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Home My WebLink About2796-zFORM NO. t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ~/B......~l.ekham~.JLv. e ............................... Street Map No .........~ ....... Block No....~ ........... Lot No...~ ....... :~Vi~.$...~.~.~ ....... J~.,.~'.,, ................ conforms substantially to the Application for Building Permit heretofore flied in this office dated ................................. ~T.l~l.~ .......... ~1 ......... , 19.6~... pursuant to which Building Permit No. dated .......................... ~llD. e.....~1 ........... , 19../~.~.., was issued, and conforms to all of the requirements of the applicqble provisions of the law. The occupancy for which this certificate is issued is ........ Pri~.a..te...one..~:~ml'12:...~,~fe.l.ling .................................................................................... The certificate is issued to ......D..o..~.~l.d....q~,l.d,~.~.lt~.V..e. ............... (}~lf~r. .......................................... (owner, lessee or ten(ii, t) of the oforesaid building. FO~,~I NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KI~PY ONTHE PREMISES UNTIL FULL COMPLETION OF THE WORK AuTHoRIZED)~ 'N? 2796 Z Permission is :hereby granted to: : to ........ ]1~1~'L~..83~.,~I~[~Lt~oa..Olt..~.~B~..a~e~.... J...: ........................................ at premises located at .~/.~....l~J,{J~....~ ............ ; ....... . ...................... ;. ................................ ...................... i ..................................... ~.'..t~tue~ ............................ : .................................................... ......................... : ..... ~U~le.....~.....;, 19. ., a6d approved by the pursuant to ot~plica}i~n dated Building Inspector · Fee $ ....,~..~, ............... FOI~M NO, 1 'tOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. , log.' ....... ,, ~-.~/ / ~ ~.~ Approved ........................................ , Permit i~o. ~. .......................... Application No. ~'/ / ! C APPLICATION FOR BUILDING PERMIT Dote ............~ .................. ~...t]~.e. ....... .~.~. ........ , INSTRUCTIONS o. 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 o detailed description of layout of property must be drown on the diogrocn which is port 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 wiU issue o 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 puFpose whot~veF.until o Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the isst]ance ~)f o. B6ilding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Yo~k, and. other applicable Laws, Ordinances or Regulations for the construction of buildings, additions or alterationS, or fo~'?emoval or demolition as herein described. The applicant agrees to comply with a app icab e ows, ordinances,'bui ding code and regu arians: Walter Kess'ler (Signature of applicant, or nome, if o corporalion) ............ l at .............· .................................. / (A~ddress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contr6ctor, e!ectricion, plumber or builder. .......................................... f)r. ................................................. : ........................................................................... Nome of owner of premises ....D...qT~.~....(};l,~e~'.~i~.e,.~.~. .......... : ........................................ i' ................................................. if applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Locotion of land on which proposed work will be done. ,Mop No.: ........ ~ ......... ..h . lot No.: ,.~ ............... .W/,S .Wickha Y t,tltack ' Street end Number .... .g-,~ .................... J .. Muni.~'ipotity 2. State existing use and occupancy of premises and intended use and occupancy of:'propo~ed construction: a. Existing use and occupancy ................ ~...~.el~-.~ ........................................ ...z ........................... i. ...................... b. lntended use and occupancy ...................... lttttllo...l~.~gh..atl..~0~2[.~ol'l...2 .......................................... 3. Nat~Jre ~f work (check which applicable): New Building .................. Addition ....~... Alteration .............. Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................................... 4. Esti~nated Cost .... ~ll~.O.f~)...~/..JJ .................................. Fee ........ ~ ........................................................................... ! (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... ~!~1~. ........... Number of dwelling units on each floor ....................... If g~rage, number of cors ........................................................................................................................................ 6. If Business, commercial or mixed occupancy, specify nature and extent of each type of use ........................ 7. Dirde'nsions of existing structures, if any: Front ............................ Rear ................................ Depth ................... Hei~ht'l' ........................ Number of Stories ............................................................................................................ Din~ensions of same structure with alterations or additions: Front ................... '. ................ Rear ....................... Dep~th ................................ Height ............................ Number of Stories ................................ · .................... Rear ....... .~ .................. Depth ................... 8. Dimensions of entire new construction: Front .....~.~. ........ Height Number of Stories 9. Size of lot: Front ............................ Rear .................................... Depth ........... ~ .................... Dat~ of Purchase ........................................................ Name of Former Owner 10. 11. Zon~e! or use district in which premises are situated .............. ~...".....~.~..2..~. .......... i ...................................................... 12. Doel proposed construction violate any zoning law, ordinance or regulation? ii ........................ ~ ......................... Narhe of Architect .........~ ............................................ Address ............................................ Phone No ................. Name of Contractor I~/~.]L~; ][~l~'l,~' Address J~,~t,~.~ Phone No ................ ] PLOT DIAGRAM kocatI clearly and distinctly all buildings, whether existing or propo'sed, a, nd indicate all set-back dimensions f~ property I(nes. Give street and block number or description according to .ed, and show street names and indic whether interior or corner lot.. STATE OR NE~'..'v~O~4~. !(Name of individual signing application) (Contractor, agent, corporate officer, etc.) of said o~ner or owners, and is duly authorized to perform or have performed the said work ~nd to make and this application; that all stgtements contained in this application are true to the best of,his knowledge and belief; lhat the wprk will be performed in the manner set forth in the application filed therewith? .' Notary Pub ic "Ot"'"'~""~"'v~'"' ': ....... [//'"'"'""" Cour~AVRIoN A. RE~ENT (Signature of applicant)~ No. 52-3233120 Suffolk ] Tei-m Expi;es Marc[I 30, 19~ : ~O~M NO.! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No ........................... Application No...~....?..~..~ ........... Disapproved a/c .............................................................................................. ............................ ~~'.::..Ti... ................~..h.....,............................(Building Insp~r)'"'" ...... '"'"'" ......... " ...... APPLICATION FOR BUILDING PERMIT Date .............................. .J....t~t...e. ....... .2...]:. ........ , t 9...6...5]. ..... 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 property must be drawn on the diagram which is pa. rt of thi.s 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 InspecJor. 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 laws, ordinances, building code and regulations. Walter Kessler (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................... g.c rz r .a.C.c r ............................................................................................................................. ome of owner of premises ....P. .................................................................................................... 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.: ..Z--~Y~ .............. Street and Number .~./.S......~¢i~b.ari....~.~'e .......... ~b..t.ti.t, uci¢ ........................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................. D.W~,I.]i;~,~ ............................................................................................... b, Intended use and occupancy .annie .~ith, an arlditi,o~ ........................................ property lines. Give street and block number or description according to d whether in rerior or corner lot. 3. Nat re of work (check which applicable): New Building .................. Addition .....~3Y~... Alteration ............... RepGir .................. Removal .................. Demolition .................. Other Work (Describe) .................................... 4. Esti~moted Cost .....2~.~0~..~.~ ................................. Fee ........ .~'. ........................................................................... (to be paid on filing this application) 5. If d~elling, number of dwelling units ......... .oz'~ ........... Number of dwelling units on each floor ....................... If g~rage, number of cars ........................................................................................................................................ 6. If I~usiness, commercial or mixed occupancy, specify nature and extent of each type of use ....................... 7. Dimlensions of existing structures, if any: Front ............................ Rear ................................ Depth ................... Height ........................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ....................... Depih ................................ Height ............................ Number of Stories ................................ 8. Dimlensions~ of entire new construction: Front ..... ~!-~: .......................... Rear ........ .'I..LF. ............... Depth ......... '16 ..... Height .................... Number of Stories ..... .O~e, .................................................................................................... Sizefaf lot: Front ............................ Rear .................................... Depth 9. 10. Dot~ of Purchase ........................................................ Nome of Former Owner ................................................... 11. Zoni~ or use district in which premises are situated .............. !.'~B!!...c~&.s:b ............................................................... 12. Doe~ proposed construction violate any zoning Iow, ordinance or regulation? .......................... MO ........................ 13. Name of Owner of premises ...~..~J,'l.~eZ~.~.e~.~...Address ...... ~.~.¢J~b.~o~ ................ Phone No ................ Nar~e of Architect ...................................................... Address ............................................ Phone No ................ Nar~e of Contractor .~:.fl3~..~.[~.,~LeZ' ...................... Address ...... }~e~.tJ~.~c~ ................ Phone No ................ ~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr ~ed, and show street names and indic, STATE OF COUNTY iOF .~..'~.'.~.~..o_~.~. ............... ................. ~'.A~.~.f~C...~.$.~LgZ'. .............................................. being duly sworn, deposes and says that he is the opplic ~](Name of individual signing application) above na~ed. He is the ......... C~¢~.A¢.¢~. .................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to m~ke and this applic]ation; that oil statements contained in this application are true to the best of his knowledge and belief; that the w~rk will be performed in the manner set forth in the application filed therewith. Sworn to b~efore me this ................ t~,~L...L' day of .................... ~Ttz~e ............... , 19~... Notary Put, Ii ~'" :' ..... C°unt~Am0N A. r,~rNz qature of applicant) Term Exgires ~arcJl 30,