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Home My WebLink About4430-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..~ ............... Date ........................ ~ ......... .tt .......... , ]9~1~0... THIS CERTIFIES that the building located at W~..-~III~.~III~ .................................... Street Map No. I~.e~ ....... Block No ....................... Lot No. 365 .........~l~tt~,l~ ......... ]1~][~ ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................................... AII~..~ .............. , 19.~h. pursuant to which Building Permit No..~... dated ........................... ~1~ ....... ~ ......... , 19..~1~h, 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 ..il~ll,~'t~[~.,l[~f~lt ......... ~ttil~. ........................................................ (owner, lessee or tenant) of the aforesaid building. FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEFARTMENT 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~ ~30 Z Permission is hereby granted to: ............ ~.~.......~..e.~ ............................. ............ ~..3~.....~.~....e.t.....~.ee~e. ....... pursuont to application dated .............................. ~i~ ......~ .......... , 19~..., and approved by the Building Inspector. Approved ........................................ , 19 ........ Permit No... D sepproved a/c ~ APPLICATION FOR BUILDING PERMI'T Date AURUSt 22 19...6..~. ..... INSTRUCTIONS This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building a. Inspector. b. Plat 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 propertymUSt bedrawn on the diagram which is port 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 Bui!dlng InSpector wild issue e Building Permit to the applicant. Such permit shall be kept on the premises available for ir~pechon 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 Dep~rtment for the issuance of o 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 oll applicable laws, ordinances, building code, housing code, and regulations. Philllp Pfeffer (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. Owner - builder Name of owner of premises ..... .~.~,~.~D...~.~'..e.f..~..e.~.. .......................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which p~ work will be done. Mop No.: ~0 C .B...~a~k .. ,. 161 Street and Number ........ ~i/t~ ....................................................................................................................... ~ _~ 0 Municipality 2.State existing use and occupancy of premises and intended use and OCcupancy of proposed a. Existingu~ and OCCUpancy ......... ~.¥.e..]:.l...~..D:...~. ...................................................................................................... 3. Nature of work (check which applicable}: New Bui!di~g :;. ................ Addition .....~ ...... Alterotion .................. Repair .................. Removal .................. p*m~iition,'..L..(...::.i..~i' .C~her. Work (Describe) ........................................ 200 +_. ,Fee ~ ~'""i~; ~"ppu ~ ~'~; ;~ ' 4. Estimated Cost filing i appli ion) 5. If dwelling, number of~.dwelling units ,...~63,e, ................ Number of dwelling units on'ea{h' floor'.J'. ...................... :.. If. garage, number of c, ors .............................................................. ; ............ ; ................................................................. 6. If bus~ness, commercial or re,xed occupancy, specify nab4ge;~ex~at of each type of use ............................ Dimensmns of existing structures, if any. Front ........................... Rear ................................ Depth .......,' ........ ~. ' Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additionsi Front .................................... Rear ............................ Depth ................................ Height .......................... ,.Number of* Stories ............ L ................... 8. Dimensions of entire new construction: Front ........... C~.....; ........ ~ ....... Rear ..... ~l. .................... Depth ....... 1-3. ............ Height .................... Number of Stories ..... D231~ .......................................................................................................... 9. Size of lot: Front ............................ Rear ................................... Depth .? .............................. ]0. Date of Purchase ........................................................ Name of Former Owner ........................................................ 3 ]: Zone or use district in Which premises are situafed .....".~,."....C].t,~J; .............................................................................. ]2. Does proposed construction violate any zoning law, ordinance or regulation? ........... ~O ............................................ ]3. Name of Owner of premises .....~..,....~.e..,~..~,,.e.,~. ............... Address ,,..l~2,-..~D..,..23.1.,.S.L,.3cI~u~4~ ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Nam, of Contr~tar ........... .s.~.e. ................................ ^dd~ ...... :....ii ............................... ~.~ No ..................... PLOT DIAGRAM LOcate clearly and distinctly all buildings, whether existing or proposed~ and indicate all set-beck dimensi°ns fram property lines. Give street and block number or deSCription according to dded, and show street names and indicote ~.:I.].].:L]~ .~P~'e££e~ .......................... being duly swam, depmes and says tha~ he is the applicant (Name of individ~l signing applicatien) , ~: above named. He is the .................. ., ...... I;)3i~22e.~..~..h13~L]j~.e~'. ..................... , .................................................................... ..... (Contractor, agent, corporate Officer, etc;) of said ?ner Or owner~,land.is duly. authc~riz.ec!, t? i~r;f0r.m..' ~. have performed the said.work and to make and file this application; that all statements contained in th ~ oppl cahon are true to the best Of his knowledge and belief; and that the work will be performed in the manner set forth Jn the application filed therewith. Swam to before me this ................ o, ........... ........ ............................. Term ~pires~ taarcn ~,