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Home My WebLink About4433-zFOK~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .~h &.0~ ~li; ........ Street Map No... ~ ....... Block No.~ ........ Lot No. ~....al*empo~..1~[., ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............&~ · .21.., 19 .~ pursuant to which Building Permit No..h~3~[.. dated ........... &~..~j .... , 19. f~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is -~H .Im~-- d~ .-,.~he~ .&. ~t~ea~. ~ ................... The certificate is issued to .¶2~¶~.. ~a~. gt .O~'p ........ fi~m~' ................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .l~,i[, .............................. ..... ......... Building Inspector[ Rouse ~60 ~o~v~n a~ l~O~ NO. ~ 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? ~433 z Permission is hereby granted to: ..... .t~,,s ~9...J4a.ma~e~ ..em~ .............. to ................. iml3A..ea..~Z,tl~J..m..mt.ez~t,~Jl...ImllamiLImL1Alalj ................ at premises located at ................... ~,~LIII:..~II4~IJ..J~ .............................................................. i ...... pursuant to application dated ............................ ~ ......... ~JJ .......... , 19...~1~, end approved by the Building Inspector. .Fee $.~al~JJJ ............. IUILDING Dr~A~TMB, rr TOWN CLERK'S MICE SOUTHOU), N. Y. Examined .....~.....~......~.. .......... , 19..~...~.. ^ raved " LI 3 3 ........................................ , 19 ........ Permit No ............................. Disapproved alc .............................................................................................. APPLICd4?IO~I FOR BUILDING PERJvUI' . . ~.~G.I.}ST 2i Date ....................................................... , 19..~.~. ..... INSTRUCTIONS a. This application ~ust be completely filled in by ~pewriter 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 proi~eCtymUst be drawn on the diagram which Js port of this application. c. The work covered by this application may not be commenced before issucmce of Building Permit. d, Upon;approval of this application, ~ Building InSpector will,Issue aBuilding permit to the applicant. Such permit shall be kept on the premises available for ~nspection 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, and regulations. WM. d. MILLS & CO. - DIV. OF .... ~,5.,-,I.&?,..MA,t.a...~Z E~i~.T.,.,O.Q~...P,.. ................................. (Signature of applicant, or name, if a corporation) 125 MAIN STREET ...~B EE NP..QB.T.~...L ...L,.,...~L[W....~D.[~I~.....I.I..9)~ ................ (Address of applicant) (Name and title of corporate officer) 1. Location of land on which prapaeed work will be done. Map No.: ........................................ Lot No.: Street and Number ~.8~.~N.~.~N~i~I~.T.j~F~£.~[~.6~[~[~[~w~ ................................. 2. State existing use and occupancy of premises and intended use ond"oecupancy of prapmed construction: a. Existing ur.e and oc. Gupancy ...... .~,,~I~'JTJ. QLI.~1~ ................ ~. ................................................ ................................. ~ b. !qtended ~ and occupancy.;.;.,....~J~.[~C~U.~E...~..:O~,~.~E....~.k,.~..,: ............................................. ;......~ ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. .............. - ..................... ...%.. .............................................................................................................................. Name of owne ..... t.~5...J.~.~.. M&t.N...~I~E~T... ~QB.~ .................................................................................... If~t is a co~rate, Jsignature of du,~f authorized officer. ('% ¢---'- , ~ ¢2),/("- - /"~---,, ......... 3. Nature of work (check which applicable): New Building ~-...,.,;..'.; ...... Addition ....... .X. ......... Alteration .................. Repair .................. Removal .................. ~- DemOlition ...... ~ .......... C~her Work (Describe) ........................................ 4. Estimated Cost ...... ~...~5.(~).. O.Q :,~ .~ .~: Fee ...~;...;, ........................ (to be paid on filing this application) 5. I~ dwelling, number of dweJling units ............................ Number of dwelling.units on each floor ............................ if garage, number of c~rs ....... ~ .................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front J ..0. ............ Rear ........ ~..I.0.! ............... Depth ......~,.~. ....... Height .....~..~..~ ............. Number of Stories ....... I .......................................................................................................... Dimensions of same structure with alterations or additions: Front .......... [.LQ.! .................. Rear ...... [.J..O. ............... Depth 2_2 t . Height ......I.~ ................. Number of Stories ....... .I. ....................... 8. Dimensions of entire new construction: Front .....~...!. t Height .....J..~. .......... Number of Stories ............... [ ...................................................................................................... 9. Size of lot: Front ....... [.~.~.!...~...,~.. Rear ,.,: ....... ]..~i~.~. ............... Depth F-~/..~I.!....~...~I/...L~c) ~ lO. Date of Purchase ...J..t?.L.Y....~.6....L.9..57 ....................... Name of Former Owner ..~t.t.QLA..~BD. Qg~ .......................... 11. Zone or. use districtr in which premises are ~situated ...... .C..~..M..M..~..R..~.L~..I~ ....................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~ .................................................. 13. Name of Owner of premises .I.2.~..-..[2.~..J~A.I.N.i.S.~.~.Address ..C-~RF-ENP..OB.T.~...N...~ ........ Phone No. ~l,.~.~..-..[..~g.O.. CORP Name of Architect ...................................................... Address ............................................ Phone No ..................... Nome of Contractor M..~Z.~.B.F..[B.BD...~.Q.~.~ ............. Address GEEF~RQB.'L~..~..Y. ......... Phone No. R I CHTER HOME IMPROVEMENT. 477-0998 PLOT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or p~, end indicate oil 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 lat. ' ' ................................~/,L/_,~q m ~ ...... ~....~...~.,...,.:./c 3 ~ ............... .~ ........ ......~.. ...... ~i~'' duly ~m, d~ ~ s~s ~ ~ is ,~ ~licent .(N~.ofi~ividua!sign~licati~) ; ~ ' ..... ~ X · or o ~ of ~c .~.~.~.~.~ ,h, ..... ........... ..... :.t..) ............ ....................................................... ...... ~ (~t~, ~t, co.rote O~cer, ~c.) of said ~ner or ~n~, and is duly a~iz~ ~o ~orm or ~e ~o~ t~. ~id work a~ ~ ~ ~ file this a~lication~ that all statements Contom~ n this ~plic~i~ am tree to ~ ~ of his ~1~ a~ ~lief; and that the ~rk will ~ ~r~rmed in the ~n~r ~ ~h in the ~lic~i~ fil~.. Sworn to ~m ~ ~is ~ ~ ~ ..... .......... .............. , ) [ _J ~ ~ ~ ~ ~m ~ ........k....L~.~.,.l~..Z.~ ............................................. N~w ~hc,~ ........... ~ ...................... ~ ~ew y~ ~i~ · o applicant)