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Home My WebLink About2646-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ........ ~J~J ..~tI.I~tI~.~O~..~.~B~ ...................... Street ~ ,~s,u Point ~o~N~'o. ?.?..~? Lo, ~o .]~., ..... ;~¢O~.~,~.,...~..~.. ............... ap p~o ...................... conforms substanhally to the Application for Budding Permit heretofore filed in this office dated ................................. ~.eh~z'~.....26, 19. ~.~'. pursuant to wh,ch Bu,ldmg Permit No ~..Lt:.~ ..~.. dated ............................. ~,~4 .....26 ......, 19..~.¢, was ~ssued, and conforms to all of the requirements of the applicable prowsions of the law. The occupancy for which th~s cerhficate is issued ~s ....... .. ,L:T.i~r~t~.. on~..~'amJul¥...d.we,%1 &~ ..................................................................................... The certificate is ~ssued to ......Thoma,~..Lont~ea~,e~ ........... .Ownez'. ........................................... (owner, lessee or tenant) of the aforesmd building H.D.Approval Dec.2, 196~ by R. Vi] la ...... .......... ............. Building Inspector FOP~d[ NO, ~ 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) N9 2646 Z Date ................... ~]3eJ~k~. .......5~6 ......... , 19.6~'.. Permission is hereby granted to: (leO..ddt.~s..A/C..~a~..Len~n~eke~, .......... .............. 6u'~hog~ ............................................ to .... ~t~l..JLcl...ne~..one..~'~d:t~r--d~T~,,g. .............................................................................. at premises located at -~TuO~--.~-~.f .......... ~&~'g&~..'t~4~t.'~']L.'-l~z, op ........................................... .......................................... .~ans.ten. Rd, .............. Cut~ue ..................................................... pursuant to application dated .......................... ~l:~L~a3t'~'"'~6 ....... 19.~., and approved by the Building Inspector Fee $...-]J,.O,e.O0. ....... Building Inspector SUFFOI~ COU~T~ DEPArtmEnT OF TO WHOM IT The sewage disposal facilities for a structure located at ' (Give deed lOC~tion) ' -- ~ .~. ~:~, ,~:- ~ ~ ............ have been inspected by this Department amd found to be satisfactory. Dis%riC~ 'Engineer ..... TOWN OF $OUT~OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No ................................. D,sapproved a/c ..~~ APPLICATION FOR BUILDING PERMIT ........... ...... ....................... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin~ Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o areas, and giving a detailed description of layout of propertymust 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. Sucl 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 Occupanc} 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 thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o, Regulations, for the construction of buildings, addihons or alterations, or for removal or demolition, as herein described. The apphcant agrees to comply with all applicable laws, ordinances, building code and regu~a~ons. ......... ......... ................. .................... State whether applicant is owner, lessee, ~ac~nt, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of p rem,ses ~.~, i .~i..~. ~~~x'~7 .... · . ........................ .......................... ...................................... If applicant ~s a corporate, signature of duly authorized officer. (Name and t~tle of corporate officer} 1. Location of land on which proposed work will be ~one. Map No' ~..~..$~'.~......~...~ .................. Lot No: ...~...Z,..&. ......... Street and Number ........... ,~....~...,.~.~ .................. ~../..~,..¥.,..~,,.. ..................................................... Municipalify 2. State ex,sting use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ............ .~....~'~"'P~'~"'~' ...................................................................................... 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Descrmbe) ..................................... 4. Estimated Cost /~', /~O0 ~ .............. · ............................................. I-ee ......................................................................................... (to be pa~d on filing this application) 5 If dwelhng, number of dwelling umts ........... ..~... ............ Number of dwelling units on each floor ........................... If garage, number of cars .......................................................................................................................................... 6 If business, commercsal or mixed occupancy, specify nature and extent of each type of use ............................... 7. D~mens~ons of ex~sting structures, if any: Front .......................... Rear .......................... Depth ........................... Height ............................ Number of Stories .............................................................................................................. D~mensions of same structure with afferations or additions: Front ................................ Rear ............................... Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front .......... .~....~..~ ........ Rear ........ ~.'..~ ......... Depth .....~..~. ................ Height ............ /.~.~. ........... Number of Stories ......... ./. ................. 9. Size of lot: Front ...... L.7...3..:..3..~ ....... Rear ...... ./..Z...o. ............... Depth ........... ~...~...~. ............. 10 Date of Purchase ........................................................ Name of Former Owner ...................................................... 11. Zone or use dmstrict in which premises are situated ............................................................................................... 12. Does proposed constr.uction violate any zoning law, ordinance or regulation? ............. ~ ................................ 13. Name of Owner of prem,ses 7- "'~ Address '~' '~/~--~ ~ "~'14...~....~one No Name of Architect ................................................... Address Phone No ................... Name of Contractor ..... ,~ ........ ~ .............. Address i~iii~~i Dhone No..../'7~..~..5.~./.: PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro, property hnes. G~ve street and block numbers or description according to deed, and show street names and indicaJ whether interior or corner lot. ,73 ~'u n $ ~.?/'- STATE OF NEW YORK, ~ ¢ ¢ COUNTY OF ........................ .- ....... f ~'~' ............... ~./t/)~ ............................................ being duly sworn, deposes and says that he is the app icc ..... (Name:~i~:idual signing app~ above named. H ' · ............................................................................................................................. (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 ~ th~s apphcat~on, that all statements contained in this application are true to the best of his knowledge and bali and that the work wdl be performed in the manner set forth in the application filed therewith. Sworn to before me this~ .~Z~'~ ~'~ 9 ~1 ~ ~ .~. Nota~ Pubhc, ..../~C~,.i nty~