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Home My WebLink About4747-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.. Z.~.639 ..... Date .... ~ov~l~er. ~.~ .......... , 19'/3.. THIS CERTIFIES that the building located at . R0~/.F, JS..0akl.awall. Awe,.. Street Map No.. X~ ........ Block No. ]U'i ....... Lot No..L~... S~tlt, hO14 ................ conforms substantially to the Application for Building Permit heretofore filed in this office - dated ...... l~a¥. J,2~ ....... , 197g.. pursuant to which Building Permit No.. dated ...... ~lay. 12 ~ ........ , 19 .~.0., 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 ...Pri.v. ate..ane, f.a~$1y. .dwell] rig ..................................... The certificate is issued to ...Ja~a .Ha~l~lesfa,hx' ....... o~el~. ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No. Pending HOUSE NUMBER .. 2J~ ........ Street .... £~.i~,'~,.ke .Roa~. ~. 3 .................. .................................................. Sou~;n(~ld ..................... FORt~ NO. 2 TOWN OF SOUTHOLD 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? 4747 Z Dote ........................................................ , ]9 ........ Permission is hereby granted to: ~*e~g JISBIMS~II* 8~mthold to .... ~ ............ L..L.A .............. ~,: ....... ~ ............................................................ at premises located at ............................................................................................................................ .................................................... &ln~t, Aat~t ............ t~ ,~.~ ................................................................... · . ~.a.~. . ¶.~.. 19..~..~.., and approved by the pursuo~n¢ to ~pplication doteo .......................................... , ........... Building Inspector. Fee $..,~A..(.:~. ........... BUll. DING DEPARTMENT ,, / - ~ -'~--.._ _ ,...~ ~f'~ TOWN CLERK'S OFFICE ? '~-~"~"~,~'? - - . . SOUTHOLD, N.Y. /~/~,~,,,,¢I;~ ~ ~ ~, /~ ~ ~'~min .... [ ~ A~li~tion No....., ........~..~"....~ ~p lc ....... ~ ........... ~ ........... ~ .............. ~ / '~ ..................................................................... "' .......................................................... ...... 12 a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Bu din~' ,nspector. ' ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjo n ng prem scs or public streets areas, and giving a detailed description of layout of property must be drawn on the diagram wh ch s part of this application. c. The work covered by this application may not be commenced beforq issuance of Building Permit. "d. Upon approval of this application, t~he Building Inspector will issue b Building Permit to the applicant. Such permit-~j'' 'shall be kept on the premises available for in~6ffl~ throughout the progress Of the work. e. No building shall be occupiqd or used in whol~ or ia 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 pareuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Oedinances 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, building code, housing code, and regulations. James E Hammesfahr (Signature of applicant, or name, if a corporation) ................ ~oztt, b.a]Ji ............................................................. p/q~,~ ~ ~,~ ~'~'~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber or builder. Owner - builder ............... Name of owner o{ premises ............ ~12t. mes...~l,lllll~8~.a.~'. ............................................... ~ 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.: ......X~.. ................ Street and Number ...R....~..W..~.....~Z'.~....QJtk~.a,lktj3~.~,~.e ............ ~.o~.~;kald. ....... N.~Y ................. T A ...... ...... Municipa i / ................... · State existing d~' a-'%nd occupancy of premises o~occupancy of praposed construction: ,~' '~. o. Existing use and occupancy ...... ~e,~,l.~L~ .................................................................................................... ,. ..... b. Intended use and occupancy .........................~.~.~..~....~.~,.t~...~,~..&~l,~k~:LC~ .......... ~.. 3. Nature of work (check which applicable): New Building .................. Addition .~ ............ Alteration ....... Repair .................. Removal ' Demolition .................. Other Work (Describe) ................................... 4. Estimated Cost ..... .~-t -~00-.--.-~. ...................................Fee ...... .~ .(~) .......................................................................... (to be paid on filing this application) .~1. 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 .................... 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 .......... .JJ.Lk. ..................... Rear ........ .~ ................. Depth ....... ~,0. ........... Height .................... Number of Stories ........ .9.1~,.~ ................................................................................ 9. Size of lot: Front ........~0 ................ Rear .................. 20.../....7..Lb Depth ....... ~6.9.-~.....-$~0. 10. Date of Purchase ................ 1..~..6..~ ............................... Name of Former Owner ........ .~...~.~.~.~...~..~. ............................... "A" dist 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation.> .......... D_Q ............................................. 13. Name of Owner of premises J........~..e....]~....e..s..~...a:?.. ........... Address .......S...o.~.Q~..~.. .................. Phone No ..................... Name of Architect ...................................................... Address ............................................ PhC)ne No ..................... s rne 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. ' rST~TE OF. NEW Y, ORI~ ,. J ,. ,. cn~ fNTY n~ ~u~ ~ o-~ f~.a. ...... J,7..;...:-..-~-.~L~.~...~.-m-.m. 9.1~'.~,~' ........................................... being duly sworn, :d,ed. oses and says that he is the applicant (Name of individual signing application) abo~Je named. He is the Owner - builder ",'~ (Contractor, agent, corporate officer, etcL) orsc~id bwner 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 tha~ the work will be performed in the manner set forth in the application filed therewith. ~ >, Swam to before me this · ................. .~..~... d?,y of ..................... ~.]v~..~....; ......... , 19..~.Q.. -- ' t pu .09. fi. 'Y'I_ · No cry b '~.(~.K./~.... County~ (Signature of 0~;~'~ .......................... · ~-~ ELIZABETH ANN I'J~VI~L~ _ , r ~- ' : NOTARY PUBLIC, State/of NIW Ho. 52;8125850, Suffolk -'~ ~rrn ~xpir~s March 30,