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Home My WebLink About3269-zF~I~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the budding located at ...... ~[;Ld.c~..l{s;).~.cl. .................................... Street Map No ....................... Block No ...................... Lot No ..C...q.~...q.h..o..c.[.u...e.,.....L..-..~.-..~.....N..e..w.....Y..9.~.k.. ........ conforrr~s substanhally to the Apphcahon for Budding Permit heretofore filed in this office dated ......................... .S..e.~..~.... ...... .2..7...~ .................. , 19..'~..... pursuant to which Building Permit No .3,~6.9...~. dated ............. .S..e.[3.~... ..... .2..7..¢ ........... , 19....-~_9', was ~ssued, and conforms to all of the requirements of the apphcable prows~ons of the law. The occupancy for which this certificate is issued is ........ ..................... ,p.. ~. ~.v...a..c...e....o...n..e.... ~.~.:L.3,y....~..~,3, ~,x~g ........................................................................ The certificate is issued to ........~...e..~...a..~g..d.....S..h..~,~¥.~.~.t....~t~ ......................................................... (owner, lessee or tenant) of the aforesaid build,ng. /'~ ~,.,~. ,/~ ~'~/~ .I //, L- /" %,' £~ Building Inspector FORM ~0. ~ 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? 3269 Z Permission is hereby granted to: ............... Th~ s ....Fi shem..~.C.....]~r~aa~l., ah~lvey at premises located at .........~.S..~'~JJ~Jl~.e..~,O~d...,.~,]~,~.,) ............................................................ .............................. Ct~tobo~®r li,.y., ............................................................................................. pursuan¢ to application dated ............................ ~JO~;..,..~. ............ , 19~:~..., and approved by the Building Inspector. NOTE Approved by County Dept Pub°Works Oct, 7j 1966 Fee $ '1 I~Oi~ ........... pJ~RMIT REQUIRED ~qV,~R S~CT. tO~q ~3e H,W~AY LAW FOR AC~ COU~ RO~ ~0~ TDWN [] F S D UTH [] LD DFFIBE ElF BUILDING INSPEEITE1R TBWN EILERK~S BFFIBE clBUTHnLD, N. Y. Date ..................... mmmsloner or Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated La,ws of the State of New York, this is to notify the Commas- sioner of Public Works of the County of Suffolk that has applied to the Town of Southold for a permit to construct a braiding (¢1~..~) ..... Cu.+~o~¢t..~..~.- .............. as shown on the attached plot plan, submitted in triplicate, dated ......... otherwise provided in the aforementioned Section 239K 10/7/66 Ap~rovect to 1:he 1:mm at' Soatho[ct [~l:~tiall~ ~ 8e~, 239K of 1:he (]elle/~]. Very truly yours, Municipal Law as per plans; before bldg. access 1:o C.R. 27, · [~ez-ml1: under See. 1~6 of the HASh~BM ~ w~ll he re~uired/ R. 1~. Kamaterer, Com~:Lsstoner Bu,ldin Stl:~'~ .Jrk Coll:tl~J 1~1~4 lh.l~[l~ ~ "T ~ Inspector ~ , ~ ~J~ I~ ownor N Y ou,ho,d, TDWN I-I F S [] UTH D LD rlFF'IP.E OF BUILDING INSPECTOR TDWN CLERK'B OFFICE 5OUTHOLD~ N.Y. mm~ss~oner at ~'uD,c WORKS Suffolk County Yophank Ave, Yaphank, N Y Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, th~s is to notify the Commis- sioner of Public Works of the County of Suffolk that '~l~tlt~"'~$~ has apphed to the Town of Southold for a permit to construct a budding on ...~l.~.3¢&,J.[.j,,~-.~te,~..¢~i~} .... ~~..~ ..... as shown on the attached plot plan, submitted in triplicate, ~ted ................ We shall withhold fu.her on ten aoys or as mhe~ise p~vided m the aforementioned Secbon 239K VeW truly yours, Building Inspector Town of Southold, N. Y. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING FERMI? INSTRUCTIONS a. Th~s application must be completely filled ~n 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, relationship to adjoining premises or public streets o areas, and g,wng a detailed descr,ption of layout of propertymust be drawn on the diagram which is part of this applicatior c The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Budding Inspector will issue a Building Permit to the applicant. Suc: permit shall be kept on the premises available for inspection throughout the progress of the work. e No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe~ The apphcant agrees to comply with all applicable laws, ordinances, building code and regulations.~ , (Signatur~ of appl~t, or name, if a corporation) ~ d ~- C) 0 ~' ~ ~ ~.' ~, '~/" (Addre~' of ~"~p'l'i~ ......................... State whether applicant, is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde. Nome of owner of premises ........................................................................................................................................ If apphcant is o corporate, szgnature of duly authorized officer. (Name and t,tle of corporate officer) 1 Location of land on which proposed work wdl be done. Map No' . ........................................... Lot No: .................. Street and Number ...../~.../....~....~...~.. ~ ..... ~....o....,~..~.. ................ ~..~....~..~...~ ........................................... Municipality :2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Ex,sting use and occupancy ................................................................................................................................. b Intended use and occupancy .................................................................................................... 3 Nature of work (check which apphcable). New Budding .................. Add,boa ................. Alteration .................. Repair .................... Removal .................... Demohtion .................... Other Work (Describe) ...................................... 4. Est,mated Cost .... .~..7..~...~...~..?........~.. ......................... Fee .......................................................................................... (to be paid on filing thru application) 5 If dwelhng, number of dwelling umts ............................ Number of dwelling umts on each floor ..v ........................ 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 exmting structures, if any. Front .......................... Rear .......................... Depth ............................ Height ........................... Number of Stories ............................................................................................................... D~menmons of same structure with alterations or addmons' Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stones ........................................ 8 Dimensions of entire new construction: Front ........... ~...,~-.. ......... Rear ............................ Depth ......~.....'~... ............. Hmght ............................ Number of Stones ........ ~ ................ 9. S,ze of lot. Front ..... ./....~..~...z. ..... Rear ............................ Depth ........ ../....?......~...~...~ .... 10. Date of Purchase ........................................................ Name of Former Owner ....................................................... 11 Zone or use d~strict in which premmes are s~tuated ................................................................................................ 12 Does proposed construchon'~-- ~_._ .~_ ,- ~,_x__vi°late any zonin~ law, ordinance or/z/reg-u~clti°n? ..................................................... 13 Name of Owner of premises~?...~.~.~...z~...~.....'f...~..~...~f..~...Address ~.z./~.~..~...~..~......~.<.~.'~ Phone No .................... Name of Architect ..................................................... Address ................... ~......,~: .................. Phone No ................... Name of Coat racto~.'~,,~....~......~¢......~/...~..~.~.~.. Add ross ...~.....'~../.?...~...~....cf..~. ~Phone No ~...'f...~'.'~../ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether exmtmg or proposed, and ~ndmate all set-back d~mensions fron property hnes. Give street and block numbers or descriphon according to deed, and show street names and ~nd~cat, whether ~nterior or corner lot. STATE OF NEW YORK, S.S. COUNTY OF .............................. ~~,,~....~"'~., ....~~ ................... be,ag duly sworn, deposes and says that he s the app ca,- .............. (Na[~ '~vr indivi~l~rsi~l'~,n~ application) (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 fil thru apphcahon, that all statements contained in thru application are true to the best of his knowledge and behm and that the work will be performed m the manner set forth in the application filed therewith. Sworn to before me this ........ ..... day of ..........~ ...................., 19...~...~.. __ '- ' ..... .............. ...................... o or., Commms[on Expires March 30, 19 ,~' "'2