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Home My WebLink About6136-zTOWN OF $OUTHOLD BUII.lllNG DEPARTMRNT Town Clerk's Office $outhold, N. Y. Certificste Of Occupsncy No..Z. 7.0J.~. ..... Date ............. iiay ..... 6 ..... , 19..7.6 THIS CERTIFIES that the building located at .-Re sov&&a, .Head ........... Street Map No. Ft..Wright. Block No... xxx .... Lot No,. ~ay. Minor..Sub ....F~er~..~ $ · conforms substantially to the Application for Building Pemit heretofore fried in this office dated ..........8ep.t... 19..., 19.72 pursuant to which Building Permit No. -6136Z. dated ............. Sept..-22, 19..7.2, 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 . Pr. ivatt, one..£alu;kly, dl/.e lll~g. ...................................... The certificate is issued to .. William .B,. May. .. 01~ner. .......................... of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant ) · b ..It,..Terry... 7Z! /73 .......... UNDERWRITERS CERTIFICATE No. pencling .................................... HOUSE NUIvlBER..non~ ....... Street .......................................... Building Inspector FOF,~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFIGE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6136 Z Permission is hereby granted to: at premises located at ....j~l:a:te..~oacJ ...... ,~e&o.v.~.~...J~. ....................................................... ....................... l~t ....l~rAIht.ar~e~ ......... F.~sae. r.s...];&ta~l .......... N..~ ....................................... pursuant to application dated .......................... J~OJ~t~ ...... .~.9 ........ , 19..~., and approved by the Building Inspector. Fee $~..~.,e,~. ......... pEP.~.~I; iNCLUDES APPROVAL TO pEMOVE EXCESS FiLL FROM ABOVE PREMISES BY a~C,~ ,.C, iNG LOT CESSpoOL CONSIRUCTION CELLAR C OTHER ¥OWN CLERK'S OFFICE A i t,on ............ (Building Inspector~f APPLIGATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled 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 property must be drawn on the d~ngram which is part of thi~ application. ~*:~. c. The work covered by this application may not be commenced before issuance of Bulldtr~g Permit. d. Upon approval of this application, the Building ~nspector 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 buiJding shall be occupied or used in whole or in port for any purpose whatever until a Certificate of Occupancy shall have bee~jranted by the Building Inspector. APPLICATION IS HEREBY/V~DE to the Building Deportment for the issuance of a Building Permit pureuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lawl, 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 cede, housing cede, and regulations. (Signature cf applicant, or name, if a corporation). (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........... II~LI,~LIII~..Be..M~y. ....................................................................................................... If applicant is a corporate, signature of duly authorized officer. W.B. MaT' M:l.no~' Location of land on Which proposed work will be done. Map No.: .B11bKl~.1~4~.,Cg~. ......... Lot No.: ........................ Street and Number ..................................................................................................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................................... ....~, ............ ~ .................................. b. Intended use and occupan?' . .............. ~.(~ll~ ................................ ~'~ . . .~.~ ............ 3, Nature of walk (check which applicable): New Building ...~C ........... Addition .................. Alteration ........... ~ ...... Repair .................. Removal .................. Demolition .................. Other Work (Describe) 4. Estimated Cost ....... ~'O~,O. QO.,,0D. .......................... Fee ..... .~..2.~.~ ................................................................... (to be paid on fi!lng this application) 5. If dwelling, number of dwelling umts ..... ! ..................... 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 exist!ng 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 ...... 42! ........................ Rear ...... 4~.t ............... Depth ..... ~4.". ............ Height ......~..~..~. ........ Number of Stories .......... ~.....~ .................................................... 9. Size of lot: Front ~ee..plo.~,..~].~ll~r ................................... Depth ................................ 10. Date of Purch:~se ..1,~l~lr~o:~e~. ..................................... Name of Former Owner ~.~4~.. ~3~..J....~..~..~..~....~D.?. ........ I 1. Zone or use district in which premises are situated .......... ~l~l~&,,~nt~li. nl ................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............ IRa ............................. 13. Name of Owner of premises l~,]~e..N~¥ ..................... Address ..N~...~'O~,~,...~I.~'., ......... Phone N o. ?. .5. .3. . .-. .0. .2. .?. .0. . . Name of Architect Rogez:..DJ.~.O .............................. Address Z~i~.;LD.g~C~...~..~..~.e ......... Phone No ..... .'.. ............. Name of Contractor ~....~..oG~l~...Gell.~..~:)ZX~t'.,,.Actdress ~'J,~,el~B...~,.~13.~.,...~..-..YPhone No. '7..8..8...-.]..2..3..1... PLOT DIAGRAM Locate clearly and distinctly oil 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 ;nterior or corner Jot. See Enclosed STATE OF NEW YORK, ~cc COUNTY OF ................................ $ '~"~' .................. ~,*-.~l~.~&,...~',, ...... ~ ...... ii ........................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above nome& He is the ............................. ~,O~.t~'.~(~l;~'. ................................................................................................... (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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this J, ~ ~ // ........ ........ doyof.. ' .............. , .............. .... -- pu .f ........... .......... I y o 'c,~...~-~.~:~......K..c~.k?.~.... County ~' (Signature of appl~6nt) ................. ~/ A. JOHN G.~ Not~ry Public, State of New York Residing in SuffoJk Co. Oft. No. 52-643~: :, .C. emmission EXpires March 30, / ~' .~ ~ NO, I 'I~'WN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ................. '.!...i ........ '.'. ....... , 19~...'~... Permit No....~...,/...3...~.......~..... (Building Inspector/ APPLICATION FOR BUILDING PERMIT 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 prem sas or public streets or areas, and giving a detailed description of layout of property must be drawn cn the diagram which is part of this application. · c. The work covered by this application may not be commenced b.~fore issuance of Building Per,fit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to tho 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, ond other opplicoble Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remoyal or demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinances, buildiag code, housing code, and regulations, (Signature cf applicant, or name, if o corporation). (Address of appl{cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................................................... ge~er~l....~nt~.~cto= ....................................... Nome of owner of premises ........... Ti~I~I,~*L~..I~e..M&~ ...................................................................................................... If applicant is a corporate, s!gnature of duly authorized officer. .............. W.B. May ]tLnor 1. Location of land off which proposed work will be done. Map No.: .~1~l:htD.:L.v,,~S~ ......... Lot No.: ........................ Street and Number ..................................................................................................................................................... Municil~lity 2. Store existing use and occupancy of premises and intended use and occupancy of proposed construction; o. Existing use and occupancy ................................................................................................................................... b. Intended use and occupon? . .............. J~M~;J, clJ~I~. ........................................................................................... I ROGE~,K. O~1~O · ARCI'ti,T'ECT A~NTAIN ROAO;IRWNe"TON NEW 'i ROGER K. DIAO t ARCHITEC'[ t~GuNTAIN ROAD,:IRVINGTON, NEW ..YORi( 'f ROGE,I~ lC, BIAO * ARCHITECT ~,O[IN~IN ROAD IRVINGTON, NEW yORl( , t I R~GER K. Dt~AO · ARCHITECT ta UN?AIN RO~D, iRVJNGI'~ NEW YOR, K