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Home My WebLink About8093-zTOWN 0¥ SOUTHOLD BI~.BIlqG DF_..PAR'I~tm~IT Town Clerk's $outhold, N. ¥. Certificate Of Occupency lVo-~2/ ~' Date .... ~ ~ ~. ...... , 19.?,? ............ THIS CERTIFIES that the building locat~ at ......................... S~t Map Ho. ~ Block Ho.. ~ .~t Ho, .~ ..... ~~~..~ co~o~ s~ti~y to ~e App~ca~ for B~ P~it here~fore ~ ~ t~!s offi~ dated ...~.~...~. ~.., lg.~ p~u~t to whi~ B~g P~t ~o.~.~3.~ men~ of ~pp~cable pro~io~ of ~e law. ~e occup~cy for wg& ~ ce~ica~ ~ ~e ~..~,e ~ ~,o~ ~ ~ .... ~~--~ ..... ~ ........ (o~er, lessee or ~en~) o~ ~e ~ores~d b~d~. ~olk Co~ Dep~en~ o~ ~e~ Approv~ ~ ~ aous~ m~a..~.(.~ ..... s~. ~ .............. ; ..... ~.~...~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FERN~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) No. 8093 Z Permission is hereby granted to: J] t~b e~. · .Atz. s %.i-ri. ·. · ,A./C- .-E~.e -:[ .e · · ~ o~'d. en .... ............... .C~tcho&~e ........................................... to .....$.~.!a.....a...n.....a..%t...a..e. ke...a... ~.~.~..a.~. .............................................................................................. at premises located at ..... ~./~.....~e~C,.V.J,l~..D.]~ig~ ......................................................................... .......................................................... 14a.t ~ltu~k ....... i'.~.,~ .................................................................. pursuant to applicotlon dated .......................... ~..~1~]T.....~.2 ........... , ]9..~.., and opproved by the Building Inspector. Fee $.~. ~...~..0..0. ............. shall be ~ an the premllm ~alldgl for ll~ ~ ' e. No bui .Iding.shell be ~_.a~pt,~ ad or ~ In.,~.wl~. or In part for any purpase shall have bern grantad by the Building lint)eL'lOt ' Regulati~r4, for tbe c~mtruc~tlm of bul.ldlng~. ~ er a. lte~l~ ~ ~ar The app,cam °ere. to con~ly with *11 cq~licable ..k~ .c~linanm, m,e~me cam, homing mae, am mgummm, an~ to , admit authorizad impeeto~s on prembes and i~ blJildlngl for neeees~y · ~~F'"'" ......... i;'";' Nome of o,~, of p~,im ...~.IL~e~.Z~..~ ............................................................................................. If applicant is a colporate, ~lgnature of duly authorizad officer. (Name and title of corporate officer) Plumber's Ucense No ............................................. · .. · · Electrician's License No. ' Other Tmde's Uceme No ............................................... X~ , ~ %/ 1. Loc°ban of land an which ___l)ralx:~d work will be el°ne Map No ................ ./.~.~_ .......... :,:.. ~ ~:,,, . ........... , .......... Street and Number ...~..~.,(~/Me.~s.~...~ ............... 2. State existing use and occupancy of premises and intended use and eocupancy of prop°sad comtmctlcm: a. Exlsiting use and occupancy ...~--..; .................................................................................... ~v -- 3. Nature of work (check which applicable): New Building· ......4..~. ....... Addition .................. Alteration ................ Repair .................. Removal .................. Demoliti0r.' .................. ;. Other Work .................................................... (Description) 4. Estimated Cost ~ --~ ~ ;'~ (to be paid on filing this applicdtion) 5. If dwelling, number of dwelling units ............................ Number of dwelling units orreach floor ,.~ ....................... If garage, number of cars .................. ~.,~ei~K~.. ...... ~. .................................. · ................................................................. 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: I~ront ;.~ ............ /..~... ............. Rear ..... Height ...... /.~..~. ..... Number of Stories ........... ~ .................. 11. Zone or use district in.OwH~ch premises are situated .,~*~l~4em~ .................................... ~ ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........... ~ ............................... 13. Will lot be regraded ....L...,,:tr;s~'.,. ........ Will excess fill be removed from pmmis~: 14. Name of Owner of premises Name of Architect ..' ........ : ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ali set-back dimensions fram property lines. Give street and block number or description according to deed, and shOW street names and indicate whether interior or corner lot. STATE OF NEWYORK.,, .. - ...... ~.;.L,~...~.~[,,~.ai,JL~ ...................................... being duly sworn, deposes and says that he is the applicanl (Name of individual signing contract~ above named. He is the .................................................................................................................... ; ............................................................ ontractor, , ', ._~,. ~ -...~,., ,,~., of said owner or owners, and is dqly guthorized to perform or have' I~er~formed the ~ld work and to make and file this application; that all stateme~nt~ ~tJ~ataih~d irt, this applicatio~,.b, re tree to t.l~e ~ ,of his knowledge and belief; and that the work will be performed in the manner set forth in the application flied therewith. Sworn to before me this ...... .......... oto uh,,c. .................... ....................... ~f,~,~tl~ ,~-~,,~-~ (Signature of appllcant)~ I~otmy Public In State of New, ark NO. 5;~-7057~50 ~ ~ .... -" Rssldln~ In Suffolk County OOmmlsslon Ex~lre~ March 30, lg ~'f~