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Home My WebLink About1394-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z..~8~ .............. Date ............... THIS CERTIFIES that the building located at .~/~J.....JJ&lJ,~J.~....~Oa~ .......................... Street Terry Yaterm Map No ....................... Block No .......... ~ ..... Lot No. ~.....~4mt~l~tiJv...N,.~.~ ...................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... JJa~.....~ ........................... 19.6[.. pursuant to which Building Permit No. '~J.~0~" dated ............................... ~-..-.-9 ...... , 19.6~.., 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 .......... This certificate is issued to ..... ~JtoJ'~irli~,d..JJeJ. eJ~lJ ................... J)~lt~X~ ....................................... (owner, lessee or tenant of the oforesaid building. H.D, approval Dee.l,1961 iJy 1t. ¥illa FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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.o 1394 z Date ........................ J~t,.....9 ................... 19..6,l. Permission is hereby granted to: IAdo Conet~uo.t ~on.. Co~I~ ..A/G....~.~ 6 · Re.~evs en · "Ro~ev~e"-"Av~ ............................................. ................ ~oz~o~coaa ......................................... to .~..'l~l..~e~..~e..£~..l.y..~Ive.]..]~.mg ..................................................................................... at premises located at ...~.O~,...~.f.....T~/,I,.~..W~t~GI~S ....................................................................... ................................................. Re~i~l'er"Roa~i' ...... 5outho'~d ...................................................... pursuant to application doted ........................... ~1~.....8~ ...................... l C)~rl...., and approved by the Building Inspector Fee $..1.0..00 .......... Building Inspector Lot No.. ~.. .................... Block No ...... Unit ......... V!~!~_~e . .j~. ............... · o~ o, ~.0.,~.,./~. ...... LOCATION PLAN APPLICANT:-- ~A~ ..~.~.~.../.,L..........R...~.,.~..~.~.~ ...................................... ADDRESS ...................................................................................................... LIDO CONSTRUCTION CORP. ROSEV,~LE AVENUE RONKONKOMA, NEW YORK LOCATION PLAN Block No. ....... vma~e .._.. 7' ............... · o.n o, ~,.,--Z.,{.'./~. ...... APPLICANT:-- ~i~ ....'Z'.~.,:.~..-...../.~....~-..,.~.,~..~.~. ...................................... LIDO CONSTRUCTION CORP. ROSEVALE AVENUE RONKONKOMA, NEW YORK FOR~ NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ..... ....... . Approved ................ t.-L ................ , 19~ ...... Permit No ~ / ~ 7 7 Disapproved a/c ..... ~~.._.._......._..... Application No.... ~...?....~..~,. ............. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this location. 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 permit shall be kept on the premises avoilable for inspection throughout the progress of 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 Deportment 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 comply with all app icab e laws, ordinances and ragu orions. (Signature of applicant, or nome, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem,ses.......~..~. ................................................................................................................................ If applicant is a corporate, signature of duly authorized officer. .... ............................................ (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map I~ .~.~..~'.../"7...J~...~../_.~.../~.. ................ Lot No:.....~..4 .......... Street and Number ............ :..~.~,t~.~.../..~...~Z.......'~.P...~....~(... ............ '.~.....~..X.~./£...e~.. .......................................................... Municipality 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 ......... ~.~..~..".[..~..~..~..~.~<'.. .............................................................................................. 3. Natur~ of work (check which applicable): New Building .' ........ Addition .................... Alteratlon......'....;......~... Repair .................... Removal .................... Demolition .................... Other Work (~escribe) .................... 4. Estimated Cost ....'~..../...~...J.~.~ ................................. L..Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ..~...~....c;: ......... Number of dwelling units ~)n 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 ................................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... ~.~...-.'..~..~ ........ Rear .......... ~..J..'.f..O..il .... Depth ....,~.....~'...:...~,.~ ......... Height ...... ~..~...~ ............. Number of Stories..../...~'.~ .................... 9. Size of lot: Front ...... ~.../..~.~?..~ ...... Rear ........ ../..~...~..~ .......... Depth ..~..,~/..~...~..~..~,.~..Cg ]0. Date of Purchase ...... ~..~'Z.~.../.Z..~.?.. ........................... Name of Former Owner ../.~..~..~..~....~'..:...~'..~.?...~..¢.~.~.. ................... 11. Zone or use district in which p, remises are situated ..................................................................................................... 12.' Does proposed construction viol0te any zoning Igw, ordinance or reaulatlon? ..., .~...~. ............................................ 13. Name of Owner of premises..'~.~..¢.C,.V~i./..°(../.?..?.:..~..C..4'.~".E..Address ..'~'..~,.~...'...~..~..*-.~.."~...,.~...~./~..~., Phone NO..~¢..~.-...~../,....~'..~. Name of Architect ...~...~.,.~..~.¢..'?,':.¢....,~.'.,.,.~..~..~?....~. ...... Address ?.~..~....~...~...~...~.~.~.../'......~..'~.,..~.-Phone NO..~..~...~.-....~..//.~.. Name of Contractor .~...;...~..~.~..~.'~.~:~.~.~..~..~..~....Address/~.~...~...v..~../.~.~.~...v5~..~.~~ne NO..~,...~..-..~.~.~.g. 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE~,~ YORJ<: ~Z ) S S COUNTY' OF ~..) ' " .................... f~......../.~.......~...~..(~h¢~.../ ' ......... being duly sworn, deposes and soys that he is the oppiico tn ~bove n~med. ~ is the ................ ~a.~ ................................................................................................... ' (Contractor, ~gent, corporate officer, etc.) of s~id owner or owners ~nd is du~thorized to perform or h~w ~rformed the s~id work ~nd to meke ~nd file this op~lic~Hon; t~t ~11 statements contained in this ~pp ic~fion ~e. true to the best of his know edge ~nd be ~ef; ~nd thet the work will be performed in the m~nner set forth ~n the oppli~tion~d therewith. Sworn to before me this ~ ~ ~ ~ , . II II iI ii -II '1 i I ! I F R (~ N T CAVALIER LICAII~ lC PLAN -F-- L () 0 IR. T,/e CAVAL I B R ~ FOI LOCATION CAVALIER III C-E-L L A IR. P L -A- N "t~"~'i- -,,,~. (~ AVALI R