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Home My WebLink About3350-zI~OR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...~...~.~.~. ........... Date ..............4~;J.,~..~4 ..................... , 19..6.?.... THIS CERTIFIES that the bu,ld,ng located at ..!i[$..~.~...~.....Il..&..I~...~....~...0..~...~. ....................... Street Map No ~ .............. Block No ..... ~ ........ Lot No.....~..~ .................. .O...~.~.~...~..~..f.....~.?...~.., ..... conforms substanhally to the Apphcat~on for Budding Permit heretofore filed in th~s office dated ..................... J~.~.~_.~l~. ;~ ....... , 19~i~.. pursuant to which Budding Permit No ~.~.l~..~.. dated .............. ]I;~[I.¢LttI]III~.. ~il~ ........... , 19.~., was issued, and conforms to all of the requirements of the apphcable prows~ons of the law The occupancy for which th~s certificate is issued ts ........ ............ ..................................................... The certificate is issued to .......... ..~...~...'.~....~..~...~.....JJ'..~.g~J~". .......................................................................... (owner, lessee or tenant) of the aforesaid building Building I nspec~r FOR.WI 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? 3350 Z Permission is hereby granted to: ~.~a~.~...~,b.~......~,Z~......~.cb.~....~s;~. ...... ............. .~rie~t .................................................... to .huili..an..&d~t~ton..on. Jit..exls.ting..l~e~l~g ..................................................... at premises located at ..... l~l/~l..]l[al'~OM l~d,.~'~t~ l~O&d ............................................. ................................................. 0~.len~,~..~I.Z. .................................................................................. pursua~.t to application doted .................... ~le~,......~~- ......................., 19..6~1., and approved by the Building Inspector. Fee $ .. ~...,..0...0. ............ Building Inspector FO~M ~0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....... ~..~......~....! ............. 19...~...~.. " 3350 Approved ........................................ , 19 ........ Permit No ................................ Disapproved o/c ~ ........... ~ ................. ~ .............................. Application No. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or m ink and submitted in duplicate to the Buildin, Inspector. b. Plot plan showing location of lot and of buildings on premises, relationshsp to adjoining 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 application c The work covered by th~s apphcation may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Suc} permit shall be kept on the premises avadable for ~nspection throughout the progress of the work. e. No building shall be occupied or used in whole or ~n part for any purpose whatever untd 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, Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The apphcant agrees to comply with all applicable laws, ordinances, building code and regulations. Bryant Tabor (Signature of applicant, or name, if a corporation) 0rlent (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Cont.~cto~ ............ Name of owner of premises ....~..J:..~.~.~...~..~.g~. ................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (N~me and title of corporate officer) 1. Location of land on which proposed work will be done. Map No ............................................. Lot No: ................... Street and Number ....... .1.'.A.z?...r..o..Ar....~-.M.¢.~... ~..qA~.~ ...... .0.~:~.~A.~ ................................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy .... .~..~..e..~..]:.i...~.g .......................................................................................................... b. Intended use and occupancy ........ ~.9,.~..9....~...i.~.I?,....9,~...~.~,~,~.QTL ................................................................... 3. Nature of work (check which applicable): New Building .................. Addition ....~ .... Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................................... 4. Estimated Cost ............................................................ Fee ..~.A.0.Q ............................................................................. (to be paid on fihng th~s application) 5. If dwelling, number of dwelling umts ...... .Q:D.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~mensions of ex~sting structures, if any: Front .......... ~..~. ........... Rear .......................... Depth .~..b¢. .................... Height ............................ Number of Stories ............................................................................................................. D~mens~ons of same structure w~th alterations or addmons: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8 D~mensions of entire new construction: Front ......... Z,8.~ ............ Rear ...... .:L.8 ................. Depth .~.?. ..................... Height ............................ Number of Stor~es ...o.b.e. ................... 9. S~ze of lot: Front ............................ Rear ............................ Depth ................................ 10 Date of Purchase ........................................................ Name of Former Owner ...................................................... 11 Zone or use district in which premises are s~tuated ............ !!~,?...~t,..$&~, ................................................................ 12 Does proposed construction wolate any zoning law, ordinance or regulation? ....... ~,f? ........................................ 13. Name of Owner of premises ...~L~..~.~ .................... Address .......... o.~.~.~.¢, ................... Phone No ................... Name of Architect ...................................................... Address ............................................ Phone No ................... Name of Contractor ...,~...~.~..a....~.~...~.&...b..o..~ .................... Address ..... .0. Z$.~.Tkt,. ........................ Phone No ................... PLOT DIAGRAM Locate clearly and distinctly all build~ngs, whether ex~stmg or proposed, and sndicate oil set-back dimensions fro~ property hnes. Give street and block numbers or description according to deed, and show street names and ~nd~ca[ whether ~nterior or corner lot. COUNTY OF .............................. ................................. ~razz.~..Ta, b~z~ ................................... being duly sworn, deposes and says that he is the applic~ (Name of individual signing application) above named. He is the ........... .~.~;~.~C)Z'. ................................................................................................................. (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the sand work and to make and th~s apphcation; that oil statements contained in this apphcat~on are true to the best of his knowledge and bah and that the work will be performed in the manner set forth in the apphcation filed therewith. Sworn to before me th~s ................ Lz.... day .._. ............. ,.'1~1~ z7.~' /') l'""' !/ -,"]",',,,~t"c, :,:c ~,', ~"':.'..~~..:....~....~... ..................... Notary Pubhc, Z'.'./..~...~.,~.,..~.:~.,~,Cdd~.c~6? O (Signature of applicant)