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Home My WebLink About658-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ......... :~.~8,5. .... Date O...q.~...o..~..e...~.....2..0. ....... ~ ......... , 19..6Et. THIS CERTIFIES that the building located at .~'~./...~.~...t.~.~.~..5.i~.Q.~.~.~..~.~.t.~.'~.~'~.p.~.r~..~.~.~eet ~V~ap No ......................... Block No ......................... Lot No ................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................ ..~..~..~.....~. ............... , 19......5.?, pursuant to which Building Permit No ........ ..Z....6...5..8. ....... doted ..................... ..~..~..¥.....~..~. .................. 19...~.?..., was issued, and conforms to aJJ of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ BUSINESS BUILDING (Restaurant) This certificate is issued to .?...e..t..e...~.....~..~.~.J~.a..~.~.....q..'~g....~..~. ...................................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector FO~M NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 658 z to 19...~...? Permission is hereby granted to: ~eter Pappa~ B~ G~ett ~ at premises located at Rt Orient ?olat, Orient, .................................... ...i~......~. ................. 19...~....., and approved by the pursuant to application dated Building Inspector V C~J'~C ~'~"~ ~ ..... -L, 4~"~ )/vt. c~ -.~ [ ~'-~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISA...OVA, File No. ~...~..8. ...................................................... Dote ............................. .~..?..~.....]:. ................ 19..~?.. To ........ ~p~.~.e...P....~ ~r,R.p, .~...8. ..................................... ........ E..~.i 1.e..t.t...~.., ................................... ........ E,a s.t..l~ar£on ~.. ~I, Y .......................... PLEASE TAKE NOTICE that your application dated ......................... .~..~..~....]-. ................. 19...~.~.. for permit to construct ..... ?;..~.....~..d..a...~?..~.o...~. .......... at the premises located at ...~?..~./.._.R..~......2.?. ......... ............... 0.-~..$-.e.~.tc..]~.°..i...q.t..~...~:.~ ............. Street 0r~ent ~e~ York Map ........ ,~Z,, ........................ Block ....... ..~ .~..~.. ............................. Lot....~. ?...~. .................................. is ~a~tlr~J~l~t~l~:~i~ disapproved on the following grounds ...$~i,f~kl~.:~,~fl~,~.~..~.~.~.~...~'.~.~.. .............. ~...z-e q.u .i.z-e4.. · .i.n. · .Az~.t ,....I .V.,... Se c. ,.. AOA ,...B~i id I ng...Zone...0 rd inanc e ......... Building Inspector FOBS! NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE $OUTHOLD, N. Y. Examined ........... ~.~.....I ...... 19...~...~. Approved ............ ~....~. ............19....~/...Permtt No ............................... Disapproved a/c ..... ~n~/..;. ~.... ~...~..~.~ ........ ......... ...... iBuilding Inspector) Application No ............................. APPLICATION FOR BUILDING PERMIT Date ~ ...'~....~.. ......... /. ............. 19..~....~. .... 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 adioining premises or public streets or areas, and giving o 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 available 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 (3 Certificate of Occupancy shall hove 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 Count,/, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 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 No: .................... ..i ..................... Lot No: .: .................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ................................................................. .~.~ ................. -Z. ............................. 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~....0'~..../....~...~..~. .................................. 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 ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...~ ...... 7. Dimensions of existing structures, if any: Front ........ .~....O. ............ Rear ......,~......O. ................ Depth ...~....~.. ................... Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ B. Dimensions of entire new construction: Front ...... ,.~.,.~.. ............. Rear ........ ~..~ ............ Depth .~ ..................... Height ............................ Number of Stories ....... ~ ...... ~:~ .~. ~ Rear ~ ~ ~ Depth 9. Size of lot:, Front ............?"f ~ .................. ~1'~'~'~"~ 21"~2';'"'~'~'~ 10. Date of Purchase .......................... ~ ........................... f Form .............. ..~...r. ........................... 11. Zone or use district in which premises are situated ........................... ~. ................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ ,~'....~.. .................................. 13. Name of Owner of premises...~..~..~..~..~....~.. ........ Address ............................................ Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of 'Contractor .................................................... Address ............................................ Phone NO ..................... 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 Jot. STATE OF NE'~,,YC~°,~K,j ~, ) S S COUNTY OF ..-~)~'~/,-~.~......) ' .................... ,~~.....~.~ ............. being duly sworn, deposes and says that he is the applicant (Nome of individual signing application) above named. He is the ............................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or ownem, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application ar& true to the ~st of his ~owledge and belief; · t and that the work will be performed in the ~nner set forth m the aa~t~, fded therewl h. Sworn to before me this / ~ ~ ~,.~,~.5~ ~,, - . t r nt ........ ~. da~of ......................~ ........... ]9 ....... ~.. ~,. ~ ,~ (Slgna u e of app ca )