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Home My WebLink About4663-zFOB,M NO. ,I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ....~..~.~1~,1~ .............................. Street Map No..~l~..~..F~l~l~ck No ....................... Lot No. ~13~Y....;..~F~pla3~ ...... ~e;. ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................................... ~ ...... ,~0...., 19..~0.. pursuant to which Building Permit No...I1~.. dated .............................. ~ ....... e~ll)., 19...~IO, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for Which this certificate is issued is ........ The certificate is issued to ..... ~.~.;~..~4~,~I~,II..~A1E~ .............. .(~laglF~ll ...................... (owner, lessee or tenant) of the aforesaid building. m.e f TOWN 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.o 4663 Z Permission is hereby granted to: Oote ~aueet~ 30 ~9 70 to ~t1:M ney ~r~vat~ ~arage (keeesso~) premises Iocoted ot . .. JJ~.~J...~,~,~'~.;J,J~ .~.~'lJ~ .......... ..J~...~..~......J~,.~,...~...J....t~..t.~...~, Jl~ ....................................................... 6~mpo.~t. ........ Jl,I, ................................................................ pursuon( to opplicotion doted ................... ~l~'~'~ ......... ~ ............. , 19....~ ond opproved by the Building Inspector. Fee $.....~..?...~... .......... IN)mt~ NO. I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOt. D, N. Y. ^l~oroved ........................................ , I9 ........ Permit No ............................ Dis~ppraved a/c .............................................................................................. Application No. ZT/~"~"~' ~ APPLICATION FOR BUILDING PERMIT Date ............................. ~a~.Cb ......... ~O...., 19..~.0. ..... 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, relationsh p to adjo n ng prem sas or public streets or areas, and giving a detailed description of layout of property must be drawn on th~ diagram which is port of this application. c. The work covered by this application may not be commenced before issuance of Building PermitJ d. Upon approval of this application, the Building Inspector will issue a Building Perm t to the applicant. Su~:h 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 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 w th all applicab e aws, ordinances, building code, housing code, and ~cjulations. MarJory $. Clarke (Signature of applicant, or name, if a corporation) Greenport (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0~,rner Name of owner of premises ....... ~/1LLla~..~..L~r.;~o~'le..Cler/ce ................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of la~n.d on which proposed work will be done. Map No.: ....... .~.e..g. QTX~g....~...a~.....~.~l~¢~. ........................ Street and Number ................ ~'~....~LT~..~FIIrlt ........... .G~'.ee=pc~.t. ........................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... Tl~uaZ3.t~g .......................................................................................................... b. Intended use and occupancy .......................s~jiie..~.~h.l)~j:v~6~..ge~re:g~ ............................................... 3. Nature of work (check which applicable): New Building .F,~r,~ ....... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ................ .2..6..~.0.. .................................. Fee ...~....0.Q .............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... none ........ ,..Number of dwelling units on each floor ............................ If garage, number of cars ....... f~.,~ .............................................................................................................................. 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: F~ont .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ~0 ...................... Rear ..... 2fi .................. Depth ......... 20 .......... Height .................... Number of Stories ...,".I.~'..LL .......... J ........................................................................................... 9. Size of lot: Front .i.....1.0~1 ............. Rear ............ .100 ................. Depth ........ .,%.9(1../..i~2..~.. 10. Date of Purchase ........................................................ 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? .............. ru~ ......................................... 13. Name of Owner of premises ..W....~;..~...~.].i~!~ke. .......... Address ....... .P~I'.e~e]3pQ=.~ .............. Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... J. Owen ........ .G. ~ .e..e...n.p..o.~ 'c. .............. Name of Contractor .................................................... Address Phone No ..................... PLOT DIAGRAM Locate clearly end distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or orner lot. STATE OF NEW. Y( COUNTY OF ....~..%l; Mar~orie Clarke ................................................................................................. being duly sworn, deposes and says tha~ he is the applicant (Name of individual signing application) above named. He is the ................................... ~)w~e.3, ......................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner 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 that the work will be performed in the manner set forth in the application filed therewith. Swam to before me thisn ~" "~ ~ '~'"' "~'"~ 30 da, of M~rch , ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of New York No. 52-8125850, Suffolk County Term Expires March 30,