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Home My WebLink About2932-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CI~ERK'S OFFICE SOUTHOLD, N. Y. P.I[RTIF'I~ATI[ OF' rI[~I~UI=ANI~¥ THIS CERTIFIES that the building located at .E-/.~.-.~[~t~-~. P~2/~ ....... Street Founder-s Estates Map No ............. Block i'~o..X;~ ....... Lot No. 6~..a. 6~ .... SOUt~ld-~ -N.,Y, .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ N~Ve~b~ .~19..~pu.rsuant to which Building Permit No..~ dated ............. N~V~" '1~ ', 19.(~, was issued, and conforms to all of the require- ments ,of the .applicable provisions of the law. The o,ccupancy ~or which this ce~ificate is issued is . .~t$:xt~ .~. i~a~l, ly. ~l~e'~!l~g .......................................... The certificate is issued t,o .]~.~. ~i~.~ey~$ .... ; ...... ~=',' '.~ ~' 'i,' .......... ~owner, lessee or ~ena~ of the afore.said building. .Suffolk County Department of Health Approval ........ %~:., ............................ FOH, M 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? 2932 Z Permission is hereby granted to: Robt l~ll~r~ph....&/C....Da~s~....$i~er.~ ............ ......... Sou.tJ~ld ................................................... to ..]~u~,~zl.. ~r~ ..~dd $.tt~n...ol~ .. a~.. ®~.i.s ~l,ng...d ~.1.1.~ ........................................................ at premises located at .E/,~..~:)~d~F'$..,~ath ......... .1.et..(~...Fe~t~ers...l~-ta.tee ......... .................................................... ~o.~hr~tdn' '!~ '-¥'; ............................................................................ pursuant to application doted ................................... ~0.~. ....... ~.~. ...... ]~J~..., and approved by the Building Inspector Fee $...~.00 ............ / ~. " Building Inspector FOI~M NO. 1 TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. / Examined ........................................ , 19 ........ Approved ........................................ , 19 ........ Permit No .............................. Disapproved a/c ............ ~-' '~ ........ 7~--' ....... "~ ........................................................ ..................... : ..................................... ~.~ .........C~:.;:~':~.....~ ...... ............ .......................................... ( B u i Id in~h'~pector) Application i~o ............................. APPLICATION FOR BUILDING PERMIT ~ov, ~.7, 65 Date ............................................................ , 19 ............ 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 deCailed 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. APPLICA-rlON IS H.EREBY 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 Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The app icant agrees to comply with all applicable laws, ordinanc.~,} building code andtregulations. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder. Ovmer Name of owner of premises ......... ~...~..~.,.....D.l~.~.~y.....~.~..e.~.s. .................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ' 834 64 ~ 65 ]. Location of land on which proposed work will be done..Map No.: ........................................Lot No.: ........................ Street and Number ~gunders 2states Southot~, ~.Y. ; Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 0EJe F~mily Dwelling b. Intended use and occupancy ........ .O~..e.....~.~..~.~.....D..~.~.~.!.i.n...g. ........................................................... 3. NatUre of work (check which applicable): New Building Addition ......~.. .......... Alteration .............. Repgir .................. Removal .................. Demolition .................. Other Work (Describe) .................................... ~ ....... .~.5. .9. .0.0. . ?. 9.9. .................................. Fee .~5.00 4. Estir~ated Cost ...................................................................................... (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 cars ......................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........................ 7. Dim,'ensions of existing structures, if any: Front ....... ~],.t ............... Rear .,g-,8...~. ...................... Depth ....~Jc~.r. ......... Height 22~ Number of Stories Dimensions at,same structure with a,lterahons or addmons: Front ..... ~,.8. ........ ~. ................. Rear ....~8..t. .............. , O)ne Depth .....~.~. ....................... Height ....~ .................... Number of Stories ................................ 8. Dimensions of entire new construction: Front ............ p_~ .................... Rear ....... ~ ................ Depth ....... ~.0.. ....... Height ...22 ............ Number of Stories ..... Dn~ .................................................................................................. 9. Sizei of lot: Front .....?.,~.~. ................. Rear 7~ Depth 10. Dot,~ of Purchase .......~.,,~,.~Q. ............................. Name of Former Owner ..}.[~..~.~..e,~.....~.?..9.~.?.~,. ................... 11. Zon,ie or use district in which premises are situated ........ ~,~J~;L.~I~ZL¢,-~.~, ............................................................... 12. Doe~ proposed construction violat& any zoning law, ordinance or regulation? ...... ..~..O. ............................................. 13, Name of Owner of premises ,.~.~..zi~.."...~.~:~.~.~....];~!.~...e.?..~Address ~OUnd. ez's ~¢,h Phone N O Name oF Architect ...................................................... Address ............................................ Phone No ................ Name of Contractor .~..e...~.~.gv~...~.~?.{~.. ........................ Address .~9~.}.t..O.~.~.~...~.~..~..? .......... Phone No, ................ T ; PLOT DIAGRAM L.ocat~ clearly and distinctly all buildings, whether existing or proposed, and indicate all set~back dimensions fn property lines. Give street and block number or description according to deed, and show street names and indic( whether interior or corner lot. · I STATE OF' NEW YORK, ~ ¢ ¢ COUNTY,,QF ...; ............................ ~ ............................................................................................. o¢individual sign~g application) being(Name duly sworn, deposes and says that he is the applic, above nan~ed. He is the .................................................................................................................................................... : (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 appHeation; that all statements contained in this application are true to the best of his knowledge and belief; that ihe work will be performed in the manner set forth in the applicatig~ filed therewith. Sworn to b'efo~e me this - ~ / / . --.~, ......... of ...... , Z//,,, ;, ia c?,_ -- /.J ,~ .: , , ~. . , , . , ,~ :, b~, . .¢,~ ........ Notary Publi~.~).~ ......... [ ~,o,.~,u ¢.~,qT /Signature /~ [' / NOTARY '{:/UBLIG, State o~ fi? ~or~ / ~-/ No. 5~.3z3~t~o s~?%c~-) Term ~xplres ~rcn au, .