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Home My WebLink About4488-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z,. ~+311 ..... Date .............A~..9 ........ ,19.7!. THIS CERTIFIES that the building located at .~/~...M~. i~...Rea~ ........... Street Map No ....~ ....... Block N0... ~ .... Lot No..~ .... ~!~...~.,. .......... conforms substantially to the Application for B~ding Permit heretofore filed ~ this office dated ..........0or.. · ~. ·., 19 69. p~su~t to w~ch B~lding Pe~it No.. ~. dated ..........~at ..... 3.., 19 69., was issued, and conforms to ~1 of the requff~ merits of the applicable provisions of the law. The occup~cy for which ~ certificate ~ issued is ...Fa~ .b~ld~. (~c.cesso~y)..Po~.ato. ~.torage .bl~g ............... The certificate is ~sued to ...H,M..De~r. est. & .So~ ..... ~era .................. (owner, lessee or ten~t) of the ~ores~d b~l~g. Suffolk Co~ty Dep~tment of HeMth Approv~ ...N,~, ............................. Hous~ ~ 296%~ B~ding Inspecto~ 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? ~88 Z Permission is hereby granted to: R.M.l~emurest c BoGs ' . .................. ~,s..e.,~. .............................................. to pursucu~t to application dated ..................... ..J~...~. ........... ~. ................. , 19.......{~., and approved by the Building InsPector. J:ee $.~.9~ ,'.~. .............. POBa[ NO, I TOWN OF SOUTHOLD BUff. DING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved .................. .'...I, .................. , 19..t. 4... Permit No. /~/('/~--~ ~-~ Application No. L~ Ct ~ ,~ Disapproved a/c .............................................................................................. ............ ~or) ............................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan sho, win.g, I,oc,ation of lot and of buildings on premises, relationship to adjoining promises or public streets or areas, aha giving a amaitea aescrJption of layout at property must 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 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 hove 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 all applicable laws, ordinances, building code, housing code, and regulations. Louis Dematest (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. Part o~er Name of owner of promises H-M*Demal~est & Sons If applicant is o corporate, signature of duly authorized officer. (Nome and title of corporate officer) I. Location of land on which proposed work will be done. Map No.: ............... ~ .................... Lot No.: Street and Number N/S ~ain Road Orient N?~. ,;Z~..~ -- ~ ~ & ~ ~ Municipality 2. State existi.ng use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~.~....~.. b.'0...i.]:dinl~ .... b. Intended use and occupancy same with ~-~ addition 3. Nature of work (check which applicable): New .Building .................. Addition ..,~ .'~.. ........ Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ..... ~.~.~0g.0....~!;. ................................. Fee ...... ~.1~0 ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......~...o...~..e. .............. Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and exteot of each type of use ............................ 7. Dimensions of existing structures, Jf any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .......... ~..~. ...................... Rear ............ ~.0 ........... Depth ........... ~ ....... Height .................... Number of Stories ...OD, e ................................................. 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated "" ................ A....~i~t .................................................................... 12. Does proposed construction violate any zoning ]aw, ordinance or regulation? ......... ~.~ .............................................. ]3. Name of Owner of premises ..H..?..~..?..D.~..~..e..~...~.....~....~..~j~ress ............. Q~'.~,~; ................. phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .....~..~..~..~.~.~..e..~.~.~...~.Q~ ............. Address ......~..~'.~.~13,pO~...~ ................. Phone No ..................... PLOT DIAGPu~dV~ Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~/'~'/~ ~ ,~ ~,. STATE OF NEW ~ORg~,. COUNTY OF ..... ~..,'~...z,.y,~ .......... $~.~. .......................... T'~I.I~8..]).em~Lz'.e~.~ ..................................... being duly sworn, deposes and says t~t he is th~ applicant (Name of individual signing a~Jication) above named. He is the ....... J .......... ~B~.~.~. ..................................................................................................................... (Contractor, ag~t, co,rate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and 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 fo~h in the application filed therewi~. Swomto~foremethis~, l.:~/]. '~_ - ~iOc~ .................. ~.... day of ............ Nota~ Public,~~~.... Coun~'-'~ ...... ~ ....... ~ ............. ~ ELIZ~ETH ANN NEVILLE NOTARY pUBLIC, State of New York Count No. 52-8125850, Suf(oJk 19~ Term ~pires Ma~cb 30,