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Home My WebLink About4463-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, No Y. CERTIFICATE OF OCCUPANCY No. Z...38~2 ............. Date ......................... ~TI,ID, t~...~0. ............. , 19.~.0.. THIS CERTIFIES that the building located at [~VT'"~.'e~)~W~...]]4~iI~I¥~...I~ ............... Street Mop No..~e~ehyeedBIock No ....................... Lot No..~ ......... C~tehe~te ........... .I~.,,~Z~ ........... conforms substontiolly to the Applicotion for Building Permit heretofore filed in this office doted ....................................... Sep~.-..$~. ....... , 19..&9. pursuont to which Building Permit No. doted ........................... ~lrp~ ....... ~ ....... , 19...&~, was issued, and conforms to oil of the requirements of the applicoble provisions of the law. The occuponcy for which this certificate is issued is ........ ..... l~'~' "8~tt" l'll.l~l~' ' ~ ~':t;~'l~ .................................................................... ~ ...................... The certificate is issued to ....H~F~n~....p,...~a.y.~4)F ............... ~ .................................................. (owner, lessee or tencmt) of the aforesaid building, I[ouse ~ 1010 Dea~ /~! Building InspeTr ........... · ............................ FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT ~HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4463 Z Is hereby granted to: "--,'~.' ..~.'.'.'" .*......'."' ........ ~/4,~ .................. .:.,- ......... ~. .... at premises located at ......................................................................... ~ .................................................. Z~ ~ 7- pursuonrc to application dated .......................................... ~ .......... , 19... nd approved by the Building Inspector. Fee $..o~.. ........... Building Inspector TOWN OF SOLITHOLD BUILDING DE. fAK'rMLuN'r 'rOWN CLIRK'S OFFIC! Sou'rHOLD, N. Y. Disapproved a/c ...... ~i .......................... Application No ............................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b.' Plot plan showing location of lot and of buildings on premiss, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property muSt be drown on the diagram which Js port of this applica- tion. c. The work covered by this apptication 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 applico~t. Such permit shall be kept on the premises available for inspection throughout the progress of th~ work. e. No building shall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICAT ON IS HEREBY/v~A~E to the Building Deportment for the issuance of a Building Permit pursuant to the Build ng Zone Ordnance of the Town of Southold~ Suffolk County, New York, and other applicable La .ws, .Ordinonc.e? or Ragu at ons for the construction of buildings, additions, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordina~,~~ons~ /~ ,, //~ (Signature of applicant, or nome, if o corporation) .................. (Address c~ applicant) State whether applicant is owner, lessee, agent~,arc~j~ect, engineer, general contractor, electrician, plumber or builder. Na. of owner of premises' ......l..~~.......~..'-...~~ .......................................................................... If applicant is o 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. . No.: ...... ~ .......... Street and Number ...~.-'~. ............... ~ ........................................... 2. State existing use and occupancy of premises and intended use and occupancy of prOpOsed construction. a. Existing use and occupancy ...~..~.....-~.. .................................................................... b. Intended use and occupancy ..~-~-'~J~ .~2.~.~-,...~.....'~.. ............................................... 3. Nature of work (check which applicable): New Building .; .................. Addition .................. Alteration .......~. ....... Repair .................. Re~l,~ovo! .................. Demolition, ................ Other"Work (Describe) .................. 4. Est,mated Cost ........... ~....{~7/¢?Zg....t..fe~....... ......... ,...~. Fee ~.....,~..,.i...~.. ........... (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 a:nd extent of ~ach type of use ....... ~ ......................... 7. Dimensions of existing structures, if any: Front ...~....O.. ............... Rear ..../.,~..'~..~...~. ......... Depth ....~.~..~. .................. He ght ~.....'~... f 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 .............................. Depth .............................. Height .............................. Number of Stories .............................. 9. Size of lot: Front ...........~'..~. ............ Rear ............ ..(-~...O. ............ Depth ....... .,~......O..../. ........ 10. Date of Purchase .: ............... /..~..k~..~/d....~.. .................. Name of Fgrmer Owner 11. Zone or use district in which premises are situated .......... 12. ' .... Does proposed construction violate any zon~q law, ordinance or regulation? ........ ~r~......'~. ........................................ 13. Name of Owner of premises .J*,~:~:~....~L...c~.~ddress ....~,.~..~ .... Phone tUo ' Name of Architect ........................... ~./. .................... Address .......................................... Phone No Name of Contractor ~ .~_,_~ .~...., Address (d .-./-_ 0 '~-"~" - ................... ........................... ~ .............. Phone No .................. PLOT DIAGRAM LooaCe clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines· Give street and block~ to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~ /'~--~,.-, ,/'~ ~,.,~"/~ is; COU .~....,. ..i........,~.:.: ..... .,,~......~.~ ~ be ng duly sworn, de oses and sa t P ys hot he ,sthe a hcont (Name of ind v dual sianina a~li "~ ................. PP' ..... cation, above named. He is the .....~.~-~'-~. ~ .... ~" · ;;z'"'.' ........................................................................................ · ~onTractor, agent, corporate officer t of sa. sd .ow.n. er or owners, and is duly author zed to perform or have ~erf .... ~ ~_ ~_-~ , ,. e c.) .... ~' ~,,,,~u ~ ~ulu WOrK ona to make and file this tc~aP~,~tei~rl~h~[ll ~1~ ;te~meenc?inC~tea~adnn~ steht,~o~tl~p[,ca.tion ar.e. true to the best of his know edge a~d belief; and n m the appfication filed therewith. Sworn to before me this .,~ . -. ~ ,.~ ~. ........ o, ....... : ....... . Notary PubJ,~~~~l~l[~t~:~, :~,.s_~nature of applicant, .....................