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Home My WebLink About2912-zFOEM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .~es¢&l~..~.e..&..G~L~B~. ............... Street Map No....~.. .............Block No...3~, .............. Lot No .... ~ ....... ~J,~h~.~...~,~,-~d.t...~,.Z, ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................... ~¢,~1~t,~...~.,...., 19~. ~... pursuant to which Building Permit No...~.~L~..~ dated .......................... .~(~.~. ......... 2~'. ....... , 1 9.~..., 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 ........ ~.~$~ate.. ¢~ne...~: ~.m.~&y...{l~e~,l ~ ....... ~ ......................................................................................... The certificate is issued to ,~&~l~.....~O,~'-e~ ............................................ ~9/,tl~ ............................. (owner, lessee or tenant) of the aforeseid building. Building Inspector FOR~ NO. 2 TOWN OF sOUTHOLo · BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON ~HE PREMISES uNTiL FULL COMPLETION OF THE WORK AUTHORIZED) 2912' z Permi,ssion is he~e[~y granted to: :, Bu ding nspector,: Fe~e':~..Z.O,~... ....... ~ ~t,premises located Ot ........................... ': ............ ~:.:,...~'a~.~e~,~, ~e,~ .... ................................ ,,,,,: ............................. ~,., pursuant to-:~pphcat,o dated ..................... 0~ ......... ~8,..:..L...~ ...... ; 19..~., and approved by the JOHN RAWLINGS Bcb~ Sorrys I £orgot to stamp ~e pr~ts on .the Jansen Noyes drawing. Im etamp~ng thle let%er~end you should send it to Mr. Terry! hopeffully this ~ll be okay, andsatis~y Sou~holdts requir~en~e. I~ they~sthave the stamp on the drawings we canhave another set made, but you will have to send me the tracings. L~ me here John ~awlinge 2~ Grove St NYO ch a 82~8 The ANDOVER The North Shore Series The North Shore Series is a group of typical New England colonial homes that are as charming as yesterday but as modern as tomorrow. A superb example of the way Hodgson design skillfully combines the tradi- tional with the new in family living today! ARISTOCRACY IN HOUSING SINCE 1892 ~ ~5 Hodgson Houses, Inc. Printed in U.S.A. TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, E×am,ned Approved ......................................... 19....?...Permit No. //~ APPLICATIOH FOB BUILDING PERMIT I NSTRU CTI ONS a. This application must be completely fiJled 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 p remises, relationship to adioining premises or public streets or areas, and giving o 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 approvaI 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment 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 oil applicable laws, ordinances and regulations. (Signfffure of applicant, or ndme, ~ a eo~rporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant"~o corporat~¢?§i'gnature of duly authorized officer. r7 ,~qa~F~ and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: '" .... '~ ' Lot No:'~..~....~...~ .... · , Gloaming and Non,auk Avenue Street and r~umoer Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Ex sting use and occupancy ............... ~, ................................................ ,,: .. ~ ....................... Nature of work (check which applicable): New Building ,...~. ........... Addition .................. Alteration ................ Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ $2~ ~000.00 . LO,O0 Estimated Cost ............................................................ ~ee .... (to be paid on filing this application) If dw~ ing, number of dweiling units one If ~ one garage, number of cars ......................................................................................................................................... If business, commercial or mixed occupancy, specify nat~ re,end extent of each type of use ..'.....%...'.....-.....-....~. Dimensions of existing structures, if any: Front...~...O..~..~.. .... Height .'.....~.....'.....'.,...'...,.'.. Number of Stories ....~...W..0, ....... 't Dimensions of same structure with alterations or additi? Dept(q ............................ Height ................................ h 8. Dimensions of entire new construction: Front.,_.~..... Height ....-.....'.....-...,.'.....-.... Number of Stories.,....~.,.W,O 9. Size of lot: Front .,.~...~..~..?..]:.~ ............... Rear I0. Dote of Purchase 11. Zone or use district in which premises are 12. Does', proposed construction violate any zoning · &~z~e~ I~o3res ~ 13. Notre of Owner of prem ses ................................. Name of Nonie of ....... Rear none Depth non6 Front ................................ Rear ............................. er of Stories ........................................ Rear ..,.~..~....,~.,e.,e..'b. ....... Depth .~..~.....~..e...e..~.....6.. Depth 3rice or Phone No. Phone No. Locate clearly and distinctly all buildings, whether property lir~es. Give street and block numbers or descri whether int'erior or corner lot. proposed, and indicate all set-back dimensions lng to deed, and show street names and indic< / STATE O~ NEW ~QR, I< COUNTYjOF ~ ......... ) ' ' ........................................................ bern duly deposes and says that he is the applic( above na~ed. He is the (Contractor, agent, corporate officer, otc,) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and this appli4afion; that ail statements contained in this application are true to the best of his knowledge and bell and that the work will be performed in th~ manner set forth in the application flied therewith. Sworn to before me this 1: IlL(c, d.., ,I. ' , . LCyfr-/~ PC