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Home My WebLink About4831-zFOB,M NO. A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at '""l~=lall:~'9/J~"Deep..Hffle..Dt,~ve Street Mop No...xgr, ............... Block No ......~[ ............ Lot No .......~:~.....~a,~.~.$1~e]~ ......... ~-e~'., ........... conforms substantially to the Application for Building Permit heretofore filed in this office doted ................................ ~T1~e' ......... ~) .......... , 19..90. pursuant to which Building Permit No...Lk~.. dated ............................. ~:ttl~e .......... .~(~.., 19....g(~ 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 ........ ............. Pz't'Va't~" OT~e'"f a~'t '~y'"'d~e [T:t~;~"~tt:~ .-bed~..~ t ~oa~. ..................................... The certificate is issued to ~'~'"o~1~l~J;cl.~~ ............ 0~z~e'Z' .............................................................. T0wner, lessee or tenant) of the aforesaid building. House 1900 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? 831 Z Permission Is hereby granted to: .................... II~tl.~lll. ...... ii.1:~ .................... at premises located at ................... M~....~IIIIIII~..~I,,~I.,~EI~ ........................................................ ................................................................. I~.t,t,,q..llllk ....... 11.~1I~ ........................................................ pursuant to application dated ............................. ~l~e.....~ ..........., 19.~1~).., and approved by the Building Inspector. ' ui ding nspector ] mm- ~ s T~JWN OF soUTHOLD BUILDING DEPARTMENT A~r~ed ~ ;, ' 9..:~.... Permit No. ~.~.[.~ ........ ........ · .'::: ....... APPLICATION FOR BUILDING PERMIT Date ............................. ~,~..e.......~..O.. ........... , 19.7.0. .... .. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plat plan showing location of lot and of buildings on premises, relationship to adjoining premiees or public streets or areas, and giving a detailed description of layout of property must be drawn an the diagram which is part of this application. c. The work covered by this application may not be commenced b~fore issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o 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 Jn port 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 with all applicable laws, ordinances, building code, housing code, and regulations. A. Reilly & Sons Inc (Signature cf applicant, or name, if a corporation) ~attituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................... C.amtz&¢:t;.a~ ...................................................................................................................................... Name of owner of premises ..... ~T.~..~.ehmtdit, ..................................................................................................................... If applicant is a corporate, signature of duly authorized officer. '~ 1. Location of land on which proposed work will be done. Map Bio.: ............ ~ ...................... Lot ~o.: ....~ ............... Stre~ and Number ~ D~ Hole D~2~ ~ttitucE N.Y. Munici~li~ 2. State exi~ing u~ agd ~cu~ncy of promises and intended use and occupancy of prop~ construction: a. ~isting use and ~cupancy ......... ~e~ ....................................................................................................... b. Intend~ use and ~cupanm' sane with an addition 3. Nature of work (check whici~ applicable): New Building .................. Addition ...;~1~ ......... Alteration ....~ ........ Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ....... .~.t~.(~.....+_. ................................ Fee ...... ~..~.(~. .......................................................................... (to be paid on fi!lng this application) 5. If dwelling, number of dwelling units ...g~ .................. 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 ........ .12, ....................... Rear ....... 1.2 ................. Dopth ........ .1.l~ ........... Height .................... Nurnber of Stories ......... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ! 1. Zone or use district in which premises are situated ......................... II&#..~l[e~ ......................................................... 12. Does proposed Construct[on violate any zoning law, ordinance or regulation? ............. ~e .......................................... ]3. Name of Owner of premises ......~..;....~.~.d..$. ........... Address .......~I-..~.~.~..~.U,~.~ ............... Phone No ........... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor A.o...~;L].]~r...&..i~..~13,~....Address ......... i/J~.t,t~;u~.....~ ....... 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 lat. STATE OF NEW_YORK. COUNTY OF ..~.O]~I: ............. $~' ~: Nor,~n Retlly ................................................................................................ be~n~ duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ......................C..~.~.~.~..~.q~· ................................................... .~[ ....................................................... (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 oll 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 iq the application filed therewith. Swam to before me this .. .................. _day of .......... ................ , Notary Public~A~_-,~.Z~... County'~ ...... i~i;~¥~~l~)' ............................. NOTARy puB,,~ [~-- re:rILL/ "~,, orate of New York No. 52.8125850, Suffolk Co Term Expires March 30,