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Home My WebLink About2678-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No .~.....p3~O ......... Date ........................... ",T~P'""~2", THIS CERTIFIES that the building located at .]{d...~a~lr. ¥~.ew...~&~L..~J~'.% .~ .......... Street M~jolB~.d.?....?..e..~..~.a. el~ock No ....................... Lot No TI~ ........ ~,%:k,e.l~]~ ..... .JJ,.~., ................ conforms substantially to the Apphcatlon for Building Permit heretofore filed ~n this office dated ................................. J~:L~J~'~ ....... ']:~ .... , 19 (~'. pursuant to which Building Permit No. "2(~8"'P~ doted .......................... Na3'i3h ....... ]L9 ..... , 196~..., was issued, and conforms to all of the requirements of the apphcable provisions of the law The occupancy for which this cert~f,cate ,s issued ~s ........ ...... i:~L~a.te.,.or~.-.f, em~.~..~?~ ~:i~ ................................................................................... The certificate is issued to .....~4~.l:bt~,../t;;~...¥e~i~ ........... ~ er ................................................. (owner, ~es~see or tenant) of the aforesaid building H.D~Approval Aug. I0 ,196% FOR1V~ 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? 2678 z Date ............................ ..l~=]2..... ],c~ .......... , 19...~.~ Permission is hereby granted to: .... W~.bt~-../,..We~i.t~ ....................................... ...... .]:-~-~G...-.Pae~k£~.c...S~ .................................. ........... ~a~d.~, ..... l,..;[~ ................................... to ...... ~'f d" '~r~ · ~lle' ' T~r~: t~"' ~:'t~11[ ................................................................................. ct premises located ct ...... ~)t~.,~lk..1.~t......]~X~e..~er...~.a~ .................................................. .............................. · ~.~..V~e~-.l~oa~..&-.~r.ner..~a ............................................................... ...................................................... ~u~h~Id., ..... ~,~ ..................................................................... pursuant to application dated .................................. g[alt~l ....... ,~,9., 19..6.~., and approved by the Building Inspector Fee $..'3~)w~)~ ......... FO~M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No..,.c~,,..~'..~...~... ........ Approved ........................................ , 19 ........ Permit No ................................. DisapF roved a/c ....~ ....... APPLICATION FOR BUILDING PERMIT Date .................. ~. ?..Cr,/...~......../.~.. ................ , 19...~...J~.. .... 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. N~o 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 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 of applicant, or r~me, if a corporariom (Address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. ~. . ........ ........ .t7.. ................................................................................................................................................... Name of owner of premises ........ ~.,./k~..~,....,,~.'.....~.~.£t.:g.~t ................................................................................................ If applicant is a corporate, signature of duly authoriz~ officer. (Name and title of corporate officer) 1. L~ation of land on wh ch pr~ed work w be done Mop No ...~.~.~ ........................ Lot No' .....~ .... ~, - ~ ~t~ ........ Stree and Number ...ff~g.ff~.....~ ............................ ~...~..~......~.~.~/~ ............................... ~ .................. Municipality 2. State existing use and ~cupancy of premises and intended use and ~cupancy of pr~osed construction: a. Existing use and ~cupancy ................................................................................................................................... b. Intended use and occupancy .......... ~.....~.q/~.....~g/~.~ 3. Nature of work (check which applicable): New Building ...... ~ ...... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost .....~./...~..~.....e~... ....................................... Fee .......................................................................................... (to be paid on filing this application) ,5. If dwelling, number of dwelling units ............................ Number of c!wellJng units on each floor ............................ If garage, number of cars ..... ~..e......~.~.¢?..~..¢. .............................................................................................................. 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 ......'-~ ..................... ight ~'- b St He ............................ Num er of aries ............................................................................................................... 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 ....... ..//~:..~.~.. ...... Rear ........ J./...O..:~.~;. ..... Depth ..~'..~../.~..~....~.../...~...~...o 10. Date of Purchase......0.~."~. .....~.~...~../~.~.... .................. Name of Former Owner ....... ~.¢£..~H..~.......~.~/./.e.~.*.n' ~ ...... 11. Zone or use district in which premises are situated ....... .~'.~.¢,/~....£..~......~.ez~.~.~'.~. ................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... ...,~'.?..: ......................................... 13. Name of Owner of premises ..~...~l~/..~...~....?..e..e.~.~./. ........ Address //~e /°**r~'~'~ J~. Phone No. ,~.,~,3- Name of Architect ..... ,~'~.y......~..e.~//~.~. ....................... Address .9~.......~.,,~ .~.~44~)~....~JI~I¢~R¢ ~hone No ......... .~. ........ · ~ A v'~,~ ................... Nome of Contractor ...~.~.~/~ .......... : ......... ,~ .................. Address../(.Z~..i?..e.=./.~./.~.,~.J...~.~.w.~phone No. ~/~' PLOT DIAGRAM Locate clearly and distinctly all 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 NEW ¥OR, I~ ~/~ . COUNTY OF ..~....~. '~" .. (Nome of indivlduol sighingS/application) above ~med. He is the .......... ~ .............................................................................................. (Contractor, ogent, co~orote officer, etc.) of s~id owner or owners, and is duly euthorized to ~r~ or hove pe~ormed the said work and to moke and file this application; that oll statements contoine~~n_~re true to the best of his knowledge and belief; and that the work will be performed in the ~n~'o~W~"opplicotion filed therewith. Sworn to before me this bomr,i ............ of ..: ........... ) ............... ................................... Nota~ Public~~.~.~. C~ ~ ~ (Signature of ap~cant) F RAYMOND 570 BROADWAY F. FELLMAN · ARCHITECT ARCHITECTURAL CENTER" · AMITYVILLE, N. %'. · AM 4-5505 L I"' I' PLAN NO. I I SCALE:~ = I ' DATE THIS PLAN IS THE PROPERTY SHALL NOT SE DUPLICATED WITHOUT HIE; Of THE ARCHITECT AND PERMISS]ON F RAYMOND F. FELLMAN,.. ARCHITECT ARCHITECTURAL CENTER" 57ZBROADWAY AMITYVILLE, N, Y. · AM 4-5~50~ I- ......... 4-] -~-c' _. -'- '- ...... :- _ --i- -- _ _ _~'_- - _ _.. - -_ ..... -_~ _ ' [-- -- IG,"~. ~2~' PLAN NO. SCALE: o DIETZGEN F RAYMOND F. FELLMAN · 5'70 BROADWAY · AMITYVlLLE, ARCHITECT ARCHITECTURAL CENTER" N. Y. · AM 4-5505 PLAN NO. G/./c DRAWN By L EI SCALE: I//~r= I'<.;r THIS PLAN IS THE PROPERTY OP THE ~HALL NOT BE DUPLICATED WITHOUT DATE ~ . ARCHITECT AND HIS PERMISSION 0 0 ,¢.o %o &L, -C F RAYMOND F. FELLMAN,,. ARCHITECT ARCHITECT.~ RAL CENTER 57%BROADWAY · AMITYVILLE, N. Y. · AM 4-5505 PLAN NO.(:;-, SCALE: /,~: / ;i ' DATE -" THIS PLAN IS THE PROPERTY OF THE ARCHITECT AND SHALL NOT BE DUPLICATED WITHOUT HIS PERMISSION % L, I T ~-. I ~ L~T~ 4- I F RAYMOND 57O F. FELLMAN · ARCHITECT "ARCHITECTURAL CENTER" BROADWAY, AMITYVILLE, N. Y. · AM 4-5505 PLAN NO.T/'-; :~ ;, OF-~'z- SCALE:'/~= / " DATE .5 27-i F '1 ' T~ 0 14T T:: I ]~E '~I AJT I ©MI RAYMOND 570 F. FELLMAN ARCHITECT ARCHITECTURAL CENTER" BROADWAY · AMITYVlLLF., n. Y. · AM 4-5505 PLAN NO. 5/4-,~ THIS PLAN IS THE PROPERTY OF THE ARCHITECT AND SHALL NOT BE DUPLICATED WITHOUT HIS PERMISSION