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HomeMy WebLinkAbout121-z~OP~ ~o. 4 TOWN OF SOUTHOLD BUILDING D~PARTM~NT TOWN CL~HI/?S OFFICE SOUTHOLD~ 1~, Y~ CERTIFICATE OF OCCUPAI~ICY ?'H~S CERTIFIES that the building located at S/~..Deo~..I:iO~,,~, D;~, ................ Street ....... ~.~; .......... Block No ........~:~..~.:*¥ .......... Lot f~.~... M~ggi~;~l~ i~{ap No. '" . .............................................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................. ~i~..p.~...~.~., 19.~.~... pursuant to which Building Permit No ........ ~...~20 dated . ~:~;~ 27, ~ 57 : ....................................................... , was issued, and conforms to all of the require- ments of lhe applicable provisions of the law. The occupancy for which this certificate is issued is ......................... i~.&~.~.,K~I~..Q~.,' ~}~i~;~i~g 1~1~t,~,i~1~ ........................................... This certificate is issued to ...~..~.2:r..e~?....~}_i..~.{.._?"~?.{ ....................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~M NO, 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES ~?~GYF~j~,i~}~GihJ~N4~D,F~--d~I~A~T~GI~I6 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No .............. Date ............. S.et~tellll)o,.lt....2g ............. ~ 9~'~.... Permission is hereby granted to: abase I~t' ~e....&..aa,...-l~n¢~....-.~[l.....~o~ge-.B~.-t ~ ........... ~ai~..Road ............................................... ............... ~atti.tuok.~..... ~. ~.. .......................... to ............ move., ex~.s ting., d. we.tt.l, ng... re.. new...tocat-ion ,....same...bu-it~ i~g...lot ...... ............................ House..#l..on...fi.le~L.plo. t-.p~. ................................................................. at premises located at ..... ve ....................................................................... ............................................................ ~ti.tuek.s......N,.~.,. .............................................................. pursuant to application dated ..............~e.~l~,~*.....~.~.~ ................ 19~...., and ap.proved by the Building Inspector. Fee $ ........ l.O.oOO... Building Inspector NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES ,,~~-~,~,~,i~I~,.~i~C..~F~,~A,~J,,Qj',~NTIL FULL COMP.LETION OF THE WORK AUTHORIZED) No..~....'1 ~,0 ........... Dote .............. September...._27. ............ ] 957... Permission is hereby granted to: Chas. Pr:Lce..&...C~,,,...Ine,.....,a~.C.....(1.eo~:r. g.e.. De&t;z ....... t~in., lt~a~l ................................................... ........... l~a.tt $.tu~k.,......l~l, .g., .............................. to ........ ~Io Ye.. ex~ s.l; i nil.. ~ ~ et 1,in~...t,o. · a~w...1.oeo ~;tma.. on.-.z ame-..bu, l. 1 d.l~rig...]:o.t~ ..... ........................... ltoUSe...{.. 2..on..,£ile~l..t~lot...plan ......... . ......................................................... at premises located at ...... 8/S....De. ep..Iiale,.Dl~iv.e .................... ~ .................................................. ............................................................. ~la~.ti.tuck._..N...Y., ................................................................ pursuant to application dated ........... ~.~J~,~-.~:Of~l~,....a.~, ...................... 19.~7..., and approved by the Building Inspector. Fee $......1..0. ~..Q.0.. ....... Building Inspector FOI~M NO. ! TOWN OF SOUTHOLD BUILDING DEPAR't'MENT TO~'VH CLERK'S OFFtCE SOUTHOLD, iq. Y. Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c ....... ~.;7' ...............7 ...................................... ........ ...................... (Building Inspector) APPLICATION FOR E~UI[,DING PERMI'F Date ............................ : ....................................... INSTRUCTIONS a. This application must be completely filled in by typewriter ar in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildlngs 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 appllcatlon 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 shah be occupied or used in whale or in part for any purpose whatever until a Certificate of Occupancy shah 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) ........ ..... .. ' '/'f ..................... (Address of applicant) State whether applicant is owner, less~, agent,_ or__general contractor, electrican, plumber or builder. Name of owner of premises.......*...-~-,dl-~.?.~, ,~...~.. ...................................................................................... If applicant is o corporate, signature of duly authorized officer. .......... ............ ..................... (~ame and title of corporate officer) Location of land on ' ' "~~ *~' which proposed,,work will be done. Map No....,'x ...... ~ ..................... Block .................................. Street and Number .....~' .~....~......~?'.'..~ ....... Z ..~..?:~.....~.~:'.~5~.~.~..~;........~..~.~.r,~,~('.?.%.~Z~ ....... State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and p y ....................... ~,t~, ............................................... ..ii, ......................................... b. Intended use and n~-cun,~n~'~ 3. Nature of work (check which ap.plicable): New Building .................... Addition .................... Alteration .................... Removal .................... Demolition. ................... Other Work (Describe)....~fJ~)':~,.~.,~'~-~---~- -t, 'J~)~/['~u ~/"~-~'~j? Repair 4. Estimated Cost .......................................................... Fee ./.0. .......... i ......................................................................... (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 .............................................................................................................. Dimensions of some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensiotis of entire new construction: Front ......... S.~.o ..... Rear .....~.~.,.~,,~ ........ Depth ,~'.~_,.~:~ ....... Height ............................ Number of Stories ............................ 9. Size of lot: Front ....... .~....~:...~. ........ Rear ............................ Depth ............................ 10. Zone or use district in which premises are situated ...... ,(~ ....... ~ ...........~ ..................................................... fl. Does proposed constructio~ violate,any zoning Iow, ordinance or regulation? ......... ~../?. .................................. Name of Owner of premises...~.~..~%.'~..~ ........... Address .~./~.~~ .............. Phone NO ..................... 12. Name of Architect................................................ ,.~ Address "~"~'~6 ........... Phone NO ..................... Name of ControctorC~,'..~..(~.~..~..~.~..q~,~.~ ............... Address ......... ~,~.¢,r..~.::~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 NEW ................................................................................................ being duly sworn, deposes ~n8 s~ys t~t he is the ~ppllc~nt (N~me of individual signing ~pplicetion) above named. He is the ............................... ~..t-~.z~,. .............................................................................. (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 ail 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 EL01S[ BOWDE~ N0ta~ Public, State 0l New York Resmdin~ in S~[folk Coua[y C0mm~ss 0~ Expires ~4arch 30, 19 (Singature of applicant) FOEI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ×om'ned ........................................ ,' I, ........ Approved ........................................ 19 ........ Permit N ......... (Building Inspector) APPLICATION FOP, BUILDING PERMIT Date ................ ...~...~...~. - .~..........~...2 ........ 1 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. PEat peon 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 ~)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, Suffofl¢ 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 o{~ applicant, or nome, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, er3gineer, general contractor, e]ectrican, plumber or builder. If applicont is a corporate~ signoture of duly outhorized officer. (Name and title o~ corporate officer) 1, Location of land on which propose~work will be doF~e. Map No..~.'~ .................... BIock ....... .~..q': ...................... Street and Number ....~.~/...~.......~ ...... /~.....'..~...,~ ......... ~~.~ ........ 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 ap,plicab[e): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition. ................... Other Work (Describe)....~ ~~c~ 4. Estimated Cost ............................................................ Fee (to be I~id'~ ................... 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 ............................ Rear ............................ Depth ............................ 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 ........ ..~..i~..~.. Rear -~ .... Depth Height ............................ Number of Stories ............................ 9. Size of lot: Front '~ ~ ~'~ ~/' Rear '~' ~ ~ Depth ~ 10. Zone or use district in which premises are s tuated ~; ............................................................ 11. Does proposed constructio~ violate ~,ny zoning law, ordinance or regulation? ......... ..~.....~. .................................. Name of Owner of premises..~..~ ........... Address ~: ............. Phone NO ..................... 12. Nome of Architect .................................................... ~-x_ ~, m"~ Address .......................................... Phone NO ..................... Name of Contractor.(~.l~¢--~'.~:~i 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 iot. STATF OF NEW YO~ ........... · ~,,.,I,~,.,,,~.,,~, ................................... ~m~ duly sworn, deposes and says t~at he b ~he applicant (Nomo o~ individual si~nin~ application) above named He s the (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 flied therewith. Sworn to before me this ...... ................. ...~,..Z,..,.) ........ day of Notary Pub I lc,..C~.~¢~;~.~......' ....... County EL018E ~0[.~ poblic, Stste of New Residing m Suffolk Co~nt~ ~o. 52-036180~ Co~iss,on Expires ~arch ~0, (Singature of applicant)