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Home My WebLink About3283-zFOR~ NO. 4~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ....... J$...~JT.~.~,. ...... Date .................... THIS CERTIFIES that the building located at ..... (~...~,t .~,O~1.~[ ............................... Street Map No~ ........ Block No ~,~[~[ ...... Lot No conforms substantially to the Application for Building Permit heretofore filed in thru office doted ............ ~t,~i:~:: .],9 .................... , lC~6 ....pursuant to which Bulldmg Permit No ~.~1~1.~.~ ..... dated......O~. ~...O~....~....2..]... .......................... 19...~.~, was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which th~s cerhficate ~s issued ~s ........ ......... ~d~t,~;I,on./~.. ~e...£~,y...~e;t~g. ................................................................. The certificate is ~ssued to .......~[~..~.~t~.C~e~...~.t,l~.g.~.~l ................................................ (owner, Jessee or tenant) of the aforesaid building FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3283 Z Dote .......................... I~c.t, abar.....2.1,..., 1 ~...66 Permission is hereby granted to: . A,, ,I. ,ltada .....A~..C.. Al:Lc e...S, tur..gea ............. ...... · .$~e.x~s...l;~],and ........................................ to ]~z$~l.. &d~l ~.t~oa.. & ..aake ..~l.t,e ~e t.~ne .. ea.. e][.:[.9 t.i.n~.., d~e.Z.]:.:[~ g ......................... at premises located at ...le%..l~2.,.1.....~4,s~,e.~s...]:.s.].~n~..~;e~etes ............................................ ............................. .t~/...][e&b~lfLa..~e~ch ,...q/~...C:Lay...P. 2t.. ~.oads.....F.. T, ........................... pursuan.t to application dated .............................. 0C.~;e...~[.~ .............. , 19.~6.., and opproved by the Building Inspector. Fee $..~...QO ............. I Building Inspector 6 J o~ pH~-"L /IJ ,~. .,'¢/ 7C/-/E / / FO~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......... ~.~ ....... , 19...~....~. " D &3 7__- Approved ........................................ ,, ! 9 ........ Permit No ...... , .......................... DisapFroved a/c .................... ....~:~-. Application No .......................... APPLICATION FOR BUILDING PERMIT Date ............................... g.~.~.a]~ ~...], 9.,..., 19..~ .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildln, Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o areas, and giwng 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 Budding 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 ar used in whole or In part i~or 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 ~ssuance of a Building Permit pursuant to thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o, Regulahons, for the construction of bu,ldings, additions or alterations, or for removal or demolition, as herein described. The apphcant agrees to comply with all applicable laws, ordinances, building code and regular,ohs. ~ (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. ...................................... ~ .~ ~.~..~...g.~.~.~. ~.g..~.~.~ ........................................................................................................... Name of owner of premises ....... J~l_:J.a~...~l~cl~e~'...~.~t~zg~.lB ................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I Location of land on which proposed work will be done. Map No' ~&~'l~ Az'ea. Lot No' . .................. ..:.:. Street and Number ...... ~? .... ?... ..~. .......... ..~....~...: .......... (..'. .......... Municipality 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Ex~sting use and occupancy ......... ~f~.;I,~l, etip,.O.G ................................................................................................... b. Intended use and occupancy .............. :.~. ...........· ..~.. :.~.~..; ................................................................ 3. Nature of work (check which applicable). New Building .................. Addmon ........ ~ ...... ~I Afferation ............... Repmr .................... Removal .................... Demolition .................... Other Work (Describe) ................................... 4. Eshmated Cost .......... 3.0.,.0.0.0.~g.Cl ............................ Fee ......... ~,~.qf} ..................................................................... (to be paid on filing this application) ,5. If dwelhng, number of dwelling units ............................ Number of dwelling units on each floor ......................... If garage, number of cars ........................................................................................................................................ 6 If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use ............................. 7. D~mens~ons of ex~sting structures, if any: Front .... .3.~.~.q'.'. .......... Rear ...~.~.!..~.'.'. ........... Depth ....9..q.'...O..*~ ........... Dimensions of same structure wffh alterahons or additions: Front ,..:~,I~I.,.~ .................... Rear ............................ Depth ...,1,.~.~ ..... .0. ............ Height ..~d~....~ .................. Number of Stories ............~. .......................... 8. Dimensions of entire new construction: Front .... ~.~.'..0:! ............. Rear ...... :~f}...~ ............. Depth 1.01.' 0" Height .......... ~0.~. ............ Number of Stories ...... ~ .................... 10. Dote of Purchase ........... ~.9.6~ ................................... Name of Former Owner .... ~.~.,~;I,~..~13P~3.~. .......... 12. Does proposed construction ¥iolate any zoning law, ordinance or regulation? ...... .~.o.. ...................................... Name of Architect ...... It~tgl~.,3'Gm~ ....................... Address ..G.~J,l,Gl~.Ct~,....~gJ~II., ....Phone No ................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions fr, property lines. Give street and block numbers or description according to deed, and show street names and india whether interior or corner lot. STATE[ OF NEW~)YOBI~, 2/.. ~ S S COUN~~ ....... ~ ' ' ~~ .................................... being duly sworn, deposes and ~ys that he is the oppli, .......................................................................................................... (Contractor, agent, co~orate officer, of said owner or owne~, and is duly outhoriz~ to perform or have perform~ the said work and to ~ and this application; that all statements contained Jn this application ore true to the best of his kn~ledge and be and that the work wdl be performed in the manner set fo~h in the application filed therewith. Sworn to b~re me this -- - ....................... HLf. J.ST U [ C, ~ ~