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Home My WebLink About2800-zFOI~I~I NO. ~ TOWN OF SOU~HOLD BUILDING DEPARTMENT TOWN ~ERK'S OFFICE souTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...?'...2355 .......... Date ............ Janua=~...2~J. ................... , m.....~.~ THIS CERTIFIES tho:t the building located at ..... ,'[nl~,~'~t,~J ~.~.~ ...................... Street ~o~ead Cove p I'~o ....................... Block No....J~J~t; ........... Lot No ........... X.~J~J: ............................................... conforms substontiolly to the Application for Building Permit heretofore filed in this office doted .......................................... ~l~,n~..2.~ ....... , lc).65.., pursuant to which Building Permit No. dated ................................ ~lJl~..~ ....... , 19..65., 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 ........ ................................ I~,m~..~.e~..4(Jell~e ........................................................................................... The certificate is issued to (owner, lessee or tenant) of the aforesaid building. Building Inspector FOEH NO. ~ 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? 2800 Z Permission is hereby granted to: at premises located.at ..JJ,~.~L..~..~.t~.~.~......(.~'~-'~.~.~...~''~'.~.'~'~'~..~.~-~) ................ ~aet~..,~.e.~.,........~.~.~.~.~. ............................................................ ....... pursuant to'applica¥ion dated .................................. ~....~. ....... 19.6~.[, and approved by the ' Building Inspector Fee $.~O,..QO' ........ ,, SUFFOLK COUI~TT DEPAEI~IENT OF HEALTH Permit TO WHOM 1T MAY CONCEBN: The sewage disposal facilities for a structure located at have been inspected by this Department and found to Be satisfactory, ~a~ · C ~En ee'~ ' Distriot.~En~inee~ ..... ~ ,,r FOEM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ....................................... 19....7... Permit No .......................... 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 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 issua.nce 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 Buitding 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 laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder. Nome of owner of premises ....... , ......................... ~ .............................................................................. ~ .......................... If applicant is a corporate, signature of duly authorized officer. ~ame and title of corporate officer) ~. Location of land on which proposed work will be done, Mop No.: ........................................Lot No.: ........................ Munici~lity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......................................................... ; ......................................................................... property lines· Give street and block nl whether interior or corner Iq 3. NatUre of work (check which applicable): New Buildir~'..::~. ........ Addition .................. Alteration Repair .................. Removal .................. Demolition .............. :... Other Work (Describe) ' ~ . ,~ . .~'...~..~..;.~ 4. Estimated Cost .................... ~..~ ................... ........... Fee (to be paid on filing this application) 5. If dCvelling, number of dwelling units ....../. ..................... Number of dwelling units on each floor If g~rage, number of cars ....... /'~'.~.,/x¢~,-'~... ............................. 6. If I~usiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any' Front Rear Depth Heia~ht ........................ 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 ....~..~ ................ Depth ./..'.7. Height ....... ....... Numb, er of Stories ....................................................................... · ...... " ............... ....... ......................... ~'.~" De ~'~'~' ' ""~"' 9. S~zejof lot: Front /..~.~ Rear 4 pth 10. Dot~ of Purchase ........................................................ Name of Former. Owner 11. Zonb or use district in which premises are situated .~..~...~'~..~t'4~/.~...~. .......... 12. Doe~ proposed construction violate any zoning law, ordinance or regulation? ..~..9..~ .............. 13. Name of Owner of premises ~?//././~'~.. .......//~'4~,~....Address ...~.~.,~..~2~.~..~.~.. ........ Phone Narbe of Architect ...................................................... Address ............................................ Phone No. Nar~e] of Contractor(~A~.,~r~'~-J'~/...~..~'...~'~.~.'..Address ..~.~.~.4~.,~-~.::....,r~.'.~...... Phone N PLOT DIAGRAM L.ocot~ clearly and distinctly all buildings, whether existing or proposed, and indicate all set-b~ck dimensions fr or description to deed, and show street names and indic STATE OF, NEW YORK, COUNTY iOF ................................ .......---./~,~.,~.~'~ ........ ~.~'~..~f.'J~.~'~. .......... . .......... .............. being duly sworn, deposes and says that he is the applic J(Name of individual signing application) abow; nat~ed. He is the~..Z~f~.4~,~'.'~:~ ....................................................................................................... .................. ~ (Contractor, agent, corporate officer, etc.) of said o~ner or owners, and is duly authorized to perform or have performed the said work and to make and this appli6ation; that all statements contained in this application ore true to the best of his knowledge and belief; that the work will be performed in the manner set forth in the application filed therewith. Swam to I~efore me th~s ........ ~ NOT^RY PUBLIC, S~te of New Yor~ ; No. 52-3233120 ~uffolk County.' .,,, l/ , Term Expires March 30,