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Home My WebLink About5600-zFORM NO. 4 TOWI~ OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, i~. Y. Certificate Of Occupancy No. ~-t~'~79 ...... Date ............ De¢~,.. ~10 .... , 19.71 THIS CERTIFIES that the building located at 't4id~ood Rd & Heldmn Ay Street Map No. ~ ...... Block No~ ..... Lot No...~ .. Outeho~. N,Y,.. · conforms substantially to the Application for Buil~ng Permit heretofore filed ~ t~s office dated ........ NoV · · 1..., 1~ 75 pursuant to which Building Pe~it No. ~ dated ....... NoW ....~... , 19 21., was ~ssued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . '~i~'te' ~ra ge .(. A~e s $ory Buf.1ding- .) ...................... The certificate is issued to . JOP~. McGlrr ...... ~e~ ................... (owner, lessee or tenant) of the aforesMd building. S~olk County Department of HeMth Approval ....... I!,~ ......... ao~e ~ 3~ aoia~n Ave ~~ , .~ .... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.~¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5600 Z Permission .is hereby granted to: to -titu~-~¢.-~w- ~iv~.-S~ ~,~t~ ...................................................... -~ ....................................... at premises located at .................... ~lj~WO~..i~.o~l~.~:~..~,~,~l ....................................................... .................................... t,~s...~eek- ............. ~u-~l~e ............................................................. pursuan$ to application doted ............................. 2~0.1~ .............. .~ ...... , 19...,~'.1, and approved by the Building Inspector. -/ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Yo 19 ........ Pemit No. Disapproved o/c ............................................................................................ .......................... ~t~r .......... APPLICATION FOR BUILDING PERMIT '~ ......... ..................... ,,,.2./. .... INSTRUCTIONS ~ o. This opplicotion must be completely filled in blt Wpewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of builclir~s on premises, relationship to adjoining premises or publ c streets oF 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 o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ord nonces 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 cede, and regulations. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· .... If applicant is a corporate, signature of duly authorized officer. - .,~.\ ........................................................................................(Name and title of corporate officer) T/ ~' -- ~'~ 1 Locat on of and on w h osed work will b done Mop No · ~ Lot N ~' · n ............. o ..... .......... Street a d Number v.~.~ ~.. .~... ~..[E~,..O. .... L~.. ...... ~J ~..~.c~ ,~.-~ ...9 '~/J~ Municipality 2. State existing use and occupancy of ~m~i~ended use and occupancy of proposed construction: a. Exisiting use and occupancy .....~.......w.....~. ............. .~1 ................. b ntended use and occupancy .e..4. J/~'/.~.....~ 3. Nature of work (check which applicable): New Building..................JJ~ Addition .................. Alteration .................. Repair .................. Removalo~. .................. Demolition ............... ~ ...c~Other Work (Describe) ........................................ 4. Estimated Cost ............ ...~./...~.../.. ......................... 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, 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 ......... ~ ................... Rear ........ ~ .............Depth Height .................... ~..~//~,,~.N~u~)l~er of Stories ......... ~.'. .......................................................................................... 9. Size of lot: Front .....~..?./....~...,,.r.. ..... Rear ...../...61...,.2~.. ..................... Depth ..../..'/-/....'~.. .................. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ......... ~....~[....../~..../..~....~!... ........................................................... 12. Does proposed construction viRlote any ~z.oning_la)v, ordinance or regulation? ..... ..~.....~. .............................................. 13. Name of Owner of premises~...~~..Address ...~.C~.....I ........................ Phone No ..................... Name of Architect ...................................................... Address Phone No ..................... Name of Contmctor/~..t..[~....~,,,~-- ~" '^ .................. Address iiiiii~~iiiii Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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 NEWj~OI~,/? ! t~S,~ COUNTY OF ~.~ ....... ~" ~ ~ .......... ~..~~...~,....~ ............ being duly sworn, d~oses and soys t~t he is the applicon, /(Name of individual ~~ti~ ~, above ~amed. He is the ....... ~ .~ ......................................................... ; ............................................. (Contractor, agar, co~orate officer, etc.) of said owner or ~ners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will ~ perfumed in the manner ~t fo~h in the applicati~ filed thereWith. Swom~ore me this ~) ~ 'i ..... ELIZABETH ANN ~[V~LE ~TARY PUBLIC, State o~New York No. 52-8]25850, Suffolk Count_ Y~rm ~pires March 30,