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Home My WebLink About4728-zNO. i TOWN OF SOUTltOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. 'Z'~'~I' ............... Date ........................ ~l~y ....... 22 .......... , 19-70' THIS CERTIFIES that the building located at .... )~.;E~j..~{~.~.....(C,R~.) ....................Street Map No .....~3~ ............ Block No ...... 3cZ ........... Lot No. '31~ ......... ~ee~311~_'e ....... ~Y';' .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................. ~:~3Z'~.' ....... 2e)' ....... , 19~0... pursuant to which Building Permit No. I~;L~8~ .... dated ...................... &p~,~:.l. ......... ~ ....... , 19.~(~., was issued, and conforms to oil of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ........ .......... · Priva~e'"gara'ge'" ('a'c ~s ~'o~y"~d.~ ) ........................................... ........................ The certificate is issued to ..](.eetrseth..l~ase ............ ~oew~n,;,~j.j;~.;;.,~e~¥) . . . of the aforesaid building. House ~ 32??0 Building Inspecfor FOP..~ NO. ~: TOWH OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4728 Z Permission is hereby gronted to: ................ ;Eet3~e.~h.. P~a,~e ................. ~ ................. ................ lkl.~l ~g.e...~?~;t ........................ ~. ................. ..................... ~.e~a~ ........................ ~ ................. to ......... ]~1.14. · ~e~.. ~,~ i.va.t~.- 4 e.t,~he&.- ga~,a~t~e ....... .......................................................... at premises located at ......................... ~].JJ...J~.~,~.~,..J~Q~ ....... ......................................................... .................................................................... ~.e,~P~ ............ [q~'~,~ ..................................................... pursuan¢ to application dated .............................. ~J~'.~[, ...... ~J~,.,..., 19.....~.0 and approved by the Building Inspector. Fee $,...,~,~Og. ......... Building Inspecto7 IPO~Bll NO. I TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....~..,,~,.. ,~. ......... , 19..~...0 Approved ........................................ , ........ Permit No ............................ Application No. /''/ Disapproved a/c 7 "~ APPLICATION FOR BUILDING PERMII' Date /~ INSTRUCTIONS o. 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 a detailed description Of layout of property must be drawn on the diagram which is port 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 issuance of a Bud ng 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 here n described. The applicant agrees to comply with all applicable Jaws~ or~~ode~sing cocle, and regulations.,, ("~ zl ~_~.,/ ~'~ ~,?ignature of applicant, or name, if a corporation) (Address of appticant) 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.: .................... ~: ................. Lot No.: ....~ ................. Street and unicipolity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~/VE Z)I/I//[£LI.~...6--- 3. Nature of work (check: whic~applicable): New Building .................. Addition .................. Alteration Repair .................. Rer~oval'~'~ .................. Demolition .................. Other Work (Describe) .....~...~...Y../...~.....~... ................ 4. Estimated Cost ../. ........... .~....~...~.....~..0. ........................ Fee .............. ...'~....?..'~'... ............................................................... ~\ \ (to be paid on filing this application) 5. If dwelling, number 0~f dwelling\,units': t ............................ Number of dwelling units on each floor ............................ f ~ -/-~, ~ If garage, number o 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 .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ z ........... 8. Dimensions of entire new construction: Front ...................... ~.. ........... Rear ............... .~.. ......... Depth ........ Height ....... Z,~,, ...... Number of Stories ..............~....~'..~..~.. ........................................................................................... 9. Size of lot: Front .......... ./.,.~..~..A ..... Rear ........ /....~...6.......~....~Depth ........... ../....~....0. .......... 10. Date of Purchase .......... ./...~...~....~...,~.......~~Name of Former Owner ......~....~.../..~....A~-..~....'~...,~....~..~ ..... 11. Zone or use district in which premises are situated ..................... ..~....~...~..../..~..~./..~...A~.. ............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ............. ~ ...................................... 13. Name of Owner of premises .......... ..~.../..~...~...A...E.....~..?...~....'~......)~.....6~.. Phone~'o.~.~....~...~..../.Z.. 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 oil set-b~ck dimensions from property lines. Give street and block number or description occarding to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, J e e : COUNTY OF ................................ (Name of individual signing application) above named. He is the .............................. ~. ........ ................... of said owner or owners, and is duly authorized to perform or have perfo~ed the said work and to ~ke ~d file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Swam to before me this .................... ........ ......................... NOTARY PUBLIC, ~ate of New York No. 52-8125850, Suffolk Co~ ~rm ~pires March ~, 19~