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Home My WebLink About4834-zFO~M NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMEN~T TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE: OF OCCUPANCY THIS CERTIFIES that the building located at ....B&~/'..~..~IO&~[ ................................ Street Map No. ~..~.~....~...~.~....~l~ck No ....................... Lot No..,,~,~. i ...... .~.~.e.~10~',,~ ....... ,,~.~..,. ............ conforms substantially to the Application for Building Permit heretofore filed Jn this office dated ............................... ~lJ~' .......... .1 ............. , 19...~.0. pursuant to which Building Permit No....~...~..3...~....~. dated ............... ,~],~, .... ~ .......... , 19 ..~.Q, 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 ........ ..... P~.i.v.a.~e..~a~r. age...(.~ce.~s~..~uiJAing.). ............ : ............................................................ The certificate ~s issued to ....~If~k'~%~,..l~.,~.~..~..~ ............ ~.~, ............................... (owner, lessee or tena,nt) of the aforesaid building. Houee # 200% ~OP~ NO. ~ TO~VN OF $OUTHOLD BUILDING DEPARTMEN'F TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 483~ Z Permission is hete~y g~anted to: ~,t~,-h~.~t.. ~t~...~ ~,l~v~.. ~yC.~.-.. ~e~Z~.. t,t~l~kez. :~/~(/ ................. C~x, r,~,.~,~,,~ ......................................... to at premises located at ................... .~.~ .... ,, ~l,~,~...~, .--P~-...T,~y...~,-~tjJ ........... ............................................. ~c~h~x,e,..~& ........... r~ ee~l~j~ ......... ~j.~ ................................. pursuan¢ to application dated ................................... ff~ ....... 'J;....., 19....~j) and approved by the Building Inspector. Fee $.....-~.~,00 ......... I~ORM ' NO. I TOWN OF SOUTHOLD BUU.DING DEPARTMEN~ TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ........................................ , 19 ........ Permit No..¢... .................... L. O, pproved (Buff APPLICATION FOR BUILDING ~ERMIT app,=.on No. ¥ C2 Jr' Date ...,.., July I 19....7...0. .... INSTRUCTIONS This be filled i~k a. application must completely in by typewriter or in und submitted in duplicate to the Building ~ Inspector. ~ b. Plot plan showm.g, Iocat on of lot and of buddings on premmes relationship to adjoimng premises or public streets or 7,] areas, and giving a detaded description of layout of property must be drawn bn the diogl;am which is part of this application, r~ c. The work covered by this application may not be commenced befor~ 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 be occupied or used in whole or in part for any pt~rpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the i~suance 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 f, or removal or demolition, as herein described. The app icant agrees to comp y with a applicable laws, ordinances, building code, housing code, and regulations. P, ichtez~ ltome Tmprovement Co' (SignattJre of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contrac to]? Name of owner of premises Herman Markert If applicant is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) 1. Location of 'and on which proposed work wi~be done~ Map No: .,P..~.o,, ~,.8:.~..,~,~,~,.~.e,,~... Lot No,: ,,.?, ............ d ~ !Green o~t Street and Number .'i~JJJ~.,~.~ .~. ............................ Municipality ................ 2. State existing use a,nd occupancy of premises and ~ntended use and occupancy of proposed construction: a. Existing use and occupancy .....D.~...~§ ................................. i .......................................................................... b. Intended use and ~u~),~n,',,' same with detached ,Earage 3. Nature of wo~k (check which a0plicable): New Building ..... ~,~ ........ Addition .................. Alteration .................. Repair ................... Removal .................. Demolition .................. Other Work (Describe) ........................................ 4, Estimated Cost ........3.t. QQQ ........................................ Fee ..... ~o~0 ........................................................................... (to be paid on filing this application) 5. I.~ dwelling, number of dwelling umts ...... .n.r.O.,l?.. ............ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If busines,,;, commercial or mixed occupancy, specify nature and extent of each type of use ..... .a...o..c...e..s...s.g..r.~'.. 7. Dimensions of existing structures, if any: F~ont ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of sarne structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ........... .~4% .................... Rear ............ .'1.3. ........... Depth ...... 2.6 ............. Height .................... Nurnber of Stories .... .~D.e ........................................................................................................... 9. Size of lot: Front ............................ [:,ear ................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ] 1. Zone or use district in which premises are situated ........ .~!~,!~...~.S.t. ......................................................................... 12. Does proposed construct;on violate any zoning law, ordinance or regulation? ........... ~l'O ............................................ 13. Name of Owner of premises ..~.....YJ, a~lcer.~ .............Address .....G~.ee~o~% ................. Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .,.~.,i.,°.h..t..e.?.....H...o..m...e....I...m.~,,v.,t~......Address ................. ~.f~.e~.Q~'.t~ .....Phone No ..................... PLOT DIAGP~kM 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 descrip, tion according to deed, and show street names and indicate whether interior or corner Jot. ~flr)~ STATE OF NEW_ YORK I S.S. COUNTY 0 F" ..~.~,~f)~; ............. ~ .......................................... ~J',~,hl/r,,/~lchte/~. .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ..................... ~D/%~.~,.O. ll;.O,,~ ................................................... ......................................................... (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 oil 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 flied therewith. Sworn to before me this ................ .1 ....... day of ................... .J..U,],~. ............... , 19..~..0. Notan/ Public, . ........................................................... County (Signature of applicant)