The URL can be used to link to this page

Home My WebLink About94-zFOE~/ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z 604~. Dote ,Tune 7 60 ................................................................................ , 19 ........ THIS CERTIFIES that the, building located at ..P.~"~,...~ct.,.~...~i:a,~.,.14a~,.cm ............... Street . .7.7... &.. ~....'/.~, ................................... iwap ixlo ......................... I~ocr~ ixlo ......................... Lot No. ~' conforms substantially to the Application for Building Permit heretofore filed in this office doted ....................... ~.?.?.~.z..~.b...e..~'....4. ..... 19..5.?...., pursuant to which Building Permit No ....... .Z....?..4. ........... dated ................. ~?..~.~.?..~.b..?.~....2:.(.). ....... 19..~.?..,was issued, and conforms to all of the requirements of the applicable provisions of the Iow. The occupa.ncy for which this certificate is issued is ................ PRIVATE ONE FAMILY DWELLIN~ This certificate is issued to ~,JJD,9,.,~^...~).~.~..~t~..O.],.~..O'..~...~.~h~.].~,~C.,....QW~C~ ......................... (owne. r, lessee or tenant) of the aforesaid building. Building Inspector :FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES '¢~l~[~ ,~F%~t~,~ ~B , ,1~ ~ ,P,, lFI ,Y, FULL COMBLETION OF THE WORK AUTHORIZED) No, .~...,9 I~, ............. Date .......... ~e~%e;%'b~>~.....2,0. ................. 19.~... Permission is hereby granted to: ~,~l~,..$~ll ~ ............................................... ......... ,~4....r:,~&.~-s...D~¥-e ................................ ........ ~,,,~,...,,.ill~t~.~L, z ,~, ..... to ...... ~,~ t~7:..~-~e~¢..~.~,~e~.]:i.:~,~ ........................................................................................................... ~t premises (oc~ted ~t .~;/.S.....kg~*%¥~,t,e..~.~e~% ................................................................................... .......... !~.c...YZ..&......~ . Z..,...~.~.~ L¢:.e~.~....,.,~...I~,,~.~,~.¢:~: ...................................................... pursuant to application dated .................. ~p~:~.e~...4 ....................19.~?..., and approved by the Building Inspector. Fee $..$G~@O .......~r f].a'~ Building Inspector FOP~M NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL .. ~,~,~...'~,'~L ]~Z ~ ~ .~.o.~. ......... f~.*.~.*. ................... PLEASE TAKE NOTICE that your application dated ................. ~,~3.~.~,,,,,,,~ ........ 1~),~,~,., for permit to construct ......... ,~t~,~ ............. at the premises located at .,~/.~,,,~)Z~.,~,~,~,~ ......... .... ~ ........................................................ Street .............................................. .T~ ......... ~...o. ~...Z.8. ............ i~ Map .~,¢'L~A.OZ?P~.,..~,~...][~,.~,~t~Iock Lot ,~ ,' returned herewith and disapproved on the following grounds ............................................................ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam ned ............. ....... gX. ..Permit ............ ....... ................................. (Building APPLICATION ~:OR 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 o 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. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant. Such permit shell 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 hove 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 applj=eble Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or de'holm The applicant agrees to comply with all applicable laws, ordinances and ulations. (' o?, as hereto described. of .. x' I ,' :' (Address of applicant) or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricon, plumber or builder. 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 war ¢ w be done. Map No; [.(.'::¢.C4';~6.~'? .~'¢.4~L,2a/~/j6q< 4-, (> ~- 'Z '] ~1 ','2 /1 ~ ~ ~ ' ' ~ "7 ........ ~ .................... Street and Number ..... ~( .~t~ .~'.)~ ~d ~q.J~ ~ L) ~;7~ ~ ~: :~.:(~ , , State existing use and occupancy of premieses and intended use a~d oc.~ancy 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) .................... 4. Estimated Cost ,.~Ot~O ~ F~ /0 ~ (to be paid on filing this application) FEES: it ~A/~' 5. If dwelling, number of dwelling un s ............................ Number of dwelling units on each floor....O...~....~.. ............... If garage, number of cars ....................... .~,.~..~..[~ ................................................................................................... 6. If business, commerical or mixed occupancy, specify nature and extent of each type of use....~...~..I...l(...~...?..~.~.. ........ 7. Dimensions of existing structures, if any: Front......~ ........... Rear ............................ Depth ............................ Height ......................... :..Number of Stories .............................................................................................................. Dimensions of same structure with alterations oF additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ ~ ....... :~.~...~ ......... Depth ........................... 8. Dimenslons of entire new construction: Front ....... ~....~. .............. Rear ~Z_ ~ ~ . Height ............................ Number of Stories .....¢~..~'~..~. ......... /:~ o a.~ 9. Size of lot: Front ........................Rear ...... f..~,..-- .......... Depth ....... ,..~...;....... ..... 10. Zone or use district in which premises are situated ........... ~. ....... .~.....~.~..~...~ .......................................................... 11. Does proposed constructie~n violate any zoning law, ordina.n,,ce or regulation? .............. .~...~...."... . s~d,4/~~P-- . -/drY./4 <; ~'gO"'"'~ ............ 12. Name of Owner of premises../.'~../R.~/.~.Jl~.¢.~..~.~.~i/d)~- Address ~../~-~J~tt~..S. ~.~..~ Phone NO ~.~ Name of ' Architect ...................................................... Address ................... t~ ....................... Phone NO ..................... Name of Contractor.:~..5~..~...~.5..~_~..~.J~, ............... Address~ff..~'/~.(~.~.~..T..~./k,! ............. Phone 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. t' ST^TE . .r "(-. '~~~' ' ~~ '. being duly sworn, deposes and soys that he is the applicant -' (' ~~,ng ~h~ n~med. He isYthe .............. t .......................................... ............................................ o~ soid ownor or ow~ors~ ond is du~ outhorized to perform or have porformod the s~id work o~oke on~ fi o this application~ thor oll stotements contained in this oppHcotion are true to the host of his ~knowled~o ~nd be ~efi ond that the work will be per{ormod in the m~nnor set {orth ~n the ~pplicot[on filod~rowlt~ ~ ~ ;F't ..... 7 Swom,o . -- ,; -- ~ -- A ~ - ~ [Sm'~' ~ of dpphcant)