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Home My WebLink About55-zFOI~i~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...;~.. 3,.~6 .......... Date ......................... THIS CERTIFIES that the building located at .~]~,~...~ ......................................... Street Mop No.C;~cl.c~....]'.j<~a¢.~,....~k. Block No ..................................... , Lot No. ~.6~f.~...~O.~,1~;.t~...)~o¥o conforms substantially to the Application for Building Permit heretofore filed in this office dated ~ · . 19~" , pursuant to which Building Permit No ........ ..~...,~.'.J...~. ........ , ....................... .4~.~ .~ )~.~ doted .......................... ~v[,~,,~-...~ .................. 19..?¢~., was issued, and con'arms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ............ ................................................ ~.$~ ..[.¥~u'T! ~!.- ~ ~, ~.~:,~ ~,~ G .......................................................................... This certificate is issued to ..,~.J,.~J'~e.]:..-.~ft.:~t~:~e ........ ~..~,i~T,¢.~.) .................................................. Lowner, lessee o~ tenant) of the aforesaid building. Building Inspector FO,Ri'~ ~NO. 4 TOWN OF SOUTHOLD BU1LDII~IG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, CERTIFICATe- OF OCCUPANCY No, Z 722 THIS CERTIFIES that the building located at Cedar Beach Park _Map No ....................... Block No ......... .l~.*..~....Lot No .................................. .~...~..~. ..................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................ .J..u...l..y...~..0. ............. 1~.7..... pursuant to whiel~ Building Permit No ...... ~,.,i[ll, ........ ~lated .................. ..~.~....1~.0 .... 19...~.~, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy fdr which this certificate is issued is This certificate is issued to ............ M~[=ha~l..Razzarlo.~...owner. .................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~M NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CL~RK'$ OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH OIqE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. Permission is hereby granted to: at premises located at ..,~/~..S~/~,m,e%...t'~m,~f ........................................ i ................................................ pursuant to application dcted ......................J. lll~...,uO ..................... D.~...., end approved by the Building Inspector. Fee $.5..0;.5. ............. Building Inspector J FORiVf NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......~ .. ...... A ~:~' 't ' No...~ ~.~...'~...~. ................ pproved ........................................ ] 9 ........ Perm t Disapproved a/c ......................... : ..................................... ............................ L (Building Inspector) INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building ]nspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o 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 ~nspector 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 o 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 applicaNe 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 applicablb laws, ordinances and regulations. ..........(Sig0i~of"~ ' '"':"'"'opplicant," '"'"" ............ or nam~/~a'''' ' "'"corporation)'"'"' ...... ' .... .... ~4 " " ....................(mddres~;'"'Tapplicant)' ...... ' .......... "'"'"'"" State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricon, plumber or builder. Name of owner of ~, ......................................................................... ~..~ ............................................................................ If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which p.roposed work wi(I be done. Map No ................................... Block .................................. Street and Number ._.....:-. ....................... / ....................................... ; .... , ......................... ~'. '... ' , '. · -.'.. ~ / 2. State existing use and occupancy of premieses/~nd intended use and occupancy of proposed conStructiOn: a. Ex/sting use and occupancy ................................................ ;..:T,.,.{ ........................................................................ b, Intended use and occupancy ................................................................................................................................ / 3. Nature of work (check which ap~plicable): New Building .................... Addition ..... ~......Alteratlon .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ~'~ ~ O, .... 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, commerica[ 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 ................................ ~ ............. .~.. ........... Depth ............................ 8. Dimensions of entire new construction: Front .............. ~.. ........... Rear Height ............................ Number of Stories ...../. ...................... O ...... ./....~..L ~. .......... Depth 9. Size of lot: Front ...... L...~.. .............. Rear ............................ 10. Zone or use district in which premises are s~tuated ............................................................................................ I ~. Does ~roposed constructien ¥~olote any :zoning Iow, ordinance ar regulation? .................................................... of ............................................ Phone NO ..................... ]2. Name of Owner f - Name o 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 andbi numbers or property lines. Give street ack description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ) ...... .,~::...~:/,~../,4,,~ .~.r,,~,,~.'t....;.f.~,.t.~]..t.~.//-r/r~. .................. be'g duly sworn, deposes and says that he is the applicant ~" fName o}'inSiv}dual sign½~,~/application) above named He s the f./_!./_~ ................................... (Contractor, agent, corporate officer, etc.) of said 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; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to be~ore me this ..... ,~,.0, ........... day of ....~ .................. 19...~...?. .... · Notary Public,~:~ ........... County ¥ CoramlSSlOn £xp*res March 30, )g' ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD', N. Y.' Application No. ~'~ //~ APPLICATION FOR BUILDING PERMIT Date ..................... ........ ......... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and suSmitted 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 Sou'thold, 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. ...... .................. (Signature of applicant, or name, if a corporation) ...................... (Address of applica,nt) _ ~ ~ ·~ ~,. fyi i ¢V~0 t., A.y/v ~ State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premmses...~....~.....~ ....................................................................................................................... If applicant is a corporate, signature of duly authorized o~ficer. ] m Location of land on which proposed work will be done. Map No: .,~...t~..5.~..A:...f~....'..~..~.().¢.~..~.E~';. Lot No: ...~...~..~. ....... Street and Number ..~'.~...)~.~.....~-?....~......~..~...~...:~ .............. ~:.~..~...-~...i~...~...~r.~.;[~.. .......... N;-'...~.~ ......................... ... Municipality 2. 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. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe)/~.~V./~...~.~ 4. Estimated Cost.....~.~......~ ................................. Fee ........................................................................................ (to be paid on filing this application) 5. IF~eliing, number of dwelling units ............ ~ ....... Number of dwelling units on each floor ............................ ff 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 .......... ~.~.~]5..~... Rear ....~.~.~. ............ Depth ....... ~.~.~.~... Height ..... ~..~.~.....Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... ~ ...... ~ ......... Rear Depth .,..~ .................... Height ............................ Number of Stories ............................ 9. Size of lot: Front ....... /..~.~ .......... Rear ....~..~ .............Depth .Z~..~ .............. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or u~e district in which premises are situated,.~...~.~.~...(...~.~...~.~.~.~ ..................................... ' t, 12. Does proposed construction violate ~ny zonBg law, ordinance or egula 'on ..................................................... Name of Owner of premises- ~ '~:~. ....... ~r~ Address ~.~.~w...~X:..r~O Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contracto .~.~ ............Address ...; ................... ~ ............ mane NO. '~"~ PLOT DIAGRAM Locate clearly,~?d 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.:~orner lot. ~ ~17. ~ STATE OF NEW YORK, ), S S ,,..~.::.//././(//fZ~r~!,..7--,42~--:.../.,~..~(.~ ............... being duly sworn, deposes and says that he is the applicant i.' ' '~/~'Name of individual sig~i,~(g-application) above named. He is the ............... ~~ ......................................................................... t .................................... ,' (Contractor, agent, corporate officer, etc.) of said 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; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to,before me this / ~ I ,r ...... .............. ~.. ...... day_of .......... ~..., ............. 19 ......... ~ ~PUBLIC, ~tate~ of applicant r ~ - ~ ~/~ /~ NO. 30.01,~7550 ' ~~ COUntY Qualified n Nassau Note~ Pubhc, .... ~~M~ .. ' T~m Ex, res March 30, 1~ FORM NO. 1 TOWt~ OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. Examined (~.. .... .~ ................ 19.-?...~. Approved ............... :.! ............... : ...... 19..~.?..Permit No....../.'.'A...~.~..~.~: ............ Disapproved a/c ................... ./..: ..... : ' ~.~?~:..~ ............. ......... ........ (Building Inspector) Application No. ~.....~.~:.~. ........... APPLICATION FOP~ BUILDING PERMIT Date .................. ..,~,,... ........ ?-7, ..................... 19 ...... /... / INSTRUCTIONS o. 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 detai[ed description of layout of property must be drawn on the diagram which is part of this Iocatlon. 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 shad( 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 o 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 a~l applicable laws, ordinances and regulations. (Signature of applicant~/~/nome~ if a corporation) (Addr:~ af opplicont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ....................................... :?..5 ........................................................................................................................ Name of owner of premises ....... ......<~'.....~-.f .................. :~.~x~....c~ ......... ........................................................... UTM 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 ................................... Block .................................. Street and Number ....~.:.C<..~..~.~..~..~.....~.~.~.~ .......... ..~...c.~:.~'~..f:m:...~.~.~..~,.:~.~.~L.'.¥.....~..~M~,~K~,. ........ 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition ....~ ........ Alteration .................... Repair .................... Removal .................... Demolition .................... Other 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, commerlcal or mixed occupancy, specify nature and extent of each type of use ................................ ~L '~ Rear .....~....~. .................. Depth /~-- 7. Dimensions of existing structures, if any: Front ........................................................ 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 ~' Depth Height ............................ Number of Stories 9. Size of lot: Front .....]..~.....~. ........... Rear ....... ..,ff..~...~ ......... Depth ...... ~.~.....~.. ......... 10. Zone or use district in which premises are situated ......... .,~ ........ ..~..~..%.?.~ ............................................................. 11. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~...~.. ............................... premises~..~.. 12. Name of Owner of ........ z~...~.~.....~..Address ........... .................. Phone NO.P./. .................. Name of Architect ...................................................... ~':J Address ..... ~.J(.~....'~,.~'.....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 or description according to deed, and show street names and indicate whether interior or corner lot. \ STATE OF NEW YORK, ) COUNTY OF ~~,,...) z ~ z~ ~ ~ .~.~< . , ~ ~ being sworn, ...................... ~.~:~W(;...:... ~ ....... ,~.. ................. duly deposes and says that he is the appticant (N~e of ~nd~wdaol s~gnmg app~on) obove nomod. He is the ................... ~ .......................................................... (Contractor, *oent, torpor,re officer, etc3 o~ said owner or owners, ~nd is duly outhorized to perform or have performed the soid work and to moke ond file this ~pplic~tionj thor ~11 statements contoined in this oppl[cotlon ~re truo to the host of his know~ed~e ond ond thor the work will be performed in the monner set forth in the opplicotion filed therewith. Sworn to before me this .... C~,.Q ............. day of .~, ...................... 19.~.i]. .... / (Singature of applicant)