~..x:/' 11. Zonb or use district in which premises are s tuated ,~;.'Z~<¢ · 12, Doe~ proposed construction violate any zoning law, ordinance or regulation? ..... i~?'../.'...~T .................................. 13. Name o~ Owner of premises .~.~..~ ............... Address ....... · .~...~....~....~...... Phone No ................ Name of Architect ........ .;~ ............................ .,m.;~ ........ Address ............................................ Phone No .................. Nar~e of Contractor ..../......~..~ ......... ........................... ./r.'Z...°Z-~'~'L~'~ Address ........ ,~.?.../.:~...~... ............. Phone~o" ............... ; PLOT DIAGRAM Locat~J clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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. STATF OF NEw ~,RIz<Z,/'' ~,~/~) S S ............................ ~...~ ....................... being drily ~worn deposes and says that he is the applical (~,ome of i~u~qviduol signing application) above named. He is the ........ ~ .................................................................................................... : ~ (Contractor o ant car orate of" ' ' , g , p ricer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and fi this applicqtion; that all staternents~be~afp~jK¢~ this application are true to the best of his knowledge and belie and that the work will be performed in ¢~t~8~a~t forth in the application filed therewith. S,*,orn to h~f~r~ m~ thi~ ~u ' 1' ~3, Suffolk Co nty , ~ ......., Notary Pubilic,~ ....................................... Cou ~ (Signature of applicant)