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Home My WebLink About4833-zNO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..... J~l~:Jl:l,..S.t,~U~ ...................................... Street Map No...,~. ..............Block No....:J[~. ............. Lot No...::~l[ ....... .~...~..~....t~...q..~..~. ....... ..~.~.~'..~ .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................ ~l~r .......... .~ ............ , 19.~/0.. pursuant to which Building Permit No...~'~.... dated ....................... ~"~1~ ....... '~ .............. , 19.....~)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 ..... J~l~t,~l;~l ..PIJI~I~II~'...~[I~ .......... (Jt/lJ~l~.JJ ..................................... (owner, lessee or tenant) of the aforesaid building. FO~ 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? 4833 Z Permission ,s hereby gron,ed ......... .................... ~~z:~ .......... ~ ................. ........................................ :f~.:Z .......... ~ ................. .............................................. .~::.~.,:~.....~:~.~... .......................................................... at premises located at ............... ~ .......... ~.~....~.~~'::::: ......................... ........................................................ ~~z..~, ............................................................... Building Inspector. Building Inspector ,~,; ,-~., ~.~ ~-.--/-~ ~ . . ~..~/~ . ~ TOWN OIr SOUTHOLD · ,,~ / ~,~,.~,~ BUILDING DE~P,A. RTMENT ~/,d,. ~ r~.., '~ TOWNCLERKSOFFICI SOU'mOLD, N.Y. .... .......... ." ......... AI~ro~KI ........................................ , 1~ ........ Permit No, ,~ .............. .......... Application NO, /~ ~ Dilopprov~ 0/¢ ...................... ~ ............. APPLICATION FOR BUILDING PERMIT/~ . ~ ............ ....... 7....../.. .............. INSTRUCTIONS · a. This application must be completely filled In by typewriter or in ink und submitted in duplicate to the Building Inspector. b. Pict plan showing location of lot and of buildings on premises, mlotlonlhlp to adjoining premlm or public Itm m areal, and giving a detailed description of layout or property must be drawn on the diagram whlch It part ef ~hle al~lcotla~ c. The work covered bY this application may not be commenCed before issuance of Building Permit, . d. Upon ppp..roval of this appllcatlo.n., the Building Irmpector .will I#ue a Bu. lldlng Permit to the pppllcant. Such permit shall be kept on me premises available tar Inspection throughout the pragre~ ct the work. e. No building shall be occupied or used in whole or In part for any purpc~e whatever until o Certificate of Oocugancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MA_DE to the Building Department for. the .issuance of a Building Permit pum~ant to the .Build!ng Zone O~lnance of the lawn of Southald, Suffolk County, New 7ark, and other applicable ~ Onlllnencee m Kegulotlom, for the construction of buildings, additions or alterations or for removal or demolition, as herein deecribed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatlem. (Signature of appllcan.t, or name, If a cerpemtlon) (Addreu of applicant) State whether applicant is owner, le~_ee, agent,_archlt.ect, engineer, general contractor, electrician, plumber or builder. If pppllcant Is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) n n ~' · Locat on of a d o Which propoeed work wll[be dgl~. Map No.: ,, ,.,.,.,u ........ ~ .......... LotJ~le.. ~ ........... State existing use o.nd occupancy of premljec and Intended use and o~icupancy of pmpoeed corm'ructlen: ...... , a. mmnaea use ona occupan~ ................... ; ..................... ~ ..................... ,. ................................ 3. Nature of wo~k (check which applicable): New Building ............... Addition .....~ ...... Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost '~ ~ ~ ......... Fee ~ c~ (to be paid on fi~ing this application) 5. If dweIHng, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars .................................................................................................................. 6. If business, commercial or mixed occunancv snecif~ nature and extent of ~,~-~- ~- .... 'b~'~'~' ~ -, - ', ~-~,, ,7~ ~f use ............................ 7. Dimensions of existlng 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 .......... ...~.....~. ................ Rear .....~....~'.. ................ Depth ./.....~'.. ................ Height Number of Stories ~ Size of lot: Front ................... , ........ Rear .................................... Depth ................................ Date of Fo~r Purchase ........................................................ Nq(me o~ ........................................................ Zone or use district in which premises ore s tuated ~. .............................. I0. 11. 12. 13. Does proposed construction vi~?t~/l~y,~l Iow, ordinance-'~~.. --°r~:;'~"~' .;~.~ ...................... Name of Owner of premises ~.~.....~...Address ................................................. Nome of Architect ...~,~.~....~? ............. : ...................... Address ....................... ~ .............. Phone No ..................... Nome of Contractor ~...~...~.~..~ ............. Address ....~ .................. Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings whether existing or proposed, and indicate all ~et-b~ck 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. STATE OF NEW (Y'~RI~./~-~ I · · .......................... · ., .......... ~.....,~..;.....;...../..~.~ .~ng duly sworn, deposes and says that he Is the applicant (Nam~~- a~ve nom~. He is the ........................~.~ ............ .~; ..................... (~ntmctor, ag~t, eo~oram efflcer, ~.) of said owner or owners, and is duly authorlze~ to perfor~ or have performed the said work a~ to ~ke ~d file this application; that all statements contained m this apphcation are true to ~e best of hl~ ~ledge a~ belief; and tha~ the work will be perfo~d in the manner ~t fo~h in the application filed therein. Swam to ~fore ~ ~l= ~ .................. .......... ............... , Nato-. . ..............