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Home My WebLink About3259-z~O1LM~ ~0. 4 TOWN OF SOUTI-IOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE $OUTI-IOLD, 1~. Y, 12ERTIVII:ATE 13F DP.(:::LIPANI:Y No. :~. ~.6. ~;9 ..... Date ............. ]~el~L~' .... 6 ....19 THIS CERTIFIES that the building located at .. lt/~t..]tta~ .lto&d .......... Street Map No.. ~ ..... Block No. Jl:J~ ........ Lot No.~.. Cll~;(~tlOgliOi~. .l~I,.~., .......... conforms substantially to the Applicati.on for Building Permit heretofore filed in this office dated .......... ~)Cl}.--.L0 ..... 19~6. pursuant to which Building Permit No.. dated .......... 0{~; .... ~ ..... 191~6 ., ~vas issued, and conforms to all of the require- ments .of the applicable provisions of the law. The .occupancy for which this certificate is issued is . ~.l~;[3tat~;~ .Olrle. f'~m~t~lr, rl~]~tllg ........................................ The certificate is issued to .Iglg~;Ol~. ~tl.l;LoeJ~l; ....... l~rl~l, .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... ~JR, ........................... FOP~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? 3259 Z Dote ......................... ~o. toher.....lO,...., m66.. Permission is hereby granted to: ....... w.m..,...~.e...e..b.~......~Z..c......W.~,.~.o.r.. ................. ~to-ho~u~ ......................................... to l{aka ..altexat ~u3na ..anat. ~d~l ..3r.d ..ara r~.. on...p ar.t., o f...er.t &t .~ ~B.. 4wel~.. at premises located at ...... ~.~-...~;~..~{Oa4 .................................................................................... .................................................... Cut~ho~u&~.... 31o.Y.o ...................................................................... pursuan,t to application dated ....................... O~3tObe~. ........'10 ........ , ]0..(3~., and approved by the Building Inspector. Fee $...~.00 ............ Building Inspector FO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,O,.D, N. ¥. Examined ~ (C) 19(~ 6 ~pproved ........................................ , 19 ........ Permi~ No ................................. D~sapproved a/c ~ .............. (Buildino Impute) [ APPLICATION FOR BUILDING PERMIT Date October 10 19..6...6. ..... INSTRUCTIONS a Th~s application must be completely fdled in by typewriter or ,n ink and submitted in duplicate to the Buildin~ Inspector. b. Plot plan showing location of lot and of buildings on premises, reJotionship to adjoining premises or public streets o areas, and glwng a detailed description of layout of propertymust be drawn on the d~agram which is part of this application c. The work covered by this application may not be commenced before ~ssuance of Building Permit. d. Upon approval of this application, the Building Inspector wdl issue a Building Permit to the applicant. Sucl 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 Occupano. shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the msuance of a Building Permit pursuant to Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulahons, for the censtruchon of buddings, additions or alteratmns, or for removal or demolition, as herein described The apphcant agrees to comply w~th all applicable laws, ordinances, building code and regulations, Geo Fisher A/C Wm. Beebe (Signature of opphcant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C o.~t ~a .c..~.9.~. ........................................................................................ Name of owner of premises ..~.a~k~fi~...~q.:l,]].f~C,~ ............................................................................................................... If applicant ~s a corporate, signature of duly authorized officer. (Name and t~tle of corporate officer} 1. Locahon of land on which proposed work will be dane. Map No ..... ~ ................................. Lot No: ..~c~r.~ .......... Street and Number ..... .~./.~.....~,~l,~...~.O~,~ ......... .O..~.~.g.~.Q§.~I,~. ................................................................................ Mumc~pality 2. State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy ......... ~.~...e..]r..~.~..D..g .................................................................................................... b Intended use and occupancy ............ ~.~..~.~....~.~'..~.~...~.~.~.o...~....~....f~.~.'~.~..~.~.~,.O.~ ....................................... 3. Nature of work (check which applicable). New Building .................. Addition ....~ ..... Alteration ...x~ ...... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................................... 4. Est,mated Cost .... .br..~.0.0.0.....l~./~ ................................ Fee ..... ~i'.,.(g~0. ......................................................................... (to be prod on filing this appfication) 5. If dwelhng, number of dwelhng units .... ..o.b.e. ................ Number of dwelling umts 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. D~mens~ons of excsting structures, if any: Front .......................... Rear .......................... Depth .......................... Hmght ........................... Number of Stones ............................................................................................................. D~mens~ons of same structure w~th alterahons or addmons: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stones ........................................ 8 D~mens~ons of enhre new construction. Front -1-.~ .......................Rear .............. ].,~. ......... Depth ....~2. ................. Height ........................... Number of Storms ..a.c~rt .2.ZZCl...s.~.Ory on z'e~t~ pa,:~; 9. S~ze of lot. Front ............................ Rear ............................ Depth ................................ 10 Date of Purchase ........................................................ Name of Former Owner ...................................................... 11 Zone or use d~stnct in which premises are s~tuated ....... !.~,!)...Cl,~,S.~ .................................................................... 12. Does proposed construction wolate any zoning law, ordinance or regulation~ ................. ~!,~ ............................. ]3 Name of Owner of premises ....l~a.'l.~;~.~..g,;:L.1..le.O~:...Address .................. C~4;¢.~.o~;.~ .....Phone No ................... Name of Architect ...................................................... Address ............................................ Phone No .................. Name of Contractor .......... .~ ......... ]~e.~e ............... Address .....~lZ.te~)§~ .................Phone No .................. PLOT DIAGRAM Locate clearly and distinctly all buil&ngs, whether existing or proposed, and indicate all set-back dlmens~ons fro property hnes. Gwe street and block numbers or description according to deed, and show street names and mdica whether ~ntenor or corner lot. STATE OF NEW YORK, ~ S S. COUNTY OF ...... S~f. ~o.1~. ..... .............. .Ge~z'~,e...~.;J,,st'z~,~ .............................................. being duly sworn, deposes and says that he ~s the applic( (Name of indwidua s~gnmg app icat on) above named. He is the ............... A~e~¢..~......g~-t~'a.o.~g~' ..................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and this apphcahon; that all statements contained m this apphcation are true to the best of his knowledge and bell and that the work w~ll be performed in the manner set forth in the application filed therewith. Sworn to before me this ~~ - ~ ................... l~..dayof ............... 0~.t~.~e~ ............ ,19...6.6 ~ ~~~~~ co f ; ..... ....... ........................ o Y~z'~*~PU~LIo ~t~ ~ ~ "'- ' ............................. "" ~Term ~p~rcs ~arch 30.