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Home My WebLink About5342-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .LIlac · Lane ............... Street Map No. ~aS~ ,. F. arm/~lock No ........... Lot No..l~t~ .1.O~ .... C~At~hogue.. ~., - · - conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... ,TV21e...~-.., 19~.1.. pursuant to which Building Permit No..~-3~Z.. dated ........... Jla, lc...%0.., 19 ?A., 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 . p~iva~e, accessibly. (stora~e.)..bu~ldilng. ........................... The certificate is issued to .. J. ohn. & .Beatrice .fles®~e .... Ow~er~ ............... (dwner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N'~i~ ' .............................. FOP,~ NO. ~ 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) 5342 Z Dote ........................ II'XIJ:J.~'......lc JJ. ............ , 19...g'..'J. Permission is hereby granted to: ...... · T~tm...&. ~,e~t~r.J.e~.. 12e ~e/l® .................. ............. ~l%~ho~.y~ ............................................ at premises located at .................. [8).~;...~].~)..~ ....... JJR.~I~I&~I..~.I~-'-'~JJ. ..................................................... .............................................. · /,,t.l,a.e .. ~,e. .............. C,.~.t~.hejJe ....... i1,,~.,. ......................................... pursuant to application dated ........................... ~l~P,.e ....... .~. ............. , 19..~JJ.., and approved by the Building Inspector. Fee $..~,L~ ............ TOWN OFSOUTNOLD UILDING DEPARTMENT TO~H ~K', OFFICE ...~..~0.~_.._.._.. '~' .......... 19........ ~ / SOUTHOLD, N. Y. Exomined ~pr~ ........................................ , 19 ........ Pemit No ..................................... Disapproved o/c ................................................. · ~oplication No. ~'.~ H ~ APPLICATION FOR BUILDING PERMIT Date June 7, 197! 19 ............ 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 p~rt 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 Bui!ding.popm. tment for the is.~a~r.a..af ~_Building Permit pumuant to the Building Zone Ordinance of the Town of SOUthold, Suffolk Count:y, New York, and other applicc~le Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. (Signature of applicant, or name, if a corporation) Lilac Lane, Cutchogue, Ney York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.~._ O~mer .......................................................................................................................... Name of owner of prem ses John W. Gesele .&. Beatrice I. Gee.e. le . If applicdnt 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.: ....... .1.[.7..9. ......................... Lot No. 105 Street and Number ....... ~,.~.~.ac Lane Cut.c.b...o~..e~...~.,.~., .... . Municipality 2. State existing use and occupancy of premises and ~tended use and occupancy of proposed construction: a. Exisiting use and occupancy ondev~ b. Intended use and occupancy Garden too! storage ..... 3. Nature of work (check which applicable): New Building ..... ~, ........ Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ $300: .......................................................................................... 4. Estimated Cost ........................................................... Fee $5.00 (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 some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... lQ.~ ........................ ~ ~ Rear ...... 1.0. .................. Depth .....1.Z ............... Height 80" Number of Stories ! . 110' 9. Size of lot: Front ............................ Rear 109' Depth 231' 10. Date of Purchc~se ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation;~ · · J.W.&B. Gesele --,, Lilac Lane,Cutcho§e . 734-5984 ]3. Name of Ch~ner or premises ........................................ ~aaress ............................................ Phone mo ..................... 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 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 comer lot. See attached STATE OF NEW' YORK, t¢¢ COUNTY OF ................................ f~'~ ~ohn W. Geeele ................................................................................................... u duly sworn, deposes and says thot he is the applicant (Name of individual signing application) above named. He is the Owner (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 all statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application, filed therewith. Sworn to before me this __ ........... o, ............................. . Notary Pub I i~(~'.' '/~' ~' '~'~i~1'4 ....................... County"'";~''er fl/' '%('lf~'' ''''~~'~'""/"~"(~,'~';lat~re o~ 'app [,ca'r~ ~-~mi~;,~~H P. BAKOTA' ~/ ~ //~ / ,q~y Public, Stm of ~ ' No 30-$156875 Qualified i~ Nassau Counly Cemm~sion Ex~ Mare~ ?~. 2 $. &e' 4B' 507 W. · 245.26, "L I LAC ( Priva~ ~.d.) JOHN the $u~.{olk ~ounf~ C'lerk'~ O~¢ce os