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HomeMy WebLinkAbout292-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at '"~J:~l~l~J"J~:J,~l'~ ............................... Street Map No. "(Jlr~l'Ol:~"'J~J"J['"" Block No ......... ~ ................... , ~iJjJl~JJJ~ conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................... ~,~,~j....i.~}' ............ 19.~j:j.., purSuant to which Building Permit No ~.~J~ .............. dated ...............,~Jl~' '"~ ...................... 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 ~ertificate is issued, to ................................................. of the aforesoid building. FORM NO. ~ 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.o 292' Z Permission is hereby granted to: pursuant ,!o applicahon dated .............................. ~.~.~..... ~3.. .......... 19...~h and approved by the Budding I,nspector ~ee $..:m~O...];~d Budding Inspector TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 September 2, 1983 To Whom It May Concern: Thms is to confirm that the Certmfmcate of Occupancy, number Z162, issued to Richard Pledger on July 28, 1958 corresponds wmth the property known as 475 Oakwood Drive, Southold; Suffolk County Tax Map number District 1000, Section 070, Block 13, Lot 005. VL:ec Victor Lessard Executive Adminmstrator DATE: BARRETTA R.S.L.I. CORP. 28 East Otd Countw Road Hicksville, New York 11801 (516) 931-5656 COMPANY CODE: TITLE NUMBER: PREMISES: TOWN OF: DISTRICT: DESCRIPTION (Please attach Deed Description if available) RECORD OWNER: Gentlemen: In reference to the above premises, please provide BARRETTA R.S.L.Io CORP. with the Information checked below: CERTIFICATE OF OCCUPANCY SEARCH (please attach survey if available.) (Copies of all Certificates of Occupancy, Certificates of Completion, and/or Compliance, and copies of all subsequent permits. VIOLATION SEARCH (Including Building Department, Housing Department, and information.) DEPARTMENT OF HIGHWAYS MAINTENANCE LETTER ~\ ~7-Z°ning SURVEY INSPECTION Your cooperation in this matter is greatly apprecla~'~/~ FORI~i NO, 1 TOWN OF $OUTBOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. xam~nea ....... ;, ..//..~=..'-:...~ ............................ Approved ................ ~ ............... :'......19 ........ Permit No. ~ Disapproved .......................... a/c ..~..~i~"~ ................................................... ;~' ......................... ...... ....... ..................... (Building Inspector) / Application No. ~ ~ ~ APPLICATION FOR BUILDING PERMIT Date ........................... 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 pu?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 issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of SouthoJd, Suffolk County, New York, 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 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 premises.......,'~.,..../...~....,'~....,~,~...,,/~,...,'~,.,, .......... ~..,.~.,...~..,~....~.."~,,.,~,.. ............................................................. 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: ............................................ Lot No: .................... Street and Number ....~.....~.../~/...~.?..~.....~.. ............ : ................................................................... ..~...~.xZ'...~...cm..~.. ............ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... b. Intended use and occupancy...?........~.~...K'~...../.~...~...........~......~...~..~....~.~ .~.. ..................................................... 3. Nature of work (check which applicable): New Building .............. Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ~o~ 4. Estimated Cost . ..~..../...c~.....~....~....~.'.....~.....~. ..................... Fee J..~....'~... ............ (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: ~-ront ............................ Rear ............................ Depth ............................ Height ..~.~.~..~'...~...X'...../~..~. Number of Stories ......... ../. ................ Size of lot: Front ........?....~....~.. .......... Rear ........ ../...O....~. .......... Depth .....~.~O...~. ........ Date of Purchase ...~...~....~...;...Z'..~....'-~...~.. ...................... Name of Former Owner ."~...~..~...~..'~...~.....'~......~.~....~..~....~...Q..../~....~'... Zone or use district in which premises~ are situated .......... ~.~...:.~......~.~..~7~..~......~.~.~..~..~..~~" .-. Does proposed construction violate~/). ,---_-~any zonin~g law, ordinance or regulation;~ Name of Owner of premises..~...;.....~....~..~..~...?..~....'~.......Address ~..u...~....~-..~.(.~..~.........~...~..~....Phone NO ..................... Name of Architect......~..........~.....z...~....~.....~... ...................... Address ....~...:..~"5....~...~.../~:.. ............... Phone NO ..................... Name of Contractor...~...~..~.~../f'....~..~...~..~-- ~ ......... Address ...'~.....~.~........2~....~. ............. 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 ?(' 1 1. 12. 1~. whether interior or corner lot. STATE OF NEW YO :K, O"'::;"¢"/~'"~°~ COUNTY...~)F/ ............................ ). S S. .... ~.....~ ............................... being duly sworn, deposes and says that he is the applicant -: (Name of,~ndividual signing application) above nam'e~ He ~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 bailer; and that the work will be performe/~ ig tJ~e 9~¢~n~, sc~fo~h ~j~ the application/filed therewith. Sworn to before me this_ I ~,, ~ ~'~r.~ ~ ~ ~,~ ................ . j~,~9- ~?~' ~¥ ~r~ '~r* --- . . . Public ~o. s2-~0~Tsss Notary , ................... '~'~¢~tr~'~"s~u~'~"~"~: ........ County