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Home My WebLink About2358-zFO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..~...~..~6.~. ............ Date ............................. .~..~...e.......~. .......... , 19' 6~ THIS CERTIFIES that the building located at ..... ~.~.....~...O..e...~..~. ........................................... Street conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................................ ~p~.;[~......~.~......, 19..6...~... pursuant to which Building Permit No..~.,~.~..8.....~.. dated ............................. ..H.~. ..... ~. .... 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 ........ ....... ~.r.llrat, e... one...£~117....¢!. ~e. ;t.l;l,r~ ............. i ................... ......................................................... The certificate is issued to ..... .~.O].,II~3r....~g,h.'~.~.~....~....~..~..f.,e. ........................ ..O..~...~..e.~..S. ...................... (owner, lessee or tenant) of the aforesaid building. ...,,..¢~.;,. .............. ~... q ....... :..r.: .............. f .................. ~ui aing ~nspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2358 Z Permission is hereby granted to: Ed~, .. J,.. ~.n~.....A/g...~etney.. R~h~er · ~ ~ife .303...~,...& .fft, h.. St ............................................. .... ICe~...~.. atl...~..~,. ................................... to ..... tiu.~td...ne~..o~te.-t'e~.t:l.T.d~e!~.l:~ ................................................................................. at premises located at ..~o.t..7. w-.bt~k--.~9~-.-l~l~herw..-Z-sl~n~..l~st~l;~ll ............................ .................................. l~.~6r ..~h~.a..Z~l~n~.t...~I,Y., ........................................................ .... Appr~v~ d.,.l~ ..IM/.. A~pea te.....Al~.l......3 0 ¥...~.c)6~ ............................................................ pursuant to application dated ............................. &pl~l.]:......];~[ .......... 19~i~..., and approved by the Building Inspector Fee $.1-(~)~ ........... Building Inspector FOI~ NO, ! TOWN OF SOUTHOLD BUIlD;lNG DEPARTMENT TOWN CLERK'S OFFICE ~(~-~ iA SOUTHOLD, N. Y. ..................... .............. ......... ................. ~w .................. ~ ............ 1 .................... ~ ......................... ~ ....... .......... ........ ............................................ ,~ / ,, , (~ild~ I[spector)~ APPLICATION FOR BUILDING PERMIT Application No. ~....~...,.~..' .~.... ....... 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 an 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 part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION [S 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 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 af applicant, or name, if a corpora.tion) 303 East 65th Street, New ¥o~'k 21, N. ¥. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. architect Mr. and Mrs. Votney Righter Name of owner of premises ..................................................................................................................................................... If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) Block 39 Location of land on which proposed work will be done, Map No: ............................................ Lot No: ....? ............... Street and Number .....~..~.s..h..9.~.s..[..s..t.~.q~.....~,.e...w....¥.9~ ............................................................................................. Municipality State existing use and occupancy of, premises and intended use and occupancy of proposed construction: a. Existing use and occupancy none b. Intended use and occupancy ~S.~T~O.~.O.~.J~Q~.-~.~ ................................................................................................... 3. Nature of work (check which applicable): New Building ....:~ ............ Addition .................. Alteration ............. Repair .............. z~' Removal .................... Demolition ...... .~/. .......... Other Work (Describe) ................................. · r'Jrrz ,---- · 4. Estimated Cost .........~,,¢....--mw.....z.. ................................. Fee .............................................................................. (to be paid on filing this application) 5. If d'welling, number of dwelling units ............................ Number of dwelling units on each floor ....................... If g'arage, number of cars ....................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions 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 .... 17~ Rear ... 40~ Depth 40~ Height ....v...a..r..i..e..s. ............ Number of Stories .....°...n.,e...i .............. 9. Size of lot: Pront ...... 1.. .4. ,4. ,.' 2. ............ Rear ...' ........ 1..9.,6..:..6..5. ..... Depth ~.33...................84' £east)...........' 305.53 (west) i0. Date of Purchase .~.~--*f,.,,~.l..~.~.~.~.-- ......................... Name of Former C~vner ~.fi~:.~.:...~. ~.~.,....~.. ...... 11. Zone or use district in which premises are situated .............................................................................................. 12. Does proposed construct on v o ate any Ton ng law, ordnance al: reflukttian? .......... ~..n...o. ............... Mr. & Mrs ...... Beazora ~enter tioaa 914 -' ............... 13. Nar~e of Owner of premises .............. .V..°....~.~...~...zg.~...e..rAddress ~.e.~lf~xl.~ilLl~...~..~..... Phone No. ]~..~.'..3.~. Name of Architect .E...d...w..a...r..d....L,....B..a..r..n..e...s. ................ Address3.0...3....E......6..5..i..h....S..l.:.,,N.,~..C. ..... Phone No...U...N...1..-...5..0. Name of Contractor .................................................... Address ............................................ Phone No ................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fn property lines. Give street and block numbers or description according to deed, and show street names and indic< whether interior or corner lot. STATE OF NEw'YORK, ~, ~ COUNTY OF .................. ~..~..,.~......f S.S. ~~.. I~..~.%~. ........................... being duly sworn, ,dep0~es and says that he is the applic~ (Name of individual signing appltcation) above named. He is the ................................................... ~.[..~.~I~., ......................................................................... ' (Contractor, agent, corporate officer, etc.) of said owher or owners, and is duly authorized to perform or have performed the said work and to make and ~ this applichtion; that all statements contained in this qpplication are true to the best of his knowledge and beli and that the work will be performed in the mar~,,,er ~t~ forth in,the application filed therewith. Sworn to I:;efore me this /q o~.~,Z.¢,~;~ .............. ............... _, Notary Public, ....~4~'....~..~f....:.~....(4F7...:.../.,:~.,~../;2...~...~..~, ..... -~u, "Yor/~ (Signature of applicant) I/l&~' = ILO" EDWARD LARRABEE BARNES, ARCHITECT ~-~1 ~TI~.~ t~,~,A.'i~!, ~0~ ~,..,,