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Home My WebLink About5472-zNO. 4 TOWN OF $OUTHOLD BUIT.I~INfi; DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupency No. ~ .~.1+.1.~ ...... Date ............. 0c~... ? ....... , 19.71. THIS CERTIFIES that the building located at .. Pe.e. oalc..]~ay. ~lYd ....... Street Map No. ~ ......... Block No .... ~ .... Lot No...~ .... La, el...N.~ ........... co,ores substantially to the Application for B~ld~g Pemit heretofore filed ~ t~s office dated ........ .~g.- .23 .... , 19. ?.1. p~su~t to whi~ Buffing Permit No. ~.. dated ........... &~.. ~..., 19..71, was issued, ~d conforms to &l of the req~ ments of ~e applicable provisions of the law. The occupancy for which ~is certffica~ is ~u~ ~ Pr.$vat~ .accessory .bu.i. tdi~g. (~tera. ge) ............................. The certificate ~ issued to . Jo~. ~. ~to~et~. Pl~e ..... ~erz ................ (owner, lessee or tenant) of ~e Mores~d b~d~g. Suffolk Co~ty Deponent of He~ Approval .. N.,~, ............................. House 682~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 547 z Permission is hereby~gmnted to: ...~T~.. &. ,t~ ~e ~t e ..... P.l~e ................... .......... · ',~m,e*~ ....................................................... to ..... ~X~..~-.&ee~sse~,~ ..... (.$.te,~i~e..*)..-~b~_~t~._~l .................................................... at premises located at .......~r~'--.']~ll~.-~"-'~'& .............................................................. ................................................ ~....~1~:. ................................................................................... pursuo~t to opplicotion doted ........................ ~ ....... ~ ................. , 19,..~.~, ond opproved by the Building Inspector. B~*ilding Inspector TOWN OF $OUTltOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. xom,ned .... ...... ..... Approved ......................... .-..k. ........... , 19..~.~ .... Pemit No. ~ '~ ~ Application No ................................. Disapproved a/c ......................................................... ~ ~ APPLIGATION FOR BUILDING PERMIT Dote ...... . .A..~...~..:.....~..~.., ................... , 19."). 1. ....... 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, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this 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 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 with all applicable laws, ordinances, building code, housing code, and regulations. (Signature of applicant, or nd/me, if a corporation) (Address of appl~ant) * ' ~ ~' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... ............................................................................................................................................................... Name of owner of premises .....d..o...[-~........?...../~ .~'......'~....~...~.~J~'...~'.....P..~.~..~..~, ................................................ if applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Numbe~..J~..~..o...~.J~C,.....~..~..~.......~....~.....~. ...... ..L.x~.I~.J~J-,..~("'..~.. ........................ .~ 8 ~.~ ~ Municipality State existing use anc~ occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........ ~ ......................................... ~ ................. ~ .......................................................... b. Intended use and occupancy ........ .~.T...~..J~J~......~t~.~J.~,JI~z......I~....T..~(..~.I..L...,~ ..................................... 3. Nature of work (check which applicable): New Building ....'~.... ......... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ....~e...~..(Dt~:~.e ....................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, sDeci_fy.nature and extent of each type of use ............................ 7. Dimensions of ,existing structures, if any: Front .....,.~./~....: ......Rear .........................Depth ... h t ............ He'g t .............. , ........ Number of Stories ....... I ..................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ / I 8. Dimensions of entire new construction: Front ;.....L.~. ....................... Rear'. ....... ~. .................. Depth ..... ~...~. ........... Heght ~'.1. L~.t. Number of Stories ......... l ...................................................................... 9. Size of lot: Front ....... .~....~....~. ......... Rear .......... .~'. ..................... Depth ...... ..~.......~. ............. 10. Date of Purchase ...... .~.?...~.~:....L~....~*...~ ................ Name of Former Owner ......................... .~,t~ LV~. J-L. J. ..................... 11. Zone or use distd:t in which premises are situated ..................................................................................................... 12. Does proposed construction v~9~.eo~,~,r~.Zoning law, ordinance or regulation? ........ ~(.O,~ .~ ...... 13. Name of Owner of premiseseT.~l.Q~:~l:....~..L~......Address .l~..~..'~..L.~.~J~f~..~.....~p~one;K~'R'~:''~'I~ No. Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ 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 comer lot. STATE OF NEW YORK, !.. COUNTY OF ...~.U~J~ ............ $o.~ /.. ......... · -.~,zl.'ctozle'~-l:-e-..~-l.a~e.'"....''' -- ............. ,.... ......... "...'.being duly sworn, deposes and says thotl~ne is the applicant (Name of individual signing application) above named~qHe is the ...................... O~eLrle~: .................... ~ ................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to,per~orm or .have .performed the said work and to make and file this application; that all' statements contained i~' this al~Plicatio~ are true, toithe best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Swam to before me this ........ .; ....... ............... ., ,~--~ ........ ,~.~.~..~.~.~-~... ~..oumy ~lgnarure or applicant) v ~/ ELfZAB£TH ANN NEVILLE/ NOTARY PUBLIC. State of New York Ho. 52-$]g5850. Suffolk CounLv Term Expires March 30,