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Home My WebLink About2688-zNO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .B~o~..&..~e~niz~...~ ....................... Street Ma0p~k~o.~..d...~.?......H~....]:.]:'..? Block No ..... ~ .......... Lot No...2 ......... ~OlJi;ho~d,...J[..~, .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................................ ~ .......... 3~1...., 19.~.. pursuant to which Building Permit No..~,~SS..~- dated .............................. AJ~.[~,....~, ...... , 19..~., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ Priy..a..~..e....O,.n.~. ~.~.~.1~.. ~.~e.l~ ...................................................................... The certificate is issued to ...~laaJ...0.!~'.;l,el~ ................. 0~1~ ................................................... (owner, lessee or tenant) of the aforesaid building. H.D. Approval ~u~¥ 20, 1~ ~yR. Villa FO~ 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? 2688 z Permission is hereby gronted to: ...J~n.&..C~ ....... ~.~..~..~.~tea ................. ~hte.~r~...H~Z~ .......................... to .... ~t~.,ne~..a~le.. ~l~lfl~r.. ~t~3 ~Lt~4~ ................................................................................ ct premzses located at ...... l~t-2~ ....... Oa~&d~:e..~.~.:t~ ............................................................ .............................. ~.e~J,~...&..~ao.~.. l~a. ...................... ~o~t. ho~ ......................................... pursuant to application doted .......................... .~t~th ......... ~ ........ 19..1~., and approved by the Building Inspector Fee $.. ~.~.~. ......... Building Inspector SUFFOLE COUNTY DEP~ OF HEALTH Building Permit TO WHOM IT ~AY CO~CEP~: Th~ sewage disposal fsciliti~s f~r a structure located at ~ (~ ~o~ ~o~tio~) / ~ve b~ ~s~cted ~ ~s D~pa~ment ~d fo~d to ~ aatisfacto~. D'istrict -~ er J U L 2 0 f955 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......... ~..l ........... 19...~.~' Approved ........................................ , 19 ...... ~Permit No. Disapproved a/c ......................... App,cot,on .......... APPLICATION FOR BUILDING PERMIT Date ............. .~...~.......~..~ ........................ , 19...~..~..... INSTRUCTIONS o. 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 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 name, if a corporation) ......... ...... ...... ...................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................ ....... ........................................................................................................ Name of owner of premises ....... ~:.~./~. ........... ..~..( .~....~...~./..~'.~Y: ........................................................................................ If applicant is a corporal1, signature of duly authorized officer. .................... ........... ................. (Name an~tle of corporate officer) 1. Location of land on which proposed work will be done. Map No: .¢'!.~ .~...,~.!..q~f ...... /.~..~.~.~ ..... Lot No: ......~.. .......... Street and Number .......'~..~.~....~./.~:i.....~...~.. ............ ,.~.~?~.....~...?....~. .............................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ...... (....?~....~.....~.: ....... ~Z~ ..z:...?/.~ .............................................................. 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ..................... ...) .................................. 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: 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 entire new construction: Front ...... ..~..,~.:.?...~. ..... Rear ...... ~...~.....~...~ ....... Depth ............................ Height I ............ ~ ........... Number of Stories / i; 2. ........ ............... 9. Size of lot: Front ............ .~ .............. Rear ............................ Depth 10. Date of Purchase ........................................................ Name of Former Owner ..... .~..~.~....~...~...,?......~..;;~.,..:~:....x'?..L~..... ] 1. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .............. ,../~.~. ................................. 13. Name of Owner of premises .~.4~....~., ...... .~.......: .......... Address ..~..e:...:~...~.~. ........... ?r~one No..-~...~,~..?.~:/e. Name of Architect .f.,'./..~.~.L. ....... ./,~..~'./t/ ........................... Address/.~.2..~.?..~....4~...~..~.%~..s~..T,.i..~..~.A.'/~o~e'~I'~.~ ~i .................. Name of Contractor Lf...4 ddress ...... ....... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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 YORK, )' S.S. COUNTY OF ......................... : ...... ~ .................................................................................... , ............ being duly sworn, deposes and says that he is the applicant (Nome of individual signing application) above named. He is the ......................................................................................................................................................... (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 file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this _, ~ t,',~?,:::--,.~ ~ // ....... ......... dayo, ..... ............ / ~ ' ~ ' ' ~ r~ ~p~.~ ~, ~o, ~/~ ..... ~ . Ii~/ ' ~_.~ '/ ~ ......... ~ ...................... ;,:: ...~ ................ NotaF Pub /~......~: .... CounW~, t ~;~';~ ~;~ i[~;;~i" ' 'TECHBUILT NC LEXINGTON, ' , r ~0 C-I A'['(~:~ ,~-R ~--~ ~ T~ ,cq~ HARSEN JOHNS and FERMERy ARCHIIT~CTS TECHBUILT'INC., 1692 MASs.] AVE.~LEXINGTON, COPYRIGHT ~, MODEl. ' C. 0 J~" 0 rk~ , TECHBUILT INC., 1692 MASS. AYE., I~EXINGTON, MASS. COP~YRIGHT '~. TTEN PERM~$SION FROM THE COPY~IGI~T OWNER ~,,'~O C- i A,.~i'F-.'~' HARSEN JOHNS and FERM~ERY ARCHITEC~ ~g5 MA~N STREET -- MOUNT KISCO, N, Y, -- MO ~3858 ~0 , TYPE ,' rTECHBUILT INC., 169~ MASSl; AVE,, LEX, ING'rON~. it ,t 4 HARSEN JOHNS ~d FERMERY ARCHITECTS 295 MAIN STREET -- MOUNT KlSCO, N. Y. -- MO 6-3858 .SUBJECT J,. IVJ N,~ ' TECHBUILT INC., 1~692 .MASS,, AVE., LEXI TYPE HAND DRAWING DATE DRAWN REVISION NO. L TY'PE HAND[ 4BUI£T INC., 1692 MASS~-'AVE., LEXINGTON, 'MASS, AYE,;,, LE, XlblSTON, ,MA'SS, C,O(JiYTEI~ - TOP LAYOUT' PLAN D -FT,A~ L 5' ~oO~ e ~IDE'fFALL WALL _SECTION 17 'MT. ;AM . ./ + AY :SI]EJECT 6c~z~514 : MASS: < ~ %i~l piping e n mud l~h o~ 2~ sh~ll h~ ~ exp~sio~ Joint ~ro~ly ce~t~,rad -~p~s ~e ~i~hed ~r~ly for ind~ml h~at ~trol ~ and s~ ~r ~Om 8~ to 9~ of the co~e ~o~, Ho~v~, d~apers ~y be used in his ~l'~%e~ ~ wor~s~p ~d shall ~a~tee such for one y~nTM ~om dat,~ of ills tall ~tion. The mf~ requi~ents of ~ll w~k sh~l be the AS~ [,~i AI%~s~p ~d ~t~rials ~h~l bo guar~teed for on~ yo~r from date BILL OF ?{ATEHIALS~ (Ne% design load Expansion Joints ~7 4' dampers ~lO braeke'5s #5 inside #12 L.H. trim pieces #12 ~,H. trim piec.s ~4 L,H. end ~2 join #1 co. ers ~TECHI~UILT INC., 1692 MASS. AVE,, L£XINGTOI~, MASS.