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Home My WebLink About4809-zTOWN OF SOUTHOLD BUUJ~ING DEPARTMENT Town Clerk's O~ice Southold, N, Y. Certificate Of Occupancy No. ~. 7.07.~ ...... Date ......... ..... J~ta.. ~., ..., 19~6. THIS CERTIFIES that the buildi,~g located at EAI'~..~IM .............. Street Map NoPe~.. ~ .Ew~lock No .......... . Lot No ..... ~,eeRp~.. )~,][o ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... ~u~... 18. ·., 19.~0 ~pursuant to which Bui]dlng Permit No..l~0~. dated .......... J.~...]8 .... , 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 . P~lvat~ .one. :faail~ .dwalllng. w~th. an .additio~ .................. The certificate is issued to . .~l'~M~d~ .~,. lv~ ...... ~ ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .N,R., ............................... UNDERWRITERS CERTIFICATE No. l~dl~ .................................... HOUSE NUMBER ...~'~. ....... Street .... Ktl'v&a- ~.V~ ...... ~l, ee~pol~ ....... -.- FOlh~ 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? z1809 Z Dine ............ : .............. ~rm ......... .~8 ..... ~9.....~o Permission is hereby granted to: .................... ~e~-~..~ ............................ ...................... · 370..~..Co~,~r..-~ ........... to .......... .~ ..l~3Xl.. ~,.~1 ~L~ ~..a~..e'~:L~ ..~u~.~ ............................................ at premises located at . .......... ~.y'*'~]~4~e~'*"~.'" ................... G~.,~e~po~ ......... .~¥~ ...................................................... pursuan,t to application dated .................................... ~'I~D~ ........ ~., 19....~ and approved by the Building Inspector. Fee $....~*.~. .......... Building Inspector TOW'~OF ;;;OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Inspoctor. . b. Plat plan showing location of lat and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of praperty must be drown on the diagram which is part of thie 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 he 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 MAl~to tho Building Department for the issuance of a Building Permit par~uant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable I. aw~, 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, ordinan~ces, building code,~housing cod,e, and ~gulations. t~gnarure ~T app[t~c~nt, or name, if a corporation) ............................. ;;'.,lc;;;i ......... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................... ............................................................................................................................... Name of owner of premlsei ............... ,~-,~,,~-m.~......,~,,,,~,... ~,,,. .,~,,,.~ ........................................................................... \ If applicant is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) Lacation of land on Whlch prapo~d work will he done. Map No.: ........................................Lot No.: ........................ State existing use and occupancy of premises and Intended use and occupancy of praposed construction: Intended use and occupanc.. ...................... 7..~1.~ ............................................... 3. Nature of work (check which applicable): New Building .................. Addition '..i~.~....~.:.. Alteration .................. Repair .................. Removal .................. Demolition ................ ~.Her Work (Describe) ........................................ 4. Estimated C~st ... ~,,, · (to be paid on fi~ing this application) 5. If dwelllng, 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 ...... .~..~ f. · . Rear ........................... Depth .....~...?....'. ...... '- Height ...C.....~ ............. 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. S ze of lot Front ~......~... ~ Rear r,~,-,+~, 10. Date of Purchase ........................................................ Nome of Former _~)wner .~i.t.....~...V...~...~.~. .................. ] 1. Zone or use distric~ in which premises are situated . ..'~...~..~.. ~ ................................... '~,. ............. 12. Does proposed construction vi61a~e,.any zoning law, ordinance or regulation? .... ~ ~ ..... - 13. Name of Owner of premises~..-......,..~..IA..C.~I.,,C.IR/ .......... Address --e Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM prope~a~n~.ea~liYvea s~tredelTianC&Yb~kbUinludlmn~:,r whet.her ?x!s. ting or p..mlX~., and indicate all ~et-back dimenaions .fram , .,,~ ~ a or aescr,pt~on accormng to deed, and show street narnm and indicate wnetner interior or comer lot. STATE OF NEW ~f-.~l~!~_ ~ i ~ ~ COUNTY~.~)F ...~1~.~....~-~' ~ ...... ~ ........... ~...:..~ ......... 4 ............................................... ~1~ duty i~rn, d~s and s~ ~ he II the applicant (Name of Individual slgning'~llcatlon) a~ve named. He is the ... ~ -- ............. 7 ........ ~'"~'~ ............................... ~ ............................................. ~..~L~ ............... (~nt~r, ~t, co~om~ officer, ~.) of said owner or owners, ~_is d~ly au~h~rlz~ t~.~e~or~ o[. ~e pedo~ t~ said ~rk'~ ~ ~ ~d file this application; that all s ammems contam~ m tins a~.c~ am tree to ~ ~ of hll ~l~e a~ ~lJef; and that the work will ~ performed in the manner ~t ~h In the appllc~l~ fll~ ~1~. Swam to ~fore me ~ls · ~_ ........ ......... .. ........ ........... , 19 ........ ........J ' ' -' -~ ~'~"~ ~' '~~ ~~ (Sg a~m of applicant) ELIZABETH ANN ~EVILLE ~ ~ ~ - , NOTA~ PUBLIC. ~tate of New York