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HomeMy WebLinkAbout448-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at...N/~....£ou~;/:,h..~:~, ..................................... Stree~t Map No, f}*~[.,~t,]~i].].. Block No ......................... Lot No..60..f~.6;[~..,.Z~.ture.~,~ ...... ~.~e ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................... .~..~P.~.~.~.e??..~.3., 19..~.~..., pursuant to which Building Permit No....~..~41~. .............. dated ................................ ~.e~p.¢.e~¥.e~..2,~3 1 9..5~.., 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~&V~ t~. ~e..fe, m f, ~..~ e 1.1.i~g ........................................................................ This certificate is issued to ..~.P~,~.],...~hC~i~k .................. (..~.) ...................................................... (owner, lessee or tenant) of the aforesaid building. ........ ...... ...... ......... [ ~'~ BuDding inspector [ VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 10, Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 1197l 1989 EDSON & BRUER MAIN ROAD SOUTHOLD, N.Y. 11971 Re: PAUL SABOICK Dear Carol: I am returning your check ~705 which you sent to us for an updated C.O. If you still want an update please re-apply. Thank you. Yours truly, Secretary 8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLDr, N. Y. Approved ........................................ 19 ........ Permit No ............................... Application No. b/..~/i.~ ......... Disapproved a/~. ................................................................................. ~~~__. (Building Inspector)[ 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 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 issuanoe of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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. ......... ......... State wheth,er applicant is owner, lessee, a~~er, general contractor, electrician, plumber or builder. ,/<, vL ^O LC. ' ... Name of owner of premises ......... '.(~.. ................................ .~. ................................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) h.c ro osed w.llbedone Ma No C '/, ~'~-~,~',~) LotNo 1. Location of land on w ' h p p w,p~ ' . P : ....:.:: .................................... : .................... Street and Number .....~...~...'~...~...~.~.~..~:~.....'r~...:~..~.. ............................................................................ : ........................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy 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.....~..~ ......................................... 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 ......... ..~:.....~Z'.. ......... 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 ........ ./..~ .............. Depth ..~...'~... ................ Height ............................ Number of Stories ....~ .......... 9. Size of lot: Front ..... ..~...~. ............. Rear ...... ~...~.. ............ Depth ...~...'~...~ ............. 10. Date of Purchase ............. ~....~...~.....q~... ...................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................. /~. ......... !~ .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... ............................................ Phone NO. 13. Name of Owner of premises ........................................ Address .................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... 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 NE~YOP~.~, j~/~ ) S S ~ ~ be ng du sworn, deposes and soys that he s the app cant (Name of individual signing application'~ 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 in this application are true to the best of his knowledge and belief; and that the work wi I be performed n the manner se~ fo~L~ jnnthe application ~there~h. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined ...... ~...../...~....... 19....~..~ r /~ ri · ~L//-/~-- App oved ........................................ 19.......Permit No ............................... ...... ........... (Building Inspector) Application No. )-/L~ ~ APPLICATION FOR 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 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 a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanc.e 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. (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises....{...:.~..:..~?:. .......... :...:L..,::.::... ~..2~:t'.: .............................................................................. If applicant is a corporate, signature o{ duly authorized officer. (Name and title of corporate officer) 1. Locat on of and on whi, ch pr?posed o_rk be done. Map No: .~'~;.;.!.L....!..:~::::;.~.'!!.~.:.~'~.!~..../~ · t ~l ~.~q Lot No: .~(~!.!(/...~/..... Street and Number ... ~..:.;.'..:~ : "" ........ ':.,i'}'f:':::;....,. :;;.i(J'::, ............................... '. ........ : : .......................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and '~ occupancy ..................................................... ~ ............................................................................... b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition ........ ~....Alteratton ....~i ...... Repair ............. ~¢;,._..Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ............................................................ 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 ........... ..~..L....'~.. ...... Rear .......... :7....~.." .......... 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 ............................ Depth ..~.~ ................. Height ............................ Number of Stories 9. Size of lot: Front ..... ~. ............. Rear ...... .~.:Z~ ............ Depth ...~..~./~ ............. 10. Date of Purchase .............. Z.~..~...~ ...................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are stuatea .................. r ................... ; .......................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 13. Name of Owner of premises ........................................ Address ............................................ Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly aH buildings, whether existing or proposed, and ~ndicate ali set-back dimensions from property lines. Gi~e street and block numbers or description according to deed, and show street names and indicate whether Jnter~or or corner lot. STATE OF NEW~.~OP.~..-.O .~ ) S S .................................................................. ~.>, ................. Being duly sworn, deposes and soys that he is the applicant (Nome of individual signing application)/%-,? 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 app cation; that all statements contalned~B~,t~pplication are true to the best aegis knowledge and belief; and that the work will be performed in the man~:~h_. ~-~,i~the application ~-there~h. Swo~ to b~f~e me this ~. z --' ' ~.~f,~?:??~/ . .. ~ ' ,~ ~,~ ~--~ ~. ~ -~ , Notary P,bii ,