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Home My WebLink About89-zFOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~./.~.....J~,..I~Q~ .............................. Street Map No ........ ..~.-~ ...................Block No ........... ~ .................. , ~ --~u. th~l.d.~-.....N.,.~, conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... .0...o..t..o...~..e.~...~..~. ....... 19.~.~..., pursuant to which Building Permit No ....~...~. ............. , dated .............. ,,~,~,~.~,I~,.,,.,~,~, .............. ] 9.~,,,, was issued, and conforms to all of the requirements of the applicable provisions of the [aw. The occupancy for which this certificate is issued is ............ ................................... ..... T~is certificate is issued ta ..... ~.~..~...~l,'~/~l~.e.1~e..~...~l.~,~ ...................... .(o~l~,e~z,.~ ...................... (owner, lessee or tenant) of the aforesaid building. Building Inspector NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMP~LETION OF THE WORK AUTHORIZED) ~o ..... ~.~..?....~o~ ........... ~....z....~ .................... ~ Permission is hereby granted to' ~"' ......................................... ~....~.:...~.:......~.,3 ........................................... at ~remises located at ~ ~?~[~'./~- ~ ~.~ ' .-- pursuant to application dated ................ .~.'.~..~...'~:..~........./......Z .............. 9~.~..~'.., and ap.proved by the Building ]nspector. Fee ~.....~Z..~..r..('::' c~ '1 --'""----S ~1 3 0 "11 fl 8 pu~ S ~t O,.LO V ~llN O 0 /.~,81~-0~/.';' alOHJ, nOS gNOHd::II3J. )t~lO,k /%:qN 'QNV'ISI -ONO'I 'C]-IOH/flOS '3NI SNOS ~ HIll, S 'M 39~1039 FOP~& NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF D~SAPPROYAL U~sul~, Sledz~eskf PLEASE TAKE NOTICE that your application dated ........ .~!~/:~,kS,~.....~ ............ 19~[... v to iz~a~ ~medic ne clinic for e for permit to construct .......................................... u,u prem,ses.ocated (ms, in road ) Street~ ~ot~bL. old~ Map ........................................ Block ............................................ Lot ............................................ is returned herewith and disapproved on the following grounds ............................................................ and a u~e not por~ft,~e(~ in tht[~ zone. Building Inspector / = /0° FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....... , .'>,-~'..,,, ,..~,,., .-, ................ ] 9 ........ Approved ........................................ ] 9 ........ Permit D sopproved (Buildino Inspoctor) Application No ..........~..'....t"~. .......... 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 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. Up,on 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 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. (Signature of applicant, or name, if a corporation) (Address of applicant)" State whether applicant is owner, 'lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. 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 ............ ~i'~ ........... Block .................................. Street and Number ......... ...~.....~...('..~.........~..;.~..~/~..~.~.....7~.. .......... ..~.~.~..~/~'..~.....~:.~.. ~..,. ................................ State existing use and occupancy of premieses and intended use and occupancy of proposed construction: o. Existing use and occupancy ....... ,~:~¢L~.~ ........ .~.......:~ ................................................................................ b. Intended use and occupancy ...... O..,.M., ......... 3. Nature of work (check which applicable): New Building ..... .~ .......... Addition ..... ~'i .......... Alteration,...~ ........... " Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ~t'/Z~ ~oo ~ Fee 4, Estimoted Cost ......... ,~ ........................................................................................................................................ (to be paid on filing this application) FEES: 5. 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 ........ ..~....~......: ....... Rear ...... .~....~.. .............. Depth ....'~....~. .................. Height ...... ..-~...~../.. ........... Number of Stories ..... .~...~...~........~...~.,.D.....q. fl..~....~.~.A,..¢. ......................................................... Dimensions of same structure with alterations or additions: Front ....... ~...~/(. ................ Rear ....~..~.. ..................... Depth ......~...~. ................. Height .....~./. ................ Number of Stories ....~../.(....~*.. ................. 8. Dimensions of entire new construction: Front ....... .~.[~.. ............. Rear ......./'~..~.. .............. Depth ....~.f. ............... Height .....~..~.../. .............. Number of Stories ....~....~...~m.. .............. 9. Size of lot: Front .......~...Z.~....f ......... Rear ....~.~...?....~ ........ Depth ..... .~....'~'....~..5 .......... 10. Zone or use district in which premises are situated.....~...~..,.~..~/~...~.,~..T./.~.~...'~.. ....................................................... 11. Does proposed construction violate any zoning law, ordinance or regulation? ...... .~....O. ....................................... 12. Name of Owner of premises.~...~?..~.e.?..c..~....~..~.~.~...... Address .~,~...~.."/Z....~.ff~.~.......~..:~.: ....... Phone NO ..................... Name of Architect ...................................................... Address ............................................ Phone NO ..................... Name of Controctor.~'.,..~..':..~....~...~...~/..~...~.~...*..C~.~ .......... Address ..~..¢R.~..~.~......~.:.~.~.'. ...... 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. STATE OF NEWaYORK, - ) .................. ,~....~..,~~..~ .............. being duly sworn, deposes and says that he is the applicant (Name of individual s,gn,ng opphcat.on) above named. He is the ............'""'~ '/~ '-~--- "t~J~'" '/J '"~ ~ "// ~~....~.~.......~...~....~..'...~~..,~.... .......... ~~ ---'or e(Co~dor, agen~cor~rate officer, etc.) of said owner or owners, and is- duly authorized t~perform or have performed the said work and to make and File this application; that all statements contained in this application ore 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 .../..~.. ............. day of ......... ~.'.,~..: ................. 19...t~..~, ...~..., Notary Public,. ............................................................. y ~1~1S~ BOWDEN ~/ Public, State of New York Commission Expires ~arch 30, lg (Singature of applicant) FOENI NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×om, ed ....... ApproYed ............................ ~....~.....1 ~ ........ Per.it N~..~ ...... ~... .......... ........... ................ ............... ....... .................. (Build[n~ Inspoctor)~ Application No ............................ APPLICATION FOR BUll, DING 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 punic 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. Up.on approval of this application, the Building Inspector will issue o Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the p'rogress of the work. e. No building shall be occupied or used in whole or in part for any p.urpose 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, end 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 opplicont)/r State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ....................... ....... .................................................................................................. Nome of owner of premises...~:,...../~.~j.E~.,.~,.~....~;......~.,.~z ................................................................. If applicant is a corporate, signature of duly authorized officer. ~ome-on~ title o{ c~tO officer) l. Location of land on which proposed work will be done. Mop No ................................... Block .................................. Street and Number ........ ./.~..~..,.'~,~.......~.'.~'.~'~'~,..~,.~..~ ........... :~:~.~..,~-.~/.,~.~....~..~ ..................................... 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy......~.O....Z.:~...¢: ............ ....,..~. ............................................................................. b, Intended use and occupancy .... 3. Nature of work (check which applicable): New Building ..... ...~. .......... Addition ..... Repair .................... Removal .............. .,,~.iFDemolition .................... Other Work (Describe) .................... 4. Estimated Cost ;'-J~K. ~.~..~....~ ............................... Fee ................................................... (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units ............................ Numoer of dwelling units on each floor ............................ If garage, number of cars ........................................................................................................................................ 6. If business, commerical or mixed occupancy, specify n'ature and extent of each type of use ................................ 7. Dimensions,~f ex'sting structures, if any: Front ....... "--..~....~.. ............. Rear ~ ~' Depth Height ............................ Number of Stories .........' ............................. : ....................................................................... Dimensions of same structure with alterations or additions: Front ...... ~.~ ................. Rear ...~.~ ...................... ............ Depth ... ~ Height ........................... Number of Star es ....... 8. Dimensions of ~ntire new construction: Front ....... ----~.~. .............. Rear xX~ Depth Height /~ Number of Stories ~ 9. Size of lot: Front ~ ~ ' ~ ~ ~' ~' ............................ Rear ............................ Depth ............................ ]0. Zon~ or us~ dis~ric~ in wKic~ premis~ a~e ~ff~ed ................................................................................................ ] ] Do~s proposed cons~uc~i~ viol~ ~y zonin~ I~w, ordi~a~c~ o~ r~u~a~io~ ..................................................... ' ~?~¢~ ~'~ '" ~m~ ~'~' Ph .................... 12. Name of Owner of premises ........................................ Aaaress ............................................ one NO. Name of Architect ...................................................... Address ............................................ Phone NO. Name of Lomroc~orl .............................................. ....~aaress ................. ................ z ......... mane 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. Sworn to before me this .... ............ day of ......... Notary P u b I i c~-. ~.~-,~eV,~..Vc.%~~ .......... fy ]ELOISB BOWD~I j~,/ Public, State of New Yotlt Residing in Suffolk County No. 52-0367800 My CoremTM on E'~!r=s [,larch 30, (Singoture of applicant) STATE OF NE~ YORK, ................. ~....~,~[ ........ being duly sworn, deposes an~ says that he is the applicant (Nome of in~idu6) sig~i~application) ~ (~or, age9~ cor~rate officer, etc.) of said owner or owners, and i~d~~erfor~ o~ ~ave performed the said work and to make and file this application; that all state~~is 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 ~iled therewith. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT.O,D, N. £×amined ...... ~.~.........~c...~..... 19...~...? Approved ........................................ ]g ........ Permit No ................................. ....... ....................... ................................ APPLICATION FOR BUILDING PERMIT Date J~t~tt~t ~ 0 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 Jot 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 who~e or in part for any purpose whatever until a C~rtificate 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ' (Signature of applicant, or name, if a corporation) (Address of ~1icant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. Ursuh~ Sle~eskt Name of owner of 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 .................................. I~orth side Route 25 at Soutbold, Suffolk ,C.~ t Street and Number .................................................................................. .~..v~,..~,..'~ .......................................... State existing use and occupancy of premieses and intended use and occupancy of proposed constructlon: occu an Residence a. Existing use and p cy ............................................................................... . .................. u an Residence and rofessio I office ,.. b. Intended use and acc p cy ................................... ,P.. ................ !,~.. ................ ~,..I).d,.C~ll31.¢.,~O/'.,.fj~.tO~..~ ...... . veterinary medicine 3. Nature of work (check which applicable): New Building ...... .X.. .......... Addition .................... Alteratlon.......~.. ........... Repair .................... Removal .................... Demolition. ................... Other Work (Describe) .................... 4. Estimated Cost .....P.~,.~,.,,~...~.~.[~(..~,~ .................. Fee .~...~,~. ................................................................................. (to be paid on filing this application) FEES: 5. 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.p[~llt'~lll-qll~/~l:~i.__ · 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............... Dimensions of same structure with alterations or additions: Front ........... ~1.~, ................ Rear ............ .;~.~.~ .............. Depth ......... .3..6..*. ............... Height ........... ~..4.*. ............. Number of Stories ..... .O..~.~ ......... .(.m..e..e...mketch mttachsd) 25* 28* 36e 8. Dimensions of entire new construction: Eront ............................Rear ............................ Depth ............................ Height ...... .1...4..* ................ Number of Stories ...... .o...n..e. ............... (see sketch attached) 9. Size of tot: Front ......?~..~.r...I..T..~.! ..... Rear .0...v.e..r...~..~?..'. ........ Depth ..~.r.m....t~....?..~..00' 10. Zone or use district in which premises are sit ~t¢~lffA** Re~dSlatla~ Iliad A~rietllttir&l Dlett~et unkaown 11. Does proposed constructian violate any zoning [aw, ordinance or regulation? .......... :'. ........................................ .Ursula Slecl;iei~ki Southoldo N.Y. 12. Name of Owner of premises ........................................ Address ............................................ Phone NO ..................... Name of Architect ...................................................... Address ............................................ Phone NO ..................... Nome of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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. * It ts proposed to either remodel the exietinf bern es as to provide facilities ms shown on ~ annoxed sketch or to erect & new buttdin~ likewise in accordance with said sketoh, The proposed Structure will be located where the extatlnf bern now mede. It will be lo~ted more than ?$ feet from the street line with side y~ardo in excess or 5o feet on each side, The rear yard will have a depth in excess or ~00 feet. Application is made tar & permit to make the lmprovement~ therein described and alas rot s permit to use and occupy said premises for a residence smd professional orflcu and clinic for jibe practice or veterinary medicine. STATE OF NEW YORK, ) COUNTY OF ....S...u.,.ff,.o..l..k. ........... ) S S.' URSULA SL~Di$i[E$III ................................................................................................ being duly sworn, deposes and says that he is the appllcont (Name of individual signing application) above named. :[1~,~,~1~. ......................................................................................................................................................... tPJI3t,llMp~:~b~t;-~z~(~t~tCr~J~t, ct~:J; 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 ..... .~.~,'..~....~... ..... day of ...... ;~ ..A...~. ,.~,..~? ................. 19...,~.? ..... Notary ROBERT W. TASKEP, I~OTARY PUBLIC, State of New (Singature of applicant)