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Home My WebLink About4995-zFOl~I NO. t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ~.~O2~ ............... Date ............................ Dee. ....... .1.% ........ , 19..70. THIS CERTIFIES that the building located at ..O~kl/~OO~..&..W~S.].i~ ........................... Street Map No ..... &3[. ............ Block No..../~Ii .............. Lot No .... ~X' ......... [~Ol~ho~.d' ....... ]/'e'~'e .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................................ ~)e'~ ....... 9' 19"'70 pursuant to which Building Permit No. dated ............................... ~)(~1~ .......... ~3'"' 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 ........ ........ Ft,.~.vet~.. eae...i, a~t.Z.¥.- ~twet.~ ......................................................................................... The certificate is issued to ....C.~'~;[~ke.)r ............ /~/~'. ................................................................ (owner, lessee or tenant) of the aforesaid building. House ~ 32~ Wesland 30 0akwood FO~M NO. ~ TOW~ O~ SO~?~O~ BUiLDrlNG DEPARTMEI~IT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISF~ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 995 Z Permission is hereby granted to: : ........... ~.~.~..~e~..~.~..~.~.~,~ae~ey ........ at premises located at ............... O~,~aa-.~m~.,&-;~[e~,~tj "~'""i ............... ....................... ............................................. :....S4m.th¢,~.~ .......... ~.~, ........ .: ...................... : ........................... ~ .......... Building Inspector. ,~ee $....~.00 .......... :and approved by the IN)BBf NO. I 'roan OF souTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. /-3 . ^pproved ........................................ , 19 ........ Permit No ....... Disapproved a/c .............................................................................................. " APPLICATION FOR BUILDING PERMIT ~'\ ~ Date ..... .Q~t;, ............................................. , 19..~.0 ...... INSTRUCTIONS ~in~ a. This application must be completely filled in by typewriter or in ink und submitted in duplicate to the Bull gE Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premiee~ or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram whlch Is part of thio application.r_ 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 port for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of Q Building Permit pumuant to the Building Zone Ordinance of the Town of .Southold, Suffolk County, New York, and other applicable I. awl, 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, housing code, and regulations. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ..~.,.~'~.,~lr.~. ................................... ~ ...................................................................................... If applicant is a 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.: .~.. ..................... Lot No.: .t .................... Street and Number (~l)3:]l,e,c...e~£...Cl~cff~ed,.~l.~ ~lh.J#~,g,~..~(~.t...~.91g,t~).q~,~t~.~.~e.4.~.....~... ............. ~-~'~( - .,,q 0 ,'~ ~. ~,~ ~' Municipality ....... 2. State existing use and occupancy of premises and intended use and occupancy of proposed constrbctlon: a. Existing use and occupancy ...~,l~g~l,,1,X~L ............................................................................................................ b. Intended use and occupan:', . ................. Imme. ......................................................... ~ ........................................... 3. Nature of woik (check which applicable): New Building ................. Addition ...X ............ Alteration ~' .......... Repair .................. Removal .................. Demolition,.. ............... Other Work (Describe) .................................... 4. Estimated Cost ...~.~.~).~.,~.{~ ................................... i..Fee ....~t~Q.{~ ...................................................................... (to be paid on fi'.ing this application) 5. If dwelling, number of dwelling units ........ (,1,). ....... ;.....Number of dwelling units on each floor .... (.~_) ................. If garage, number of cars .......................................................................................................................... 6. If business, commercial or mixed occupancy, s~fy nature and extent of each type of use ............................ D m~ns ons of ex st;n s~;ructures f an Fmn~ ~ e 7. . -'. g , y: ' '.' ........... ;...~. ........ Rear ....... .~.~. .................... Depth ...~gI//~.R... Height ....A~llw~6!.... Number of Stories ..... (.~..) .......... ~ ....................................................................... Dimensions of same structure with alterations or additiohs: Front ........ .~. ....................... Rear .... ...~?. .............. Depth ..... ~ ................. Height .... ,ll~e .............:.Number of Stories ....~lllae ................... 8. Dimensions of entire new construction: Front...~... $'~. ...e:~t3e............... Rear ............................ Depth ........................ Height ..t~..e. ...... ; .... Number of Stories ....i ......... (.1~ .................................................................................................. 9. Size of lot: Front ...~1~..t....~ ............. Rear ...~11~..~...... ................ Depth ......... ;~,~..e.~. ........... 10. Date of Purchase ~/../.~/..~.~. .................................. .Nome of Former Owner 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction viol~'te any zoning law, ordinance or regulation? ....... ~ ................................................ 13. Name of Owner premises (~e.~.a~[~.~ll~tl~.; ..Address ....... Phone No.~.~.-.~.~.. Name of ..Address ............................................ Phone No .................... Namq of ..~.~.III.IL~I~ .................... ..Address ..~.~ll~.~,...~.e.~.e ....... Phone Locate ~ihes. and block number or ~ion Jot. all set-b~ck dimensions from (Name o~ in'div'idual signing al~plication) above named. He is the ........................................... .~.~...~....7-./~-4~.~2~...~.f~< .................... '~ ........................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, end is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Swam to before me this ~, , . ...... ........ ................. ...... r"] No'r/~.RY PUBLIC, STATE OF NEW ~90RK ~/ No. 52-1957550 Residing in Suffolk County ~ / ~..mmm~ ~ Commission Expires Ma[ch 30, 19_~