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Home My WebLink About2739-zFO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CeRTIFICATe OF OCCUPANCY No. Z 2330 Date THIS CERTIFIES that the building located at ]~.T4T~. ~.~ ~ ~.O.t)~L~ '~:;[e~*r .~.~.~. Street conforms substantially to the Application for Building Permit heretofore filed ~his dYfice doted dated ......................... ~.8~. ....... ~. .............. , 19..~.~..., was issued, and conforms to all 6f'ihe requirements of the applicable provisions of the law. The occupancy for which this certificate i~~ issued is ........ (owner, lessee or ,eno.n,) of the aforesaid building. Approved by Bd/Appeal~ Building I n s~:~tor 7' ........... 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? 2739 Z Date ............................. ~ ....... .~. .............. , 19...6~ Permission is hereby granted to: O,W..Smit{m..&..~o~-...-~O..Tl~s...P~pl~ .... ...................... S~u.t, hoZ. d ....................................... to ....... l~td..~n...addition., on...a~..~xi~ting" d~tt'i~g ................................................... ct premises located at ...... ~',,/~....~O~m~..¥.~/.-,tqY$"&"i[~'q~'"R~ ............................................... ......................................................... ~o~t~o.:l.~! ..................................................................................... pursuant to application dated ............................ ]iolr.....],~ ................ 19....~ and approved by the Building Inspector Appx-o~ed ~y' ]~/Appeal~ Fee $.,...~'~,00 ......... .......... ~.~ ...... ,~ .... ';: ...... ; ....................... -[. ............. OUl[alng inspector BUILDING n TOWN CLERK'S OFFICE SOUTHOLD, N Y, Examined ........./~, .~......./......~... ...... , 19....(¢...tl Approved ........~.....~.....Y. ...... , 19...~...~..Pe'-~rmit No. ~....~....~...?....~ ',r-- ................... ...... ........... iBuildJng -Inspect6r) ............. 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 f'oF' inspection throughout the' ~rogress 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 have 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, as herein described. The applicant agrees to comply with all applicable }aws, ordinang~s, building code and ,~gulations. ,,~ . ..... ~ ...~' - .......... ~-gi~'r~'~l~'of appl~~'~',"i'~'~'~;~i ;~i ......... (Address of applicant) State whether applicant, i.i~is owner, lesse~, agen't, architect, engineer, general contractor, e ectr clan, plumber or builder. . ............ .............................. ;. .................. : ..................................... Location of land on which proposed vi6rk will be done. Map No: ................... ~ ............. Lot NO' · ............... Street and Number . .~....... ~~...~.~ ~...~...~ ~ .... -- Municipality i .............. ~' ........................................... State existing use and occupancy of premises and inte'nded use and occupancy of proposed construction: a. Existing use and occupancy ..... b. Intended use and occupancy ......~. .......................................................................................................................... Other Work (Describe) ...................................... 4. =ee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ~...enm~--~..Number of dwelling units on each, floor ............................ If garage, number of cars ...... Z...~....... ................................................................................................................. 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 alterntions or additions: Front ................................ Rear ................................ Depth .............................. Height ............................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front iiiii~iiiii Rear .....~'.~...~... Depth .~...~...__ ................. Height ....~..~,~...'~... ..........Number of Stories 9. Size of lot: Front ..... 7..~.... ............. Rear ..../...~.....2xT... ............ Depth .?.~....~... .................... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11.Zone or use district in which premises are s~tuated.....~.~--~,~~' ~ ........................................................................... · ,2.Does proposed construction, violate ony zoning Iow, ordinance or regulot: n; 13. Name of Owner of premises~./~.......~......~..~..;./.~..~-'"~' '~i~,/f~ /~ ........ Address ..~i ............ Phone No ..................... 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 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 YORK, ~ q c .,~ ' ...~~.being ~uly sworn, deposes and says that he is the applicant above named. He is the ............. ~-,~~.~.....= ........................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in this applic~ltion are true to the best of his knowledge and belief; and that the work will be performed in the manner st~t forth,.in the application filed therewith. {2/ 3'arm l:xpires ~arch S J, 19__