The URL can be used to link to this page

Home My WebLink About9-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. C~ERTIFICATE OF OCC~UPANCY ~.~0 BI~: ~?~:~D ~l~ TI~I' OF No ....~..,~ ~ ........... Dote .............. THIS CERZIFIES that the building ]ocated at ~/+~.....~C.~,%-.-[~O~..~% ....................... Street conforms substantiolly to the Applicotion for Building Permit heretofore filed in this office,doted ...................... ~:~e~M...d ................... 19.~.., pursuont to which Building Permit No ..~g ..................... , dated ................. ~;~. ....... g~Z ................... 19.~.., was issued, and conforms to all of the requirements of the applicable provisions o( the law. The occupancy for which this certificate is issued is ............ ...)n%D~g... g.~...~.ZO...~...t~...~)~..~.C~.e~DZ~ ~Z g.CL~.[ ~ .................................... This certificate is issued to ~l)~...~,~&.~.... ~,..~Z'O~...~,~.~,~ ....... (..-.O~:~...) .................. (owner, lessee or tenant) of the aforesaid building. :.~.J...~ ............. : .............. Building inspector ~ FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. *-COPY BUILDING 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 ...... .~. ,9. ............... Date ......................~Y.....~..~..~ .................... 19.~, .?.... Permission is hereby granted to: Stanlay,.S :...C o~win,., egen.t., fo~..~/erher.t.. ~. L1 oyd K~lin ...F. ~. 9D.~.. ~Jk, ...... .G..r. 9.e. ~. ~p.O..r.l:' ,.....I~ ,.~: ...................... o~.. ~.0~.e~.t~...d~,a~.~.lhe. d..in..~pDli~ ~ i on ....................................................................................... at premises located at ...... ?(.e.~..~o.~.¢...~.~.~ .........Q~D.~t~.O.~.$., ...... .]~,.~ ................................................. pursuant to application dated ....................... .~[~......6.~. .......................... ~9,~.?,...., ond *pproved by the Building Inspector. Fee $.~9~99 ...... ~.9~ ....... ............. Building Inspector / FO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19....~..~Permit Mo.,...~..~. ............ Disapproved a/c ...................... ~,,,.~:'.~.'.......L:~..,~.. ........... ~ ............ ~,.~.. ..... ,. ........· ..................... (Building Inspector] / : Application No.l.....?. .......... APPLICATION FOR BUILDING PERMIT ~L~2~ 6 Dote ........................... ..--. ............................... 19....~.?. .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in dupliEate to the Building Inspector. ' ~. 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 drown 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. Up.on approval oF this application, the BuiIding Inspector will issue o BuiIding 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 Buildin9 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 alt~fi~,, or for removal or d~e~on, as herein described. (Signature of (~ppiic~,t, or na em,ifa corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricon, plumber or builder. A~ent HE~I~RT KALIN and LLOED KALIN Name of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. (See Plot diag.,sm fo~ exaet location) Location of land on which proposed work will be done. Map No ................................... BJock .................................. ,, ~ t4est F~ont St~eeet (Route 25) at G~eenpo~t Street and i'~umoer ....................................... , State existing use and occupancy of premleses 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 ................. ...,~Dther Work (Describe) .................... 4. Estimated Cost .......... ,~O. Oe ................ Fee .~.: ................................. (to be paid on filing this application) FEES: 0 ,5. [f dwelling, number of dwelling units .............i..: .......... 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 uset3,1/~.~t.~l~,F. ............... 7. Dimensions of existing structures, Jf any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories .............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ Dimensions of entlre new construction.~Front ............................ Reor ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front .....~ .~.rj ................ Rear ....... ..~0.0 ............. Depth ...... .~,O0 ............... 10. Zone or use district in which premises are s~tuoted ......... ~ ..................................................................................... 1 h Does proposed constructio~ violate any zoning law, ordinance or regulation?...n.O ......................................... ^ ~e~erb K,.,.lin & Lloyd C. Kelin 12. Nome of uwner o~premises ........................................ Address .....(}~e~..~P.~'.~.,.....I.~.,.Y.,.Phone NO ..................... Name of Architect_O..[l...V. aD...T.u.~,TL..~,.S.~ ....... Address ............................................ Phone NO...~,~....Q.~.?.,O..., Name of Contractor.;¢,J.~..~hzs~,af~.c).,~x..~oJ3 Address .......... .". ................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fram property lines. Give street and block numbers or description according to deed, end show street names and indicate whether interior or corner lot. Zee dlagr~ at~ache~ STATE OF NEW YORK, ) SS.' COUNTY OF ...... ...................... S.t.a~.e.~...&,...O~m.w$.n. ................................ being duly sworn, deposes and says that he is the applicant (Name of individua signing application) above named. He is the ............. a~ ................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform ~formed the said ~o~.~ to make and file this application; that all statements contained in this oppHc~i~rue to the best~his knd~ledge and belief; and that the work will be performed in the manner set forth ~ t~/plicotion filed the~fwi~. Sworn to before me this ~( .......... ~..~ ..... day of ....... .~{.,~ ......................... 19...~;:_ '~[ ~'~..~,. ,J./,/,_~,~,,~ FORM NO. 1 TOWN OF SOUTHOLD BUILDIbiG DEPARTMENT TOWN CLEI~('S OFFICE SOUTHOLD, bi. Y. Approved ........................................ 19.....,oq. Permit (Building Inspector) / Application No....~.Z ........... APPLICATION FOR BUILDING P~ERMIT lV~y 6 Date ........................... .,-r .............................. 1 9...~..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 bf lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of I?yout 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 ~)remises 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 ~ge.~ I~ Sa,n [Oar gtrhe~ sC tc ~ Sct~:;il~nw~tfhb~li,l d:; pg ;i,c aabd i~ t i~' Oorr~ ~escribeO. ........ ..... ............ Gr.e.e ~p~m.~. ~ ...... ~., .¥., .............................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Agent ........ Name of owner of prem ses ........ .~..~.]~.~..~....~.~,.Z.~....a....~.~...~..%..O.!.D...~..Tk.~. ............................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) (~See ~lot diagram for exact loc~tion) 1. Location of land on which proposed work will be done. Mop INa: .................................. Block .................................. 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building X . . · .................... Addmon .................... Alterahon .................... Repair .................... Removal .................... Demolition ................... .~ther Work (Describe) .................... 4. Estimated Cost .................. ~.O.QQ.~ ....................... Fee .../..~. ............................................................. k.~ .. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ~ .............. Number of dwelling units on each floor......~......i ............... If garage, number of cars ............ i.~.. ......................................................... : .......................................... ~ .................. 6. If business, commericol or mixed occupancy, specify nature and extent of each type of use~bl~.~f~.~ ............... 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 ................................ irregular; see plan for details 8. Dimensions of entire new construction:/Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9'~.' Size of lot: Front ..... 2~.0 ................ Rear ....... ..~D.0 ............. Depth ...... .~.O0 ............... 10. Zone or use district in which premises are situated ......... ~.. .................................................................................... 11. 12. Does proposed construction violate any zoning law, ordinance or regulation?...~LC~ ............................................ Herbert K~lfn & Lloyd C, Kalin Name of Owner of premises ........................................ Address .....G~'.~..~..DDD.~..~.,......~...Y.,.Phone NO ..................... Name of Architect...Q..~?....~.f~.:g....~..u.~..1.....~....~.Q.~. ........ Address .......... !! ................................ Phone NO..~....0.~.?.g.... Name of Contractor.~.$.~_.~.?.~.a,,f'.e. ZT.Q...~..~.Q~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 lot. See diagram atbached STATE OF NEW YORK, ) COUNTY OF ..... S.uf£olk..,.,.) Stanley ~. go~..~.~.~ -. .................................................................................... oelng duly sworn, deposes and soys that he is the applicant (Name of individual signing application) above named. He is the ............ .a..g.~..n..t. .................................................................................................................................. (Contractor, ogent,,_~,glporote officer, etc.) of said owner or owners, and is duly authorized to perform~Ff~ve ~,~rformed the said~to m~ke and file this application; that all statements contained Jn this applicdtion a~'true to the best~his knowledge and belief; and that the work will be performed in the manner set forth in the-application filed the~wi.t~. Swg, rn to before me this ........ ......... ....... ............... ~-;' Z2 ~ ~i/~ ~'~t~ (Sin~r6re of a~licant) Notary Publ ia,.... ~ .,~~..~.~.o~ ~ ........ County