The URL can be used to link to this page

Home My WebLink About474-zFOI~IV/ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. CERTIFICATE OF OCCUPANCY No ...... ..Z...~..~... ...... Date ........... Oe.l~ohez'.....1.~ .................... 19.58... THIS CERTIFIES that the building located at ........ .W/~...pec~o~..~.(~...g~y...~.'l~d ......... Street Map No...~]()~]( ........................ Block No ......,~'(]~( ..................... , Lot No...~..~.e[.~...N.,.~~., ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................... .O...O.~.O...~..e...~...~ ....... 19.~...8..., pursuant to which Building Permit No ....~,..gh~)~ ............ , dated .......................... .0D.go]~eZ'...~ ........ 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~ I .VAT~...DY1 F,L LI ~ ......................................................................... This certificate is issued to ...~ank..~,an£~e~Ld ..~. ....... (....o~c~e~..) ............................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector \ FORM NO. ~ TOWN OF SOUTHOLD '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.o 174, Z Date ................. OC t,~l~Z"'"3 ................. 19~ .... Permission is hereby granted to: ................ p~t ~t. tuele i......N.~.y.~ .......................... to ... '¢~"~:ii~'t;" J:Ji'"~'~L'J T,'~ti~" ~"~l];a'£ttjj'"t~" '~l~l:].'~:t~j ........................................................ at premises located at ........JJ/~J~.....J~eo~ll~o..-J~ll~'...J~'IrJJ .................................................................. ................................................. Z~a~'~ll'~' ....... ~f;'tI;' .............................................................................. pursuant to application dated ...................... .Ol~T,O~lZr...~,~ .................. ~9~8..., and approved by the Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPART/v~ENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined ............. .(.'~....~ ....... 19...~..~ Approved ........................................ 19 ........ Permit No .......... Disapproved a/c ....... Application No ......../.../....7.. ......... ............ ............... (Building Inspector) ~ 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. Prat 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 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 o Building Permit to the applicant. Such permit shall be k, ept 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 YoFk, 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 oil applicable laws, ordinances and regulations. .................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises.. · ............................................................ If applicant is a corporate, signature of duly authorized ~fficer. (Name and title of corporate officer) Location of land on which proposed work will be done. Mop No ..~ ...................... >,l......r-;.).... Lot No: ....... . ............. Street and Number. ~...~,~..~....~...~~ ............ C,,/ Municipality J b; Intended use and occupan~f...~::-~~.~i...~.......~ ~- 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair ............. ..~..Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~,~,~.....~....~......C~.. .................................. Fee ..,~,.. .................................................................................... (to be paid on filing this application) 5. If dwelling, numberofdwellingunits ....... ~....Numberof dwelling units on each fl oo~~ if garage, number of cars ~. ........... ~ .............. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...T~: .......... 7. Dimensions of e~xis~Jng structures, if any: Front...~.'.....7.~.. ............ Rear/...¢~...': .................. Depth ./..¢~...T: .................. Height ,..'.~...~' Y~7~ ........... Number of Stories .~ ...... ~'~ ........................ 7'"'w,~ .......................... '. ...... ~,,"'"';;, .......... D~mens~ons~ same structure w~th alterations or addmons. Front .z...~... ...................... Rear ................................ Depth ..~c.....~..::..~ ......... Height .q~...~..-.. .............. Number of Stories .~ ........... , , , [ ...../;¢¢' ~ r/d;- ~ t 8. D~mens~ons of,,e~t~re new constructlun: Front.~.~r.... ................... Rea ............................ Dep h ............................ Height ..~...~.]~... ............. Number ~o~qtories ~....~. ,0. Date of Purchase ....................... ......................... Name of Farmer Owner 11. Zone or use district in which premises are situated ................................................................. ~' ............................. 12. Does proposed construction vi, olate an~ ~ ~/~/~/.z°ning I~a'~,/Zordinance]~ ~/~'°~ regulation?,~..r..~.;~.'7~7~.. 13. Name of Owner of premises.~.~'~.~dress .~..~ ............ Phone NO Name of Architect .................................. /.~..2.....Z...,Address ........................ ,~ ........ ~ ......... Phone NO ..................... Name of Contracto ..~.,.~,~ddress~.~ .......... Phone NO.~.:~....~...~...~....ff. ~ 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 Y01~K,,/J_ ) S S. COUNTY OF,~~ ....... ) .... .'.~.....~..~ .~..~....~.~.~...~.~ ............................... being duly sworn, deposes and says that he is the applicant (Name' of individual sig?ing 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 will be performed in the manner ~t f~F~;h~,Jn the application filed therewith. Sworn to before me this r~'~;? ~,,,,,?~' . ~.~.~ ,~ ~,; . c~ ~ ~ .... . ,.~,~ . . .......... ~ ......... day of ......................................... 19,....,. Survey for FRANK BANFIELD & FRANK BANFIELD Lourel Town of Southold Suff. Co., N.Y Sco leal'L-50' Nov 26,1957 JULY 10,1958 Sr. Jr. 0 0 GUARANTEED T~