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HomeMy WebLinkAbout2820-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No....Z..~3.~.~. .......... Dote ............................ J~k~.i'l ....~j~. ....... , ]9..66. THIS CERTIFIES that the building located at N/~-.-..~'*9,~...RQ~I~.)...~/.~..~,$..~J~&t],.. Street Map No.~ ............... Block No ......~ ......... Lot No..~ ....... ~e~e.,...[¢~.~, ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................... E~. ........... 22..., 19~... pursuant to which Building Permit No. 2820..~. dated ................................ *~1~...~2 ......., 19.~.., was issued, and conforms to all of the requirements of the applicable provisions of the law. the occupancy for which this certificate is issued is ........ ..... B~i~ ~..b~i~g ..................................................................................................................... The certificate is issued to ....~ta.~e..~$..R~Z~B..~...zS:te~&~ ................. : ....... ........... towner, lessee or te~int) of the aforesaid building. FOI~ 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? 2820 Z Permission is hereby granted to: B~pb ..W.,...Zta~.:L~n~...E~ t ate ..................... ................. C. uf~hog,,e ....... ~.Z. ........................ to .....to...b~l:Ld.. ar~.ⅆLt~on..~n..a~..e~t ~n~...bu~e~..:bu~.l~n~ ........................ ct premises located at ,.,,~.~,,.,,~L~.,~{CI~J~ ........................................................................................ .................................................... ..q..u..t..C..h..gg .u...e.,' ....... ..N......Z.:. .................................................................... pursuant to application dated ............................... ~T1~1,]~..,...~.~. ........... 196~..., and approved by the Building Inspector Fee $ ~.,...0~... .............. FO~M NO. 1 'I~OWN OF $OUTHOLD BUILDING.DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... , 19 .. Approved ........................................ , 19.~ ...... Permit No. APPLICATION FOR BUILDING PERMIT Date ............................ J. uly.....22 ............. , 19...6~'. .... 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 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 tS 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. ~m. Sterling A/C Es.ta.~.e.,~f,..~ta!ph..~,L....S,t~ml±n~ .............................. (Signature of applicant, or nome, if a corporation) (Address of applicant) State whethpr applicant is owner, lessee, agent, architect, engi,neer, general contractor, electrician, plumber or builder. ............................................................ ..A.g.~.n..t....0.:f....O..~,,.q~.r. .................................................................................................. Name of owner of premises ....~.~.~...a.~.e.....°..f...~.a. Zp..h...¥!, ~..t;...e.?....~.~..~.g ............................................................................... 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.' ....... ~2r-~ ....................... Lot No.: ....X.~ ............ Street and Number ~./..~ ?.t.~,~,~), ~q~.c],~ ,~.~.¢.~g.g.~.~..~ ,~[,~.* ..... ; ............... Municipality 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............... ........................................................................... b. Intended use and occupancy ................ ~..~.~,...~.~.t..h.....~..~....~.d.~...~..t;...~..o.,D.. .............................................................. 3. NatUre of work (check which applicable): New Buildiflg .t ................ Addition ...~,]~ ..... Alteration RepAir .................. Removal .................. Demolition .................. Other Work (Describe) 4. Estimated Cost .......... ~.O.Q..~./i~ ................................. Fee ,...~' O0 (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... n4)D_~ ............. Number of dwelling units on each floor If g?rage, number of cars ..................................................... 6. If ~usiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dim~ensions of existing structures, if any: Front ............................ Rear ................................ Depth Height ........................ Number of Stories Dimensions of same structure with alterations or additions: Front ....................................Rear Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... ~ ........................ Rear ....... .L~..~ ................ Depth ........... 2. Q... Height .................... Number of Stories 9. SizeIai lot: Front ............................ Rear .................................... Depth ................................ 10. Dat~ of Purchase ........................................................ Name of Former Owner 1 1. Zonp or use district in which premises are situated ......... ?.B. tL.d.~.~.t:; 12. Doe? proposed construction violate any zoning law, ordinance or regulation? ......................... 13. Nam,'e of Owner of premises .;r.~...~.~S.'0e~,i.~;.,.~,,,s~b.Address ............................................ Phone No. Nan~,e of Architect ...................................................... Address ............................................ Phone No. Nan~e of Contractor ..... .s..~.~..9. ..................................... Address ............................................ Phone No. L.ocat~ clearly and distinctly all buildings, property lihes. ~ive street and block number wheth~ interior, r corner lot. PLOT DIAGRAM fhether existing or proposed, and indicate oil set-bock dimensions fr description according to deed, and show street names and indic, STATE OF, NE~V YORK. COUNTY ,OF ....S..~,.,~..~D.q..~ ............ ~'~' ................. i .................. W~ ~ .. ~ .~,eI~. ~bir4~ ................................. bein~ sworn, i(Name of individual duly deposes and says tha:t he is the applic signing application) above na~ed. He is the ....................... i. (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 this applicbtion; that all statements contained in this application ore 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~fore me this ............... 2,2.... day/-gf ..................... ~T. lllY ...... ,~...., 19..6.~.. Notary ...~~..::.~~;X~nt, y7 ,d ,~/~ (S,gnature of applicant)/'/ Public, ~'/ ,~ ..,l,¢ - 7',,F1~. /ff ' ~ ..... ~/.~..Z,4~.-'/d-~...~.~...//..wf..t...Wf.,,,/~...~~¢ ...............