The URL can be used to link to this page

Home My WebLink About260-zFORST NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATe- OF OCCUPANCY No ...... .Z...7. ~.~ ..... Date .... ~..,11~I,~...~.~8 ..... 19 .60. THIS CERTIFIES that the building located al n ./.~.. ~.,.err~'....C..?..~..r~,,,.,. I~..o.~. ,..t~....o...1.,d..... Street Map No.. .?~.,~. .... Block No .... ,~..?.? .Lot No~.~.t ................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. ~ .3.1. .... 19..5..8.., pursuant to which Building Permit No ...... ,.Z....~.~.0 .. 4ated ...................... ~g~ ]~, 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 This certificate is issued ~o .... ~..OS.~:~I H~.~Z~C~ O~l, .~..~. ........................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~I~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the bu,ld,ng located at .]~.....Te.~Z'~...~Ol~'.~ ....................... Street Map No ..~ ..................... Block No ........~ ............. , ~ .,~/OU.~hola~ ..... ]~,Y., conforms substantially to the Apphcation for Building Permit heretofore filed m th~s office dated ............... ~_~_3"t.3]- .................... 19 ~.., pursuant to which Building Permit No ......... ~...~..6..0.. ...... , dated ............ ..1'~.~. ~..h..,~.]... ......... 19.~...~...., was issued, and conforms to all of the requ,rements of the apphcable prowsions of the law The occupancy for which th~s cert~hcate is issued is ............ ......................................... ........................................................................ This cerhficate is ~ssued to ,~.O,flel:~ ~',gZ'~lOk ....... (...~.) ....................................................... (owner, lessee or tenant) of the aforesaid building F~ NO. 2 TOWN OI~ 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°. 260 Z Permmsion is hereby granted to. Dote pursuant ?o applzcahon,,,dated . f Bulldi,ng !nspector ~ Fee $.~e.00. ............. ' Budding Inspector FOR~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No 7~ ,~ (..e O · sapproved a/c ¥ ~ ' · D .............. ~.....~-~,..,.........~..,~..~::.:.. ....... .~::;~ .................. ,~ ~]'j/.'~ %"::::,' .... Application No.~ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................. ~.~..~....(...~...... 19...~.....~.... 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 all applicable laws, ordinances and regulations. (Si~ature Of a~plican~', or name, if a corporation) .......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. INfaamFep~ifn~'::r ffcoP:;fi:[i"~~ature of duly a:'['[':~''~'''~ ..................................................................... (Name and title of corporate officer) 1. Location of land on which ~r,,oposed work will be done. Map No ................. = ...... J,.T.[... Block ........ ~ ....................... ....... .......... Street and Number .................... ~.- ......... 2. State existing use and occupancy of premiese,~s and intended use and occupancy of proposed construction: o. Fxisting use ond occuponcy ........................................................................................ b. ~ntended use ond occuponey ................................................................................................................................ 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) FEES: 5. If dwelling, number of dwelling units ........ Z ................. Number of dwelling units on each floor ............................ If garage, number of cars ...................................................................................................... 6. If business, commerical 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 ...... ~ 9. Size of lot: Front ...... ./...~..~ .......... Rear .......... L..O.....O. ....... Depth .../..~..~..~..../..~...~... 10. Zone or use district in which premises ore situoted .......... ~....~77.. ............................. 1 1. Doos proposed construction violote any zoning law, ordinance or regu at on? ................................................ ress Phone NO 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. /o0' STATE OF NEW YORK, f ) L~T (N~e of individual signing a~lication)~._ L ~ , soys that he is the appllcant bove named. He is the ................................... .......................... (Contractor, agent, cor~rate 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 ~on~er se[ foFth Jn the application flied there~th. ' ~ Sworn to before me this,~ 1-¢ ~ ~ ~ ~/(~~5/ ........ ~:.....:.:].'4. day of ........ 2...:~.::~.:Z:~ ........19.~. ~ , , ,~ ~ (Singature of applicant) Notary Pub ic,,.~;..~J-~.:~.~.,.,..~r'~}~:u.'.~,~ ............ ~ounty t ~ ~btic, State of Ne~ Yo~ ~si~[nE J~ Suffolk County