Loading...
HomeMy WebLinkAbout540-zFOI~M ~0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOI. D, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at...,}i/.S..]B~.o~l~..8f, ........................................ Stree,t Map No...ql~.~..P.~'.~..~.~f. Block No ....... ~ ............ Lot No....22t ......... .(~ettpO=::b,....~/,~'~ ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ ~}t~I~.~'..../~ ..................... 19.~.~...., pursuant to which Building Permit No...~..~./~.0. ................ dated ...................... ~.~,~.9..m..~.~.z'.....~. .......... , 19..5..8...., was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .............. .............. ............................................................... i ............................ This certificate is issued to ..~.....~....0.~.~.~..~.o.~.(1. .................. .(.o.~). ............................................ (owner, lessee or tenant) of the aforesaid building. FOR~ 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) Permission is hereby granted to: ........ e.,u ....... ~....~. .................... ,o ..... ........................................ ............................... ,~~ ...... ~-- --~ ......... .~.-..y.....,.~ ....... pursuant to application dated ........ :....~-,IL~?,,~.. ........... ~ ............... 19....,~..d~', and approved by the Building Inspector Fee $..~..~...~:... WILLIAM H. PRICE, JR. ATTORNEY ATLAW PO BOX 2065 GREENPORT, NEW YORK 11944 TELEPHONE NUMBER: (631) 477-I016 FAX: (631)477-0130 June 30,2000 Building Department Town of Southold Main Road Southold, NY 11971 RE: PREMISES AT 706 BROWN STREET, GREENPORT, NY SCTM #1000-048-03-022 Gentlemen: Enclosed herewith please find: 1. Application for updated Certificate of Occupancy 2. Consent to Inspect 3. Copy of Survey 4. My check in the amount of $50.00 If you have any questions, please do not hesitate to contact me. Very truly yours, William H. Price, Jr. WHP/kk enclosures Office Location: 828 Front Street, Greenport, NewYork 11944 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exammed' ........ .~.~'~' .......................... ~' 19..~..~... . o Approved ........................................ ]9 ........ Perm t No ............................... Disapproved a/c ............... ~ ...................................... ~ ................................ ............... ....................................... (Buildin~ Insp~tor) APPLICATION FOR BUILDING PERMIT Application No ..... .,?....../....~ .......... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su~omitted 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 cowered 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 So~rthold, Suffolk County, New York, and other appllcable 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 applic.able laws, ordinances and regulations. ...................... (Sighature of applicant, or narr,~e, ifa corporation) (Address of app~licant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 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. Ma)) N~o:~..~..~.~ ............................... Lot No: ~,.~ .......... Street and Number ~../....¢f.~,.':~/.....~'.T.~. ............ :~.....~....~.~.~.~ ........................... ................... Municipality 2. State existing use and occupancy of premises and intended use ana occupancy of proposed construction: a. Existing use and occupancy..~)~ - ....... ~./t;Z...~..~....~.... ................................................................... 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..~.c..~,..~....~..~.*..O..~. ........................... 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 ..?Z.....~. ................... Height ............................ Number of Stories ..... C~ ..... 9. Size of lot: Front,,~i~..'..~earrn.,_ / z ____ ............ '"~"'~ ......... Depth ...... /...~'..ZT...'&..~.. 10. Date of Purchase ..~~.~..~...~'~,~ ........... Name of Former Owner ..C2~......~-¢~...~.~.......~ ........... ,,. Zone or use d,str,ct ,n w ,ch prem,ses ........... 12. Does proposed construction violate any zoning Iow, ordinance or ~egulation~ ./..Z..~..: ......................................... 13. Name of Owner of premis~.~./~.~..~ddress .l~..~./......~.~...~..~....Phone NO.~...~.....,~...~..~.ff.~ Name of Architect. P'~c&...0..t.~.~.,.~..~..Address .~...t...~k~hone Name of Contractor.~4~.~.(3_,~zl~.~. .......... Address~.~.~4~.~..Phone 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, end show street names and indicate whether interior or corner lot. STATE OF NEWc~(ORK,~ a J, ) S S .................................................................................. being duly sworn, deposes .and says that he ~s the opplicant (Nome of individual signln~application) above named. He is the ............................... ~:; ..................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, an~l is duly authorized to perform or have performed the said work and to make and file this applicotion; 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 m.anne~.set ~j~ Jt~ the application filed therewith. Sworn to before me this ~.. doy of ....~.~....,J~v~2~i~3[~~fl~o~ (Signature of applicant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. Exa mined ....... ~.~. .............. .,,.~.: .......... 19r~:: Approved .............. ~..,: ........... ~: ......... 19 ........ Permit No. '.~..~?.¢ff..~ .......... Disapproved a/c .............................................................................................. ........................... ......... · . Application No...~:~..~/~.?~. ............ ['~]' i~;i~t i~ i h'g '1'~ ~plc t o r) 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 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 oil applicable laws, ordinances and regulations. .................... (Signature of applicant, or name, if arcorporation) .. (Address of apl~ticant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premise~.,..~..'..~(~.~ '~......'~..'...~....~¢~.~..~...'~.~-~¢~ ........................................................................... If applicant is a corporate, signature of duly authorized officer. .............................................................. (Name and title of corporgte officer) 1. Location of land on which proposed work will be done. Mop No: ----.~.~...~...~.. ...... ./ ....................... Lot No:/,~.~..~.. ............. Street and Number ...~~..~ ......... ...~.'.~,.'Z~.,..~.'...?..~..¥.'*.~-~....~.¢.¢...~¢..¢~..'~ ......................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... ~ ............. ~.~....c......~,~?....~... ....................................................... b. Intended use and occuponcy.......~..-r~F....:...c~¢~.~.~..~,~:%._. .......................................................................................... 3. Nature of work (check which applicable): New Building.~ ............ Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost......~.~:.~...~....O....~. ............................. Fee ....................... /....~.!...O...~. .................................................... (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 ....................... ~...'.L ....................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front..j.....~..£~ ...... Rear...~ ......... Depth'..~..~..f.*....'~f:¢~. .......... 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 .............. .~;......O. ..... Depth ..L./..'.~...k...'¥. .......... 10. Date of Purchase ..~(~.....'.en'~.f'~'~../.~.."~.'.'].'~..~....Na[ne of Former Owner ~....~ .......... 11. Zone or use district in which premises are situated....~.~';(-~.~...~.....~..~......~..~.~.~...~.~.,~¥ 12. Does proposed construction violate any zoning law, ordinance ~r regulation? ~....~) -- rff ................... 13. ' ~ * ' Name of Owner of premise~....~ddress .,~..~./,~.~...~,.:~hone NO.~.'.'./..~/.,~' Name of Architect.~.¥~ ...... Address ~~l~hone NO./~4~...~.::.,~,~.~S r . ' ¢,~ ,;~?/ ~ Name of Contractor£-~,~-~~ ...... Address'~)~.~.~.Pf~one NO~.-~..~;~.:.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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-Y~J~,,P~ ~ ) S S (Name of individual signin;--~op~mlcotion) above nome& He is the .......................................... ~.~ ............................................................................................ (Contractor, ~gent, corporate officer~ etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work ~nd to make and file this application; that a)l statements contained in th~_opplicotion are true to the best of his knowledge and belief; and that the work will be performed in the m.a~ ~o~ the application filed therewith. Sworn to before me this A ,,s~m~g~ s, ..... ~e~ y~ . ~ '~'~;~ Cou.ty . . >~.~ of ..... ~~ ~m~,,~, ~ ~00 (S,gnature of apphcant)