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Home My WebLink About6471-zF~]II~ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Ot~ice Southold, BI. Y. Certificate Of Occupancy No. Z69~9 ...... Date .............. April .... 2..., 19.76. THIS CERTIFIES that the building located at . ?th .street. &..Linnet;%. · · Street Map No..G~t. Dz'. Pk Block No ........... Lot No. 1+?.~.50 ..... Gree.nper.~ · .N,.~.o .... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. Apr.. ] C~ 19.7.3. pursuant to which Building Permit No.. 6g?lZ. dated ........... Apr.. 4.0..., 19.7.3., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occUPancy for which this certificate is issued is . .Pri.v. ate..garag~ ..................................................... The certificate is issued to J. oseph .Cre.mshaw. .... ~er. ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval · ,N ,It.. ............................. UNDERWRITERS CERTIFICATE No .... N .1~, ..................................... HOUSE NUMBER ..... ] 095 .... Street... 7.th. ~. ............................... 71% Linnet St ~uflding ~nspec~r FOI~I~ NO. 2 TOWN OF SOUTHOLD BUILDIt~G DEPARTMEHT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6471 Z Permission is hereby granted to: ..... ~.~rlx.,.~.e~ ......................... i ............. ....... ~ ..& ..Llrme.t,t ...a~; ....................................... ................. .~.~..e..e~.~ ~'.~. ......................................... ~o .b....~...~ .a.....n.,e.~.. p..r. ~.~.~.~.e....g~.r.~ .e. .................................................................................................. at premises located at ..~..?..t..~..~.~.~.l~..~.$.~..~..t.~..O..J.....~.~..e...q~..~.P.~..'~.~..~.~ ......................... ............................... ~. ~.. ~....L.~.e..~.t.....s...t. ........... .0. ~ .e..e...n.r.~.r...t....i ..................................................... pursuant to application dated ................ ..A~.r~.~ . ~0 ', 19.~.~..., and approved by the Building Inspector. Fee $..~:.0..?..0., ,0. ........... Building In~spector TOWN OF SOUTHOLD *~!~7' BUILDING DEPARTMEN~ ~. *.~,,J ,~ ~,~ ~ ~ ;~.'~ ~c~ TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Pemit No ............. Disapproved a/c ........ o April 1:0 ~ ate ................................................ ., I'Y ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and ~ubmitted in triplicate to the Building Inspeeto~,,with 3 sets of plans, accurate plot plan to scale. Fee according to schedule, i b. Pict plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or are~J~, an~' 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 (~f Building Permit. . d. Upon approval of this application,, the Building Inspector will issue a Building Permit to the applicant. Such permit,shall be k~6t 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 w~atever until a Cer. tificate of Occupancy shall hav~ been granted by the Building inspector. Application No.....~....C/...~./. ............... APPLICATION IS HEREBY MADE to the Building Department for the issuanc~e of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffoik County, New York, and other applicable'Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as here n descr bed. ~he 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 necessarV inspections. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................... .o. ............................................... : .......................................................................... Name of owner of premises ...~..°..§.°..R ..... .?..n..s...h.,a.w.. ............................... .......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and t t e of corporate officer) Builder's License No .......................................................... Plumber's License No ......................................................... EIectnman's L~cense No.....?/.'.~?;v.:.~,..[~.!~..~ ..................... Other Trade's License No ................................................... 1. Location of land on which proposed work will be done. Map No .......... ~..D.~...D...~...~.~. ................ Lot No.....~.~..~.~..8..~..~,~.... Street and Number .......... ~J,Z~,,Q~.'~..~c...~.th...'~'~ .......... gr.e.~gr.~ ........................................................................ Municipality 2.State existing use and occupancy of premises and intended use and oc(~upancy of proposed construction: a. Existing use and occupancy .................................................................................................................................... b. Intended use and occupancy .............. .s...~..m..e,...~.'i~ ....... ,g.?..~...~.~.~. ~...~.8;..r.,.~.~ ....................................................... 3. Nature of work (check which applicable): New Building ...:.~,'.;.;. ........... Addition ..................... Alteration'~...[.~..~ ..... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) 4. Estimated Cost .................. ;..: ......................... Fee ...... J[ [.~ ~...",! ............................................................................... (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 occunancy, 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 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 .....~..-;.. ............................ Rear .......... ~..',b; .......................... Depth ......5...:~i: ...................................... 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated ....... ;....'.~......~..~;;.t~ ........................................................................... 12. Does proposed construction violate any zoning law. ordinance or regulation: ........ ~';~.q ............................................... 13. Will lot be regraded ...... .:.,'.~.~ ....................... Will excess fill be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premises ........ ;~.~,.~ ........... .,...'.,,..'. .............................................................................................. (Address) (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor ................................................................................................................................................... (Address) (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 wheth- er interior or corner lot. STATE OF NEW YORK, ) F , SS COUNTY O ................................ : ..................... ) .......................................................................................................... being duly sworn, deposes and says that he is the applicant above named. [Name of individual signing contract~ He is the .................................................... :..'.J:.,.,.:;,.J.,i ....... !.' ................................................................................................................................. (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. .....................Notary Pub c,i'"t' d ' Y ct~O~ ~i!LRIii!~I~t e s i~if'i~i i~/~C ~ i ~t i:' ' "':i'":';'i i;!i ........ ii::!i;t'i i i i ii! i'i ..... !:": ....... ~~at~' '""~'~"" ' ...............................................