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Home My WebLink About3620-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. 'Y. CERTIFICATE: OF OCCUPANCY No...~.....3..,~..0.~. ............ Date ...................... THIS CERTIFIES that the building located at ..~/.~...~,a;~..~O~,d. ...................................Street Map No..C.,Z~. ............. Block No ....................... Lot No. ~..~,10,~I,~,.....~.QEt~.QI.~,...~e~...~.O~'~. ..... San£o~cd B~c ~.ck conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... .~...e.l~.l;.~//~.e.~.....~.3.~ ....... , 19..6.7... pursuant to which Building Permit No..3.62.Q..~ doted ............... .S..e.~.t;.e.k~.e~'.....[~., ...... , 19...6.7.., was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ............ ~g.~ll..e.~...h~;l~ ~t~,~g....(z:e~t,a~ ~ant ). ............................................................................ The certificate is issued to .......~Os.e~h..Qa~es ..... (.o~e,l~ ........................................................... (owner, lessee or tenant) of the aforesa.id building. Building Inspecto~ FOILlV[ 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? 3620 Z Permission is hereby gronted to: Jo~m T~3gor~c ,..~..C Jose h Oates to ~..~..~ ~..~a~....~~ ............................................................. at premises l~ated at ....~g.~...~e...~Qe..~....~.~.~..~Z~..~ ................................. ........................................ ~/~'"'~"~v"~t~ j'.'~J~ .................................................. pursua;n* to application dated ................................. ~j.....~ ....... , 19...~, and approv~ by the Building Inspector. Fee $.~.~0 ........... Building Inspector[ FOR~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPART/v~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ......... , Approved ........................................ , 19 ........ Permit No. ~ O ~7 Disapproved a/c ~ ................. _ Application No ...........~....~.~...?. ..... APPLICATION FOR BUILDING PERMIT Date ............................ ~ .~.]~ .t; .......... ~L~ ........ , 19...~.~. ..... 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 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 which is part of this application. c. The work covered by this application 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 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 until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departrnent 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 allerotions, or for removal or demolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinances, building code and regulations. John Haponic (Signature of applicant, or name, if a corporation) Southold ~ N.Y. , ,,, 7] ...... ................ ............................... State whether applicant is owner, lessee, agent architect, engineer, general contractor, electrician, plumber or builder. Contr ctor Name of owner of premises ..~.oo$.aph,.tO.a,~.e.s ..................................................................................................................... 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. Mop No.: ....C.'."...L..'.~..a..n..~.°...r..ct:.....g.?..].'..c~t No.: .9.~.10+l:L ...... Street and Number ........ ........................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~.8:.?...8:.~..t;.'...~..~.?:.d.. .................................................................................................. b. Intended use and occupancy ..~gl.~J~:~.e,.$.~...h!z~Z.(:l,~D.g...-....:~.fl~.~ft.~.~r%k'~.t,. ...................................................... 11. 12. 13. / Locat~ clearly and distinctly property I(nes. Give street and whether in rerior or corner lot. NatUre of work (check which applicable): New Building ..~...~..~...~.~. ..... Addition .................. Alteration .............. Repair .................. Removal .................. Demolition .................. Other Work (Describe) Estir~ated/ Cost ..,~.0..~..0...0..0.....~./..~. .................................. Fee ....~..0. ........................................... ~ .................................. I (to be paid on filing thi, application) If d~velllng, number of dwelling units ....TAq~.¢ ............... Number of dwelling units on each floor ........................ If g?rage, number of cars ........................................................................................................................................ If b:'usiness, commercial or mixed occupancy, specify nature and extent of each type of use ..b..~...~..J:..~...e.~.9. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ................... Height ........................ Number of Stories ............................................................................................................. J. Dimensions of same structure with alterations or additions: Front .................................... Rear ........................ Dep!h ................................ Height ............................ Number of Stories ................................ Dimensions of entire new construction: Front ................ .~.0 ............... Rear ..... .~0 ................... Depth ....~-.Q ........... He ~lht .................... Number of Stories ...~ ....................................................................................................... Size of lot: Front ..~L.~0 ................... Rear .......... ~.~{0 ................... Depth ...... ^~.0. ................... Da! of Purchase ............ .~..c).~.Z .................................. Name of Former Owner ....... g..~..e..r...e.~. ............................. Zor or use district in which premises are situated !]~. 0.$$..~ ................................................................ Do~ proposed construction violate any zoning law, ordinance or regulation? ........... ~.O. ....................................... Nal Je of Owner of premises ..~...o.~.e.~.~....0..a.;?c..e...s. .......... Address ........ ~.o.J.z.~.o..]_..~ ................. Phone No ................ Name of Architect ...................................................... Address ............................................ Phone No ................ No?e of Contractor ..O..10..}~-.~.L..[~.f~.q.~.~.'.~ ...................... Address ........ ~..O..~..~...~..O..~ ................. Phone No PLOT DIAGRAM dl buildings, whether existing or proposed, and indicate all set-back dimensions rock number or description according to deed, and show street names and indic STATE O1: NEW Y~ORK, '~ S S ..................................... · 0'..9..~....1~.~..~9..D..~9. .................................. being duly sworn, deposes and says that he is the applk i (Name of individual signing application) above nerved. He is the Contractor (Contractor, agent, corporate officer, etc.) of said oCher or owners, and is duly authorized to psrform or have performed the said work and to make and this appli¢ation; that ail statements contained in this application are true to the best of his knowledge and belief; that the ~ork will be performed in the manner set forth in the application filed therewith. Sworn to Before me this ['Z u L