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Home My WebLink About4429-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..... .~..~.......~.~..~...O~.....~.~. ..................... Street Map No....3{~{; .............. Block. No ........ 3g[ ........... Lot No~-x~m .........~&t,f~,t, Al~....~{e~e ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... At~ ......... 22 ......... , 19.~9.. pursuant to which Building Permit No...~)~... dated ............................ ~ ....... -22. ........ , 19..~9., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ The certificate is issued to ..~B.~'l ..~)~.1:1~ ............... 0/If~l~. ............................................................... (owner, lessee or tenant) of the aforesaid building. ][o~me if 101~ FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? ~429 Z Permission is hereby granted to: ........ hx*i...D.$J~ ............................................... at premises located at .......................... .~.....J~lljr~w..Jdi~lJ ...................................................... ............................................................... Ila.ttStlmll ...... J~ .......................................................... pursuant to application dated ........................... ~1~ ......... ~ ........... , 19..~.., and approved by the Building Inspector. Building Insptl~or ~ cwQlloble for Impectlo~ throughout the *, ~ ?,,~.? T~ .shall be kept..o~.~ the premises progre~ of the worl~ ...~1 ,an ,~ ~o ~,_i~'~t ~ ;~ ,~. ~ sh~ll hove been gra~ted ky the Building Ir~oector. B .A. PPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the udding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable I.aw% 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. ................................................... (Signature of applicant, or name, if a corporation) Bray Ave Laurel N.Y. (Addre~ of applicant) State whether applicant is owner, lessee, agent, architect, engir, eer, general contractor, electrician, plumber or builder. .... · .............................................. ..~.. ~.e. ~.:..s._ .a. ~.e.~.~ ............................................................................................................... Name of owner of premises ....... ...~...Z'..~r......~..~.~-~ .................................................................................................................. 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.: ..... ............ ' ........ ~a~.$.- Stre~ end Number ,~..~.'-'~La~...T~It~I~ .......... l~.%t,;L.'r,.~ ................................. ................... ; :2. State existing ut~ Ond ocCul~r~."y of premi~ ~ Inte~d u~ e~d .................................................................... '~ ............. ' , , . . ~ r e' ~ W~.T,D. azJ aa, G T,:LO · (E~,~ ,ea~ .~e~u~J~ .,, ,.,,ag, l~..~...~.g...../.ag..~. ............................... ,~ ....... p.. ....................................... :., ,. 3. Nature of work (check which applicable): New Bui d qg ......... ~ ...... Addition ...:~',~ ........ Alteration .................. Repair .................. Removal .................. Demolition ........ i ......... Other Work (Describe) ........................................ 4. Estimated Co~t .... ~0..,0~ .~. ............. i....ii ........ Fee ...~..~,g.~ ............................................................................. (to be paid on fng ths apl) cat on) 5. If dwelling, number of dwelling units ..... ~g.l~ .............. Number of dwelling units on each floor ............................ If garage, number of cars ...P.~J~ ................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............... .~.~..-.~.... Rear ................................ Depth .......... .1..~. ..... Height ........................ Number of Stories ....... o~e ................................................................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .............. :J~,,,~ ........... Rear ........ .1.2,,~ .......... Depth ....... ~'.t ......... Height .................... Number of Stories ......... qTAe ....................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ............................................... Name of Former Owner ........................................................ "A" dist 1 I. Zone or use district in which premises are situated ................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~ ............................................. 13. Name of Owner of premises ..~.~]-..~l.~,l~B~g...; ..........Address ............................................ Phone No ..................... Name of Architect ..................... Address ............................................ Phone No ..................... Name of Contractor ....... ~.~l~.~ .................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensi? .from property lines. Give street and block number or description according to deed, and show street names and red,cate whether i~terior or comer lot. I STATE OF NEW YORK, COUNTY OF ...~L~f~l~ ............. ............................ F~.e$.e;J'.l~..D. im,$~ ................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above homed. He is the ....................... a~eTat..~'...o~,P,e-r. ................................................................................................ (Contractor, agent, comorote officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to moke oncl file this application; that all statements contoined in this application are true to the best of his knowledge ond belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam to before me this