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HomeMy WebLinkAbout442-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...(~.a~..&..~t~,~t, ........................ Street Map No.~..~.~..~.....~.~...~..~ ...... Block No ..................................... , Lot No. ?.C).~..]~[~L'I~±~I~O~....~ conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................... ~.~.~.e~.~ez'...~L~.19...~., pursuant to which Building Permit No ~...~ ............... , dated .................. ~.~.t~e~e~......].~. ......19..~_, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ............ ........................................... P. Rr~rATE.. DI~/E.LLt.I~ ............................................................................... This certificate is issued to ,..,~.~,,'~t,,e~...,(]oD.d~,,...(,..o.,~t~.ez',) ............................................................ (owner, lessee or tenant) of the aforesaid building. Building inspectqr TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S O~:F~CE SOUT.OLD , N. Approved ........................................ 19 ........ Permit No. Disapproved a/c ................ .~ ............ :,., ............. ~. .............................................. (Building Inspector) Application No ....... ..~.~.....~. ........... APPLICATION FOR BUILDING PERMIT Date ........... .,~ .~...../...~ ...................... 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 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 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 pui'pose 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 a Iterations, or for removal or demolition, as herein described· The applicant agrees to comply with all applicable laws, ordinances and regulations. ......... ~gi~'~;g'~'~ii~'~'~t, or name, if a corporation) ...... ...... (Address df o~licont) ~ State whether applicant is owner, lessees, agent,~ architect, engineer, general contractor, electrician, plumber or buqlder. ......................................................... . ............................................................... :. .......................... _ Name of owner of premises ...... ~Z~'~ ....... ~~ ...................................................... ' ............................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ]. Location of land on which propose~work y~ill be done. Map No: . ........... L. ot No: ..... ,...,.... ....... x'/ · Street and Number ...C~' ~ ...... ~". '..~....~:...~ .......... ~ C ~;',~'..:. ................. Municipality 2. State existing use and occupancy of p~emlses a~d intended use and occupancy,of proposed construction: "' ' e n u anc a. ~xstngus a aocc p y ..................................................................................................................................... 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.....Z ..................................................... Fee ~ ..................................................................................... (to be paid on filing this application) 5. If 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. Dimensions of entire new construction: Front ............. /..../~.. ....... Rear ........ ¢/....O. ............. Depth ......'~... .................. Height ............................ Number of Stories ....~ ....... 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ............ ~ ..........~ ......................................... 12. Does proposed construction violate/./.~ J)_' L¥.,~,anY zoning ,law,~ ordinance or regulation? ......... ne~"~ ............................ 13. Name of Owner of premises...,,~Y..~.~..~,¥ ....... Address ............................................ Pho NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor....,.~....¢~..'~....O...'~. ................... 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. STATE OF NEV~Y(~I~K,. ~ J/, ) S S . .............................. .................. being ,worn, (Name of individual signing~t~ above named. He is the ........................ ~..~.~ .............................................................................................. (Contr~cfor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized,lo perform or have performed the said work and to make and file contained ~ ~ ~cat~on are true to the best of h~s knowled e and behef this application; that all statements ' ' ~' ' ~, '. g ' ; and that the work will be performed in the ~,anne~/~,}~jp, the application Ti~ed therewith. rn to before me this ..... ,(;,,/,~ i,~/e ~t~ Swo ' ' , ~ , ,~?;,~- .......... ~.~ ...... day of .......~ .... 19.~.~¥~(~oou, t~ o~3 (S~g~ture of appl~ant) TOWN OF SOUTHOLD BUILDING DEPARTMENT Town CLERk'S OmC~ SOUT,O'D~, N. ~. ,~ ~../~.Z.~z. Approved ........................................ 19...~....Permit No. D~sapproved a/~ ........ .~:~ ......... ~ .................................................... ; ....... ....................... ........ ........... ......... Application No ..... .~.~....~./..? ..... APPLICATION FOR BUILDING PERMIT Dote ....... ...... ./.....0.. ................... INSTRUCTIONS o. 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 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 part for any purpose whatever until o 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 a Iterations, or for removal or demolition, os herein described. The applicant agrees to comply with oil applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) ......... ~..~..~.~..&~g. ....... ~..52..Z~..~55 .......... (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. / If applicant is a corporate, signature of du~y authorized officer. (Name and title of corporate officer) .~... ""~' ,--~,.~. ?/--..,,~-C ~.~./..~'ottl/~,~ ~, 1. Location of [and on which proposed work will be done. Map No: ... ..... ......... No: '-'""r'7)' ............ Street and Number ....................................................................................... Municipality 2. State existing use and occupancy of premises~and intended use and occupancy of proposed construction: a. mxisting use aha occupa y .................................................... k .......................................................... b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair ............. ,.~,...Removol .................... Demolition ................ ._..,Other Work (Describe) .................... 4. Estimated Cost.....Z.~ ........................................... Fee ....~'... ................................................................................... (to be paid on filing this application) 5. If 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. Dimensions oF entire new construction: Front ......... ~ ........... Rear ............ Z...O... ........ Depth ,..~..,~, ............ Height ............................ Number of Stories ~ 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. ,Zone or use district in which premises are situated ............. .../~......~ ...................................................... 12. Does proposed construction violate gny zoning law, ordinance or regulation? .................................................... 13. Name of Owner of premises ......................................./~0 t~o~ Address ............................................ Phone NO ..................... Name of Architect ............................................. t .......... Address ............................................ Phone NO ..................... Nome of Contractor ......................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly end 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.-¥O.~K,~.~ ) S S couz,, v OF ' " ~ , be n du sworn, deposes and says that he s the apphcant (Name of individual signin~ ~rl~plication)~ __ above named. He is 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 irn~.~hj~,;g~l~plication are true to the best of his knowledge and belief; and that the work will be performed Jn the ,mann~r'~'e,t~ f~t~,in the application filed therewith. ......... ....... ....... i.i..' ·