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Home My WebLink About3534-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No, ".~.:~2~ ............... Date .............. ~t~gria~..28~ ................. , 1968... THIS CERTIFIES that the building located at ..... ~/~..~&~8.8,U...~g.~r~(:..RQ&~ .............. Street Map No...~.~.~.~.~.~1 ....... Block No ....................... Lot No...~,.,~.?.,...~t.~.~t~.,...~..~..Q~ .......... Pt:. Prop. conform~ substantially to the Application for Building Permit heretofore filed in this office dated .................... ~.~,],~....3, ............................. , 19.f5.7... pursuant to which Building Permit dated .......... .0'..~.~...:~.~ ............................. 19...6.7., 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 ........ ................... ~'..~.~;.~...On~...~l,~...~.e~J,;i. ng ............................................................................ The certificate is issued to ......... .~.~l~/.~.~,~.~;~..f~..O,.~.v/.G~ ............................................................. (owner, lessee or tenant) of the aforesoid building. FOEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING FER~AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AuTHoRIZED) N? 353~ Z Permission is hereby granted to: at premises located at .l~t,..,1,~,~: ...... JJ~li~llttt,....J~'~t...~J,.~t~..)~C~:li .......................... ~ ............... .............................. ~/s..l~,~..~..,~ ............. .~,~ ................................. i..... .......... pursua~* to application dated ............................ J~'~''r'''''~ .......... , 19 ..., and, approved by the Building Inspector. TOWN OF $OUTHOLD P~OPE~TY RECORD CArD '- ,~. / OWNER FORMER OWNER STREET VILLAGE S N W DISTRICT I SUB. TYPE OF BUILDING LOT ~- /~"? IMP. VL I FARM i COMM. · TOTAL DATE LAND // 9 O AGE BUILDING CONDITION NEW NORMAL ABOVE FRONTAGE ON WATER Farm Acre Value FRONTAGE ON ROAD Fillable 1 BULKHEAD ,itloble 2 DOCK Fi!lable 3 t4oodland ~wampland ~rushland -louse PI~"' ~ Fatal BELOW Value Per Acre . ~ ,<! ~ y/C Bldg. ~xtension ixtension ~xtenslon ~arage ).B. ' . ?o~ndotion Basement Ext. Wails Porch Porch Both Floors : Roof Type Rooms ]st Floor Rooms 2nd Floor , Dormer FOKM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No..~..~'~'.~...c~,...~>,.~ Disapproved a/c ............... ~ ........................... ~t~..~,~.~ ................. ;:.~ ...... ..................... i~ ~c.~ , ............................ ' (Building Ins~or) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitte in dup]icate to the Building Inspector. b. Plot plan showing ~ocation of iot and of buildings on premises, relationship to adjoining premises or public streets or areas and giving a detailed description of layout of property must be drawn on the diagram WJ~ich is part of this application. c. The work covered by this application may not be commenced before issuance of Bu}:lding Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permffto the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever u~fil 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 Built'lng Permit pursuant to the Building Zone Ordinance of the 'town of Southold, Suffolk County, New York, and other apl~licable 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 and regu(ations. Ells~or~h 6rath~ohl (Signature of applicant, or.,.~ame, if a corporation) ~outhold State whether applicant is owner, lessee, agent, architect, engineer, general contracto~, electrician, plumber or builder. Nome of owner of premises ....Ells~co~.~..G~.a.th~ohl ............................................,. .................. ~ ................................. If applicant is a corporate, signature of duly authorized officer. : (Name and title of corporate officer) , \ I. Location of land on which proposed work will be done. Mop No.: ....~.S$~..~Q~t~i~....~,. Lot N~O~: ....... 'J~ .......... 2. State existing use and occupancy of premises and intended use and occupancy of ~rop6sed construction: a. Exmtmg use and occupancy ...................... ~ ......................................................... ;....~.r~ ........................................ 4. 5. 6. / NatUre of work (check which applicable): New Building .................. Addition ....... ~,,~. Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) paid on filing this application) If d~elling, number of dwelling units ....O,I1.O ................. Number of dwelling units on each floor If ~rage, number of cars If .usiness, commercial or mixed occupancy, specify nature and extent of each type of use Di ensions of existing structures, Jf any: Front ............................ Rear ................................ Depth Hei!lht ........................ Number of Stories Dim,'ensions of same structure with a.lterations or additions: Front .................................... Rear Depth ................................ Height ............................ Number of Stories ................................ Dimensions of entire new construction: Front .............. ~i~ ................. Rear ....... ;~6 ................ Depth ....~.1~ Height .................... Number of Stories ....... .0,111~ ................................................................ Size; of lot: Front ............................ Rear .................................... Depth ................. ' ............... Dat~ of Purchase ........................................................ Name of Former Owner Zonle or use district in which premises are situated ........ Doe proposed construction violate any zoning law, ordinance or regulation? Nar ~e of Owner of premises ]t~...0~&.t,~ICl:lh~l, .......... Address ............................................ Phone No. ~e of Architect ...................................................... Address ................................ . ............ Phone No. ~e of Contractor .....,..$.R311~ ..................................... Address ................................ ~ ........... Phone No. PLOT DIAGRAM :" , clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions fi ~es. Give street and block number or description according to deed, and show street names and indic or corner lot. 10. 11. 12. 13. Nar Locat property I whether inierior ................ i ............. ,~,'J-8~40~.~;h,..(J,~.e..l;.hW~h~. ................... ..being duly sworn deposes and sa~s that he is the applic (Name of individual signing application) / (Contractor, agent, o.o!~o(ate officer, etc.) of said 0v~ner or owners, and is duly authorized to perform or have performed the said~w'or~'. and to make and this application; that all statements contained in this application are true to the best of his khowledge and belief; that the al, ark will be performed in the manner set forth in the application filed therewith. .' Not?ry Public, . ........................................................... County (Signature df applica?)