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HomeMy WebLinkAbout410-zFOE~I NO. 4 TOWN OF SOUTNOLD BU~,DING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. CERTIFICATE OF OCCUPANCY 2rune 7 19 60 No. Z 606 Date ........................................................ , THIS CERTIFIES that the buildin,g located at Map Nc~..a.Y...,'.ZJ..a..~?.-...~..a:'tl~rock No. *** Lot No. 8~1~ .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. ~.~..cj.~.~...~..:~ .................... , 19...5...~.., pursuant to which Building Permit No..~,.~;~g. ............. dated ...................... ,~...~.~z.~..~...~:.4~ .......... 19...5..~..., wa,s issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ PRIVAT~ O~T~ FAUltILY D~LLIN~ This certificate is issued to .....~...~.~,.~,,e...~.,z',..o.~.,~..;i.,..~.!.c.,.....o..w.p~. ........................................................... (owne, r, lessee or tenant) of the aforesaid building. Building Inspector FOP~M NO. 2 TOWN OF 5OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 410' Z Dote ..................... .A.~ .~. :?.~...., ~.~.. ............. 19.,~..~.... Permission is hereby granted to: Oeo, t~ ii leo~.... A/C..... t, lar.~,e...:Br.o~l.ertak ...................... ......... ?d~......Ro~¢l ................................................. ................. ~,~,~ t. . .t,~a~.;~ o~ ~ . . . . . .N , ;'~ ,, .................... to ............ B~.~ ~:l~... an .. ,.~d~ % .t,i e.~ ·. on...~,n...e~i.~ ~..l. ng. -.d ~e.l.~..].-~g .............................................. at premises located of ..B.~..,[~ft~..~,,.~&;~......~;...]:~a~.~rL~......~,~ .......................................... pursuant to application doted .............................. ..A~!g..~.~..t¢...~ ............ 19.~'.~...., ond approved by the Building Inspector Fee $ ,~.e .0.~ .............. Building Inspector FO~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ..................... '.t..~ ...... ~.! ...... 19 ........ Permit No. ~/'~' ~ , .......... ............................... ........................ ................ (Building Inspector) ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This applicotlon must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. P[ot 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 appUcotion, the Building Inspector will issue a Building Permit to the oppficant. 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 hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuonoe 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 Regubtions, for the construction of buildings, additions or a Iterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ....... ........................... (Signature of applicant, or nome, it a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, p{umber or builder. Name of owner of premises' ........ ~,~,~ ............. ~,:s~.~ ~ ............................................................ If applicant is o corporate, signature of duly authorized officer. 1. Location of land on which proposed work will b.e done. Map No: ............................................Lot No: .~.~'. ......... Street and Number ..... ,':....~.~.......~ ........................ ~.....~ .............................. ~ ........................ ~T..: ...... ~/' ' Municipality 2. State existing use and occupancy of premises~nd intended use and occupancy of proposed construction: a. Ex st~ng use and occupancy ....................... ~: ................................ ~: .................................................................... b. intended use and occupancy ................................................................................................................................ ....... uppucobJe): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition ....................Other Work (Describe) .................... 4. Estimated Cost ....... :2..~..0...,~,~ ................................ Fee ..,,,~,~.,.?...'~.., .......................................................................... (to be paid on filing this application) 5. tf dwelling, number of dwelling units ........... ~ ....... Number of dwelling units on each floor ............................ If 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 ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Direensions of entire new constructitn: Front ............. ~ ....... Rear ........ ~ ............. Depth ..... J.J. .................. Height ............................ Number of Stories ...,.~,,,,~ ........ 9. Size of lot: Front ....... ..~.....~- ........... Rear ...... :~...(~. .............. Depth ,, , J ,~ z;~ (~ "a of Former O nar . , 10. Date of t-urcnase ............ z....r....~. ............................... ~'~ me w ...................................................... 11. Zone or use distr ct in which prem sas are s tuoted ............ ~....~...¢...~'~,,....~..'~...,~ ....................................... ]2, Does proposed construction violate any zoning law, ordinance or regulation,;) .................................................... 13. Name of Owner of premises.../..2,;,~...~,.~v~....~.~"cadress ...... ....... .~,.,.¢.:.::7 .......... Phone NO ..................... Name of Architect ........................................................ ~ ~,~. Address ...... '~'"~'/,~-i .................................... 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 NE~ YO~K,I),~, ) S S COUNTY OF .~.£--~..':.'.'{.%~...,)~"..-- ' { ,~ ~ r ,ben du sWOrn de oses and sas that he s the a cant ................ ~.C~ ....... ~ .............. ~ ............. · g Y , P Y ' pp. (Name of in~Jividual signing application~ above named. He is the ....................................... ~;;;Tzzr.z.~, ................................................. (Contractor, agent corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sa d work and to make and file this application; that all statements contained i~ this application are true to the best of his knowledge and belief; and that the work wiJJ be performed in the ma~s~h in the application filed therewith. Sworn to before me this ..... .... , ' ..... Not w .................. ,., TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. . ..... Approved ........................................ 1<9 ........ Permit No. Application No ..... ~..~.~....~.....!... APPLICATION FOR BUILDING PERMIT ................... ...... INSTRUCTIONS a. This application must be complefely 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 promises, 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 coYered 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 p art 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 ail applicable laws, ordinances and regulations. (Signature of applicant, or name, it a corporation) (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises.....Z.. .~ff.~.t~.. ........ :..~ :~,¢'¢~. ~.~.~,~e..~ .......................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) /.~o,.~7 ,,~.j ........ ,~ 1. Location of land on wh~h proposed work will b~e done. Map No: ....................... ~'~.~...~.~.....~.. Lot No: .~.......*~.'~ .......... ,,ree, ana ,~um,,r .....,',.....~ ..................................... ~"~i~'[~' .................................. , .............. ~ .................... 2. State existing use and occupancy of p~emise¥.~nd intended use and occupancy of proposed construction: a. Existing use and occupancy ....................... ~..~....'~.'.'M;' ................ ~ .................................................................... b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition....................J Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4, Estimated Cost ....... .~..~.'.O.....'ff'~ ................................. Fee ...~..~-~?.. .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........... I~.~Z..~ ....... Number of dwelling units on each floor....; ...................... If 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 .~..O. ..................... Height ............................ Number of Stories C~'~'~'-~ 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 ....... ..~7....f). ........... Rear ...... 2..~. .............. Depth .~..g.,~.~. ........... 10. Date of Purchase ............/...~.....2........~.. ..................... Nome of Former Owner ........................................................ 11. Zone or use district in which premises are situated ............ ~.T~.....~..~.~.....~.zE.~:;~...~;;..~.. ....................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 13. Name of Owner of prem,ses...~ ......... .~...~O...,~:~m,...fA'ddress ...... ~.~./....,~.:.~.~..: ...... Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ................... Name of Contractor...'~'t~..,~r.'~.~';=.~n4'~;'~"/'"' I ~J O, ~, .................. Address ..,:z:.~l.::.'....~...:.....':::...:.~.~.:.....rnone 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. ..... I I aa STATE OF NEW_YO,q,K,j)? ) S S COUNTY OF ..~....cf~[-.,..f.Q~....) ' (Name of individual signing app~licatiication) above named. He'.s the ........................................ ~~.~~~ -' ~~ ...................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners and is duly authorize~ to perform or have performed the said work and to mgke and file this application; that all statements contained~plicotion are true to the best of his knowledge and belief; and that the work will be performed in the~,an~~]n the application filed therewith. Sworn to before me this ~ ~i~ ~? ~;~ tl ~ , ~. ~ ...... ~,~..~.. day of ,,~] ,,.../. ~..? ~ ....... ~ ~... 't~f.~;;~,~'