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Home My WebLink About2665-zFOP~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ...... Z..;Z30B ....... Date ................... THIS CERTIFIES that the building located at .F~..~Ve,..~as.~o~..Ho~..R~,.. Street Map No ..... ~ ......... Block No ......... ~ ...... Lot No ................ ~ ........................................... conforms substantially to the Applicahon for Budding Permff heretofore filed in this office dated ............................... ~r~..~ ................ , 1~ .. pursuant to which Budding Permit No.~.~.~..~. dated ................... ~h...l~ .......... , 19~ .... was issued, and conforms to all of the requirements of the apphcable prows~ons of the law. The occupancy for which thru cerhficate is issued ~s ........ ................... ~...~.~...~ ~.~ Sng ............................................................................... The certificate ~s ~ssued to ...~t.~~ .~ .... ~-.~...~..~ .... (owner, lessee or ten,mt) of the ~fores~d buddmg. FORi~[ 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? 2665 Z Permission is hereby granted to' ........... ~al~e~.a..Ia ............................................ to ...BU&ld...~.4~dd.~.ti~..o~.. en-.~x.:b. ~.I~..~,ze~ .]..~n~ ....................................................... at premises located at ..... ~Z..~V.~..~t~.,~I:IS~OI~OtI~..[~A~, .......................................................... pursuant to application dated ......................... l~la:Cl~ ......... ~ ............ 19.1~.., and approved by the Building Inspector Fee $. ~...0~ ............. Building Inspectr l~O~M NO. 1 TO~'N OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , ]9 ........ Permit ~o ..................... -;..-.~.. Application No ~/'~'~" 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. 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 drown on the diagram which is part of this applica- tion. 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. BuilAdPinPgLIzCoAnTel~)rNdilnSanHcEeRoEfB tYheMTAoDwEn to°f tshoeut~illdd, i~sgu ffDo~on~enr~ty, f~iretwh~, ioSrSUl~ nC~ o°tfh~r B~Clli~a~piIre~r~iwts,P~rS~ian~tntc~sthoer Regulations for the construction of buildings, additions, alterations, or fo~' r~rr~/vol 9f~mol~ory'/os herein described. The appiica nt ag rees to comply wi th all applicable laws, or dj aa noes an~ //~ /~':~~~.......,..~ ,~. ;" ~'. ......... i~i~'~';ture of a~,/o?na~i;"i['~';;;~;;;~i;~i ........ (Address of applicant) State whether applicant is pwner, lessee, agent, architect, engineer, general contractor, electrician., plumber or builder. ..... Name of owner of premises ... ~ ....... ~..~.~..B..f ............................................................................................................... If applicant is a, corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which propo~sed work will be done. Map No.: .......................... ., ............ Lot No.: ...................... rC /.J A"J Street and Number ...~..[2/~...LLJ/-.~......~t..../..:I..(I.I~.~.I ../1~ ........ 7..?0.~.~....../--.~.c~..~. .................................................. Munic pal ty State existing use and occupancy of premises and intended use and occupancy of proposed construction. · ./'./.,. a. Existing use and occupancy ......... ~.4 ........ ~.~.. .............................................................. b. Intended use and occupancy ...... ~-~. ......... .~./.~ .............................................................. 3. Nature of work (check which applicable): New Building .................... Add t on ~ Alteration Repair .................. Removal .~ .. Demo t on Other Wor~.~k (Descr be) 4. Est moted Cost ....... .................................. Z";'='.'.'.'j; ........... ......... ' ................. (to be paid on filing this application) 5. If dwelling, number of dwelling un ts .......... ! ..................... Number of dwelling units on each floor ........'-~... ................. If garage, number of cars ....... "Z.: .......................................................... ~ ..................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....'~.. ............................. 7. Dimensions of existing structures, f any: Front ..... ..~...~ .............. Rear ~--2~') De--L /~ ~ ~ I " · ........................... t.~Lr~ ....... ~ ..................... Height ...... ,~..C) ................ Number of Stories ~ Dimensions of same structure with alterations or add t OhS' Front ~...0 I ~__. ,~. ~. t Depth ......... ~.0. ................ He ght .............. .~.~ .......... Number of Stories ......... ~ ................. I 8. Dimensions of entire new construction: Front ......... L?..! ............ Rear I ~l Depth ....~.~. ................. Height ............. ~.Z.! ......... Number of Stories ........... ! ............ ' ............................. 9. S ze of at Front /./.~. I Rear .~..~. I De~t~ I xg~0 ' 10 ........................................................... Date of Purchase N,,a,n~ o~f Fprme~r Owner ..~/.'~./-~.' ~..,¢..!~(t..~ .~.~.J'r~'7 .~ 11. Zone or use district in which premises are situated ....... l~.~/:.~.~..~..~r..[ ..................... 12. Does proposed construction violate any zoning law ordinance or ren~ at onP .~...6 13. Name of Owner of premses ~...~..~T~z~l~-rF~'~Address ~.~.~/~1' S ~')~'~Z'~.'i~'~hon ~'' ..................... ...................... ?' ............................ 7 '.. e ~o ................... Name of Architect ...,r~ ............................................ Address ' .~1 .............................................. Phone No ......... .~;~... Name of Contractor f~....~...?. (4~4 ~, .~'~/~ D/'~.4 .... ~.~.'..~....~/..'-~..[.~./D:Z~I~.,~.. Phone No..~.~..:..:.~...~.? PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed; and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE~-,Y~D/~,K, ~,~ ) S ~ COUNT~iOF .~ .~.~. ........ ) .~- ............................................ .:~. ...... y ..~ .......................... being au y sworn, deposes and says that he is the applicant (Name of individu~n~ application) ~ove named He is the ...~.1.~.~ ~ ............................. ~g~;~g;~"~'~J'~g~g;~Z g~f~';;j'~Z) ............................. of said owner or owners and is duly authorized to perform or have performed ~ said work and to make and file this application; that all statements contained in this opp cation are true to.~e/b~t of his kn~l~dge and belief; and that the work will be performed in the manner set fo~h in the application f~e~t~ewith/ ~ / / Sw~n to before me this __ ~ ~ /~ / // / // / ~ ~ d~- of ~~'~, ~ ,~ ~, //~ ~// ~ ~// ,, ........ Nota~ Public .~~~~ .......... Count ...... ~ ........ (~;~'&'~' '"i~,~' .............................. ~'~ ~ ~ , Y g PP )