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Home My WebLink About4649-zFOP,~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTi~EI~T TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No 7.~Q2.9. ............... Date Dee 11 19 70 THIS CERTIFIES that the building located at . Del~.~f.(~...Pa.t~% ....................................Street Map No ~O~S~...C,~'~Block No ....................... Lot No ,9. ......... .0...U.~.q~...o.t[.~..e. ..... .N...~..t.'.: ................... conforms substanhally to the Apphcation for Building Permit heretofore filed m th~s office dated .................................... ~F~ ..... 1.~. ............ , 19...~.0. pursuant to which Building Permit No..~..~.br..9...Z*. .... dated ........................... }~I1~ .......... .~ ....... , 19.~.0.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for whmh this certificate is ~ssued is ........ ..... R~,~e...o~e..f..~.mil}:...~w.~.ll~.~,[ ........................................................................................... The certificate is issued to ...~b.e.~'.t...]~.QZ'Q~k.~ (%. [,.4. if.f~ ..... Q~t%.e.:~ .......................................... (owner, lessee or tenant) of the aforesaid buildzng House 1~O~,~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERJ~IT CTI'-ilS PERMIT MUST BE,KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? Z Permission is hereby granted to: .............. ~.~b.e:~ "tr' ' "g'e ~'e.~i~ ................................ ..................... ~.e e-z,g<,~e ~. · · ~e,t~ ........................... .......................... ~.c~,",~':'a~ ............. ~....~. ............. to ................ ~.~L~..a~..~,~.~ t.~.~..~,..~,n.. ~×.~.~ ~--- ~e.~4 ~.~tt ....................................... at premises located at ............... -~cr~;.-~.-..-~C~Se--~l::~,~tl~.-.]~-~t'~, .......................................................... ............................. 9~J'"'tJ~e~'o~+,'"r~'~"'~"~0~l~'"~-':Z ......... ~l~l~li~ ...................... pursuc~t to application dated .............................. ~,~J3, .......1,~ ..... , 19.....~!~, and approved by the Building Inspector. Fee $..~e.r)J~ ............ ........... Building Inspecto~ NO. I 'I~OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. O ; I .(/c..o' .5 Applicotion No .......................... ~1 Disapproved a/c .................................................... ~ 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 o de,ailed description of layout of properb/must be drawn on the diagram which is part of this applicofion~ c. The work covered by this application may not be commenced before issuance of Building Permit. ..~j~ 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. ' J- 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 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 alterations, or for removal or demolition, as herein described. · The applicant agrees to comply with all applicable laws, ordinances, ,~lding code, housing code, end regulations. ........... ................................. (Signature of applicant, or name, if a corporation) ...... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... ........................................................................................................................................................ 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.: ..... t.~..,,,~..,~,..,~,, ................ Lot No.: .....~t,~ ............... Street and Number .......... ..~...~..~.~-..'~.:?..°...?.....--...~-...~...?./2 ......... .C....O...~...~.~.~.~,.e.,...~..,.~.,. ........................................ ~::>/- ~'.95 ~'~ ,v Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy .......... ..~...;....~..~...~........~....R...~...(j.y.......~g..~...~, ............................................................. b. Intended use and occupancy .................. ~, ...................................................................................................... 3. Nature of work (check which applicable): New Building .................. Addition .....~.. ........... Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ............. ...~...~..q.P. ................................. Fee .................. ~.~...~...~.. ......................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling un, its ./../'.~..~....~ ............ Number of dwelling units on each floor ............................ ' If garage, number of cars ........................................... .~d..~_ ........................................................................................ 6. If business, commercial or mixed occupancy, spe~:ify nature and extent of,ch type of use ............................ 7. Dimensions of existing structures, if any: Front ...... ..~..~ ................. Rear ...... .~..!'e/ ..................... Depth .~....~.. ........... Height ~$~ 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..................../~'/ Number of Stories ........ / ............................................................................................................ 9. Size of lot: Front ..... ./..~..O.....'.. ........... Rear ~...~.../:.~...~ ................... Depth ...../..~...E...~. ................. 10. Date of Purchase ..... ~..~.£.;..} ........ .~....,..../.?'...~..~/. ......... Name of Former Owner~..~....~..~..~.~...L~..T~.c~ .......... ! 1. Zone or use district in which premises are situated ..... ~ ........................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............................................................ T -De~o; ' 13. Name of Owner of premises ..~.oJ~. .................... .~...Address ~ Curc.~o .~.~£Le.o.T...~:~]-~ .............. ~'.~one No..?.3..~.-~.~.,~./.. Name of Architect ...................................................... 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. I STATE OF NEW(~Ot~./~/ t = e COUN'n' .......... ~ .......... ~~.'--~,.....~~ ................. being duly sworn, d~o~s and says t~t he is the applicant (N~e of indMdual signing a~lication) above n6med. He is the ....................... ~ ............................................................................................................. (~ntmctor, agent, co~orote officer, etc.) of said' owner or owners, and is duly authorized to perform or h~e performed the said work and to ~ke and file this application; that all statements contained in this application am tree to the best of his knowl~ge and belief; and that the work will be performed in the manner ~t fo~h in the application fil~ ~erewith. Sworn to before me this ........ i.7 ..... o, ........... .... f ...................