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Home My WebLink About4723-zFOB,M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. 9:3~.~. ............... Date ....................... JV, l.~' ....... 2:l ........... , 19..~.O. THIS CERTIFIES that the building located at ...... .Ha.~i)e~...l'.;[.g~t,8...D~,. ........................ Street Map No. ~.eZ~t,~e... Block No. ~ ................... Lot No..~ ..............~At,~,O~.~,....~e .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................................... .A,LD~..~)...~r/. ....... , 19...~0. pursuant to which Building Permit No..[f.~.2~..~.. dated ........................ ~i,p.Z~.~......g~ ......... , 19....~0~ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued Js ........ ............ .Aeeet scr~,.....(~a [~'~1~. ~ .. h~.d,~ ............................................................................... The certificate is issued to ....ldm~..~...~Teae~..&..~;J~ .............. ~u~ee-~. ..................................... (owner, lessee or tenae~t) of the aforesaid building. i:touse ~ 200 FORM NO, 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP~IT MUST BE KEPT ON THE PRENIISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 4723 z Permission is hereby granted to: ~L~o ~8t~eo at premises located at. ...~..t,;...~...~. dB~r..l~...l' ............. ..................................................... ~..1441J~..gz~e ................... a~.~eiA ...................... pursuan¢ to application dated ................... Al;~.~ ......... ~. .............. , 19...~.~., and approved by the Building Inspector. TOWN OF ~OUTHOL~ BUILDING DEPAITMINT TOWN CLERK'~ OFFICl SOUTHOLD, N. Y. ......... 970 Examined ......~.../X _...... .............. , ........ ~'' 19.....~... Permit No......'~..~...~......~.......'.'~. Approved ........................................ , Di~pp~ a/c ......................................... ~ ............... ................................................. .................... (Suildin~ APPLICATION FOR BUILDING PERMIT lpg:il 27 70 Date ............................................................ , 19 ............ INSTRUCTIONS a. This application must be completely filled Jn 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 adjoin ng prem ses or pub c streets or areas, and giving a detailed descriphon of layout of praperty must be drawn on the diagram which is part of thJ~ application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this app. lication, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises evadable for ir~oection 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 issuance of a Bud ng Permit pursuant to the ,Build!n.g. Zone. Ordinance of the Town of Southold, Suffolk County, New York, and other applicab · Laws, Ordinances or Kegu~arions, tar 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. (Signature of applicant, or name, if a corporation) Harbor Lights Drive, Southold, N.Y. 11971 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. William J. and Anne E. Jones Name of owner of premises .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of land on which' proposed work will be done. Map No.: 4681 Lot No.: ....~.2. ................ Harbor Lights Drive, Souchold, New York 11971 Street and Number ......................................................................................... /~/ .~ ~,~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use a.nd occupancy Private Home b. Intended use and occupancy Storage of garden equipment 3. Nature of work (check which applicable): New ,Building , Z ~ j' · '~ Addition .................. Alteration Repair .................. Removal .................. Demo Jt on ............. Other Work (Describe) ........................................ 4. Estimated Cost .... 3.3.00 ....................................................... Fee .......................................................................................... : (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... .~......: ......... Number of dwelling units on each floor ........... T. ............... If garage, number of cars - 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............ '% ............... ........ 7.Z .................... Depth .....~.0.~ .......... 7. Dimensions of existing structures, if any: Front .......7.?.! ................ Rear ~ Height 30~ Number of Stories 3 Dimensions of same structure with alterations or additions: Front ......... .S....a~.,e. .................. Rear ....... .S..a..m..e. ............. Depth ........... Same ............. Height ....... Same ............. Number of Stories ...........$.a~e. ............. 8. Dimensions of entire new construction: Front ....... !0! ........................ Rear ~ ' ........ ].Q ................ Depth ....... 7. ............... Height ...... 7..'..-3,~.[.... Number of Stories ......... ~, ........................................................................................................... 9. Size of lot: Front ........ .2. .0. .0. . '. ............ Rear ....... .1. .8. .5. .' . ~ 0.~. ............... Depth 195~ 10. Date of Purchase ...... .M...a..r..c..~....1..8.~....1.9.6..9. ..................... Name of Former Owner ...... ..~..a.?..o..1..d....P,..e..e..s.e. ......................... 11. Zone or use district in which premises are situated ......... ,~.~v~,.~,~. ............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... .N..o. ............................................. W~lliam J, and _.. Harbor Lights Drive, Phone No (516) 765 - 13. Name of Owner of premises '"~.~a"E;'",TOflt~g ........... naaress "$W~t1~6TS';"N'~Y'.'"/'r97'r .......... ~'~'~ ..... 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. STATE OF NL~I ~O1~,///. J e e COUNTY OF ..,~, .......... }'~'~' ~ , ........................." Z..~f~....~..L...~ .............. being duly swo;n, d~oses and says ,~, he is the applicant - (Name of individual signing ap~cation) above named~He is the ................... ~ ................................................................................................................. r (Contractor, agent, comorate 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 are tin, the best of his ~owledge and belief; and that the work will be performed in the manner set forth Jn the applicati~fil~ ther~ith.~ II Sworn to before me this ~ .. / / / / I / ............. ................. .......... Noto~ aerm ~r~ March 30, ]9~ D~V~ MA~ O~ I~l~.Op'E~TY SUl~VgY~ D WI L.._.IANt JONF_,S AT 4'0'= t"