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Home My WebLink About7127-zNO. 4 TOWN OF SOUTHOLD BuN.r~INC, DEPART~K~T Town Cl~k% O~ice Southold, N. Y. Certificate Of Occupancy No..Z.6.36~. ..... Date ............Mar .....1~ ..... , 19. THIS CERTIFIES that the building located at .. l?~sharmans. Be&~h. l~ad Street Map No. P.e~.ouS,¢...9~yBiP~i~or.t.~.e..n ...... Lot No.. 28 ..... Cutahogt~..N,X, ...... conforms substantially to the Application for Bugdlng Permit heretofore filed in thJu office dated ........... ~a~ .... 2.~., 19.. 7k pursuant to which Building Permit No..~127Z. dated .........Mar.. 2~ ..... , 19.7~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which *.his cert/ficate is ~sued is .~r&v. et,..OUs, f.~tlY..¢~.~.1~S. ~.$~.h..a~d~.t.t.o.~ ...................... The cert/ficate is issued to .~Ia~s~ .~. IL~$ah~th. ttoma~ ..... 0wi'tars ................ (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Heal~ Approval .N. ~8.,. .............................. UNDERWRITERS CERTIFICATE No...p~lng .................................. HOUSE NUMBER .... ~3~1 ......Street. Fi~erm~s. beach .Ho~d..(. l~a~a~ar. R4 ~1~) ..... ......... 1~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISE$ UNTIL FULL COMPLL~ION OF THE WORK AUTHORIZED) N°. 7127 Z Da.~,te ................ , ................... ,~ I Permission is hereby granted t~ ~ / t'~ / / ......................... ~'",';'; ................. 74~,~ ............................................... ~.~.~,~..~ ........... ·.~,~,.,~./...,:..:~....~..~.c~....'.~~....~...,,,~.,,t.~.~ o, p,,r,,,, ,=,ed ,,, .~.~......~~..'...~..~....'..,~.2~ ........ "....g,~...~...=...~':.~*,~.......--..~..-.~... ................................... ................ ~,,,r~,,,,nt to op,,,~ot,on d,,ted ...~.....~ .............. . ,~..~..., ,,nd o,,p~ed ~, ,,~ Building Inspector. ./ TOWI~ OF SOUTHOLD BUILDINll DEPARTMENT ToWN ~J.ERK'S OFFICE SOUTHOLD, N. Y. Permit No. ~ ........ Approved ................... .~..I~. ............... , Disopproved a/c ......................................................... .../ ......... ./... ................................. ............................ rJ ff~' '~ (Building Inspector) APPLICATION FOR BUILDIN$ PERMIT:l~ ~/_~, INSTRUCTIONS a. This application must be completely filled in by typewriter od in in~ 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 sho~wing location of lot and of buildings On premises, relationship 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 application. c. The work covered by th!s application may not be commenced before issuance of Building Permit. ermJt~J d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such p 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 o Certificate of Occupancy3 1 shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bui'iding 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 ~omply with oil applicable laws, ordinances, building code, housing cede, and. regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. State whether appllcont is owner, les~e, agent~ architect, engineer, general contractor, electrician, plumber or builder. ...............................................Name of owner of premises ..~..,~..~....~..~~:; ................. : ....... ~' ............. ?'""" .... ~ .............. '~''' iiiiii~ .............................. ................... If applicant is a corporate, si~ature of duly authorized officer. (-~ (Name and title of corporate officer) Builder's License No ......... ~ ................................... Plumber's LiCense No..~~ Electrician's License No '-'~_ ,a .... ' Other Trade's License No ........ ~'. ............ ..____~,'~: ..................... ~ ~~, 1. Location of land on which proposed or will be ep o.' ..... o/t~o.~e~.,~.......... Street and Number ..~1~. ........................... 2. State existing use and occupancy Of premises and~,~n;ended use and occupancy of proposed construction: b. Intended use and occupancy ............... ./........~( ............................................................................. '_--.'....-ua~ ...... Nature of work (check which applicable): New Building .................. Addition.,................~ Alteration ..... u ........... Repar .............. Rerr~val .................. Demolition. ........ ~ ........ Other Work ............................................ [.:. .~F ~, ~ .. ~,OI (DescriPtion) ' 4. Estimated Cost .......... ..~..~.....~... .................... Fee ..Z~..., ............................................................................ (to be paid on filing this application) $. If dwelling, number of dwelling units ...... .~1~..~ ....... 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 ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ l~,~n~be r~of Stories ................................ 8. Dimensions Of entire new constr~ction: Front ........ .~.....~.~... ....... ~,,,.. Rear .~.. ................ Depth Z~.~......~'.....~...~..'~1° Number. Sto.es ....... ...................................... ............. Date of Purchase --.~:....~T..--....~.- Name~e~o Former Owner . Zone or use district in which premises are situated ........... ...~TT~.... .............................. ~) ........................................... Does propos.~ Construction violate any zoning Iow, ordinance or regulation: ......~.....'~....~ ........................................ 10. 11. 12. 13. 14. Will lot be regraded ..... .~..._..~...' ............ ,Will e~_~ss fill I~e removed from premises: ( ) Yes ~) No Nome of Owner °f ~J~emise~"'~' '~1~'~~- --~ Address ......... ,~ ..................... Phone No ....................... Name of Architect ...... ~. ................................................. Address ................................ Phone No ....................... Name of Contractor ,,~ .................................................... '.'....~ Address ................................ Phone No~ ...................... PLOT I~AGRAM Locate clearly and dli~tinctly all buildings, whether existing or proposed, and indicate all set-J~ck dimension~ from properly line~.~.~reet and block number, or description according to deed, an~,show street names and indicate whether interior or corl'fer lot. '~ STATE OF NEW~RJ(~ ~, / I c c COUNTY OF ~ ...... ~'~'~ ......... ......... ~'~~~ni~g c~'" above nom~. 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 ~ke and file this application; that all statements contained in this application a~ to the best of his knowledge and belief; and that the work will ~ performed in the manner ~t fo~h in the oppl~ation ~led therewith. Swam to~fom me this i 4 ~ / / / / ~ {Sio~otu}o o{ opplicont) JUDITH T. BOKEN I ~ota~ Public, S~ale of New York No, 52-0344963 5uJJoJk