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HomeMy WebLinkAbout483-zTOWI~ Olin ~OUT~OLD CER~.'~FICATI~ OF OCCUPANCY No. Z~.O~ ............ Date ........................ THIS CERTIFIES that the building located a~: '~-'~..~.~OB.~.O~ ........... Street Map ~O.~..~.~g~No ......... ~ ........ ~6t lXlo. ~ ......... ~.O~gO~.~.....~a.~ .............. conforms substantially to the Application for Bu~ldin~ Permit heretofore filed in this office dated .................... ~o~mB~.....~., 1~0... pursu~ant., to which Building Permit No..~B ......... dated ............. Novem~r.....~ 19~0", ' ~ ....... , wa~ 3ss~ec, and conforms to all of the re~uire- merits of the applicable provisions of the law. T.~.e occupancy for which this certificate is issued is ......... p~.~- o~e...f.~mS.~7..d~5~g.~ ....................................................................... This certificate is issued to ............ 0~[t-'~'~gh5 .................... 0~O~- ................................... ~ (owner, lessee or tenant) of the aforesaid building. FOR.B~[ NO. 2 TOWN OF ~OUTHOLD 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? 483, Z Date .............. ~o.v. ember......~. ................. lC.60 .... Permission is hereby granted to: Ode. ll..Smt.th ....................................................... ...... ~+¢¢...~e.s~-. S t, ............................................... ........... ~,:e e~pe.~: ¢,.~.... · .~,i, -% ,, ............................... to ... ~u.i. td...ne,~.. ~ ne.. ~.a m~. i~.- d.w cZ. l.i.~g ................................................................................... at premises located at .,,T~cgt;,.,#,,,~'7,r-.G~e~3~,4)~-%.-~'..:L~t'.i.~.--~;~.k. ............................................ ........................ ~/~c.....F.~.ln.%.. S.%.. F~.~en.t lenr'"' G~ee~pe~.~-.. ~ ,- ¢. ...................................... pursuant toacm~p~odn dated ................. ~¢o.v. er~be~......~. .................... ~9..~0., and approved by the Building Inspector Fee $ -~Oi'O0 .......... Building inspector Approved .................................... , ~TOWN OF SOUTHOLD BUILDING DEFA~,TMENT TOWN CLERK'S OFFICE SOUT.OLD, N. V. 19 ........ Cermet Na. ~ t.~ ~ Disapproved a/c ......... ~'"~'""":T ....... 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 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 ava,ilable 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, 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) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem~ses.....f)~l.~.l],..~,~ZJz, h ...................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No: .~z~.eez't.D.az:..t..D~.'v:.i~§..]~.t~l~io:.....%~ ........... Street and Number ..... .~..];..J-..~.~....~..~..F~.~..e..~..~..o..~. ..................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ~'~.ga.~:~:....~.ct.t ............................................................................................... b. Intended use and occupancy .............. DZ'.]'~.~.~e...~c~¢e:L~zL.~t~ ............................................................................. 3. Nature of work (check which applicable): New Building ....... ;y~r..7,~... Addition .................... AIteratlo~ .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... .Lk.~,~..O..0. ......................................... Fee ....... .3,...0..~..0..0. ....................................................................... (to be paid on filing this application) 5, If dwelling, number of dwelling units.....O.~,e. ............... 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 Qlterations or additions: Front ................................ Rear ................................ Depth ................................ Height ............................... Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... 32 ................. Rear ........... .32, ............ Depth ...~..~./...;~.~..-..~. ..... Height ............................ Number of Stories....etr~e, ..................... 9. Size of lot: Front ..~...0. ..................... Rear ............. ~.0.'. .......... Depth ...... .~.]r.~.. .............. 10. Date of Purchase ................. ~.c)..~. ............................. Name of Former Owner ................. ~.~..~...~......~..]...O..Z?~..~. .......... 11. Zone or use district in which premises are situated..?~.LL..Z'.eS ................................................................................... 12. Does proposed construction violate any zonFng law, ordinance or regulation? ....... ~O ............................................ 13. Name of Owner of premises....Qd~.~,~...~m~.t,!~ .......... Address .......................................... Phone NO ..................... Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor ...... ~,~.~.~'.~J~cl.~...~.o~.e.8 .......... Address .......... lL':.J,¥te,~.b,6.f~ .......... 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 come.ri lot. JUDITH T. BOKEN Sworn to before me this N'0t~ry Pubhc, State o! New York ('~). ~2.0344963, Suffolk County Notary Pub I ic ~(~ ..~ ,.~,-~Z~;~.. · Count y (S~gnature o app ~cant) STATE OF NEW YORK ) S.S. COUNTY OF ..~l~.£P.~'r,, ...... ) ................................. ..O.~.,e..~....~..~...~.~.~ ....................................... being duly sworn, deposes and says that he is the applicant (N~me of individual signing ~pplicotion) abow,, named. He is the ....... D.W~.I~ ...................................................................................................................................... (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 filed therewith. FORM NO. ! Examined ..........~...Z ....... , Approved .................................... , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Disapproved a/c ......... /..~~~.,~ ......... Application No .........;/,:/.. b~, .~,. ......... (Building Ins~ector) APPLICATION FOR BUILDING PERMIT Date .............. ............... , 1960... 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 o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department :~or 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. ...O~l.1..~m~.th. .................................................................. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................ .owne~, ......................................................................................................................................... Name of owner of premises....(~e,~,~[..~m.~;21% ...................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: GZ. eet~]pO~.~...Dz,~l.,v.~.tQg...~,~o:...~.. ........... Street and Number ....~l:t~t,..~;...~¢~t:[,gD, ..................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ........ V~e~l'l~"~'O'l; ................................................................................................ b. Intended use and occupancy ............. ~D'~V~¢~..~e,?t~.J:~ ............................................................................. 3. Nature of work (check which applicable): New Building ....... Z~,~31~.,. Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) 4, Estimated Cost ...... .~.~.Cl0. ......................................... Fee ..... '..;L0~,.00 ....................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelHng 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 ...... 32 .................Rear ...........3;~ ............Depth ...~,~/...~.~w.~[ ..... Height Number of Stories...O]~ ..................... 9. Size of lot: Front ..~.~. ..................... Rear ............~..0. ........... Depth ...... ~, .............. 10. Dote of Purchase ................. ~.~.;~. ............................. Nome of Former Owner ................. ~.~/~r,...~l,~,ll~;~.~ .......... 11. Zone or use district in which premises are situated.~,~.l.~...~! ................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... I~O ............................................ 13. Nome of Owner of premises...l~d~'l'[...~]~;~.~ .......... Address .......................................... Phone NO ..................... Name of Architect .................................................... Address .......................................... Phone NO ..................... Nome of Contractor ..... ,~,~.f~Z',~,~.~,~,,,~]~ .......... Address ......... ~.~.~'.~,8,t1 ........... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give streel and block numbers or description according to deed, and show street names and indicate whether interior or corns lot. STATE OF NEW YORK ) S.S. COUNTY OF ..~.~.0~; ....... ) ................................. .0.1~..~..~...~.]~.~ ....................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ....... ~.'~. ...................................................................................................................................... (Contractor, agent, corporate, officer, otc.) of said owner or owners, and is duly authorized to perform or ha~e performed the said work and to make end file this application; that oil statements contained in this application ore true to the best of his knowledge and belief; and that the work will be performed in the maQner set forth in the application flied therewith. Notary Public,c~Z,.',~",~...~:.~,,....~.'~.~vzt'~,~County (Signature of applicant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,OLD, N. Exam i ned .............. ~..~.....~........ 19.~...O~... Approved ........................................ 19 ........ Permit No...'~.......'...¥.. ............... Disapproved a/ c ...~..~.;/.. ~.Z~.....C~.....~. '..~.~. .~...¥~..:..~. ........ ~....rmm...~.~... Application No......~.,~..dC..-~. ............ ................ ~ ..... ;~, ... ,,... ................................................... (Budding 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. 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 o 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 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 w. ith al.l applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) ...... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises.~..~...~..-,~......~ .................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Z.Z ............ 1. Location of land on which proposed work wiJl be done. Map No: ................ .~....~....: ....... :'.(~....~Lot No: Street and Number ....r..~.~..~.../ ....... ~,..,. ............................................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and .... ~-,~ ..................................... ....................... ~ ................................................................ 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ro~t ~--000 ~ ~:,~,~ 10OO 4, Estimated ....... :~ ................................................................... .....,'.' .......................................................................... (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 some 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 .........~'.....O... ........... Rear ~-' O Depth / / 10. Date of Purchase ............/.,...?...~.......~.. ....... iiiiiiiiiiiiiiii~l'~'~'~"Lf 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... ~ ................................. 13. Name of Owner of premises..~.~..~...Address ...~..~...~....C~........~.........~....~.......'J~one NO ..................... Name of Architect .................................. ~ ~ ~) ............... Address ............................................ o~ ~ , . Phone NO ..................... Name of Contractor..~¥.-rg.~..~.:~ ......... 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 tot. STATE OF NEW~,,YC~,~ If ) S S ' ............................... ~ ..k~. -~ ....................................... being duly sworn, deposes ,and says that he is the applicant above nam( eNc~mHee ~J ti~ed.i.~.i.?..u.~.l..i;~.~;,~..~.l.~..'. ....................................................................................... (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 aH statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannerist f~ in the application filed therewith. Sworn to before me this , . ~.~l~e~~ ....................... ~. , ....... ~ "~ ~,~' -'u~87800 v ~ /~.~ ~ ~ ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT.OLO, N. ¥. E×omined ........... ........ .... Approved ........................................ ]9 ........ Permit N~..~.'.¢..?.:.:~ .............. Disapproved a/c ~.~LM./.~?~.~!~,~.~;~`/~:~:?~.~.`~?~Z.%~!/ .......... ............. " ....... ............... T ................ Application No ............................. APPLICATION FOR BUILDING PERMIT Dote ............................................................ 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 o 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 issuanoe 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) (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premlses.%u...>., ........................... '~ ........................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) L...........,.., ? J~ 1. Location of land on which,proposed Street and Number c, -~'r -.' ;" Municipali~ 2. State existing use and occupancy of premises and intended use and occypancy of proposed construction: a. Ex~stmg 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....~v.W..C.?,..W.....-.'?.. .................................. 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 Depth Height ............................ Number of Stories ..... .(.~...~'.~..:~'~'...'~.. .... · . ~ c~ ~ ~ .J / ~ 9. S~ze of lot. Front ............................ Rear ............................ Depth ............................. 10. Date of Purchase ........................................................ Name of Former Owner ................................ .~....:.r ........ 11. Zone or use d~strlct ,n which premises are situated ............................... :..;..,. ............... .- ......................................... 12. Does proposed construction violate ¢my ~:oning ~w, ordinance or regulation? ........... Of.. .................................... 13. Name of Owner of premises. XJ;,f:,]'~:'/i;c.:~.?.~;.~...~'~":?.~.2...Address ...Z2...~...k?..Z~..~.:......~...:...~Ene NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... ~ .~. Address Name of Contractor...-.¢O:;~' ~-cr...~r';~'.':v.;.....j..-¢.,n.~:..~ ......... ...~;.~.~.~.~,.~,.....,:......~~0, L ~ ........... 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. STA E OF NEV~YqR~,-i ) S S ..................................... ~...~. ..................... ,, .............................. being ouly sworn, deposes oho soys ~noT ne Is T~e oppHcont (Name of ind~idu~l signing appli~ion) (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work ~nd to make and file this application; that all statements contained in this ap~[.cation are true to the best of his knowledge and belief; and that the work will be performed in the manner~f~i~ application filed therewith.