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Home My WebLink About3300-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. OERTIFIOATE OF OOOUPANOY THIS CERTIFIES that the building located at .. l~l~:[cleje. LaI~ .............. Street Map No..~ ....... Block No...~ ..... Lot No..~ ............. (~ll%~,llO~lle ..... conforms substantially to the Applicati. on for Building Permit heretof<~re filed in this office dated ... ~o~.ell~e~..2 ........ 19[16 pursuant to which Building Permit No. 3~00. 5- dated . .l~.~r~lll~elZ .2 ........... 19 66, was issued, and conforms to all of the require- merits ,of the applicable provisions of the la w. The .occupancy f~r which this certificate is issued is .... .1¢.~4.. ~.~:~0~ .~l~q~. l~%~ld&ng ....................................... The certificate is issued ~o . .~J~.~;. ~l:~$~:t ...................................... (owner, lessee or tenant) of the aforesaid building. ,Suffolk County Department of Health Appr, oval ........... ~ ...................... Building Ifi~fSector FORM NO, 1~ 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? 3300 Z Dote ............................... Permission is hereby granted to: .................. Alhe:e.t. ~, ,,",v.a.ic,.'L ......................... ....................... B~.~,cl6e...L~ ................................... to .]]~l.,1,d.. · a~ ...f.a ~,~...s %e ra.g e. · .b,a/:.'1 d :tj~ g .............................................................................. at premises located at ..... ]~J].....j~Z~.~:g~..,~).~. ................................................................................ ..................................................... C~tf, c. ha~,ue ~ .....N~.¥. ..................................................................... pursuan,t to opplicotion dated ........................ ]~}o'e~Ib~l'""~ ........., 19...6~, and approved by the Building Inspector. Fee $.~;J. J)~) ........... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved c ~ 19 ........ Permit No. D~sapproved a/c ............................................................................................. B ( ui mg nspec orj Application No ............................ ~.PPLICATION FOR BUILDING PERMIT Date November 2 19..~.... INSTRUCTIONS a. This application must be completely filled in by typewriter or in 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 areas, and giwng a detailed description of layout of propertymust be drawn on the d~agram which is part of th,s applicatior c. The work covered by this application may not be commenced before ~ssuance of Building Permit. d. Upon approval of th~s application, the Building Inspector will ~ssue 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 building shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupan,_ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE 1o the Building Department for the issuance of o Building Permit pursuant to t~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulations, for the censtruct~on 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. (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 build~ .................................................. ,0.~¢~ ~....-....~S~L~ ~, ...................................................................................................... Name of owner of premises .~.],]~..e.~...~..~.~.~..~E,..~.~.....~. ........................................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and t~tle of corpor?e officer) 1. Location of land on which proposed work will be done. Map No' . ........ ~ ........................... Lot No: .~. ............ Street and Number ...~J~.,..~&~e...~e~ ..... .~a~.~..~.Z.~ ............................................................. Municipality State ex~st~ng use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and ~cupancy ......... ~.~. ~ ............................................................................................... b. Intended use and occupancy ........ ~..~.a~.~..~fl=J.~ ............................................................... 3. Nature of work (check which applicable): New Budding ...::~y~-_~ ..... Addition .................. Alteration ................. Repair ................... Removal .................... Demohhon .................... Other Work (Describe) ................................... 4. Eshmated Cost .... 3.t.~.0.Q ............................................ Fee ........................................................................................ (to be paid on filing this application) 5. If dwelhng, number of dwelhng umts ............................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~mensions of ex~sting structures, if any: Front .......................... Rear .......................... Depth .......................... Height ............................ Number of Stories ............................................................................................................. D~mens~ons of same structure w~th alterahons or additions. Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. D~mensions of entire new construchon: Front ......... 28 .............. Rear ....28 ................... Depth ......~0 ............... Height ............................ Number of Sl'ories ..P.12e ................... 9. Size of lot: Front ........... ~.q.e...~..~.J~.e. Rear ............................ Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ...................................................... 11 Zone or use district m which premises are s~tuated ....... !!~,!!..~.:]t.~,¢ ..................................................................... 12. Does proposed construction wolate any zoning law, ordinance or regulation? .......... ~.Ct ..................................... 13. Name of Owner of premises ./L'l-be.~.~..~,a~"zo~S~'Z...Address ............................................ Phone No ................... Name of Architect ...................................................... Address ............................................ Phone No ................... Name of Contractor ...............~,.~.~.~. .......................... Address ............................................ Phone No ................... PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether ex~sting or proposed, and indicate all set-back dimensions fro~ property hnes. Give street and block numbers or description according to deed, and show street names and indical whether interior or corner lot. STATE OF NEW YORK, } S.S. COUNTY OF ..... Szz££4)lt~.. ............................ A]-]::~eZ~.~..,Z~,z~,~.]~.~... ............................... being duly sworn, deposes and says that he is the opplic, (Name of individual s~gning application) above named. He is the ....................... .o'~e.:t'. ...... b~t.$..],c[e.~ ........................................................................................ (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 th~s apphcohon; that all statements contained in th~s applicahon are true to the best of his knowledge and bel and that the work wdl be performed in the manner set forth in the apphcation filed therewith. Sworn to before me th~s .................. ~, ..... da~of ............... "-~.¢. a u~c~./~/~/z'. ! . .-;,....¥:V..~..~..z.~: ......... ,e~...~,z.-..-':~......':~. ............... Notary Public, /..~,,~Count);~ (Signjzfu~'e of applicant) Commission Expires ~,%r~,i'i