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Home My WebLink About2947-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHO/D, N. Y. CERTIFICATE OF OCCUPANCY No..Z.. 23.C~L'i ............. Date ....... ~:)3¢.L1,...3,5 ....................... 19...~..~.. THIS CERTIFIES that the building located at ..... J~.:J,s/'~J~..J~J. oi~l.~ .............. -.... .................. Street Map No ..... ~ ............ Block No....~ ..............Lot No...6 ........0.3;'.~e~.t¢,...~..e..w....~..~.,=..~. .................. conforms substantially to the Application for Building Permit heretofore flied in this office dated ............................. JDee~ellilma:lC..~L ............ , 19...6.5 pursuant to which Building Permit No...~..~..~,?.....~.. dated .................... )',)~mJ;~*...~ ............. ] 9..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 ..'..,,.. .............................. ~:.dcl.:l.tion..t~o... One.. fam/,],.y... ~ell..'Ln~ ....................... .T.~ ~'..k.l~ for Robert: ltu,9..h, es The certificate is issued to .... ~. ............................................................................................... (owner, lessee or ten~3,nf) of the aforesaid building. Building Inspector FOKM 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? 29 7 z Date ........................ ~ell~F.....~ .......... 19.6~.. Permission is hereby granted to: Tony...llorkttm..A/~-'Rebe~ ~e "l~l~hee .............. ............ O~.~t r..t~,.ll, ....................................... to b~te~. · ~n.. ~c~/c~ on. - on. · ~ ..e'~*, ~r~ ~.t~' · d~e~'l'~'n~ .......................................................... at premises located at ..l~v.t..~,,O,~,.....~f.J[:..S/~...14a~.~..l~.....(P,e~l~$~r~e...O,.D,&.) ................. ............................................. ~)~,.~.~t~'c.~.... · ~I'~ '~ ~ ...................................... ~ .............................................. pursuant to application dated ............................ .Deee~l~e~',-..'~ ......_196~..., and approved by the Building Inspector Fee $.~eO0 .............. Building Inspector FOKM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ....................................... 19..~.~'..':~ermit No .................. ~ Disapproved a/c ,. .~-' ~ ............ .............. ...................................... (Buildin~ I nspec~r) Application No. :~-.2..~.~..~ ........... ^PPUC^TION PaR BUI'DING PERMIT Date ............................... -. ...... ~: ................. , 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 port of this application. c. The work covered by this application may not be commenced before issue.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 Buiiding 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 S6uthold, 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 lawsf ordinances, building code and regulations. ~ ....................... ..................... (Address of applicant) State whether~~owner,i ~ lessee, agent, architect, engi,neer, 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) 1. Location of land on which proposed work will be done. rMap No.: ........................................ Lot No.: ........................ Street and Number ..... ~~~......~~ .......................... ~~....~.,....~../.. ............ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......~...~ ............................................................................................................... b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .................. Addition........~ ......... . Alteration Repair ............. .~. Removal ..................Demolition .................. Other Work (Describe) (to be paid on filing this application) 5. If d.Cvelling, number of dwelling units ............................ Number of dwelling units on each floor If g4rage, number of cars ............ ~ ................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front ..... ~.~...~..'...~..~.' ........ Rear Height 2~ ~ r ........................ Number of Stories Dimensions of same structure with alterations or additions: Front ..... ...... Dep(h .....~...~..~.~-.~.[ ............ Height ............................ Number of Stories ................................ 8. Dirn~nsions of entire new canstruction: Front 'Z,/~' * ' . ................................... Rear ............................ Depth Height .....!.~.~ ......... Number of Stories ........ 9. Size.of lot: Front '2~/~ ~ Rear '~ ~ '~'~ ' Depth 10. Date of Purchase ........................................................ Name of Former Owner 1 1. Zen9 or use district in which premises are situated ...... ~./ ................................ 12. Does, proposed construction violate any zoning law ordinance or regulation? .....?.~...~. 13. Nor6e of Owner of premises ./.~..' ............ Address ~.'-/. ...~.../.~..~ · · Phone N Name of Architect ............................... ~...;~ ........... Address ................. ¢ .......................... Phone No. of Contractor .......~...?.~..~ ....... Address Phone No.~/?~ Name PLOT DIAGRAM L.ocate clearly and distinctly all buildings, whether existing or proposed, and indicate ail set-back dimensions fr property lines. Give street and block number or description according to deed, and show street names and whether interior or corner lot. ~-\\ STATE OF NEW YORK I, ¢ ¢ COUNTY OF ..i.~..~.~'..,'77.~..~/~. ........... .f°"~' ................. L....Z.~.~....~;~..~.~.~ ....................... :....being duly sworn, deposes and says that .he is the applic, ~(Name of individual signing application) above named. He is the ........................................ ~.~..~.~.~..~.~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements contained in this application are true to the best of his knowledge and belief; that the wbrk will be performed in the manner set forth in the application filed therewith. Sworn to ~efore me this 19.~ I/ ...... ....... of .......... ........................ . - '~~~Z ~['.' ~ ' ..... ' County .............. ............................ Notary