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Home My WebLink About2486-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..Z..~l~ ........... Dote .............................. O~toJ~J'.....30, 196~... THIS CERTIFIES that the building located at ~'/~.....J~a,~.l~..JJi~tid. ................................... Street Map No....Y,,II~ ........... Block No.~IQ[ ............... Lot No. 3Ol~....J~OOll:J~t.....N,~[, ...................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................................ t~J.~.~l~.t,.....1-.~., 19.6J~.. pursuant to which Building Permit No....e~6..Z doted ................................. ~.,1,1f:~8~0,....~,~ 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 ........ ......... l[..,,..C.....l~s~n~s ~..b~[ 3u~.~,,',~ ~...(~b~,~e.. O~.a~.) ...................................................... The certificate is issued to ...~Jj~.~'~~flJ~lt~..., ............ ; ........................ : .............................. : J O ~' [owner, lessee or tenant) of the aforesaid building. Building Inspector FOItM 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? 2486 Z Date ............................... &l~l~t,.....~. ..... 19.~1~.. Permission is hereby granted to: ,l'ohn ~aPo ..n;t~.... ~,ZC...The~.. ZI~ ..................................... .............. ~.o..u..t.~],~ .............................................. to. ~..l.~......~......a..d..d..~.t..t~n .. on.. aa. ~ts.t~n~.... ~,,C.. ~uat~a~.. ~.l-d~n~ ...................... ct premises located at ...B~.....]/~.~O~ ......................................................................................... ................................................ . .~....e..O .n;I,.e.,.....]~,.~. ................................................. pursuant to application dated ............................. ,~13~,....,~ ............ 19.(~}f.., and approved by the Building Inspector Fee $.....~..*.~ ........... .......................... 1 ...................... NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......................................... 19 ........ Approved ........................................ , 19 ........ Permit No. '~ Disapproved a/c .............................................................................................. (Building Inspector) 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 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 a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEP, EBY 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, ordino~.,~, uildin~g code and regulations. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elect~idan, plumber or builder. Name of owner of premises ....~.~..Z~ .......................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate Officer) 1. Location of land On which proposed work will be done. Map No: ............................................Lot No: .................... Street and Number .............................................................. Municipality 2. State existing use and occupancy of premisf;s~/,~-,~--~and intended use and occupancy of proposed Construction: o. Existing use and occupancy ............ ~...~.~..~... . ........ 3. Natdre of work (check which applicable): New Building .................. · · /~ . Altemtibn Repair ........... ...~._~. ~')";r~°v~ .................... Demolition .............. : ..... ~her Work (~ribe, ...................................... Estimated Cos~.~_ ................................................... Fee ..................................................................................... (to be paid on filing this ~plication) 4. 5. If dwelling, number of dwelling units ....~. ..................... Numar of dwelling uniffi ~ each flor ............................ If garage, number of cars ..... 6. If busings, commercial or mix~ ~cupancy,~ ~i~, nature and extent of ~¢h ~pe of use ................................ 7. Dimensions of existing structures, if any: Fret ..~. .............. Rear ....~.~.~ ...........Depth ~..~..~ ....... Height ........... ~ ............. Numar of Stories .............~ ............................................................................................... Di~nsions of seine structure with altereti~s/or additions: Front ..~..~. .......... .). ......... ~oth ~ Z' . ....... ~ight .. L~ , ..Number of Stone ........... - ' .............. 2z /. ' ~. ~,~.~o.. of ~.~r~ .ew ~ons,ru~,o.: ~ro~, ...... L ......... ~ ~ ......... .... ,.r ......... ~ .............. De~,h ........................... Height ......... /~ ............ Number of Stories ........................ 9. Size of lot: Front ............................ Rear ............................ Depth ................................ 10. Date of Purchase ........................................................ Name of Fo~er ~ner ........................................................ 11. Zone or use district in which premises am situated ................................................................................................. 12. ~es pr~d construction violate any zoning I~, ordinance or regulation? ...................................................... 13. Name of ~ner of premiss ........................................ Addre~ ............................................ ~one No ..................... N~e of Archit~t .;.': ...... n~ ................. ; ....................... Address ............................................. ~one No. .................... Name of 'Contractor .................................................... Addre~ ............................................~e No ..................... PLOT DIAG~M L~ate clearly and distinctly all buildings, whether existing or pr~o~, and indicate all ~-b~k dimensions from lines. Give street and bilk numbe~ or ~ription according to de~, and ~ stm~ nam~ and indicate interior or corner I~. :1' f .sTATE OF NEW YORK, ~' SS . . ' COUNTY O.~ ..................... ~ .......... ~ ' '*-/0/~ that he is the applicont (Name of individual s~gning application) ..... ~ __._¢.. ,4 G~ ...................................................................... above namerS, rle is tne ..... ~,s~-~.,.....';~...T ............................... . .................... (Contractor, agent~ corporate officer, etc.) of said owner br owners, and is duly authorized to perform or have performed the said work and to make and file th s application; that.all statements conta ned in this application a.re true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in <t/~appllcat~ojq filed therewitJ~, . Sworn to before me this ~ -~ -- .~~ ,~9 Z'... /_.-.~..__ ' pub ...." .Co.-" ................................................................ _____ ) ,, .... / -~ -'r"l' ,4NO, 52-32331~