HomeMy WebLinkAbout554-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLO, N. Y.
CERTIF~CAT[ O~ OCCUPANCY
THIS CERTIFIES that the building located ~t...~...~..~.'~...~..~..~L...~.~.?..~..~..~..~'.~'~..~..~...~.~...~.~.~.~.t~.t Stree,t
Map Nc~s...(}.O.~f~.Tl.... Block No....?.~ ............... Lot No...~...~..~ ......................................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
' . .............................. .~D.~.e~...~,019..~.., pursuant to which Building Permit No......~....~..~.. .............
dated ..................... *.T~tla~.~....~ ........... , 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 ..............
.i ................................ ................................................................................
This certificate is issued to ..~'~..~...~e...O~//~.~' .......................................................................
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector
Howemd l~I, Terry
FORM NO. ~
TOWN OF SOUTHOLD
]~U~LDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING P ERk'~.IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 554' Z
Permission is hereby granted to:
./..~.:!..N:;..?,........5..~::..:.: ...................................
J ~ ,,,, ~: ~, ...?.:,:.;.:.:.f..~ .......... ~. 1. ~.,
to
pursuant to application dated ~.. ~.'. ~ w : :~*. '.'~ ..Yr. ..... I~. ~, and approved by the
Building Inspector
Building Inspector
BUILDER OF FINE HOMES
EDWARD G. ABITZ
BUILDER
MATTITUCK NEW YORK
ESTIMATES FURNISHED
GENERAL CONTRACTING
May 16, 19~9
Terra of Southold
Building Department
'£o~,rn Clerk's O£fice
Southold~
Dear Mr. H. M. Terry:
Please be informed that the work under Permits
ATumber 554 Z aud 5D8 Z have been completed and please issue O.C upon
approval.
Yours truly,
Appeal No.
<~ TOWN OF SOUTHOLD, NEW YORKC'
ACTION OF THE ZONING BOAP, D OF APPEALS
Dated 0~bl~ ~/*e 19~tl
ACTION OF THE ZONING BOARD OF APPEALS OF TOWN OF SOUTHOLD
At a meeting of the Zoning Board of Appeals on
Appellant
the appeal
was considered and the action indicated below was taken on your
( ) Request for variance due to lack of access to property
( ) Request for a special permit under the Zoning Ordinance
(X) Request for a variance to the Zoning Ordinance
( )
1. SPECIAL PERMIT. By resolution of the Board it was der. ermined that a special permit ( ) be
granted ( ) be denied pursuant to Article .................... Section .................... Subsection ................
paragraph .................... of the Zoning Ordinance, and the decision of the Building Inspector ( )
be reversed ( ) be confirmed because
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (~MJ~ produce undue hardship because
(b) The hardship created (is) (;ICI~ unique and (~l~l~would not) be shared by all properties
alike in, the immediate vicinity, of this property and in the same use district because ~ l~
(c) The variance (doss) (d~J~) observe the spirit of the Ordinance and ~ (would not)
change the character of the district because t~er~ ~,~ ~t~;L ~' ~o~,t~ ~ Io~t~ o~
and therefore, it ~s ~urther determined that the requested variance (~) be grQnted ( ) be denied
and that the previous decisions of th~ Building Inspector ( ) ~e confirmed (~) be reversed
ZONING BOARD OF APPEALS
Ba~a~'a ~. An~ade
Form ZB4
FOEi~J[ NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Disapproved a/c ............................................................................................
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
o. This application must be completely ill[ed 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 detaiIed 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 beep' granted by }he Building Inspector.
APPLICATIQN IS'~HEI~:~_~ MA*DE to thf?'Buil'~i~fi~g Depa~m~n~'~for t~e issuence of a Build ng Perm t pbrsuant to the
Bul drag Zone Ordinance offfhe Town of $6'rJtho d,~Suffolk Coudty'?New Yor<, and other appl cable Laws, Ordnances or
Regulations, for the construction oF buildings, additions or alterations, ~ 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 app'~/ant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder.
............................................................. .F?. ....................................................
Name of owner of premises.....~....~.~....l~.`.~.~.~.~....~;~)..~.....~.. ~..~. ....~.. .~..~.~.~ ;~ ~.~.I~. .~....~. E-~.t~.~..O.~..j ~ ~
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. ,l,6cation of I¢~.d on which proposed work will be done. Map No ................................... Block ..................................
- Street and Number ............ .~...~..D.I..~........~...t~..~...~ ......... ...~...O,..~.....L~...~..? ...~..~ ..................................
2/ S~tbte existing use and occupancy of premieses and intended use end occupancy of proposed construe[ion:
a. Existing use and occupancy ..~.~.~..../¢'J.f~ ~..~
b. Intended use and occupancy .......... .~..~ .O...Z...~-../<r...- ~ .¢~...~....~..'.~...(.~...-~...~.
3. Nature of work (check which applicable): New Building ...../../,<r~...........Additlon .................... Alteration ........'"' .........-~
Repair .................... Removal .................... Demolition .................... Other Work (Describe)~¢~.~.-l'Tf~hJ '~-~oCo~-/'~
F ......... ...................................................
Cost .. ,~.¢~rs,~.~.~..... ~, x ..........
4. Estimated - '~'-'~' ~'~.~. ,~.0.~ ~ ee
I ~ I~'~O (to be paid on filing this application)
FEES:
If dwelling, number of dwelling units.~..,../.~/~.C~ ....... Number of dwelling units on each floor ...... . .-/~./¢~..(D .........
If garage, number of cars ........................................................................................................................................
6. If business, commerica[ or mixed occupancy, specify nature and extent of each type of use ................................
7. Dimension, s of ~i,~ting structures, if any: Front~..-...~2,.J[ ............ Rear~).....~,! ............... Depth~.....Z~,../. ..........
HeightC~.....~.O ............ Number of Stories ..~.....0.~..~ ...... (~...C~.~.~..~...~...~.....~..4-...~...~.. ...................................
/~,~z,~,-r, 4,,U Front (~.....~.,~. ~. ........Rea r ~,.~......,..~..I.C .~. ~,~.. .........
Dimensions of same structure w~Eh~a]ter&iions or additions:
Depth ~).....-~....~.~.. ....... Height <~......~.'.~..../~....~'.......Number of
8. Dimensions of entire new construction: Front ............ ~...~..../. ...... Rear ......... .'~..~..~ ......... Depth ...~.~.../../ .........
Height ............. /.~.(. ....... Number of Stories ..... .~....A6'.. ~,,~. ...........
9. Size of lot: Front .....~./..~/..~..~..!~... Rear ....~.,.~'./,./..c~..~.-~..... Depth .?~..~../..~../../..~..../..
10. Zone or use district in which premises are situated ................................................................................................
11. Does proposed construction violate any zoning law, ordinance or regulation?..~.~...~b=~./~.~..~..~.'~...(,/~.....O..~...
12. Name of Owner of premises~A..~.....~l.~ ........... Address ~.~.~N.Q.~.~.....Phone NO.........~ ...........
Name ~....~.,.~.,..~.~...1~ ...... Address .~.~.Q~.~.~[~Phone NO.
Name of Contractor...~.~,....~.,..~.L.}..~ ............ Address .~.~.~.~tC~honeZ' NO..~m~L~ ....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate aH set-back dimensions from
property lines. Give street and block numbers or desc6ptJon according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW YORK, )
SS.'
COUNTY OF ............................ )
.......... ~...~.~.....~.,,,..~..~....being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
aba ~ named He s the ,~~~,T~~.
/~Contractor, agent, corpor~,( 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 Jn the manner set forth in the application filed therewith.
Sworn to be~fore me this
........ ;~.:.~.... day of ......... 19.~.~ ....
(SJngature of applicant)
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
'~*"~'/~~' ~., SOUTHO/D, N. Y.
Examined.. . 19..~....~..
Approved ...... ~.. J 9...~.~...Permit No .................................
Disapproved a/c ............................................................................................
Application No..~.~.../.~.. ...........
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
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 covered by this application may not be commenced before issuance of Building Permit.
d. Up~)n 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 ~uiJding shall be occupied or used in whale or in part for any purpose whatever until a Certificate of Occupancy
shall hav~~ been 'brant. ed by ink, Building Inspector.
APPLICATIO~'~ IS I~EREJ~Y MAE~E ta/thf Bg~ding ~eportment for the issuance of a Bu ding Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffol~ 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 nome, if a corporation)
............
(Address of a~Jcant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder.
........................................................... ..........................................................
Name of owner of prem ses .~...~ ,~ ~ ~/~ t ~--' J ,~., .0. C ~ ~.C,',~lff-" ~...~., I~J ,~.
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officeri .........
2. 'Sta~e exit!in§ use and occupancy of premieses and intended use and occupancy of proposed construction:
a. Existing use and occupancy .................. .~.~...J~.~..J.l~...~. ...C....o..T...~'../~...~ ,~..~ , ,
3. Nature of work (check which applicable): Ne~, Building ........... Addition ....................Alterotion...~ .........
Repair ....................Remova~ .................... Demolition .................... Other Work (Describe)..~.T/.~l~
4. Estimated Cost ..... ~.C~..(~.f:~....~i:/~/~...C~.~..P,C~.?~.....Fee ............. ..~../~..~..~..~.. .........................................................
(¢ i~/~:~ (to be paid on filing this application)
FEES:
If dwelling, number of dwelling units.~...'...I..~...~..,o. ........ Number of dwelling units on each floor...~..O. ..............
If garage, number of cars ..................... ~..O.~.~._.. ......................................................................................................
6. If business, commerical or mixed occupancy, specify ~,a~ture and extent of each type of use ................................
7. Dimens~s of existing structures, if any: Front~:'....~-,,/. ............. Rearc~......~..../.~ .......... Dept~......~...~.. ..............
Height~.......J/~/. ........... Number of Stories ...... ~........O..~.~.. ....... ~..~..~..O.~..~......~...~_.~..('~....~.. .........................
Dimen,~i.ons of same structure wiJ~ alterations or additions: Front~.....~.~.....'~....~:. ......... Rear~.....?...'~....~..~.....~:..'. ..........
Depth~.-..,..c,~...~.E Height.-...~'.~.~'~ . Number of Storie~
8. Dimensions of entire new construction: Front.....,.'~7...~. ............... Rear ........ ~ ................ Depth .~(~..-....~..'. .............
Height ...... /..~../ .............. Number of Stories ...... ,~_..~.,.1~ ...........
10. Zone or use district in which premises ore situated ................................................................................................
11. Does proposed construction violate any zoning Iow, ordinance or regulation?.~.~.S.....~..B.~..~..~..P.~..A../-~..~.!.~..b.~..~.~...
Nome of Owner of premises.~...~..~l~l~~'- ' ''-- ............. Address ~M~.~*~w~..~ ....... Phone NO....S' ...............
12.
N me ........
Name of Contractor.~.~,~,..~.~.l..I.~ .................... Address~.~M~7'~.~.T~.Phone
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or pro~sed, and indicate all set-back dimensions from
show street
names
property lines. Give street and block numbers or description according to deed, and indicate
whether interior or corner tot. (U ~,~ ~ ~
STATE OF NEW YORK, )
COUNTY OF ~/..~.~-O.1,~.~. ....... ) S S.'
,~¢.~n.~~~ii~~~ ,'~ ~ ~,.,'.., ............... being duly sworn, deposes and says that he is the
applicant
above
of said owner or owners, and is du y authorized to perform or have performed the said work and to rnake'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.
Sworn to before me this
........................ day of ........................................ 19 ............
Notary Public,. ............................................................. County
(Singature of applicant)
,t