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HomeMy WebLinkAbout7320-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTME, NT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z6.%32 ...... Date .......... ,;u~e...19 ........ ,19.75. THIS CERTIFIES that the building located at .t.ak®side .1~. & .0akwoo~. · · Street Map No. Cedar. ~eael~oXck No ........... Lot No..7.~. & .?~ ...... .~outhold.. 1< ,Y,. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... F<a3r.. I~...., 19..~l+ pursuant to which Building Permit No.. 7.~2QZ. dated ........... J.mle...1.1.., 19..71*, 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.r~..vA~$..~e.e.~.s.o.z'.y..(~.t~..b.l.e.)..b.u;l** .1.d.t.ng ........................... The certificate is issued to lgrll®st..Sehn~tder. ~ncl..~/t$e. otm®r~ .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N.,~Ro ............................... UNDERWRITERS CERTIFICATE No .... I~ o1~o ..................................... HOUSE NUMBER .. 9.~.~ ........ Street...Lalm~J. da .Nor.th ...................... ........ ....... FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7320 Z Permission is hereby granted to: .... &,.-lms.$~.~4e.z,. .................................... .............. 2..... ~ od2a,u4...,B]..'r4. ........................... ~ Bu:L~ct nev &ocesso~v ba114~ for horse at premises located at ...~d~.~J...~,~..&..~J~.....~O~l,&i~tlJ&lJb..J~A~J~ .................................................. Lakeside Nol. th & Oakwood Dx. Southold N.Y... pursuant to application dated ........................'...~. ....... B .......... , 19~...., and approved by the Building Inspector. Fee $..10~00. ......... .......... Bu,ld,ng In~ector~ .... INSTRUCTIONS (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. a. This application must be completely filled in by typewriter or. in ink and submitted in triplicate to the Buildin Inspector, with 3 sets of plans, accurate plot plan to scale. Fee acco~to schedule. b. Plot plan showing location of lot and of buildings on prer~ises, ~elbti~nship tO adjoining premises or public streets areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is Part of this applicatioe 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 perm shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used Jn whole or in part for any purpose whatever until a Certificate of Occapan 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, Ordinanc..es or~. Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr,bed.~[, The applicant agrees to comply with all applicable lows, ordinances, building code, housing code, and regulations, and to-~ admit authorized inspectors on premises and in buildings for necessary inspections. State w~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ~~.~ ...................................................................................... If applicant is a corporate, signature of duly authorized officer. Other Trade's License No ............................................... 1. Location of land on w.hic~ p~o~d/) wo~ will be done..Map No.;, .....Z..~,.,e, ...................... Lot No. ~....~....~...?...~.. Street and Number .~.~..,~e..~....~....~.O~.P~.L~ .............. / ' Municipality 2. State existing use and occupancy of p?m/jses and intended use and occupa,nc~v of proposed construction: b. Intended use and occupancy . \ 10. 11. 12. 13. '14. 3. Nature of work (check which applicable): New Building. ................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................... Other Work ................................................ . ..... (Description) 4. Estimated Cost ........ ~...~...~ .......... i~.:~ ....... :'.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 ........................... t.. ................................................................. ,.~ .................................. ~....? 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 same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number o.f Stories ........./.. .................................... ~...~. ............................................... ,....~ ........ S,ze of lot: Front ....... ./../.~ ........ ~ .................................. Rear ....~.....,~..~...: ...................... Depth .~...~._. ......... C .......... Date of Purchase ...~..J.~...~...~.....i ...... Na,me~o_~prm.~ O~ner ~."~..~.~ Zone or use district in ~t~ich premises are situated~ ................................................................. Does proposed construction violate any zoning law, ordinance or regulation: ~ ...................................... Will lot be regraded ./'.~f,~. -~~ ~ I --r' ----' -- ................. WLU ex~e~ fill be removed from prgF~jees: J ) Yes ()<). No Name of Owner of premis~~.... Address ..~hone No..~..~.~.~...~ Name of Architect .............................................................. Address ................................ Phone No ....................... above named. He is the .................................................... ~ ............................................................................................... (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 fife 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. · S...w'~..m'.-t..°'..b'e'L'f't.°'r.7 cl-maeythoifS-.-...~.-.~.-....//....-., "..?.t '/~~.j.__.~ ~7 "/~ JUDITH T. BOKENt Notary Public, State of New York No. 52-0344963 SuffoJk County / Commission Expires March 30, 19..~ Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate