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Home My WebLink About5119-zNO. ~ TOWN OF SOUTttOLD BUILDING DEPARTMENT Town Clerk's Of[ice Southold, N. Y. Certificate Of Occupancy No. ZL~28t~ Date Jul2 12 , 19 ?~ THIS CERTIFIES that the building located at C~l'Wll~ St Street Map No. ~ Block No. ~ . Lot No. ~ ~ee~po~t ~,Y, · conforms substantially to the Application for Building Permit heretofore filed in this office dated J~t. 18 , 19 71. pursuant to which Building Permit No. 5119z . dated -Jato. 18, 19 71 , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private eno. fatuity awe.l-~.ing ......................... The certificate is issued to ~halZl~y HI/lSO... Ownel~ ........ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N,R~ House ~ 135 Corwin St Building Inspect%/r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. N.o BUILDING PERMIT CFHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5119 Z ~e ............................. ,u~ ....... sl~ ....... ,79....7.0 Permission is hereby granted to: ......... lltm-,m~:lll~d.~ ......................................... ................... Ge~_s~..ft.-g ....................................... to ..... I~LI~" ~s~'"ml~tl:t;~,oa'"a~'"e:~'t:I~[" ~t'm~l:ll:ag ......................................................... at premises located at ................ l~"~tif;~t/'~, ............................................................................. ............................................................. 1~e=1~'~ ........ ff~3'~ .......................................................... pursu~ to application ~ ..................... ~ ......... ~ ................. , '19..~., and appr~ by the Budding~ Inspector. Building Inspector ~NO. ! TOWN OF SOUTHoLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ~ (~L--~ 19....~.../ Approved ' ~ ' ~' ' ~ ........................................ , 19 ........ Permit No. O"'! { ? ~ Applicotion No. '~/ I ~ Disapproved a~c .......................................... .~-.~ ....... , ..... APPLICATION FOR BUILDING PERMII' Date ................................ .~..a....~..u...a..~. ~........1..8..., 19.....?..1. .... INSTRUCTIONS a. This application must be completely tiffed in by typewriter or in ink und 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 of properly must be drown on the d agram which is part of this application. c. The work covered bY this application may not be commenced before issuance of BuiJding 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 port for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY/v~,DE to the Building Department for the issuance of o Bu Iding Perm t punsuant 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. dem~lition/as here n descr bed, The applicant agrees to comply with all applicable laws, ordinances, 'b.~/~l~/~ code,, hou~i~J.~de~nd regulations, · ........ ....... .......................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder~ ......................................................... 6's,c.r,..e z't. .......................... .. Nome of owner of premises Chauncy Hulse If applicant is o 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.: ....3~.. ................. S-.~ ~.~ ~,, ,...~.~. S/S Corwin St Green~ort N.Y. 2. State existing use and occupancy of Premises and intendecf, use and occupa(ncy of proposed construction: dwelling a. Existing use and occupancy ................................................................................................................................... b. Intended use and occuPanc,, s?~...e with an addition 3. Nature of work (check which applicable): New Building , ................. Addition ~ Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) · 2t ~00 · ~ 4. Estimated Cost .......................................................... rea ........ ~.,..Q.Q ........................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... 0~ ............... ~Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed oocupancyi 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 olterotions or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................... .. ............ 8. Dimensions of entire new construction: Front ................. .1..Q .............. Rear ...... .1..Q. ................. Depth ....1..1. ................. Height .................... Number of Stories ...... o,13.e ........................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Nome of Former Owner ........................................................ ! 1. Zone or use district in which premises are situated .... !! !1. A 4~ &,st, ............................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... N.Q ............................................. C Hulse Greenport ]3. Name of Owner of premises ........ : ............................... Address ............................................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ....~A...QW~-'L .............................. Address ......... ~,T:.~.~.Q~'.t~ ....... ; ..... 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, lee COUNTY OF ............. [ Chauncy Hulse ................................................................................................ being duly sworn, deposes and says thot he is the applicant (Name of individual signing application) above named. He is the .......................... (~'~,~'. ..................... 'iL .............................................. (~ntmctor, ~t, co,rate officer, ~c.) of said owner or ownem, and is duly authorized to pe~orm or have parroted the ~ d work a~ to ~ke ~d file this application; that all statements contained in this application are tree to ~e ~ of his ~l~ge a~ belief; and that the work will ~ perfo~d in the manner ~t fo~h in the opplicat~ fll~ ther~l~ Swom to ~fore ~ ~,, ..................... ~.~d~, of ................. ~.~ ...... .; ....... , 19...~.~ ~"~'~ ~/lA / . ... ...... _ .................................... ~ [LIZAD~TH A~ NEVILLE NOTARY PUBLIC, St~f N;~ York ' No. 52-8125850, Suffo k Cou~ Term Expires March ~0, 1~