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Home My WebLink About2447-zFO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. 'Z ..P_0~ ............. Date ....................... THIS CERTIFIES that the building located at .~/~...AOe~p..$~[~],c~...,gZ'.~,~ .................... Street Map No ..... ~ .......... Block No ......3Q'~ .......... Lot No....;X~;3C ....... ~e,%[,~,~;~!,~3~......~,,~. ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................... ~ ....... ,~ ............. , 19../0..bc.. pursuant to which Building Permit No...~..~.~7...~; dated ........................... .~..~...~.~......,~. .......... , 19...~..~., was issued, ond conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ....... JE.~i'zat e...one., t~amil~... ~wallLing ......................................................................................... The certificate is issued to ......]~lol~16~..0~e~4~6..&..~/~J~e. .............................................................. (owner, lessee or tenant) of the aforesaid building. 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) N.° 2447 Z Date ................... ~ ......... ..~ .................. 19...(~1~ Permission is hereby granted to: ..l~too...~.C~...0 ~.l~fe ....................................... ......... ~.~.~..]to~..~r .......................................... ....... ~.t~..tuak ................................................... to ..B~t ;1.~ .. mld-it,~.o~s-.~r~ -.ar~ .-~,x~t ~.~ - ~hm t-]-~n~ ............................................................. at premises located at ...... J~'~ld..-..J~J:)"JJOle"]~i~'~ ................................................................. .......................................................... ................................................................................... pursuant to application dated .............................. ~ ......... ~. .......19.~1,., and approved by the Building Inspector Fee $'""~*'00 .......... / ~' ' Buildir~g Inspector~ ~ ~"] I~II.M ~0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ......~~. ( ~Building Insl~ctor) Application No......~.....~...L.I...'.~. ....... APPLICATION FOR BUILDING PERMIT Date,,,: ~.~..! .......~. ....... /.... H ......................... , 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 port 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 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 or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with oil applicable laws, ordinances~ b~ding code and regulati?~s. /9 .... .................... (Signature of applico~~ O~)~l~oration) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................. . Name of owner of premises ...~..,~.~../...~.~ .~...~.~........~....:.....~....../.~.~...¢-;.~.....k~..../_¥.~ ................................ / If applicant is a corporate, signature of duly authorized officer. / Street and Number · Municipality .... 2. State exisl:ing use and occupancy of pre~ses and i~t,e, nded use and occupancy of proposed construction: a, ~Xlstmg use and ~cupancy ............ V...T:,; .................. ~ ............. ~ .................. ~ ......... ~,,,:~, ................................. b. Intended use and occ p cy .................................................................. ~....~...; ....... ;..L.;..~.....' ....................... 3. Nature of work (check which applicable): New Building .................. Addition ........v~...i ....... Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ...........'~..'..~'...L.~..~...! .............................. Fee .......................................................................................... (to be paid on filing this application) 5. if dwelling, number of dwellina,,units ........... .~ ............. Number of dwelling units on each floor ............................ 6. if gar~g~number of cars .~~.....~....,~..~..2 ...................................................................... f bus'n s, commercial or mixed o~pancy, specify natur~ and extent of each type of use ..................... . ......... Height ..~..,~.~' ........... Number of Stories ........ .~......./._...,.~. ............................................................. ~.. .................. D'm,ensions of same structure with alterations or oaditions: Front ................................ Rear ................................ Depth .............................. Height ............. : ............... ,--'~u~er of Stories .....~,.~ ........................ D mens ons of ent re n tr ct r 8. ' ' ' ew cons u ion: F ant ...... ~ .... Rear ............................ Depth ............................ Height ......................... ~.lNjmber of Stories ./..O.~,~.T .......... ,~f 9. Size of lot: Front ............................ Rear ............................ Depth ................................ 10. Date of Purchase ........................................................ Name~9~F'drmer Owner 11. Zone or use district in which premises are situated ........................................................... '~'0 ............................ 12. Does proposed construction ~i~a.t~'~qn~')z~gig,~aw, ordinance or regulation? / 13. Name of Owner of premises'. .......................... ;~, ........... Address ............................................ Phone No Name of Architect ................ ~7 ................................. Address ........................................... Phone No ..................... Nome of Contractor ................. Phone PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW Y,(~R[~,/, , ~ / S S COUNTY OF ~zk'-fc¢~..../ ' · ~ be n duly deposes and says that he is the applicant .................. ~ ~~ q..y.... ....... ~...,~r.. ~Z ~ ......... g sworn, (Name aT inaw~aua~ signing appucar~onl above 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 work and to make and file this appIidation; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the a~ication filed therewith. Sworn to Befqre/me this ~' ' ~'~~', e ............ o,.. .................... ~ /~,~ ~ ~G ~.....r...r..;r..~ ....... 2 .................... ~ ............................. Notary Public, .~~..:.~~..~~.,~,, y,~bignature of ap~cant) ~ {ora y [tl(~((c ~(ate of Ne~ ror~ No. bR,0344~63, Sufl(~lk County - ~l~l~ll ~ires March 30~ l~