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Home My WebLink About4535-zNO. ~ TOWN OF SOU?HOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ............... Dote ........................ ..... ............ , 19..2.2. THIS CERTIFIES that the building located at ..... ~e~...~.l~.o~=~..]~8.~_~t .......................... Street Map No XX Block No. ~ Lot No. ~ New 3u:['foTIlc ]~;.~.', conforms substonhally to the Apphcation for Building Permit heretofore filed in this office dated ................................... gC.~ ......... ..~$ ......... , 19....69 pursuant to which Building Permit No.~.~.'.Zt. ..... dated ....................... Q¢.~, ......... .~, ........... , 19..60., was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which th~s certificate is issued is ........ ........... .~.~..~.e.....~.e....~..m.~!.~.'..~.~.e...z..z...t.~j[ .................................................................................. The certificate is issued to ..... J:~,..J.:~.:[~...~.~:D~C~ ..........O.~'D,~. ................................................ (owner, lessee or tenat~t) of the aforesaid building ~ouse # ~330 Building Inspector FO~,~ NO. 2 TO~N OF SOUTHOLD BUILDING DEFARTtv~ENT TOWN CLERK'S OFFIGE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne, 4535 Z Permission is hereby granted to: ...........................................................~'t,,/ t~ ./~ /Vt' /.g ~ ,,'~'7"~ iV .~. .. . .............. .~ 4/S .~ t~ . ....... ~ ...... ~.?..~. ....... ~..~.~,...~..~. ............................. ~:.~ ...... .~.~.,..~ to ~4~)~ '/3 ~ ~',~t~-:~ ~..,~z~t~'~. ..... .................................................................................................... ~..~-..~ ...... ~.~./.!.~..,..,.~. ....... pursuc~t to application d~t~ ............................................................ 9 .......and a~rov~ by the Building impector. Building Inspector TOWN OF SOUTHOLD q/.z..//"/~' ~,,,~--"~. BUILDIHG DEPARTMENT ' O' TOWN CLERK'S OFFICE SOUTflOLD, N. Y. (Buildin~ Inspec~'or) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. -'This application, r~us~' betcompletely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showin.~ 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 this application. c. The work covered by this application may not be commenced before issuaflce 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 all applicable laws, ordinances, building code, housing code, end regulations. ~ene Ot Horton & Sons Inc. (Signature of applicant, or name, if a corporation) Sufffo~k~ N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder. ............ b~.14ew ....................................................................... ............................................................................................. Name of owner of premises ...~.s..e...~.r...~..e......B~....~.~..c..k. ........................................................................................................ I~a corpOrate, signature of duly authorized officer. .......... me and title of corporate officer) 1. 2: Location/~of I_and.:~. ~ ~,~ o°n which proposed work will be done. Map No.: .......................~.. L6t No'. ... t n ' New Sl~l~o~l_k N.Y., S reet a d Number ...... ble. w..~u~folk..L&ne. ................................................................ p. ...................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....P~...~...v..a..t..~....h..o....m~.. .................................................................................................... b. Intended use and occupancy ..... ~.v..~.~..e...b, gTl~. ............................................................................................... 3. Nature of work (check which applicable): Newr Bbilding .i ................ Addition .....X.. .......... Alteration .................. Repair .................. Removal .................. Demolition ............ ,,;. Other Work (Describe, ........................................ 4. Estimated Cost .........~......~.......O?..:..?..~.. ........ Fee .......................................................................................... (to be paid on filing this application, 5. If dwelling, number of dwelling units ............ ~ ............... Number 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 ............................ 7. Dimensions of existing structures, Jf any: Front ............. ~.0..t. ....... Rear ........ 20.! ................. Depth ......,,~43.! ....... Height ......8...~. .............. Number of Stories ........ gO, e, .................................................................................................. Dimensions of same structure with alterations or additions: Front .... ~..g..? ......................... Rear .....,~.0..t. ............... Depth .......~1~ ................... Height .......... .8...~. ............. Number of Stories ....... g~¢ .................. 8. Dimensions of entire new construction: Front ......... .]:..0...~. .................... Rear ......... ~,0.! ............ Depth ...... ~..s. ........... Height ....... ~..t. ........ Number of Stories ....... Oi3.e ........................................................................................................ 9. Size of lot: Front ..........5...0...~ ............. Rear ........... ..5..0.,~. ................. Depth ..... ~..~.~..t. ................. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ............. ;l~.{~.~-X3,.t;:~,{~ ........................................................ i .... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ .~...O. ............................................... 13. Name of Owner of premises .....]~....~.~.e.......~..~.$.~.~.. ........ Address .....~...~.....S.~'...O..~..~.~....~.~A. Phone No...7..~...6<..'.~..~1,~.0 Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contracto~.e...zt..e.....~..°..~..°.~...~....S..°.~ ...... Address .....~...w.....S...q~..~..o..],..~e....~.e..~. Phone No. 7.~../+..-..~.~...~',~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back 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 N EW/~i~)RI~ ~- t c c COUNTY OF ..~ ....... $'""~' Gerr~ L. Horton ...................................... ~ ........................................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ....................... ..q.o...z~..o...~..a..~...e.....o..~...~..~...q.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 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· Swam to before me this ...... ....... of ..... ...................... , '-A · ~r ~ ~ -,-~ ~ .Q/1 - n~ ...... ..-~......'--J.~..~......~ ............ :...~.~ ......... Notary Publi~~;{~t~our~tY ~ ~.~b~Sigl~ature of applicant, No. 52-8125850, Suffolk Co~.,_ty Term Expires March 30, ~.~__