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Home My WebLink About2943-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~.~'~......~.}):~!~..~.~L~...~.~. ....................... Street Map No ...... ~7~ ............ Block No, .~,~' ................ Lot No. = ......... .(~z'.ee~Dor..~.t......~,.~~ ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... ~r~ ....~O.~.*...~ 19.~.,~.. pursuant to which Building Permit No..~,~.~,.~..~ dated ............................ ]~¢~e-~he~?...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 ........ ...... l~:l.~.~%~...c, ne..~ftmil~Z...~.~mlliz~'. .......................................................................................... The certificate is issued to ..... ,T~ft.eph....~a~/'.DD~ ..................................... ()'~e~'. ............................. (owner, lessee or tenat~t) of the aforesaid building. FO~h'~ NO, 2 TOWN oF $ou'rHOLD 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? 2943 Z Permission is hereby granted to; .~s,~..~...: ......................... , ................. ... ....... ~.~'.~e~I~l~.~ ............................................... to ~,,,,l~ut~a,,,new,. e~..~'.~.~,~,. ~.:~'-~' ........................................................ ~ ......... i .............. at premises located at ....SlI~.,...(JJ~I~I:I'~'~.,.~.~. ....................... : ................................................. · ...................................... t..,..~h~eet~e:~t~t. ....... ~' ................................................ :'": ........ : ............... pursuant to application date~ ............................. ]~O.~1~i;~"2~", 19..~., and approved by the Building Insp~ctc(r Fee $ ,, ~ .O,*.O.O. ......... .....' ' ~7 '~'~':; ~; '~T"l~;'ir~i;~ Inspector ~ ............ ' ' To~vrl Hail Sm'd*,old, hl.¥. il971 Jl'~s'tr uc ~;io~ls qt I , eud bt' hi!ed in Wpewriter OR ink, and subrnll.{ed ' I , . [he ~',;,;,)'.,',rlg; Jr. now buildim~s or new usm ,,~,¢y of ',-op¢~ y with accuraLe location of all buildings, p¢-oprd,¢ .¢,~s,; : ;~;ov~t ,,f 14oalth Dept of wate~ supply and sewerage di~pos~,l--- S.t) i'onn <. ,xaJ of r iecfdcal Iqstallatm~o from Board of Fire Under,,Firm's. ~cu~ buJlr!Jrl~s, tndu~mia! buildings, Multiple Residences and ~;m;tar , :r, ~u,,a~e o[ Code compliance from the Architect or Enqineet [C~'¢OIqSIb]() the bui:d:nf,, ',~:,,hlg ~Icprd approve of completed site plan require~ ants whrt~(t appJicable. t;.dt;v, nr~ ~,ufldings (prior to Apri~ 1957), Non-conforminB ~.lSe~, of buitdh~gs a~d "pre-exi~ti~,g' ,~,,,cu~at~, surw:,/ ,~f peoperty showing ail property lines, street~, buildin(~s and {JPLISLIB~ any housing code or safety inspection of buildings or promises, or otber perdnen', requh'ed lo prepare a certificate· ! r'erUficate of occupancy $5.00 ? , el fil,ca'm (,f occupancy on pre-existing dwelling or land use ~,i~;p'r ~-'~ c. ertificate of occupancy '~1.00 New(t',~'lin~ ............. Old or Pre~existing Building .,X ....... Vac.~nt Land J~ /3/ /7, . L ,.,,.,~ r,,¢,-,,:~ .. ;~(X. :,. ¢.¢% . ~/'/... A,¢':,>~ ......... b:/:/:dR./.*,':. Z..'. House No. Stree~ ()vwx:r or Owners o f Property ~ [,~ ¢ "v .............. '~ ./F~.K .................................. Counh,'l~-,x Map No. 1000 Section .~.//:. ~(>.. .......... Block (' :~'. [:. ~{ ...... Lot . d:'F¥ Subdivision ................................. Map No ............... Lot No ............... Pemm 1';o .......... Date of Permit .......... Applicant .................................. Heahh Dept. Approval ........................ Labor Dept. Approval ........................ Approval ....................... Planning Board Appmva~..................... for Teinporar'¢ Certificate ..................... Fi,~al Certificate .................... Fa( Suhr, hited $ ............................. ,: ',~ on ,,hove described buikting and I~ermit meets al!)applicable codes and regulations FOF~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTiv~ENT TOWN CLERK'S OFFICE ~ ~., ~ ,~ SOUTHOLD, N..~Y.~ Approved .......... Disapproved a/c ................ ~~ ...................................... :'. ..................... ...................................... (Building Insp~,ctor) 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. P~ot 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 port 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 issubnce of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southo]d, Suffolk County, New York, and other applicable bows, 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 lows, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) Greenpor t (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................... O.~<nem...=.,.h~i.J, rJ.e~ ................................................................................................................ Name of owner of premises ........... ~To.se.~h..]:~a~no~. .......................................................................................................... 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.: .~x2 ............................... Lot ldo.: ....~ ............ Street and Number ...~/.C~..~qpt.~..P.],~.e .......... G~'.e~D~..~ ........................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... .~.~.,~a~-~..,~o.~ ................................................................................................. b. Intended use and occupancy ....q~t.~...~..f~.]7....d.-~4.e]~]~,J.~9,~ ................................................................................ property I'nes. Give street and block number whether i,nter or or corner lot. 3. Nature of work (check which applicable): New Building ....~..~.~ ...... Addition .................. Alteration Re~air .................. Removal .................. Demolition .................. Other Work (Describe) 4. Estimated Cost .~..~.Q.0..Q......~./~ ................................... Fee 10 (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .o..~...e ................ Number of dwelting units on each floor If garage, number of cars 6. If I~usiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dh'~ensions of existing structures, if any: Front ............................ Rear ................................ Depth Heibht 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 ...... .2.~ ......................... Rear .............. .2.~ ......... Depth ...3.~. ....... Height .................... Number of Stories ................................................... 9. SiT4 of lot: Front ........ .L.F.~ ............... Rear ....... ~. ........................ Depth ........ ~.'1..-.~ ............... 10. Dat;e of Purchase .............. 't.c).6.~. ................................ Nome of Former Owner 1 1. Zorle or use district in which premises ore situated .......... ~ ....... ~lst 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ ~O. 13. Name of Owner of premises .~.OS.e,.];~..~.~.a.y~P~. ........Address ............ .Qr.~?.,..~.~..o..z~.~ .......... Phone No. Name of Architect ...................................................... Address ............................................ Phone No. NarCo of Contractor ..... Cd~P~z:.]..e.s..~.~.~T~ct~ ............. Address ............. ? ....................... Phone No. : PLOT DIAGRAM Locatle clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr or description according to deed, end show street names and indic, o Off,id STATE OF' NEW YO,R,K, ~ c ¢ COUNTy OF ...S.!2~.~'D.],~ ........... ,f .... .................................. .~.f~.9,~..~.~Sy.~f)~. ............................... being duly sworn~, deposes a~d says that he is the :(Name of individual signing application) above na~ed. He is the .......... j (Contractor, ogent, corporate officer, etc,) of said o~ner or owners, and is duly authorized to perform ~r~ 'have performed the said work and to make ond this opplic=ation; that all statements contained in this application are true to the best of his knowledge and belief; that the work will be pecformed in the manner set forth in the application filed 'therewith. Sworn to b~fore me this ........................... : ~i!~J~'~ A.C°u ._t:?~E,~. (Signatur applicant) ' ~OTARY p~J~L/C, Sim., oi He/*,' YOII~ ~erm Expires i~rch