The URL can be used to link to this page

Home My WebLink About297-zFOl~t ~0, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N, Y. CERTIFICATE OF OCCUPANCY No ....... ~. 7~.~. Date ........ ~.. 2].....~O19 ... · THIS CERTIFIES that the building located al .WeSt ~e~".AVe~', ~ho~e; Street _Map No ....... *** Block No.. ,~..LotNo.. ~t, ............... ~onforms subsisntial]y to the App]ication for Building Permit heretofore filed in this office dated ......... ~rit~ '~ ..... 19~8. pursuant to which Building Permit No ..... ~..~g? ... flared .............. &l~:tl' ~ ........ 1%8., was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is issued is ........................................... I~IVAT~ Om~ ~AN~Y,.DWI~ Wi"~H ~00~, Slit~D This certif~caie is issued to · F~e~ (~. ~ll~n~ ,~ne~ ................................. (o~vner, lessee or tenant) of the aforesaid building. Building Inspector\ FO~j~ NO. 2 TOWN OJ: SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT Q-HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 297' Z Date .............................................. 19 ........ Permission is hereby §rante8 to. We~mt {~eek to ...... ~..,~...~.~&~p.~,..~,..~,.~.~¢.~,,~.~,~.~ .................................................. ~t p.~,~, ~o~ed ~ .~.,,..~.~..~..~_~ ................................................................ i ~ ~ 19 ~ , and approved by the pursuant to appiicat~on dated .................................................................. Budding Inspector 1~0~I NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....... ..~..7~.~?. ............. 19....~..~. Approved ........................................ 19 ........ Permit N~ .............................. ........... ....................... .................... 21}'7 Application No .......................... APPLICATION FOR BUILDING PERMIT o~e ............................................... 19 ......... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted m duplicate to the Buildir Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adloining premises or public stree or areas, and giving a detailed description of layout of property must be drawn on the d~agram which ~s part of this locatio, c. The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Suc 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 Occupan, 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 Buffding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describer The applicant agrees to comply with all applicable laws, ordinance?/end regulg?ions. (Signature of applicant, or name, ~f a corporation) (Address of apphcant) 'C~ State, wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises ...................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which propos~ed wor~. will be done. /y~p Np: .~ ......................................... Lot No: .................. Street ond Number ............................................ iaaia'r ' ,ii7 ............ ................................................... State existing use and occupancy of,~pr, emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~~ .................................... : ......................................................... o 4 5. 10 11 12. 13 Nature of work (check which applicable) New Building ................. Addihon .................... Alteration ................... Rep,al r ................. ~r~Removal .................... Demolition .................. Other Work (Describe) .................... Estimated Cost ........... ./.....~... ........................................ Fee ......................................................................................... (to be paid on filing this application) If dwelling, number of dwelling units ........... ../. .................. Number of dwelhng umts on each floor.......-TT...../. ............ If garage, number of cars......TZZ.. ......................................................... If business, commercial or m~xe~d occupancy, specify nature and extent of each type of use ........ : .................... - i ............. Dimensions of existing structures, if any Front ..... ~....~¢; ............. Rear ................. Depth Height .... /.~.. .............. Number of Stories ..... ./.. ................................................................................................... D~mensions of same structure with alterahons or additions Front .......................... Rear u,-o I Depth ....'..~...?.....f ............ Height ........ J......~.. ............ Number of Stories ..... ! ........................ / Dimensions,Tot,entire new..construct,on Front ....... / ..~....: ........... Rear ...... ff......- ............. Depth ..../..../~.. ................. Height ...... I. ................... /~/'~/N~mber of Stories.. :..(J ......./ .......... .~' / Size of lot Front Rear 7..~''' Depth ,~ ~ Date of Purchase .iiiii12'.,~?.'.~ i i iii ........... iiiiiiii.ii..iii~l'~'~'~"~)f/~ I~)~ ~F°rmii"~';"i~'"~/~,jA/.,~/~,~, ~ ~, ~,~.~....................... Zone or use d~strict in whmh premises are situated ..... ./7.t.:..:....':':'~...'. ............. ...':f~..?....~C.~.~....<.%:~..""""'"'""'"'" Name of Architect ........................................................ Address ............................................ Phone NO .................. Name of Contractor..'TT. ............................................... Address ............................................ Phone NO ................. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ex~sting or proposed, and indicate all set-back d~mens~ons fron property hnes. Give street and block numbers or description according to deed, and show street names and ind~cat~ whether interior or corner lot. STATE OF NEW YORK, ) S S cou?w. OF Z / (Nome of m~vid~ignifig application) above named. He is 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 fil~ 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 t~nner set forth in the application filed therewith. Sworn to ~fose me this _ ............... ......