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Home My WebLink About2824-z~0~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y, CERTIFICATE OF OCCUPANCY No. Z 2282 Date November 10 65 THiS CERTIFIES that the building located at J~/J~ ~,o~ttd Ave ...................................................................... Street Map No. ~ Block No. ~ Lot No. ~ J~ttitli.~k conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................... ~.~.~......~ ........... , 19...~..~... pursuant to which Building Permit No. ...... 282~+. ......... Z dated ................................. .~...~..~...~.......~.~...., 19 ........ 6~, 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 ........ ..~..t.~.~.e... p.~... ~.~.~.$..z.z..~l.z. ~.~ ................................... The certificate is issued to ~Tauie~ Nazzeferro 0~ne~' (owner, lessee or ten<~nt) of the aforesaid building. FOENI NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2824 z Permission is hereby granted to: .......... J. maea..l~mmagem~ ............................... ...................... :l~oz..~9~ ...... ~auud..&ve ........... .............................. )4~tt~t~ak~.....l~..Z. ............ to ..... .~e~.t..and..ma~nt, aln..mb~.la..I,,~-......(~$O.-~c..a~.ea..~Itte.) .................................. ct premises located at ...~.~......~.QlJ3Z~..~I31~.e ......................................................................................... .................................................. ~at~t~uekt.....g..~. ......................................................................... pursuant to application dated ................................. ~13~.....~.~. ........ 196,~..., and approved by the Building Inspector · . p [ FOEM NO.I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined 19..~.. Approved 19 ........ Permit No../;:~..~...'~.......~ APPLICATION FOR BUILDING PERMIT Dote ................................... 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 o detailed description of layout of property must be drown 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 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, os herein described. The applicant agrees to comply with oll applicable lows, ordinonc.,e,s, building code and regulations. ~ ............. //~/ (Signatu~of applicc~,/-6r~me, ifa corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....;./~;~~..~.~-...¢~.~.~..~ .......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done..Map No.: ........................................ Lot No.: ........................ Street and Number Municipality ~iat; x~itltn[~ gu sUeS ~ nadn ~c~ ~CpUapnac;C .y...~ ~..~t..~.~ .~ .~.~.. ~~..~ i...~ r..~ .~ .~i.~ .~..~ .~ .~ii.i .~i.t.i.~.~: .............. b. Intended use and occupancy....:~~ 3. Naturi of work (check which applicable): New Buildific~"; ................. Addition ...... ~ Alteration Repai~ .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... 4. Estimdted Cost ............................................................ Fee ............... ,~/.~.:...¢~.. .......................................................... , (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............... ~. .......... If garage, number of c~rs ............................................................................................................................................ 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use ............ 7. r)imer~sions of existing structures, if any: Front ........... ../..~...f. ......... Rear ................................ Depth ....~..~.~.,~ ....... ....... /. ............... Number of Stories ................. Z. ........................................................................................... Heigh~ ~ / Dimensions of same structure with alterations or additions: Front /~/., Rear Depth ......... ~.-.~7..~. ............. Height ............ /.fl,,~ .......... Number of Stories ..........(. .................... Heigl~t ..... J,~../ ........ Number of Stories ..................... d ............................................................................................ ~ 1. Zone'or use district ir('/which premises are situated .........~ ............................................................ ~ ..................... 12. Does proposed construction violate any zoning [aw, ordinance or regulation? ..... ~ .............................................. 13. Norad of Owner of premises ...~ .................... Address ...~ ............ Phone No./'~.~..T..~../.~. Nami of Architect ...................................................... Address ............................................ Phone No ................. Name} of Contractor .................................................... Address ............................................ Phone No ................. PLOT DIAGRAM Locate iclearly and distinctly all buildings, whether existiog or proposed, and indicate all set-b~ck dimensions fror property lines. Give street and block number Or descriptip~ qccording to deed, and show street names and indico whether inte'rior or corner lot. / / / ' / / ¥ STATE! OF NEW yORK,, t S S ...... ~..,~)~..,.//.6,,~¢~-...~., ..~:f~T........"~Z. ............... being duly sworn, deposes and says that he is the opplico // (Na~ of indivi4(~ifZ,~,~ning application) alSove nom~d. Fie is the ................................................... ................................................................................... (Contractor, agent, corporate officer, etc.) 6ff s~ners, and is duly authorized to perform or hove performed the said work and to make and f this applic6tion; that all statements contained in this application are true to the best of his know[edge and belief; o~ that the wdrk will be performed in the manner set forth in the application filed therewith· Sworn, to b~ fore me this ~