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Home My WebLink About4606-zNO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..~. .............. Date ............... DeG......1.~l.t....19~,0 ......... , 1c) ........ THIS CERTIFIES that the building located at ~ll~lSet,...lg&~/f....Sl~,l'~S~..~. ............. Street Map NoC~,R,~Ig.X ......... Block No ...................... Lot No .1.(:~. ......... S~31~d.....~,~,, ................. conforms substantially to the Application for Building Permit heretofore filed in th~s office dated ......................................... ~'&~ ...20...., 19 .~.0.. pursuant to which Building Perm,t No.l~0.~ ..... dated ........................... ~a~ ....... 24~ .....19...~.(~, was issued, and conforms to all of the requirements of the applicable prowsions of the law The occupancy for which th~s certificate is issued is ........ ....... P.l,,~.~a.t,e..e:ne...f,~.t.~..d~e.tt~ng. .................................................................................... The certificate is issued to ..~J.~hs.e~...]E~tZZ8~llo ............... ~e~ ................................................... (owner, lessee or ten.mt) of the oforesamd building. ouse 600 FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFIGE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~o6 z ~e .................... ~.~.....~.....L~ ........ Permission is hereby granted to: ............. t~M3~..-~e~.~ea..~ ................... ............... ~~, ........... .11.~,, .......................... to .......... .l~...~...~...a.j,~.~...~.......~.,...~.~....a.~.~ ............................................ pursuan¢ to application dated ............................... Ji~lt~lL ........ ~1 ...... , 19....,~D, and approved by the Building. Inspector. Fee $..~.q.~[~ ............. TOWN OF $OUTHOLD Disapproved a/c ............... ~ ..... BUILDING DEPARTMENT ~//~ TOWN CLERK'S OFFICE $OUTHOLD, N.Y. · O ~. ~ A~li~tion No..~.?.../.~. ......... ~ APPLICATION FOR BUILDING PERMIT Date ....-~ ~' -~ ........................................................ ,19.~..~ .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in ~uplicate to the Building Inspector. b. andPI°t plan showing location of lot and of buildings on premises, relafionsh p to adjo ning premises or public streets or areas, giving o 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 Department for the ssuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Sulfa k County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or a terations or for removal or demolition, as herein described. The applicant agrees to comply w th all applicab e aws, ordinances, building code, housing code, and regulations. .......................... (Signature of applicar~,'or name, if a corporation) ...... ...... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................ ................................................................................................................................. Name of owner of premises ......~...i..c..h...a..e...1...~..o.....~...~....-~.....~.....~.....~/..~. ......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of cOrporate officer) Location of land on which proposed work will be done. Map No.: ......................................... : 161+ Cedar Besch ?ark Lot No'. ....................... Street and Number Sunset Way/ Sunrise wa Southol~ N.Y. ...... · ...... ........................................ ...................... ........................................ Municipality State existing use ond occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy dwelling b. Intended use and occupancy same with an addition 3. Nature of work (check which applicable): New Building .................. Addition .......~... ........ Alteration .................. Repair ............... ~l' Removal .................. DemQlition.; ................ Other Work (Describe) ........................................ 4. Est mated Cost ................ : ........................................... 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 ...../.~.T../. ....... Height ....(..o"_...~ ............. Number of Stories ........ ~..~...~.. .............................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height ...,~...6.~.~. ...... Number of Stories ...................................................................................................................... 9. Size of lot: Front ....... .~...~..:. ............ Rear ........ /.../..c?...~ ................... Depth ..../...'~'.?...: ................. 10. Date of Purchase ....... /..~....~...6 ...................................... Name of Former Owner,,~.:.~..~..~..~...~...~.~..~.. ............................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............................................................ 13. Name of Owner of premises .~.J.f.~.'t.~./....~..~.~fl.~.....Address .~..~.?...?./.!:..~.~Z.~..~.....~.?.. ...... Phone No. ~-./Z.~Z.~..?...~..? Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly an(I distinctly all buildings, whether existing or proposed, and property lines. Give st~,,~ and block number or description according to deed whether interior or comer Io~'~._ ,~ set-back dimensions from street names and indicate STATE OF NEW-YOt~,, /)~ tcc COUNTY OF ~'~:.~.~....~'~"~' ~ ............... . .......... ~..~....7~/.~.~S.~.....~..L.....O~.~ ........ being duly sworn, deposes and says tl~3t he is the applicant (Name qf individual signing applicafio[~) above named. He is the ..................~.T.....~~ ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to b~e~o~re me this ~) _ ................ o, ...... ................ . ........ ................................... Notary Public, . ........................................................... County ~// [Sigr~atu~/of applicant)