The URL can be used to link to this page

Home My WebLink About54-zIaOP~M 1~0. 4 TOWN OF SOUTHOLD BUILDING D.EPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY No. Z 987 Date January 18 ~ 61 THIS CERTIFIES that the building located a,~.O,~..g..?..,,~..~..i.~,.~.~ ..,.M~..,t.i~.,~.~?.,k. ..... Street Map No ............. ~.~.~..,.. Block No ....... ..*..~...~. .......... Lot No. **~ conforms substantially to the Application for Building Permit heretofore filed in this oifice dated J~ly 17 57 Z 54 19 ........ pursuant to which Building Permit No. ~uly 19 57 dated .................................................. 19 ......... was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is I/q~IVA~fl ORIel I?AMILY DWE~LIN~ This certificate is issued to ~......~:....~...~..9.~.~.a..~.~!....?~.~...n.?~ ................................................... (owner, lessee or tenant) of the a~oresaid building. Building Inspector FOI~I NO. 2 TOWi~ OF SOUTHOLD BUILDING DEPAP~TMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDfNG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No...Z...~Z~ ............ Date ......................... *]'~l~-....~]O .............. 19...,~.~.. Permission is hereby granted to: H.~...F.,....l:~e~r::~l~ .............................................. .......... Xc~;~:;~ .. :P.o f~nt ......................................... .............. ;,,~t~.~:,t &t~,toh. ~... J,,~, X:~ ............................. at premises )ocated al' .f~O.~tqt~..!~o.~.:f~.~:~ ....... ~.~a.t::.&.%~aek.~...;~,.]~, ................................................ pursuant to application dated .......................... .~..~]~f ........ ~.~.~ ............... 19]~).~....., and approved by the Building Inspector. Fee $....~,~q0 ............ -- Building Inspector t27 W Main Streu~ Riv~rhead New York 1190~ 5167274140 TITLE INSURANCE company or New York BUILD/NC- Town of' Southold RE: T~TD~ ~? 79-2517}% Gent lemen: Enclosed ple~e flnd check tn the amount of $ 1.00 cover the cost of Certificate of Occupancy. Title Location: ~o see. attached suPve y Please use the self-addressed, stamped envelope enclosed for your reply. We have no other means to identify the file to which the Certificate of Occupancy ~.s intended to ~e applied. Very truly yours, Yb~l~anda C. Pedz ~w].atr fl' . O dt (HOL~ROOK LANE} t FOP~.~I NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19...~.....Perm.t No....~...~2.....'.~.. ......... (Building Inspector) Application N o. ~.. :?~'.. :'~. · ........ APPLICATION FOR BUILDING PERMIT Date / 7 19¥5-'.7. 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 part 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 port for any purpose whatever until e 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 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 applicable laws, ordinances and regulations. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ........................ ...................................................................................................... Name of owner of premises ............................................................................................................................ If applicant is a corporate, signature of duly authorized officer. ' (Name and title of corporate officer) State existing use and occupancy of premieses and intended ~lFe and occupency of proposed construction: a Ex stng use and occupancy ~'~...a~....~..~ .~.: ~vJ,,.~.~.ib-C~-,~-.,r ' . b. Intended use and occupancy ......... ~ ......... ~ ...... .~...~..~ ................................................................ 3. Nature of work (check which applicable): New Building .................... Addition * ' ~ .................... Alterahon .................... Repair .................... Removal .................... Demolition .................... Oth,~ Work (Describe) .................... 4. Estimated Cost .......... /...¢..~.~ ..................................... Fee ~. ~ ~ ........................................................... (to be paid on filing this application) FEES: If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ........... ~. .......................................................................................................................... 6. If business, commerical or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ......... ../7XI.....O.. .......... Rear ~'--~ Depth '~ / Height ............................ Number of Stories ........ /.....:~ ....................................................................................... Dimensions of some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... ~ ................... Rear ............................ Depth ...~.~..~..~.. ............. Height ............................ Number of Stories ...~. ....................... / 0 ' ...... /...¢.....~'.. .......... Depth ~ ~ 0 / 9. Size of lot: Front ............. .,~. ........... Rear ............................ '0. Zone or use district in which premises are situated....~.~.....~..~..,,.~..~.....~..,....~;~ 11. Does proposed construction violate any zoning law, Vl~ordinance or regulation? ............ .~....O.. ................................ 12. Name of Owner of premise,..~.~..'...~..'.....~.~.~.~..~Addres, ~..~...~./..~.....'~., .................... Phone NO//~..~.../'...~..~..~..~ Name of Architect ....................................... ~........- ....... Address ............................................ Phone NO ..................... Name of Contractor .................. .~..~..'z~.....'r~...'~ ........... 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, end show street names and indicate whether interior or corner lot. STATE OF NB,/~V YORK, ) COUNTY C~l~~.....) S S.' ~'~ ¢~"4 .~.~.' bein ....... ............... , .............................. / (Name of i~ual signing application) duly sworn, deposes and says that he is the applicant above named. He is the .......................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of sold owner or owners, 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 are true to the best of, his knowledge and belief; end that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..... :....¢ .............. aay o ............ ~ ........................ JLOISE JOWDEN My Commission Expires March (Singature of applicant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... .,~.~ :~Z..~J..../...~ .......... 19...~..~... Approved ........................................ 19 ........ Permit No ................................ ,~..~.. / f Disapproved a/c ............................................................................................ .......................................... ./... .......................... 7. L ............................................. ................................ ....... [ ........................ 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 part 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 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 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 applicable laws, ordinances and regulations. ( 'g e o applica t, or~Jme, if a carp~oration) ..... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, pJumber or buiJder. .......... ....... Co. ........................................................ Nome of owner of 9N/'~ ' ~ premises .................... ~ ........... ~...~...' .............................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No ................................... Block .................................. Street and Number .......... ~ ........................... : ...................... State existing use and occupancy of premieses and intended uAe,and occupancy of proposed construction: a. Existing use and occupancy .......... ~.I~L.¢~-:.~.....~.': .~...-.C~?,..;~.....~(...: .......................................................... b. Intended use and occupancy ...... ,~..~..~.....'~....._~...~...:.....!. ........................................................ 3. Nature of work (check which applicable): New Building .' ................... Addition .................... Alteration .................... Repair .................... Remowl .................... Demolition. ................... Other Work (Describe) .................... 4. Estimated Cost ....?./.D..~..°.. ....................................... Fee ........ .?.....~...~..o....o. ...................................................... (to be paid on filing this application) FEES: If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garege, number of cars .......... ~. .......................................................................................................................... 6. If business, commerical or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of exlsting st ructures, ~ff as~:r ~jont...7~ ........... Rea r .....~....c~..- ................ Depth .t-.~.../. ................... Height ............................ Number i ......... ' .............................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ B. Dimensions of entire new construction: Front....,/..'.~.. ................ Rear ..../..'.~ii ........... Depth ...~.~...?..'..Z ............. Height ............................ Number of Stories ..... .~... .................. 9. Size of lot: Front ....... ./-.~.).3 ........... Rear ....... ./.~...~.. ........... Depth .....~....~,..~ ............. or use district in which premises are situated.. 10. Zone 1 1. Does proposed constructie~n violate any zoning law, ordinance or regulation? ......... .~...~.. ................................... 12. 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 oil set-back dimensions from property lines. Give street and block numbers ar description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE'~ YORK, . ) S cou - Y s ,' ....... .............................. ind~'~i~ual signing application) deposes and says that he is the applicant (Name of above named. He is the .......................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in this application are true to the best 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 ..... !.:/ .............. day of ...... ~ ................ 19...~..~...Z. Notary PubliG~.~.County I~LOISE BOWDEN (Singature of applicant)