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Home My WebLink About2381-z FORI~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT; Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z' '~6~ ..... Date .............. A~g.. l-~ ...... , 19..69 THIS CERTIFIES that the building located at }4700. , E~. 0.t~. J~e. I~a. · Street Map No.. -~X ........ Block No....X~ ..... Lot No... g~... Ne~gt~L.~r~Ok..'.]~{,~, ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... l~r'" .1~ ..... , 19.61~ pursuant to which Building Permit No..3~(]1~.. dated .......... ~....~. .... , 196i+., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ...Pri~ate. Olle. f~mity..dwe[J..tl.~g ............................. , ........ The certificate is issued to ., ~t-a~;ley. S.t~:~c~.~ ........ O~.~e.;~. ...................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . F.c~b ...].~6~ ........................ FOILM 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) N? 2381 z Date ~. ~. ..~ ................ , 19..~..~.. Permission is hereby granted to: ................. C. ut, ob~gu.e ......................................... to ..bUili~l...Ile~/.. ene...t, el. tr-- el~e}!ing ..................................................................................... at premises located at ....0~d...~T~i,~.e-..~,~ .......................................................................................... ............................................................. ~a~t ~.tumic ................................................................................ pursuant to application dated .......................... l~,!l,]~ ....... 1~ .................. 19..(~.., and approved by the Building Inspector Fee $..1,0,11)~ ......... FOR~[ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y, TEHPORAR~T CERTIFICATE OF OCCUPANCY No..~,..~,.0.~1~ ............ Date ...................... ~.ebt,~.e,~..~....~ ....... , lC2..6.~'. THIS CI:RTIFIES that the building located at ...]~./.J~.....O~Lf]...*TII~].f~...L~'~Ie ........................ Street Mop No. ~ .......... ~,.Block No ..... ~ ........ Lot No ..... ~ .......... ~..t~J,.~..~q.~..j......~.~..~..*. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................. ~ ......... .~ .............. , 19..~..~.., pursuant to which Building Permit No..~,SZ.,~ dated .......................... ~ ....... ~. ............. , 19..~.., was issued, and conforms to~JJJ of the requirements of the applicable proviZ, ions of the law. The occupancy for which this certificate is issued is ........ ..~.ri~r~e...one...£m~t~Jly...d~.elliz~ ............................................................................................... The certificate is issued to ..~.t~r~],e~....J~.t,m~.o~ ............................... g~r~.er ..................................... (owner, lessee or tenant) of the aforesaid building. (~O heal%h dep% ap~ro'val) Building Inspect7 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............. ~......~...7: .....~....., 19.~.~..' / it" ' ' ' ' Approved ..................... ,.~ ............... , 19 ........ Perm.t No .............................. Disapproved a/c ...7...~f.....r~~ .......... ~ ............... ~-~" ............................. ......................................................................... (B~ddm ....... Application No. ~ '~ c~ ! APPLICATION FOR BUILDING PERMIT This application must be completely filled INSTRUCTIONS in by typewriter or in ink and submitted in duplicate to the Building Inspector. ~ b. Plot plan showing location of lot ~nd of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed descriptiogrof layout of property must be drawn on the diagram which is part of this applica- tion. 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 applica.nt, 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 whateve[ until a Certificate of Occupancy shall have been granted by 'the Building Inspector. APPLICATION IS HEREBY MA~DE to the Building Department for the issuance of o 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and re~gulations. ........ ,~ .~.~:'~. ........ : ......... ' (Signa pre o appii~n~, or name, it a corporation) ............. ......... .......... . z / (Address of applicant) / ~ ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ~ .~.~../.'-. g If applicant is a corporate, signature of duly authorizec~officer. (Name .and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ...................... Streetand Number ..... .............................. .! ..................................... ............................ .................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy .......... JJ'.~.,C~,z~...~...,~.'~.., ............................................................................................. b, Intended use and occupancy., ........ ~..~.~.~?.r~.,~tT.~.,'~/~P~...~-~.. ..................................................................... 3. Nature of work (check which appllcable): New' Building ....... ~...... Addition .................. Alteration Repair .................. R~e,,mova] .................. Demolition .................. Other Work (Describe) 4. F:stim~:ted Cost ....... '~.~.../'.~.7~.~ .................................. 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 occupa,ncy, specify nature ,and extent of each type of use 7. Dimensions of existing structures, if any: Front ............. """--T..q...:.':..:... Rear ............................ Depth Height ............................ Number of Stories ................ Dimensions of same structure with alterations or additions: Front ~ ..... Rear Depth ................................ Height ....... ;~z ................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... 6.~.. .............. Rear ........ ~/~ ................ Depth ...~-~....~ ........... // Height ........ ................ Number of Stories ........ ,4'...,~-. ............ ? 9. Size of lot: Front .......... /~.(2...'. ........ Rear ..... /./.~..Z',('. ................ Depth ...... ./..~..~.' .~... ........ 10. Date of Purchase .........,,,f~.,~,r~....../.~P~...~..~... ................ Name of.,' ----F°rmer ~wner ...~,,~.~J:....~.,¢~.'7~.A~/...' .......... 1 1. Zone or use district in which premises are situated ........ '~....e,~'~../:.q(..~.~.~l..~... ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... 13. Name of Owner of premises ...~.".Z~.,'~...~.~.....~.?"~¢'~/~dress/~.~/...~..~..-- ---- ...... ~.~t-~'~.... Phone Name of Architect .................................................... Address ................... ,.~/-'~.~'~.~.¢;,.~. ..... Phone No. Name of Contractor .................................................. Address ................................................ Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions flora property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. ................................................................................................ being duly sworn, deposes and says that he is the appik (Name of individual signing application) cbove named. He is the ...................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to per~orm or have performed the said work and fo make and file this application; that all statements contained in this application ore true to the best of his knowledge a,nd belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this , ,~i.~~~~ ........................ day of ............................................ , 19 ........ Notary Public ............................................................ County nature of applica,nt)