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HomeMy WebLinkAbout2666-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No .....~224.7. .......... Date ............ O~O]~0~...1[ ............ , 1965... THIS CERTIFIES that the building located at . Ga~'~e~,~..l~..E~t~telil ................ Street Map No -275. l~eC...~Bl~ock No .... ~ ..... Lot No ...... '7'3 .- "74 ........................................ conforms substantially to the Apphcation for Budding Permit heretofore filed ~n th~s office dated ............................... .l~a~C3:~. ,1.2 ....... , 19~5 pursuant to which Budding Permit No ~.6.66~', . dated ..................... ~:~¢~...1.~ ............ , 19.65 , was ~ssued, and conforms to all of the requirements of the apphcable prows~ons of the law The occupancy for which th~s cerhficate ~s issued ~s ....... ............................................. A~Lt ion...t~..one.., family..resiclenc~ ..................................... The cerhficate ~s ,ssued to ...... Geo~'~Je..Nu~je~ ....&/¢.....~o'be/J'.'~..C.,,...,Ha~.t,...,...$.2..M:L/..1. Road (owner, lessee or tenant) Bn~ithtown, New % of the aforesasd budding Building Inspector 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? 2666 z Date ................. ..J~..~, .......... :~. ................... , Permission is hereby granted to. ........... .............. .Gr. eau~.~r.t, ........................................... to ..~a~.d...an..&d.a:tl;JLcn..on..~_~..~x~.~.t:l, ng..~l'~'e3.1;Ll~g ....................................................... at premises located at .... ,~..tj!.,.~'2~..&..~i~:...,.Gl~.d.~u~.lt..,Bay:...~lllLta.~elll ............................... ............................................................................... · aat..llar.toam ..... ~,,.~. .................................... pursuant to application dated ...................................... ~.....~ ........ 19~...., and approved by the Building Inspector Fee $ ~.,,,. J~ .............. TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ~' ~-- /~-~ 19~' G~-- Approved ........................................ , 19.~.!....Permit No ................................ . .................. .......................... ........................ APPLICATION FOR BUILDING PERMIT Date ............ ~.~'q... 'i ,~...~ ......................... , 1~.5 ...... 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 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. 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 ICor 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 issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, 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 laws, ordinances, building code and regulations. (Signature ~Japplicant,/~'name, if a corporation) (Address ';f al~plica~'~) ............. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem ses .......... ~b.e,Z.'~ C., .....~....g..~.~. ................................................................ 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: ..... .~.~..~....~...e..o.....~. .................. Lot No: .~.~..~..~.~ ....... Street and Number .......................................... g. az'.c~l~.ez',~...~.~r...~.~te~ ............................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................. ~G-~.~L.G~.~,G ................................................................................ b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building ..... ,'iL .......... Addition ........~ ......... Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ...... ~,D.C) .......................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, 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: Froot ....... ~2,..£.t; ...... Rear ...... ~,..~.~ ...... Depth ........~.~.....~..1;.A ...... Height ............................ Number of Stories ................................................ ; ................................... :...~ ..................... Dimensions of same structure with alterations or additions: Front ..... .~..~...~...~...~ .......... Rear ..z~..~'.~ ................. Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front ...~Q,0,...~..t;.^ ........ Rear ....~(~...Z'.~.~ ....... Depth ................................ 10. Date of Purchase ...... .~.~,~..~;L~...].9,,~ ..................... NameG~.~`c]z~.~.$~f~rmer]3~Owner`~..~.~.`.c~...~.~--~...~.~.~.~..s..~.~~§~- ~:~;~' ~..Z'.,~.o.~. ~e.~, ..... 11. Zone or use d~stnct in which premises are s~tuated ............................. ~ .......................................... ~ ............ 12. Does proposed construction violate any zoning law, ordinance or regulation? ...................................................... 13. Name of Owner of premises ..~o.~e3:'.L.C....,~.l,tD~,..Address~...~i,~],.4:~o~ .............. Phone NoJL~...~.-:~.~.8. mithto~. !~.~.; ............................ Name of Architect ...................................................... Address ..................... ........ Phone No. Name of Contractor ..~.~.g~E~..~13,gl~; ................... AddressG,~.~.~t~p~:>.~.~...l~,,V' .......... Phone No.G~...~...~,].~.l PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and black numbers or description according to deed, and ~l~ow street names and indicate whether interior or corner lot. STATE Of N~YO~ ............ (Neme of individuel s~g ep~~ (Controctor, egent, co~orete officer, etc.) o~ seid owner or owners, end is duly ~uthorized to perform or heve pe~ormed the seid work end to meke ond file this epplicetion; that ell statements conteined in this epplic~tion ere true to the best of his knowledge end belief; ond thet the work will be performed in the m~nner set ~o~h in the epplicetion filed therewith.