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Home My WebLink About4607-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. Z376t. Date THIS CERTIFIES that the building located at Map No.F~t% Park l~l~k No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Jal~ 123 . , 19 70 pursuant to which Building Permit No. I+60~Z dated ~[&n ~.3 , 19 ?O, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .Businesa build~ug... . Eetal shop ..................... The certificate is issued to 01rater. Morchel... of the aforesaid building. Suffolk County Department of Health Approval ~otme ~ 9820 Main Rd (owner, lessee or tenant) Building Inspee~or~ FOF, M NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PER. iT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o J607 Z Permission is hereby granted to: pursuor~ to application dated ......................... ~..1~ ......... ~ ............ , 19..~., and approved by the Building Inspector. .Fee~$..~.;~...~.. ........... ~ NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ............................................................... ...............................~'~'~'~;i ................................ APPLICATION FOR BUILDING PERMIT Dote .....~ ~.~ ~ '~ 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buddln~ Inspector. b Plot plan showing Iocahon of lot and of buildings on premises, relationsh~p to adjoining premises or public streets o areas, and.giving a detailed description of layout of property must be drawn on the diagram which is part of this applicahor 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 perm~ ~sholl 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 untda Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construcbon of buildings, additions or alterations, or for removal or demolition, os herein described The opphcant agrees to comply with all apphcoble lows, ordinances, budding code, housing code, and regulations ....... ..... (Signatur~of applicant, or name, if a corporation) ........... ~.,~..q. .... .c.?.~ ...... ,.Z~... .... .c.~...~...~, (Address of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budde, ............................................................................ ........... Name of owner of premises ....................... .~?~ .~.'..?. ....... :...~.~.k~.. If opphcan~:.is a corporate~ .signature o~2duly authorized officer ............. ..... .......... ......................... (NoFhe and htle of corporate officer) Location of land on which proposed.~. ,'~ /~/., ~,w°rk will bi done Map No ...................... Lot No ................ Street and Number ................ .~:,':.,,~..:....,~....~.:?." ......... ~~?.~, ..................................... State existing use and occupancy of premises and rotan.dad use and 0ccupo~ncy of proposed construchon ....................... ~- ~' ............................................ T ................... '~' ................................................. 3 Nature of work (check which apphcable) New Budding ................. Addihon J Alterahon P, epoir ................ P, emova[ .................. Demohhon ................. Other Work (Describe) ............................. 4 Estimated Cost .............. .~...,~...~..:...O~.. .............................. Fee ....................................................................................... (to be pa~d on filing th~s applicahon) 5 If dwelhng, number of dwelhng units ............................ Number of dwelhng umts on each floor ...................... If garage, number of c~rs ......................................................................................................................................... 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ....... ~..~.,,~'.~.. 7 Dimensions of ex~stmg structures, if any: Front ...........~ ............ Rear ....... ~,..~,. ................... Depth .....7.~.. ........... Height ....... /....~.. .......... Number of Stories .............. J ......................................................................................... Dimensions of same structure with alterahons or addmons: Front ............. .2...~ ................. Rear ......~..~.. ........... Depth .......... ./...O..~... ............. Height ........... .Z...~. ........... Number of Stones ............ ~. .............. 8 Dimensions of enhre new construction Front .................................... Rear .......... ..~..~.. ........... Depth. $~ ........ Height ....... ..Z..~. ....... Number of Stones ................. /. ............................................. 9 Size of lot. Front ....... ~/.~:}.Z ......... Rear ...~..~:~.'~ ............... Depth ...t.~....~.~ ........ 10 Date of Purchase ................................................ Name of Former Owner .................................................. 11 Zone or use d~stnct m which premises are s~tuated .............. ~..~....~. ............................................ 12 Does proposed construchon violate any zoning law, ordinance or regulation? ...... /.~.~R .................. 13. Name of Owner of premises .~.~7~.~C.~.~.~.~.¢/~. ......... Address ....O'...~..!(/.Z..s..~ ................... Phone No ............... Name of Architect ..................................................... Address ........................................ Phone No ............ Name of Contractor .~..~..:.../~.~Z¢~ ......................... Address ...~.2~.~....~.'?,¢..~..'~....~,'t/r~.~.: .... Phone No PLOT DIAGI:~M Locate clearly and distmctty all buildings, whether ex~sting or proposed, and mdmate all set-back d~mensions fro, property lines. Give street and block number or descr~phon according to deed, and show street names and ind~cal whether interior or corner lot. STATE OF NEW,~DR~'~, ,~ ,~ COUNTY OF .,,,~r::'~.~;~.//...,f '~' (Name ~ individual s~gning apphcahon) ,/~ above named He s e .................................................. ..~ ................................................................................................ (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and fi th~s apphcation; that all statements contained ~n th~s apphcation are true to the best of h~s knowledge and behef; ar tt-,ar the work wdl be performed ~r~he manner set forth in the apphcation filed therewith. Sworn to before me this f ...... of ....... ....... , . ................... : ........... ................................... (~ .., ELIZABET~ A~'IN NEVILLE ~' NOTARY PUBLIC, State of New York No 52-8125850, Suffolk County Term Expires March. 30, 19~