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Home My WebLink About2655-zFOF~I~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..W/~ ..... ~.,..-Oa~o~:~-.DV ........................ Street L~aur el Park ap No ....................... Block No ......~¢ ............ Lot No .... ,~.lf.~ ........ I.~tll~.a[~ ..... ~[,.~Z, ................... conforms substanhally to the Apphcation for Building Permit heretofore filed in this office dated ......................................... .~i~l~.~.....~.~ ........ 19..~.~.. pursuant to which Budding Permit No ..~c~:~..~.. dated ............................. ~a~h.....~ ....... , 19...~', was zssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which th~s certificate is issued is ........ ..... ......................................................................................... The certificate is issued to .l~'ldI'.ed..~'.~]]-],~/' ............................. (}~ ......................................... (owner, lessee or tenant) of the aforesaid building. ul oing Inspector -~ FOI~I~ 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? 2655 z Permission is hereby granted to: ;Ib.~ etze ]~o~'~n.....~.C.. ~I~13 az,.ed..~:~'Ll~. ........................ ......... ~tt&.~;u~k. ................................................ to ...... ~_.~.d....~..~.,3.~L.'c,t~x..~,xt..au..e~r,..t e.t.iaC..a.~el~ _t,,~ ................................................... at premmes located at ..10.~..~s ..... ~I~I~I~.~.~..~LI~'~ ....................................................................... ........................ ~ .~..... 1~ ,....g.~.~d...I~.,., ........ Iaurel~... ii o Z ~ ..................................................... pursuant to appficotion dated .............................. ~lJ~.J3e ..... .~.~ ............ 19.6~.., and oppro~d by the Building Inspm:tor Fee $. ~.."t.,.O~... ............ Building InspTor NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ............. Approved ...... ..~.....~.....'~'... ........... , 19 ........ Perm t No ................................. Disapproved ;,c ..... ...... ...... ........................................................................ ......................... · ................................. Application No, ~ C. j-.5' APPLICATION FOR BUILDING PERMIT Date Febur ary 13 19....6. ~.... 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 adjmning premises or public streets areas, and gwing a detailed description of layout of propertymust be drawn on the d~agram which is part of this applicatio, c The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of th~s application, the Building Inspector will issue a Budding Permit to the applicant. Suc permit shall be kept on the premises available for ~nspect~on throughout the progress of the work. e. No building shall be occupied or used in whole or In part for any purpose whatever ur~til a Certificate of Occupan, shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to t} Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances , Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe, The apphcant agrees to comply w~th all apphcable laws, ordinances, building code and regulations. Eugenr Horton ,..A/..g......~,.d..,V.~..d....~.e.~,~.~y., ............................................. (S~gnature of applicant, or name, if a corporation) (Address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electr,cian, plumber or build~z ..................................... ................................................................................................................................. Name of owner of premises .... ~ild~.ecl..~_.i] '1 ~. .......................................................................................................... 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 ...~t~'.~'l ..... P.~.~ ............ Lot No: ..:R..br. .......... Street and Number ..~.~'..~,...O~g~l,..D~..1.v.e.~ ....... L~g~.e;L~...N,Z~ ............................................................ Municipality 2. State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Exmting use and occupancy .....D.~.e...]..~$.~ ..................................................................................................... b. Intended use and occupancy same with an attached ~araEe & Breezeway 3 Nature of work (check which applicable): New Building .................. Addition ....~... Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................................... 4. Eshmated Cost .... 1L~D.Q .............................................. Fee ..... .,ff. ................................................................................. (to be paid on filing this application) 5. If dwelhng, number of dwelling units .... .O~6t ................ Number of dwelling units on each floor ........................... if garage, number of cars ...... O~e ....... 1LJ:..~..~.~ ..................................................................................................... 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 .......................... Depth ........................... Height ............................ Number of Stories .............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ............................... Depth .............................. Height .............................. Number of Stories ........................................ 8 Dimensions of ent,re new construction' Front .......... ~.br. ............. Rear .............. ~.,b¢. ......... Depth ....... ~,.~.. ............... Height ............................ Number of Stories ~ ..................... 9. Size of lot: Front ...~.0 ..................... Rear .......... ..~..0.. ............ Depth ......~..0....?.~'.~ ......... 10. Date of Purchase ........................................................ Name of Former Owner ...................................................... 11. Zone or use district in which premises are situated ..... J!~!.~...f].:~&t~ ...................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation.;) ............. ~.{~ ................................ 13. Name of Owner of premises~L~cl.]C.e~t,..,~.~.:;l,[],~. ....... Address ....~.~.1~..~..~, .......................... Phone No ................... Name of Architect ...................................................... Address ............................................ Phone No ................... Name of Contractor ................... Address ........ ~a.~..t,;!..¢.l,l.¢~ .............. Phone No ................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions flor property lines. Give street and block numbers or description according to deed, and show street names and indicat whether interior or corner lot. STATE OF NEW YORK, ~ S,S. COUNTY OF .... ~.~.,(',¢- f~-]~ ........... ( ................ ~g. ez~e.....HG~.t,o~. ......................... : ................. being duly sworn, deposes and says that he is the applicr (Name of individua sigmng app ication} above named. He is the ............. .C.O~t,Z'~g.t, QZ' ................................................................................................................ (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 bell and that the work w,II be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ ~. ~ . .................... ............. ........... , . :9._/. fl ~ ~1~ ~ ...~~.....~.~ ............................... Nota~ Public, ~./..'..~~.,..).~,~t}~ ~, Yo~ (Signature of applicant)