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Home My WebLink About4948-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~/~..lJ'~l,&~.. La,l~ ............................. Street Map No ......~ ............ Block No..w ................Lot No...:llJl~.....G~.el~,t...~.~.* ......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................................... &i~.....jL~8 ............ , 19...r~) pursuant to which Building Permit No....J~9~. dated ........................... l~ilJ)~""'~"J' ......... , 19....~O 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 ........ ............. B~ .~nes s...l~l~18.. &...Rel ..w~.th..aeeeaael,,~ ..~eu~.l~l.i. ag. ............................................ The certificote is issued to ...... .~,...~[.~.~.7~..~M~ ............~t~ll~ ................................................. (owner, lessee or ter~t) of the aforesaid building. FOR~ NO. 2 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? 948 Z Permission is hereby granted to: · .~.. ~o~,au.....;~/g...~,.,...¥/.t,~.bur...t/eeng ........... · 0r:l:~z~' ..................................................... to ....... j~.. ~1~ ..li~(j~.,i; ~t~....(1~ .. ll:ilL~Jt~.- R~iJ. illi. a ji:j,~dr · ~~ ............................... at premises located at ........... ~/.~...lJ~.~ag.~..~l~e- .......................................................................... ......................................................... 0-z, .J,e~'~.:b ............. -1~.,.~ ................................................................. pursuan¢ to application dated ................................... ~laJJ:""~,~ ....... , 19...~r~., and approved by the t~uilding Inspector. ;Fee $.ji,~O .............. ......... t"'/'" ......................... '~ .............. r .................. ~ ' Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOt. D, N. Y. Approved ........................................ , 19 ....... Permit No ............................. Application No ............................. (Building Inspec~6~r) Date .................................. ~ .................... ,, .......: .... 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 de~ailed description of layout of property must be drqwn on the diagram which is port of this app cat on. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspqctor will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for- inspection throughout the progress of thework.- e. No building shall be occupied or used in whole or In I~art for an~ purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION iS HEREBY MADE to the Building Department fo~ the iSsuanCe of a ~ilding Permit pursuant to the Building Zone Ordinance of the Town of Sout_h_o_ld, S~ffelk 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 and _regulations. ~ ~ (AddreSs of applicant) (Name and title of corporate officer) Location of land on which profx~ ed work will be done. ~Aop No.: ........................................ Lot No.: ........................ Street and Number ..~..~..~.:. .......................................... ...~....~ ................................... ~3 -- ~ .~63 ~' ~ Municipality 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 "~"'~, 3. Nature of work (check which applicable): New Buildirlg .................. Addition ~ Alteration Repair ................. .,,J~/emoval .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost .....~....,~.....~....~.~..6...~..~'~ ............................... Fee .............................. ............... ; ............................................ (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 and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ...... ./..~..~. .............. Rear ...... /.....~. ................... Depth ..../...?...~ ........ Height ...... ./..~...~. ......... Number of Stories ........ ~/. ..................................................................................... Dimensions of same structure with olterations or additions: Front /~' / Rear / ~' ! Depth ......~:.....~'...!. ............. Height .......... ./....~....I. ....... Number of Stories ...... ! ......................... , 8. Dimensions of entire new construction: Front. ...... ............................./'~' / Rear ....../..~. ............. Depth ....~'.. ................. Height ....../...~...~. ...... Number of Stories ...... ./. .................................................................................. 9. Size of lot: Front .......?.~...~..f. ........... Rear ......" ...~.?.../. .................. Depth ..../....~....~....x.. ........... ' ............................ 10. Dote of Purchase ........................................................ N~e of Former Owner ...~.~.~...~ 11. Zone or use district in which premises are situated ....,~..~-......*~d,¢~..~'6 ............................................. 12. Does proposed construction vio ate any zoning law, ord nonce or 13. of Owner of '~ Addre Name premises ...~..'...~ .... ss ......... ............... Phone No ..................... Name of Architect ...................................... 4~ ............ Address ............................................ Phone No ..................... Name of Contractor ................................. Address .........~..~ ............... Phone No?...~..?...-...~..~'..~../ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all 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 lot. STATE OF NEW YOD, K COUNTY OF ...~.~.~..'.,,,~.~.Z..~r. ......... ..................... .~...~ ./~...~'......~.?./~.~.~...~...//~... ............................... being duly sworn, deposes and says t~t he is the applicant (Name of individual signing a~lication) above named. He is the ................................................................... ~ .................................................................................. (Contractor, ag~t, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contained in this application ~r? true'to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the opplic~tJ~, filed therewith. Sworn to before me this ~ ~ ~ . .......... , ....................................... ~o. 52-72678~ Suffolk County Te~ Expir~ March ~