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Home My WebLink About6232-zFOR~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy NoZ6~%9 .... Date ......... .Auil .2.'1 ...... , 19. ?~. THIS CERTIFIES that the building located at . 0;]xl · Shipyd La. &. Landon Street Map No.F.o .1~..e.~.s. .E.S~lock No ......... Lot No..89 ...S..o~..t.h.o.~.~ .N.;¥: ..... conforms substantially to the Application for Building Permit heretofore filed in this office Sept 20 .7,2 6232z dated -~- - 2~ ..... 1.9 1993. pursuant to which Building Permit No. dated'~./aT/7. 2 & 9/2.~f.~.3... , 19 .., 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 isP,r.~,¥.a.~,e. 9.n.e. .f..am.l. ly...d.w.e..ll .i~.g wi.~.h .ad.d.i.~.~.gn' ~ p,~.i, ya. t.e..~.a.r.a.g.e., .(.~ppro~_ by Bd Apl: The certificate is issued to L:/le...I/ericletk .... .O~ner ................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N. R, UNDERWRITERS CERTIFICATE No.P.e.n.d..LDg ..................................... HOUSE NUMBER 770 ........ Street .... .0!4..S.h.i.l~yar.c~. L~ .................... Building Inspector FOI~M 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) N? 6232 Z Permission is hereby granted to: 8oUtho3,d ............ a~rovea ~y....~..<..A.~.p.~.a.~.~ ................... ......................................................... at premises located at. ~.~.~..-~gZ..f~(~lJX~R~'"]~ct~a~"it ......... ............................................... oM s~$~ ~ · ~n ~ s~. ...... pursuant to application doted L: .................. ~....20....~L..., 19~2.',, and approved by the Building Inspector. ~4tTd~hone: 765-2473 Alfred H. Goldsmith GOLDSMITH BUILIbi~G & C~JxJSTRUCTION, INC. Established 1917 Custom Kitchens -- Building -- Remodeling Main Street, Soufhold"l1971 Examined ..~..~ ................. ,19 ........ ") ~' FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. ~ ~''~ ?'''' - ... ~ .-,, ~--_ ~'~ ................. ~-~.~.~.~.~.~.g~;~;~;~ .............................. ' Date ....................... ~ ......... ;...., 19..~.~.. INSTRUCTIONS -- ~ a. This application must be completely~ filled in by ~pewriter or in ink and subm tted in duplicate to the Bu~ Inspector. ~ - ~ ~ b. Plot plan showing.location of lot and of buildings on premises relationship to adjoining premises or public stree~ o~ areas, and giving a detailed description of layout ofprope~ must be drawn on the diagram which is pa~ of this applic~on..~ c. The work covered by this application may not be comme~ed before issuance of Building Permit. ~ d. Upon approval 0f this applicaHon,~e Building Ins~tor will issue a Building Permit to the ~plicant. Such p6r~t shall be kept on the Premises availabl~ for inspection throughout the progress of the work. e. No building shall be ~cuPied or u~d in whole or in pa~ for any pu~ose whatever until a Ce~ificate of ~cupancy shall have been granted by the Building Insp~tor. ' APPLICATION IS HEREBY MADE to the Building Depa~ment for the issuance of a Building Permit pu~uant to the Building Zone Ordinance of the Town of Southold, Suffolk Count, New York, and other applicable ~ws, Ordinances or Regulations, for the construction of buildings, a~iti~s or alterations, or for removal or demoliti~, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building c~e, housing c~e, and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, I'essee, agent, architect, engineer, general contractOr, electrician, plumber or builder. ........ ~.~...~--ae,~4 ........... ~,.~,e,, ................................................... :.....,.....~ ............ ! ............................................ L' .y...4~:': ...... 7m.~.~,,~z->Z. ............................................................................................ Name of owner of premises ...... ,... If applicant is a corporate, signature of duty author ized officer; ..... -T :- ~' (Name and title of corporate officer) ~ ~ 1. Location of land on wl~ic~proposed work, will be done. Map No.: ..... ..u...~..l~...~g..~......~..~..]. Lot No ..... ..~..~. .............. Street and Number .~',~,~'~:~......~..~., ........ i~..X~..~,~/~...~./,~..,(,~6/A'~..~., ...... .~..~,~j~]~'....../~.. .................... '7 ';'~ Municipality ,5-'o,.1~2 .~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ~ ~LL I /V& : :';.E;; ...................................................... b. Intended use and occupancy .~. .................................................................... 3. Nature of work (check which New Building .....~......... ................... Alteration .................. Repair .................. Removal .................. Demolition .................. 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 ................................ ~)epth .................... 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 ......,/.~../. ....... Number of Stories ....... /. ............................................................................................................ 9. Size of lot: Front ....... /~Z~ ............. Rear ....... /.~ ..................... Depth ..... ."2~..'~.. ............. ,,~)~/~ ..... ,~ .?__ 10. Date of Purchase ...~/A/,~,~Vo:cs,'.~. ............................... Nome of, Former ,Owner ...'=.... ......... ./...~..~....~........'T~.. ..... 1 1. Zone or use district in which premises are situated ...... ,~z~;~x',O.c~,4.~.~C. .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation.;) ............................................................ 13. Name of Owner of premises Z~'A~....~7~5~.'./,~.-,~.ZL..Address .-....~Tcr~27~E'.~x2~.2~'~.~.. ...... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... ~4~./,ZZ.-~"J~,iZ'~...J~.~.."c..~'.//M.~...Address ..t.,~7,,:'r,~.~.~ .~.~.~./, ........... Phone No. ~.~.-...2.~?..~.. Name of Contractor PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate .oil 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. STATE NE~ YORK, t S S COUNTY OF ................................ ' .......... ,~.~. *~.......~?....~.~.~;~-/.Z~.':. ............................ being duly swam, deposes and says that he is the applicant (Name of individual signing application) above no.med. He is the .~...~...'~..~..:.......~'~../..'..".¢-~ ........................................................................ (Contractor, agent, corporate officer, etc.) of so'id 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 .......... of ........... , ~'" ' ~:~ C' ~,, .~, ...... ~..¥~...%;:~.....¥,~.~.r..,:.~ .............................. Notary Public, ..'~,~'~>,~..w~..~,e._...~,,,~...~ ....... County ~ (S gnature of applicant) TERRI LEE ELAK NOTARY pUBLIC. Stere of blew YoH( Plo. 52~6168295 Qualified in Suflol~ County Cemmioei0n Expires Uerch 30. 1-9~