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Home My WebLink About3784-zFORM 1~0. 4 '~OWN OF SOUTHOLD BUILDING DEPAI~TMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. P.E~TIFIO~T£ OF or.r. UP~NOY THIS CERTIFIES that the building located at . .~/~...~q. alil .~O~ql ........... Street Map No...Xl~ ....... Block No .... Xl~ ....... Lot No...Y. XI~ · · ~(tOIll;)O~.t,. .~{~, ....... conforms substantially to the Application for Building Permit heretof, m'e filed in this office dated ........... Ft~]:}~...2.~ .... 19.61~ pursuant to which Building Permit No. dated ........... F011 .... 2~ ..... 19~., was issued, and conforms to all of the require- ments ~of the .applicable provisions of the law. The .occupancy f~or which this certificate is issued is ..Bllsir~o s ~.]31~i~[(t.illg. ....... .{Bll~. garage ) ............................... The certificate is issued to R~be~.t. BI~OI~i~..(S~I~se..Coach../..~.l~I'&se? (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval .... ~ ................................ Building Inspector FORM lqO. 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 COMPLL~ION OF THE WORK AUTHORIZED) N? 3784 Z Permission is hereby granted to: J]JOTI~JO~ BIkini, ............ .O~.~.:t,..i ........................................... et premises Io~oted ot ..~..~........~..~....~ ............................................... : ...... ', ........ " ....................... .......... .~. ~...~,...:...~.,. ~,. . , .~ .... ; pursuani' to application doted ..................... ; ......... ..~,,~.~...~.~.' ..........., 19~'J~!., and~rapproved by ~he Building Inspector. FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOU~'N CLERK'S OFFICE SOUTHOLD, N. Y. E×am ned ....... Approved ..................... ~.! ................ , 19....~!... Permit No.~...............,............7 ~ C/~_~ Disapproved a/c ............ ~; ......... .~..~;;~ ~Z~/ ......................... ............................... APPLICATION FOR BUILDING PERMIT Feburary 29 19 68 Dote ............................................................ , ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of thi.s application. c. The work covered by this application may not be commenced before issue.rice of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such 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 in part for 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 issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinances, building code, housing code, .and regulations. (Signature of applicant, or name, if a corporation) Greenport, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Robert Brown (Sunrise Coach Co) Name of owner of premises .................................................................................................................................................... If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) XXX XXX 1. Location of land on which proposed work will be done. Map No.; ........................................Lot No.: ........................ Street and Number S/S Main Road~ Greenport~ N.Y. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Garage & Storage of motor busses etc. b. Intended use and occupancy ....... .S..~...~..~.~¥~.i.~..h...~.~..~:~.~..~.n.~..~.~.~'.~S~.~.~.S.~S.~.b'~...~L~.~ ..................... x~ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ (to be poid on filing this application) 5. If dwelling, number of dwelling units ............................ ixlumaer of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..b..~.~.~.e.~..s. ....... 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with a.[terations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front 37-10 Rear ....... ~ ~. .-. .1. .0. ........ 80 .................................... Depth ........................ Height .................... Number of Stories ........ .o..~...e. ....................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ ,,Ix~,* ov~iF*°+rmer Owner ........................................................ 11. Zone or use district in which premises are situated .......................................................................................... ........... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... ~f} ............................................ Robt Brown Greenport 13. Name of Owner of premises ........................................ Address ............................................ Phone No ..................... Name of Architect Atlantic Roof Truss Address Riverhead Phone No .......... ........... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly ond distinctly all baildings, whether existin§ or proposed, ond indicate all set-back dimensions from property lines. Give street and block number or description occording to deed, and show street homes and indicote whether interior or corner lot, See filed plans STATE OF NEW ,¥O[~;, 4, COUNTY OF ..... ~ .12,..~:. ~.O. ,I, ..If. .......... ~.~. ............................... ~.°...b.?...~.~....~..r...°...~O.... .......... L... ......... : ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) obow; named. He is the ..................~.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 a.nd file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................ .~..9..... day of ........... Notary Public ............................................................. County (S~gnature of apphcant) ,! :L -~ " z/Lo ' hl .J "top ag' ,¢