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Home My WebLink About2359-zFOP~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .,,7.Ohlq,~..RCla~.....J~..,~.T...~..0.,.~.,.). ......... Street Map No....:jlI~g,Y~ ......... Block No..~,.~,,1¢~ .......... Lot No...~ ......... ~B~[[~j...~.~., ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................................... ~.~....~[.., 19.~.. pursuant to which Building Permit No....~3~..~ dated ................................. A:p~[.....[~., 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 ........ ~i~te...one..~ami~..dwelli~ ................................................................................................. The certificate is issued to ...~a~..&..RO~.....~O~Ski ............ ~ES ................................... (owner, lessee or tenant) of the aforesaid building. H.g,Approval Aug 31,1965 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2359 Z Permission is hereby granted to: l~'.~mk., l¢~l,o.~,lsJ. .............................................. ................. J~e.~ar.t ......................................... to ......... hll~l~.~..~te~..cd~..£am.l.l~..d~,elliz~ ......................................................................... at premises located at ....~..~..~e~e'~e...O.~..~/.~....~I..ROa~ .................................................... ..................... .C~.uc;~mr...~,~.~.). ......... ~.tt,£t~-~.,...t;,Z. ................................................................ pursuant to application dated ......... ~.~..J~. ........... ~Ji~J~....~, ...... 19..~.., and approved by the Building Inspector Fee $..;LOe.OO. ......... Building Inspector (.~ SUFFOLK COUNTY DEP!~RT~i~ OF HEALTH Date Building Permit TO %~I©M IT MAY CONCERN: The sewage disposal facilities for a structure located a~ ....... '/.~ . .~/~._ ~_ A ~/ (~ive ' ~e e-~-~ ~c~a t ion ) ............. have been inspected by this DeDart~l~nt and found to be satisfactory. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Dlsapp eyed a/c .~ ...............~ ........... ~. ................................... ...... . . ........... ...................................... (B~ilding APPLICATION FOR BUILDING PERMIT Dote ~el~ ~ ~9.....~.. ..... 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 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 o 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, os herein described. The applicant agrees to cam. ply with all applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) James..p2.~t, L.I: . (Address of applicant) State whether applicant is owner; lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ..... F~.szlk..&....~D.S.~...J~.~.Q.Itf~.k.~ .......................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on whigh proposed work will be done. Map No: ...... ,B..q.~.,,~.,h~...~....$.~..... ...... Lot No: ~ Street and Number S/S ~/~ B,.O.,.W. ~Jghn'sR4). Off S./.S ...~..,tn...~ead~ Mattituek Municipality 2. State existing use and occupancy of'premises and intended use and'ocg~pancy of proposed construction: a. Existing use and occupancy .....~l,¢J~'~,~...~-"*~. ................................................................................................... b, Intended use and occupancy ............ .~.~,~...~..~....~...~....,~..w...e.~..1,.~...~, ........... ........... ; ............................................... 3. Nature of work (check which applicable): New Building ..~... Addition .................. Alteration .............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................................. 4. Estimated Cost ...~.t.f).Q(~...~./,,'~ ................................ Fee ....... .~..0..~..0..0. ................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .~.IB,~ ............... Number of dwelling units on each floor ........................ If g?rage, number of cars .......... ~,~ ...................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimbnsions of existing structures, if any: Front .......................... Rear .......................... Depth ........................ Haig, hr ............................ 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 ........ .~6. .............. Rear ......66. ................. Depth ........ 26..'.7. ....... Height ...................... , ..... Number of Stories ..¢i1~. ................... 9. Size of lot: Front .1.00 ................... Rear ......... '10~ ........... Depth ....... ].~..~./.~l ........ 10. Date of Purchase ...........~_.a~....~.~.......]-.~..~...~, .................. Name of Former Owner ...... ,,~g.l,~.q~.~...~.~..~ ................... 11. Zone or use district in which premises are situated ...... .t?,~?!...d;~,l~.~. .................................................................... 12. Does proposed cons,!ruction violate any zoning law, ordinance or regulation? ......... ~ ..................................... 13. 'Name of Owner of pr~mJses ;]~4t. fi,,l~...~,,,1R,~.~..~l,~Ct~ll~less .............. ~l~t~.~O~.~ ........ Phone No ................. Name of Architect ....~..~Q...0.$.~'...~D~f~I. .............Address ............................................ Phone No .................. Name of Contractor ....... ~.~..,~'l.,],~.~.~f,;1. .................. Address .............. ~.~l~G~.!~O:l'J; ........ Phone No .................. PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions fr, and indic~ property lines. Give street and block numbers or description according to deed, and show street jnamis whether interior or corner lot. STATE OF NEW YORK, COUNTY 0,F ....(~.1~'~.O.131: ...... ................................ .~.B$~..~/l~.o.~:l. ............................... being duly sworn, ~deposes and '~eys that he is the applic~ (Name'of individua~l signing' application) above named. He is the ........ .~e~.......~t~e~. ........................................................................................................ (Contractor, agent, corporate officer, etc.) of said owoer or owners, and this application; that ~il statements contained in this application ~re true to the best of his knowledge and bali and that the work will be performed in the moaner set forth in the applic,ation find therewith. Sworn to b~fore me this ................. ~.... day of ................. . . ................ Notary Pub lic, ~...~...;%~~u~7~'"~'~- (Si~"~'~pplicant) ......