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Home My WebLink About4240-zl~01~Jt ~TO. 4 TOWN OF SOUTHO/D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...... .~..~..~...~.;~.~.~/..~.~,l[ ........................... Street kI~ lgec~:Lolt .2 Block No ...................... Lot No..~7. ....... .Q~';Ler~l:,..~Te,~a...~o~¢ ................... Map 'O~.~'fi~,'"~'~;' ~.e Sea ' conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................... .~.~..~...$..[..~...[~ ..................... , 19...~.~.. pursuant to which Building Permit No...~,?.4.Q..~ dated .......... ..A.]~..~..~..]........~..~.., .................... , 19.~..., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ...... ~.~.~.v...a.h..e....o..~.~... ~.~13,~...~.e 11 ,tang ......................................................................................... The certificate is issued to ....~...~..~....~,.$..~..]f.....G.'..=..~,..~..ll~.~,~...~ ...................................................................... (owner, lessee or tenant) of the aforesaid building. House ~ 335 FOF~ 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? 240 Z Permission is hereby granted to: .......... ~. ~...~.~7~7,.~m...~...X~t.~r ~A~ ..O~memm]~ to .............. a~1.Ta..ea..~i4~iem..eo.~m..esr~we~jal..e~ml.~ ........................................ at premises located at ................ ~d)-~..~..~......~'i~Ol~..tl~...t~..ll~& .......................................... ............................................... ,6ma~T..~ev..Soa~T .............. O~,lel~ ............................................... pursuant to application dated ................................... &p~J~l;'""~O", 19..{;)~, and approved by the DuildJng Inspector. Fee $...~e.O0. ........... Building Inspector '~FORM ,NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTM~-NT TOWN CLEEK'S OFFICE SOUTHOLD, N, %', ~ ~ 19. E amined !, .5.? "~ P rmit N~ /'/J/-/ D 2--- AppDoved ............. ~ ..... , 19 .... e ,v .................... Application No. f-~/L- ~ O APPLICATION FOR BUILDING PERMIT Date 19 .... INSTRUCTIONS a. This applioati~on must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. PLot plan showing l~ocation of Lot and of buildings o n premises, relationship to adj,oining premises or public streets ~OT areas, and giving a delailed description of layout of property must be drawn .on the diagram which is part of this application. c. The work covered by this applicati~on may not be commenced before issuance of Building Permit. d. Upon appI~oval of this applicati.on, the Building Inspecix>r will issue a Building Permit to the applicant. Such permit shall be kept ~on the premises available for inspecti'on throughout the progress .of the work. e. No building shall be occupied or used in whole oil in pa~t fo~' any purp~ose whatever until a Certificate Occupancy shall have been granted by the Building Inspect~Ur. APPLICATION IS I-IEREBY MADE to the Building Department for the issuance of a Building Permit pursuant t.o the Building ~5one Ordinance of the Town of S~o'uthold, Suffolk ©(mnty, New Y~ork, and other applicable Laws, Ordinances .or Regulati,ons, for the construction .cfi buildings, additiq'ns or alterations, .om ~or removal or demo- lition, as h~rein described. The applicant agrees go corn ply with all applicable la~vs, tordinances, building code, h.ausing code, an, d regulations. State whether applicant is owner, lessee, (Signature of applicant, or name if a corpo~ati.on) .......... ............................ (Address of applicant) agent, architect, engineer, general contract~% electrician, plumber or If applicant is a corporate, signature of duly auth,orize d ,officer. (Name and title of corporate officer) 1. Location ,of land o.n which prcrp.o,sed work will b e done. Map No ~2_~.~ Lot No ~/~ Street and Nu~er...~.~ .'~..~. ~ .............. .~.-~''. '~/'~' · ............. /v-~/ ~ ~ ,~- Municipality 2. .State existing use and ,occupancy ~ises and intended use and occupancy of proposed construction. a. Existing use and occupancy .................................................................... b. Intended use and occupancy . .~ .......................................................... 10. 12. 13. Nature of ~vork (check wh;ch apphcable): New Bmld]ng ........ Add;tron ........ ~Alterati~n ........ Repair ......... RemQyal ........ Demolition ........ Other Work (Describe) , .~~.. I~stimated C~o.st . . . .4~.2 .~..0 o 0 Fee (to be paid ~n fiIing this application) If ,dwelling, numbe~ .of dwelling units .......... Number .of dwelling units on each floo~ .............. If garage, number .of cars .......................................................................... Ii' business, commercial ,~r mixed occupancy, specify nature and extent ~of each type of use .............. Dimensions of existing structures, if any: Fr~nt ....~.~(.(t .'.~.. Rear . .$..?.'..~.~ :.. Depth . }/?./ ....... Height .../.~..~ ......... Number of Stories .... J. ................................................... Dimensions ,of same structure with alterati,ons .or additions: F~ont ..4. ?/..~. ~... Rear . Ag.~(..~. :.:.. · Depth .~.[.~! .......... Height ../.~./. ......... Number of S~ories ..................... Dimensions ~of entire new constructi~: F~vnt . .. ~ .~. ~ .~. ~ .' ..... Rear . .~..d,.'..~. :.'... Depth . ?. ~..~..~ .~... Height . .~../. ....... Number ,3f S~ories ............................................................. Size of ],or: Front . ./..0...o.! ........Rear ·.../?..~. ~ ...... Depth .. ~...~'..~.. ~. ..... Date of Purchase ............................... Nam~_~ Former Owner . .'~..'.'.~.'..~./.(.~ ......... Zone .or use .district in which premises are situated.., d~/~..'~.: .......................................... l)oes proposed coastruction vi, olale any z,3ning law, .ordinance, or regulati,cm? ...~2~...~ ................... Name ,of Owner ~o~ premises .~.,.,~.~~.. Address ..... Z~.~.. ....... Ph,cme No ............ Name of Architect .................... ~ ........ A, ddress ...................... Ph¢~ne No ............ Name ~of Contrac~o.r .~.~'/'/~..~.~..~ .... Address ...... . .~.....4~... ....... Ph!o~le No.Y?~..~...~..z~/. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing ,or .proposed, and indicate all set-back dimensions from property lines. Give street and bi.ock number ,~r de scripti,on according to deed, and show street names and indicate wheiher interior ,or co~'ner ~ot. ~7~ ItVi~ tU Fo'~? c H STAT~ OF N.[W YO~K, )S.S. COUNTY OF P .~.(.~. q .~.~... ) ............ .~. ~..~...~.... t~(~.~. ~..d(.../~. ............. being duly sworn, ,deposes and says that he is the appli- (Name ,of i~dividu.al signing application) cant above named. He is the ........................... ('..d../~..~..~..~..~..Z..~./cf. ............................ (Oontractor, agent, ooepm'ate .officer, etc.) of said owner ~m-~owners, and is duly authorized to perf~arm o~ have performed the said w,ork and to, make and file this application; that all statements oontained in this application are true to the best of his knowledge and belief; and that the wj~rk will be perf~me,d in the mann er set forthl in the application filed therewith. Sworn to before me this N'stary Public, '~'~.~ '~ ~'] '~' ?Aaunty ........... ( S~u~ of' ~pplicant) ..........