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Home My WebLink About2342-zFOB, M NO, 4' TOWN OF$OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. CERTIFICATE OF OCCUPANCY No..Z..~I,.9~.. ............ Date ................................. .~qe.p~,~l:~her., ~ 9_..~ THIS CERTIFIES that the building located at ..~/J~....J~t,~'.at,~lo~'.e,~...J'/~a/~ ................... Street Map No....~.~.~ .......... Block No ........... ~r,,X.... Lot No ......~. ......... Ea~.~..~/a~,.~o~t..;J:~,~ ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... A~...~.'I...!~ ............ , 19~1~,... pursuant to which Building Permit No. ~.~.L:-2~.... doted .............................. A.pZ~.:I..t.....~ ...... , 19.~., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ .............. 1~ate...one.. ~.am~ 1.y:... ~lwe.lZAng. ................................................................................... The certificate is issued to ....~.],l~.&..,Tg~l'A~....,A.t~a~a~,~o~ ............................................... (owner, lessee or tenant) of the aforesaid building. H.D. Approval June 15, 196~ by R. Vill~a '~i .... .......... ..................... Building Inspector'"/ FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) M2342 z Date .......................Aprsl.,.a................., 1964... Permission is hereby granted to: Tempest Homes...Ina..A/C..Wx.&..Joa=.,Lthanaaslou .........Rt..2-$A........................................................ ................1W WW...Rolat y...Nv.Yv....................... to ...SuIld.:new••one..faamilt'-dwe}iyns................................................................................... .................................................................................................................................................................. at premises located of ...l+ot..51...Rtratmors-Pstates................................................................. .......................................Stratm"s.....Road.$..........Feat..? ari oa............................................... ................................................................................................................................................................... pursuant to application dated ................................A.psil..... .......11 19.6}.., and approved by the Building Inspector Fee $•3{ •©(}.......... ........................................................................ J...... Building Inspector l S-9 S CHI) TO WHOM IT MAY CONCERN: SUFFOLK COUNTY DEPARTMENT OF HEALTH Building Permit No,~ The sewage disposal facilities for a structure located at z ~ ' ~(Give deed 16cation) ~ ~,..x,~;..x.~r~ ... have been inspected by this Department and found to be satisfactory. Dlst~l~is~eg~gineer TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ......................... .t~ ............ , 19 ........ Permit No. ~ '~ ~ *)~ 7~-- Disapproved a/c ...~~.~~~ .................. ....................................... (BuildingTpector) Application No. ~.. ....... /. ............... 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 ~ nspector. 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 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 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 and regulations. (Signature of applicant, or name, if a corporation) State whether oppricont is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................ ...................................................................................................................... Name of owner of premises .~./.~.~..~..'~........~...~.....?..~.~. ........ ~.:~..?....'~..<.~..~ .................................................. If applicant is a corporate, signature o~uly authorized officer. 1. Location of land on which proposed work will be done. Map No: ......... ~..~.~...~ ................ Lot No: ..... ~....~ ....... ................................................................................... : .................... .................................. Municipality 2. State existing use and occupancy of premises ~nd intended use and occupancy of proposed construction: a. [xist]ng use and occupancy .......... ~.....': .........¢. .~4 ............. ,./ 3. Nature of work (check which applicable): New Buifding ~" Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) .~../...'4Z7.....~.....~.....':~... 4. Estimated Cost .................. ~. ...................................... 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 nature,and extent of each type of use ......... ~..~... ............... ,-- 7, D mens oas of ex~st ng structures, ~f any. Front .......................... Rear .......................... Depth ............................ Height ............... ~ ............ Number of Stories .......... :~CL..: ........................................................................................ Dimensions of some structure with alterations or additions: Front ........ :..~. .................... Rear ............. ~ ................ Depth ............................ Height ........... ~ ................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front.....z./....~....,. ................ Rear ....... ,~.'~..,~....~. .......... Depth ~ ~ Height ...... L'...~.. ............... Number of Stories ........... ./. ..................... 9. Size of lot: Front ...... ../../....~.. ................ Rear ...C;~'.~.X....Y..~.. ......... Depth .....~......¢~.,..s..~...~. .............. 10. Date of Purchase ..../'.(. ....... ..~...c?.~..':.....,./'..~..~,....~. .......... Name of Former Owner ..................................................... 11. Zone or use district in which premises are situated ............. C7. ............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ................................................... 13. Name of Owner of premises ~Z'// .~..?.,X',.<,z~,.~/',~C/Address 7c/-z/0 ~..~'-",4~ PhoneNo. C~L- ........................................ ;;;,:,' Z ........................ Name of Architect ...................................................... Address ............................................ Phone No .................. Name of Contractor '.~..~~...~ ,.,,,c~'.L~_~,,,.,Address'ezz ,e~ , / ?Z ac .~ ~, NoS..' ...... ;z~,~.~.~.c?..y~;,~..p,.,;z~.~T;.. Phone .................. PLOT DIAGRAM Locate clearly and distinctly oll buildings, whether existing or proposed, and indicate a{I set-bock dimensions fro property lines. Give street and block numbers or description according to deed, and show street names and indic whether interior or corner Jot. STATE OF NEW. y~'R,I~/ ~ ) ~, COUN,TY(.~ ~ ~,,~ ~ ..~OF ...~.~..) ........... ~,.~~~.~... ............................. being duly sworn, deposes and says that he is the aDp,icc ~(Name of individual signing application) ~bove named. He is the ......... ~,~ ....................................................................................................... ,~ (Contractor, agent, corporate officer etc.) of said owner or owners, and is duly authorized to perform or have performed the said wor~c and to make and f this application; that all statemen~t[~gqto~ in this application are true to the best of h~s knowledge and bell and that the work will be performe6~,~t~lm~ set forth in the application filed therewith. Sworn t~befo_r~ me this c~ ' ~2-~3q.~63, Suffolk County. / -- .................... ........ .................................