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Home My WebLink About3310-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE~ OF OCCUPANCY No .~..~,3.,~. ............ Date ................. Atl~t1~t..~-~f., ............... , 19.68_. THIS CERTIFIES that the building located at ..~lt~.!.ll..~,~t~l ........................................ Street Map No ....................... Block No ....................... Lot No.l~ttt,~,t,k~C~...K~f...~..Q.:~.k.. ........................ confore~s substantially to the Apphcatton for Building Permit heretofore filed in this office dated .................. I~O?~llg]~..L~ ................... , t9..~$., pursuant to which Building Permit No....3..3.~.0.....Z. dated ....... ~Ot~.~...1.2.~ .................., 196.6 .., was ~ssued, and conforms to all of the requirements of the apphcable provisions of the law The occupQncy for which this certificate is issued is ........ .~,:~.~lzaf=~t.. ge,.~ngec.. (ac..ce~m ~'y...bn:l. Z.d~.ng.} ............................................................................ The cerhf,cate is issued to .1~.,I~,...~.~],~ ................................................................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector FOF,~'V~ NO. ~ 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? 3310 Z Permission is hereby granted to: ................ .Ca.l~]..:[~ ,...S.t, e3Y-ez ........................... ................... ~e~,,~,l~u~. ....................................... to ~i.J~L..a~w...~ z,e~i~ed.. ~ e~ s~F...b~ 7~ d,~.~ ...(.G~=~e.) ............................................ at premises located at ....i.~...~...~g.~,~ .............................................................................................. ............................................ · ,..T~ ~..~ ~,,~, .............................................................................................. pursuant' to application dated ......................... ~O.V ........ k;~ ............... , 19..~., and approved by the Building Inspector. Fee $ ~...e...(~... .............. ........... '...4.;v...;.~'. ...... :.~...~ ......... ~,~.-'.....::...T..~ .............. Building Inspector I FOI~M ~0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. " " 33/o Approved ........................................ 19 ........ Permit No ................................ Disapproved a/c . .~ .......... ............................... ................................. APPLICATION FOR BUILDING PERMIT Date ........................... ~.a.'c.e,~_'b. ar...l ~ ...... , 196~. ...... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin, tnspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adlmmng premises or public streets o areas, and gwmg a detailed description of layout of propertymust be drawn on the diagram which is part of this applicatior c The work covered by th~s apphcation may not be commenced before ~ssuance of Building Permit. d. Upon approval of this application, the Building Inspector w~ll issue o Building Permit to the applicant. Suc: permit shall be kept on the premises available for ~nspection 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 Cert,ficate 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 Regulahons, for the censtruction 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. Carl E. Stelzer (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 builde ........ . Name of owner of premises ........ ..O.a~'l ...~^...~.~.e,]~fl.~. ..................................................................................................... If applicant is a corporate, signature of duly authorized officer (Name and title of corporate officer) 1. Location of land on which proposed work will be done Map No ..................... ~ ................ Lot No: ...~ ........ Street and Number ...... .~.t~,'R~..~O~.Ct. ............ ~.t~J~.g,C~ ....................................................................................... Mumc~pality 2. State existing use and occupancy of premises and ~ntended use and occupancy of proposed construction: a Existing use and occupancy .... D~e.'l..li.~§. ...................................................................................................... b. Intended use and occupancy ...... B~...~.'i.¢h...~.t~(~e~...Q.&.~§~ ......................................................... 3 Nature of work (check which applicable): New Budding ...:~. ..... Addition .................. Alteration ................ Repair .................... Removal .................... Demohtion .................... Other Work (Describe) ................................... 4. Estimated Cost ...... .~..,~)~..~/~. ................................ Fee ...~,DC~ ........................................................................... (to be pa~d on filing th~s apphcation) 5. If dwelhng, number of dwelhng umts .... ~tQ~ .............. Number of dwelling units on each floor .......................... If garage, number of cars ......................................................................................................................................... 6. If business, commercial ar mixed occupancy, specify nature and extent of each type of use 7 D~mens~ons of ex~sting structures, ~f any: Front .......................... Rear .......................... Depth .......................... Height ............................ Number of Stories ............................................................................................................. D~mens~ons of same structure with alterations or addmons: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. D~mensions of enhre new construction Front ............ ~'2 ........... Rear ......... ~,,~ .............. Depth ......... ~, ............ Hmght ............................ Number of Stories ....... ~e .............. 9 S~ze of lot' Front ............................ Rear ........................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ..................................................... 11 Zone or use d~strict ~n wMch premises are situated ....... !.~.LL.,c~.£~.¢, ................................................................... 12 Does proposed construchon violate any zoning law, ordinance or regulation? ................................................... ]3 Name of Owner of premises ....~.~...~.~.~.~_~.f~. ....... Address ........ ~.~.~.j..~t~c .............. Phone No .................. Name o~ Architect ...................................................... Address ............................................ Phone Na .................. Name of Contractor ........ ~,~.~e, .................................. Address ............................................ Phone No .................. PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro property hnes G~ve street and block numbers or description according to deed, and show street names and ind~ca whether interior or corner lot. STATE OF NEW YORK COUNTY OF ............ 1 S.S. ............................ .?..~..?..]r....~.,:...~.~.e...]..~.e...~, ................................ being duly sworn, deposes and says that he ~s the applic (Nome of ind~wdual s~gmng application) above named. He ~s the ........................ ~.~'t~ ......'1~.~.~.~1:e~' ....................................................................................... (~ontractor, 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 apphcation; that all statements contained m th~s application ~re true to the best of h~s knowledge and bel and that the work wM be performed in the manner set forth in the applicahon filed therewith. Sworn to before me this .................... ~.~ day of .............. ~.~.~.~.~. .........., 19...~. ~ ~ ~ ,~ Pubh~ q~...~,.../~~~, .~.,..., ~,. ~~' ' ' .C. Coqg~""i"4'""~i'"~'"~ ~ ¢o,b (Signature~"~of ~plicant) ............................. Notary L ~ ~"~ . '~,'~ ~ ~'- '~