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Home My WebLink About13678-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. Z- 16256 Date October 6, 1987 THIS CERTIFIES that the building CONSTRUCT OFFICE IN PROFESSIONAL BUll,DING t)C-8 Location of Property 44210-J County Road #48 Southold, New York House No. Street Hamlet County Tax Map No. 1000 Section 63 .Block I .... Lot 19 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated December 17, 1984 13678 Z ....................... pursuant to which Building Permit No ...................... dated., ...,January ..... 1.7, 1985..... ....... . was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... OFFICE IN PROFESSIONAL SOUTH SECTION BUILBING The certificate is issued to WINDSWAY OF SOUTHOLD ASSOCIATES ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval 8-55A UNDERWRITERS CERTIFICATE NO... N699487 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16257 Date October 6, 1987 THIS CERTIFIES that tile building CONSTRUCT OFFICE IN PROFESSIONAL BUILDING #C-9 Location of Property 44210-K County Road #48 Southold, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section . . .6.3. ....... Block ..... ! ......... Lot .... !9. ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated December I7, 198/4 pursuant to which Building Permit No. 13678 Z dated ..... J.a~t?u.a.r.y.. [ 7. ,.. [9.8.5. ........ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... OFFICE IN PROFESSIONAL REAR SOUTH SECTION BUILDING C-9 The certificate is issued to WINDSWAY OF SOUTHOLD ASSOCIATES ..................... ?o'v ~n'e ~, ./~¢~]~l~re,~,~x .................... of the aforesaid building. Suffolk County Department of Health Approval S-55A UNDERWRITERS CERTIFICATE NO. N699/488 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy No. z-16258 Date October 6, 1987 THIS CERTIFIES that the building CONSTRUCT OFFICE IN PROFESSIONAL BUILDING #C-7 Pro err 44210-I County Road #48 Southold, N.Y. Location of p y ............................................................... House No. Street Ham/et County Tax Map No. 1000 Section 6 3 .Block I ..... Lot I 9 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated December 17, 1984 pursuant to which Building Permit No. 13678 Z dated . .J.a.n.u.a.r.y.. ! 7. ,.. !9.8.5. ........... was issued, and conforms to all of the requirements of the applicable provisions of tile law. The occupancy for which tltis certificate is issued is ......... OFFICE IN PROFESSIONAL MIDDLE NORTH SECTION BUILDING #C-7 The certificate is issued to WINBSWAY OF SOUTNOLD AS SOCIATE S (owner, lessee or tet~ant) of the aforesaid building. Suffolk County Department of Health Approval ....... S- 5 5A UNDERWRITERS CERTIFICATE NO.. N 6 9 9 4 8 7 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-1654 I December 28, 1987 Date ................................ THIS CERTIFIES that tile building CONSTRUCT OFFICE IN PROFESSIONAL BUILDING # C-6 Location of Property 442 IO-H County Road #48 Southold, New York House No. Street Ham/et County Tax Map No. 1000 Section 63 . .Block 1 .Lot 19 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated December 17, 1984 13678 Z ...................... pursuant to which Building Permit No ...................... dated . . .J.a.n.u.a.r.y.. 1.7. ,.. 1.9.8.5. ......... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... OFFICE IN PROFESSIONAL BUILDING # C-6 WINDSWAY OF SOUTHOLD ASSOCIATES The certificate is issued to ..................... [o~n'o'r, kf~f,l~TdT~k ..................... of the aforesaid building. Suffolk County Department of Health Approval S-55A UNDERWRITERS CERTIFICATE NO. Pending - December 22, 1987 December 20, 1987 - O'Connor & Son Conl:racting PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 ~ORI~ NO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) No 13678 Z Date .. .Z. ......... Permission is hereby gronted to~ ...... z~.o...._~....~.~: ...... .... ~~.~.~.~.,...../.z..~z'/ _ /~. · . . ~/ ~ ~ ,~,~ J...~.~..o......~~ .......... .......................................................................................... .......... ~ ,~ ~ uo. ~ooo s~o~ ~ ......... ~k ..~ ........... [~ ~o. ~ ........... Building Inspector. ~ee $...~...~ ............... Idlng In.~ector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal}. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B, For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pZOperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 5.Updated C.O. $ 50.00 Date ................. NewConstruction ....................... = ...... ng ............ Vacant Land ............. Location of Property ........... House No. Street Owner or Owners of Property .... ~ ~1.'~.~ .. q.C., ......... County Tax Map No. 1000 Section .... ~. ~....' .... Block .... /. .......... Lot ..... ~'.~ ........ Subdivision ................................. Filed Map No ........... Lot No ..... i ........ PermtNo. /..~').~. Date of Permit ./~Z.O..Applicant.~.~.~J~..~-Y~.Z/~F.~.t~...~... Health Dept. Approval ...~. ' ~f"~'/~ ...... Labor Dept. Approval Underwriters Approval.../~.4. ~..~'..~..~'.~..'). ..... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and per ' a ' Applicant .......... Rev. 10-10-78 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 ' 2 3198/ APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercia~ buildings, industrial buildings, Multiple Residences and similar buildings and instalta- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ...... )?,1~. .2]~ .').. .......... New Building .... .~.. ...... Old or Pre-existing Building ~ .......... Vacant Land ............. Location of Property ~'u's~ ~V~,' .................. '~ ..... 'S'tr'e~t ........ ..7 ......... ..... d~n/e't Owner or Owners o f Property .... .~. ~..~,~....~..~....~.~.....~..~.~..~.~ .~... ,~..J..0 ??..~..~.. .......... County Tax Map No. 1000 Section rea Block .. I.. Lot .I.q ..... Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo..I.3..('9..~.~.. Date of Permit .......... Applicant. '.~/~. .... /.l~:/F~ ........... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and p.,er~,B~e~e~ts all .8Pp,Uc~e codes and r~ulations. Applicant ~ ................................................. R.v. ~0-~0-78 ~'~ FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ifik, and submitted m~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natura] or topographic featu res. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ,$~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.Oo $ 50.00 Date ..... [?/[~/..z..~ ............ Location of Property .//-~/:~ ,% ./.~. ................ tV ................... · House No. Street Hamlet Owner or Owners of Property L.[ t/.~.~ o .v?4. ¢.~¢P.?.Le .... ..~..: ..... . .~..~.¢6.././? ...... County Tax Map No, 1000 Section ~ ~ Block . ,~. Lot../.~,. Subdivision ................................. Filed Map No ........... Lot No ............ .. Permit No ..... Date of Permit .... pplicant ........ ,. Health Dept. Approval . . . .& .% ~.~4~. ~ ........... Labor Dept. Approval ........................ 0¢'0 [ ( L, _~ Plannin Board Approval U nderwriters Approve) ........................ g ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets ail applicable codes and regulations. Applicant ................................................. R~v. 10-10-78 3333'1' FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pz*operty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 5.Updated C.C. $ 50.00 Date .................. NewConstruction n~4 -.m .... - '~, ................. I~tl..= ........ ~ ............ Vacant Land ............. Lo..tio. or ..... .. .... t ......... ... .......... HOUSeNo. ~ V~ ~tree, ~ Nam/et OwnerorOwnersofProperty , ~.~. .0~ ~1~ County Tax Map No. 1000 Section .... ~ ~ ....... Block ... ) ........... Lot...~.~ .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No...]. ~. ~.~).~. Date of Permit .//~ )/~ .~.Applicant ...~/? .~M/~...' ......... ~.j-~/~zfl ~.2.~.v.~. ~...'.~....,. ~ .".'¢.'~. ".~. Labor Oept Approval Health Dept. Approval ......................................... Underwriters Approval.. ~...~ .~..~.~. ~..0~. ....... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and per~ll Z~cable~la~. Applicant ...... ~'/~'.. ~. ~. ' .~.A~f.,,.¢....~.,-----' '~ Rev. 10-10-78 ooo?71 THE NEW YO'RKi BOARD OF FIRE UNDERWRITERS O1 BUREAU OF ELECTRICITY I--- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT onl~ the electrical equipment aa described be~w and introduced by th~ applicant ~d on the abo~e appJ~catJon numar in the premises of w~ds Way ~ld~g Co~, S/S Rte 48, 300' E/O Horton ~e, ~u~old,N Y in ti,oJ,,llowi,,R h,,.uti,,n; ~] Basc,,,ent ~ 1st FL [~ 2nd Fl. Section Block Lot July 1, 1985 FIXTURE SWITCHES FIXTURES RANGES OVENS DiSH WASHERS OUTLETS FLUORESCENT H P DIMMERS SYSTEMS S E OTHER APPARATUS: panelboards 1-26cir, 200amp; l-6cir, .200a~ 1-4.5E~-H.W.H; 1-20.oKW-Heat PLop 14-Smoke Detector Ruland Electric Co P O Box 143 Pmttituck, N Y 11952 Lic 242 E R V I C E OF CC. COND__. A, WG Th~s certlfkale must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified byj ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ]~ROUGH PLBG. ] ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: INSPECTOR 76S.xSOZ BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING / ~ ] FINAL ! "//~-' i REMARK~ INSPECTOR , BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMINGs/_ [ ]~INAL REMARKS: ~ DATE ,NSPEL~I'OR 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING' REMARKS: ROUGH PLBG. INSULATION FINAL INSPECTOI~ , 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE / ~//~ ~ INSPECTOR ~'~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH' PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL FIELD 1N 5~.~ EC ~ ~()N 1. FOUNDATION (1st) COMMENIS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ?DE ~i THE NEW YORK BOARD OF FIRE UNDERWRITERS O~ BUREAU OF ELECTRI(~IT~ ~-- 8S JOHN STREET, NEW YORK, NEW YORK 10038 only the elec tr~ca[ equipment as ~cribed below and introduced by t~ applicane ~mmed on the above applicatio~ ~umber t~ the pfen~ise~ of was examined on and found to be ia compl~t~e with the requlretnents of this Board. FIXTURE OUTLETS SWITCHES 67 19 DRYERS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 15 SYSTEMS OTHER APPARATUS: ~a~elboa~ 1-26ci~, 200a~; 1-6cir, 200a~ 1-4.Sfgg-HoWo}l; 1-20.olKW-igeat Pu~p 14-~e D~tector ~,~Icx~txc~z, bi Y 119~2 ~Zc 24Z ~ ~ ~ This certiflcote most not be altered in any manner; return to the office of the Board if [nearest. {nspectors may be i~enfified by their credentials. ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ O'1 BUREAU OF ELECTRICITY = 85 JOHN STREET. NEW YORK, NEW 'YORK 1OO~'8 ~y n, ~ ~,,,,,ication~'o. onSiie ~34/~ N 699487 THIS CERTiFiES THAT only the electr~el equipment ~ d~c~bed below and ~ntrod~ced by the applicant named on the above application number in the prehtlses of W~S Way ~ ~., S/O R~ 48,300' E/O t~r~n L~, ~, ~ in ~he/oltowing location; ~ Basement ~ 1st FI. ~ 2nd Fl. Section Block Lot was examined on J~y 11 1985 and found to be in complignce with the ~equlrements of this Board. FIXTURE RXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS J SWITCHES FLUORESCEN~ 12 9 8 SYSIEMS OTHER APPAP. ATUS: E R V C t-4.~~ ~..t~.ti., 1-i0.0~{ ~ Pump L~.t.bOa.~dS 1-50Az', ~O0~a[~, 1-~oiX',125~t~; 1-3oir,~25amp Rulan~ Electric Co. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13678Z issued to Winds Way Building Corp. on lJ~7/8~ __ for Business Building is completed and a final inspection has ( ) has not ( X ) been done.- In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $50.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly Victor Lessard Executive Administrator VL:gar TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. /3(47 Owner ~%~/~//~ ~.'~' ~0/~ (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber'S signature) Sworn to before me this (,~ day of i9~7 · Notary Public, County Notary Public PZ Southold, N.Y. 11971 (516) 765-19~8 January 23, 1985 Bob Wendell Winds Way o~ Southold Associates 1020 Glen Road Southold, NY 11971 Re: Winds Way Professional Center site plan at Southold Dear Mr. Wendell: The following action was taken by the Planning Board, Monday, January 21, 1985. RESOLVED that the Southold Town Planning Board approve the site plan for Winds Way Professional Center for the construction of office buildings located at Southold. Plans dated as last revised December 20, 1984, subject to a one-year review. If you ~ve any questions, please don't hesitate to contact our office. Very tru~yours, BENENTT ORLOWSKI, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary ~cc: Building Department 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 ' i i; "'; ......... .... (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWN OF ~OUT~OLD Received ........... ,19.. · INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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, relationship to adjoining premises or public stre~ets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. e. 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 issued 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'Dr~inance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, addifions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildinj~ code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp/c~qns. _/ .~ · ~ ..... .2Y. . .,'d. ~. . . .~. .~ . ./. O.~ : ~. . r,,r.,,. O~. .... (Signature of applicam~, pr name,,jf a corporati{Sn) .... z.o. ~,... ~./~. ~. g,... A~.~. :~. ~.~,.. (Mailing address of applicant) State whether appli~)nt is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ............... t~.:.,./~....~... ................................................................... Name of owner of premises. '~' 'P~ (as on the tax roll or latest deed) If applicant is.s.s.s.s.s.s.s.s~.~ation, signature ~ d~ au,thorize.~,/fJlcer. .... · (Name and title of corporate officer) Builder's License No: ....................... ~'_'_~...~.. Plumber's License No ............. Electrician's License No. Other Trade's License No ...................... Location of land on which proposed work will be done ....... .~.~..O. .... .~..~..~.. 0. ( .~...~.:.. L./~.. ~. ~. ) ....................................................... &..~ ......................... House Number Street Hamlet County Tax Map No. 1000 Section ....... .~',-~.. ....... Block .... l ............. Lot ..... l.~.. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... . .... b. Intended use and occupancy ....................... ..~.:.,~.e~,~','. t::," ~' .:~' ,j..:; ........ ~' ............ 3. Nature of work (check which applicable): New Building ....1~.///////~..... Addition .......... Alteration .......... Repair ..... ~..q., .- Removal .............. Demolition ............. Other Work ............... ~; ~ '~ (Description) 4. Estimated Cost ........... ~...~ ............ Fee ...................................... *-' (to be paid on filing this application) 5. If dwelling, number of dwelling iunits .... ~ .......... Number of dwelling Units on each floor ................ 6. If business, commeraial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth... ............ Haight ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front Rear Depth. ................... i · · Height ....... ..t.., t ........... Number o:f Stones ....................... 8. Dimensions ofe~i/e new construction: Front .~.~... Rear . ~.~l~t . . Depth . /,l~q~* . I I. Zone or use district in which pr~mises are situated ..... ~.-. ~ ........................................... 12, Does proposed construction violate any zoning law, ordinance or regulation: ...~,I~ .~. ..................... lot be ..... .,. · ,~ ........ Will excess fill be remove4J from premises' Yes Name of Architect ......... : ........ ~ ./J .... Address . Phone No ........ Name of Contractor * .~... Address .... l~. .....~.¢ ....... Phone No .... ~....~ ..... PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and block!number or description according to deed, and show street names and indicate whether interior or corner lot. Sr^TE OF NEW COUNTY OF , .......... .: ~-' 5'y '.::: ..... ~ ...... ~ ............ being duly sworn, deposes ~d says that he is the applicant (Name of individual sign:ing contract) above named. ' lie isthe ...... ~~. ~ (Contractor agent corporate officer etc ) of said owner or owners, ~d is du]i authorized to perform or have perfo~ed the said work and to m~e ~d file this application; that all statements cont tined ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~n~ r set forth ~ the application filed therewith. Sworn to before me this .......... ' ~. ~'~"i~ (Signature of applicant) ./ 0 0 0 0 0 0 0 0