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Home My WebLink About6891-zNO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy NoZ60.59 ....... Date ............A.~g...~.~ ........ , 19.7~.. THIS CERTIFIES that the building located at . OLd. Sh~pyd. La: & La~dc~ Street Map No.F...°)~d...e.r.~.. E.m~lock No ........... Lot No...~9. .... .5..c~..th.o.l.d...~.:Y.: ........ conforms substantially to the Application for Building Permit heretofore filed in this office seat 20 1972 dated ' "b-...21,. ........ --., ~g~. pursuant to which ~uilding ~ermtt No. 6fl91~. dated1.~../..?./.~...:). .&..9./.2..~../~.~...-, lg .... , was issued, and conforms to all of the requite- me,ts of the applicable pro~stans of the law. The occupancy £or which ~ ce~tLficate ts issued isPrivate one family dwelling with addition & private garage .(approved ............................................................... ~,' ]M Aplm) The certificate is issued to . Lyle...~ler:Ldeth. .... .0~ner ........................... (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval . .N :.R: .............................. UNDERWRITERS CERTIFICATE No. Pg~.d.~g .................................... HOUSE NUMBER 77.0 ........... Street .... .0~,~. 8~!,1~y~$'.~. l~. ................... Building Inspector FO~ NO. 2 TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, FI. Y. BUILDING P. ER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6891 Z Permission is hereby granted to: ?..o.~.~.%.t.~..~.~.~....a.....So.~?..~...~?....~..~.~,,~ .............. ~.o..~.t...b..o..~ .............................................. premises located at ..~...o..~....~"....~.~.....?...o..g,q~.~.~ ..~,~.[~[e~ ............................................................ .................. .q.l..~S...h.~.a...r..a....~.e......~..~,.~.r~..La~a .............. J~o~t~a~ .................................. pursuant to application dated ....................... .~..~?..t,.......2.~ .............. 197..~....., and approved by the Building Inspector. Fee $...'1.~.~,...(~. .......... building Tnspector I THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICS'fY 85 JOHN STREET, NEW YORK, NE~-~'~ORK]0038 THIS CE~IFIES THAT Lyle ~erldith. s/v/eo~. Old Shlpy~d Lane~ &~andon~ane~ ~ou~hold~ L.I, in the~ol~ing l~at~n; ~ ~e~nt ~ 1st FI. ~ 2nd FI. ~t~n Bilk ~t ~exami~on ~O~b~ ~ ~9~ a~foundtobeln~mplia~e~i~hther~uirementsofthhB~rd. RXTU~ L~E~A sI WIT HE I RXTUR~ I 9 ~ 12 8 DRYERS ~RNA~ ~TO~ ~TU~ ~A~E ~ ~ S~ . SER~ m~N~ I ~. ~ I S E R V I C E 100 C~ X EXHAUST FANS AMT. H. P, OIMMERS 4jJAT,' WAI~'~ Paul P,. Bul'P~, Town Harbor' Lane, Southold, L.Z. 11971 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ~......~..., ,~.. ..... 19.~....'~.... Approved ............ ..~. ......... .~.....~........, 19.7~... Pemit No. ~.~.....~.Z.....~-. ........ Disapproved o/c~ .................. ~:.....~ (Building Inspec;r) APPLICATION FOR BUILDING PERMIT INSTR. UCTIONS Application No. ~.?.Z ................ a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, r~lationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on 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 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, and other applicable Laws, 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of 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 ...... ~Z~.Z~ ........... ,,~-~..~.Z~..'~:.. .............................................................................. If applicant is a corporate, signature of duly autho[.h~ed officer. ' "~,~, ~' (Name and t~tle of corporate officer)~ ~ 1. Location of land on which proposed work will be done. Map No.: ..................................................... Lot No ............. Street and Number ~,g~a¢,~ ...... ~/.....,~/x~.~.C/~...,~...?...~..x~'.~'././~.,y4f'CJ~x~...,A~l~ ......... .~'...a~.....7~.~....~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ ..~.~.(~.~...--~C~ ........................... ~ .............................................................. b. Intended use and occupancy ......... (~.~.K~i~.... ..................................................................................................... 3. Nature of work (check which applicable): New Building ....................... Addition...,~.... ............. Alteration ............... Repair ............. · ............ Removal ........... Demolition ........................ Other Work .................................... ~-- E~ {Description) 4. Estimated Cost ....~..X'~..~z~....~... ..................... Fee ...~.. ...... :..:,: .............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... ~. ......... Number of dWelling units on each floor ....Z::~~'. ......... 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 .....~,~,.T~ ............. Depth .~,T~.~ ......................... Height .......... /Z~2.....J.Z'...: ............................... 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 ........ Z~T..: ......... Depth ...... ~..../. ................. Height ................................................. Number of Stories ............................................................ ........ . . ................... 9. Size of )ot: Front ............ ,~).../. ............... Rear ......... ~'.~-~..~ ...................... Depth ....... ~...~..../. ................................. 10. Date of Purchase ...~-~,G//fC, N'~ .......... Name of Former Owner .......'~.. ................................................................... 11. Zone or use district in which premises are situated ....... ,l~.'~..~'~./,~-'~-~.Z~.~t..~......--. ................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ....,~........'~.. .......................................... 13. Will Iotberegraded ........... ~..(. ................ Will excess fill,be removed from premises: [ ] Yes Dc] No 2: 14. Name of Owner of premises ..,~,y~ ........ ,~'~Z'~. ............. ..................... ......................... (Address) (Phone No.) Name of Architect ............................................................................................................. v'~ , ,,~ ~,~ ~.. (Addre.~)_ (Phone N~o.~_ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. COU.T OF... {Name of individual signing co, ntract) · He the ...... ............. ............................................................................................................................................. (Contractor, n~t, corporate of. ricer, 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 k~pwJedge;~i~'{selief~ and that the work will be performed in the manner set forth in the appli~tion filed therewith. ..~ ...-~/ .~. ., _ ,1,~.-~ ~" :'~ i '-75-- ........ ($i~aature Ol appnc~ntl