HomeMy WebLinkAbout356-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the budd,ng located at ..~../...8.....~....O..]'..~.~tO..9.C~.....~....e. .................... Street
Mop No ..F~..q..Z.Z.~..o.o...a..~ez'.~.C~ock No ............ ~ ....... , ~ ..l~..t,..C..~.~.e.~ ..... ~:..~,
conforms substantially to the Apphcat~on for Building Permit heretofore filed in th~s office dated
..................... ~ .t~....~. ..... ].~j[. .......... 19~.8 , pursuant to which Build,ng Perm,t No .....~...~.~'..6.. .......... ,
dated ............. ~.~_~e.....~J~ ................. 19...~[8., was ~ssued, and conforms to all of the requirements
of the applicable provisions of the law The occupancy for which this certificate is issued is ............
.......................................... .O: ..............................................................................
This cerhficate ~s issued to ..~O~TJ...Q'kl~t~,b,~'. .... .(. O~t~..~ ........................................................
(owner, lessee or tenant)
of the aforesaid building
Building Inspector
FOI~ NO. 2
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)
N.° 356 z
Perrmssion is hereby 'granted to:
pursuant to apphcat~on dated ............................. ~¥j_~.~..~ .............. 19~8..., and approved by the
Budding Inspector
Building 'i~spector ' '
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOV/N CLERK'S OFFIGE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAl.
File No ....Z,. 3...5[..6. ................................. Dote ....................... .Jj.~?.....1..? ............... 19....5'..8..
PLEASE TAKE NOTICE that your apphcation dated ....................... ?....l~...e....]....~. ............ 19..~.
for permit to construct d.w.,.e.:~..]-...i..n.~ .................... at the prem:ses located at '.[iV..~.*.....R..d..¥ ...................
...~/..~.. ~f~OJ, ],.~f).O.~.. L~3,~ ~...[~.~ t tJ,.~,.V~.~ !~t r e et
Map i.(.~.o...~...l:~o..od ...L..a...n.?. ..... Block ....................................... Lot ....9 ................................ is
:~~'~ chsapproved on the fotlowi ng grounds ..........................................................
..1..~k .~ .~Dpro.ve~l. ~cc.es~ ..S.ec .... 28D~jz. ~f..Taun~ La~ .......................................
Building Inspector
lvORl~I NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Exam ned ............. ~ ......... ~ ............ 19 ........
Approved .................. ./.(. ........... ..~....(¢. 19...?..~.'.Permit No ...............................
............ ......................
Application No ..... ?....~.~ ..............
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, relotionship to adjoining premises or public streets
or areas, and giving o detailed description of layout of property must be drawn on the diagram which is port of this location.
c. The work covered by this application moy 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 avoiloble for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in port for ony pui'pase whatever until a Certificote of Occupancy
shall have been gronted 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.
HAROLD R. REEVE & SONS
(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.
General Contractor
Name of owner of premises ....... .3'..°,..hP.~...G.u~....~..~..e.F.
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: ..F,~q~[~.q.q.ql,.~.e~Tc.e,0.e ....... Lot No: ..~ ................
Street and Number ~ol[~ood T.a~e ........
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy.......~..e..e.~.d...e~...t.~..e~:.. .........................................................................................................
b. Intended use and occupancy...~..e.~.d..~n,.~ ........................................................................................................
3. Nature of work (check which applicable): New Building ...... .3;.. ........... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost..~.l..6.~..0..q.0..'.9..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 ....... ~..o~...e. ............. Rear ............................ Depth ............................
Height ............................ Number of Stories .............................................................................................................
Dimensions of same structure with altenations or additions: Front ................................ Rear ................................
Depth .............................. Height .............................. Number of Stories ................................
8. Dimensions of entire new construction: Front ....... ~,~ ................. Rear ........ ~.,3. ................ Depth .....2~....-.,3. ...............
Height ...... .2.0. .................. Number of Stories ..... .3:.-. ~/. .2. .............
9. Size of lot: Front ..... .~..~, .................. Rear ...~.2.8. ................... Depth .......2...O~). ................
10. 'Date of Purchase ...... .0...c..¢..o...1~..~....2..3.?...?:.9..?.. ................. Name of Former Owner ..~;~..o..1.~.w..o.9..d:...T..e.~.c..e. ...................
s t t ' Residential
1]. Zone or use district in which premises are ua ea .................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? .... ~..o. ...........................................
13. Nome of Owner of ~rem sesJ°h~ Gunther ~dr~§~Rogues Path, HunttngtonDa^.H~ ~A~i,~lton 3-0582
~ ................................................ S~Ci~n.~..H.;T; ................... ~ ,~ .....................
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Harold R. Beeve & Sons M-~ Rd.,Hattituck,NY~. MAt, tit~ck 9-8284
Name of Contractor ......................... ........................... Address ......::~ ................................... t-none ~,~u .....................
PLOT DIAGRAM
Locate clearly and distinctly oil 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
~vhether interior or corner lot.
,l
ocC aOOD
STATE OF NEW_ Y,O,R~, ) S S
COUNTY OF .....~t..z..z.,o...z~.. ............ ) - -. ,~
...~....~.~...~.~4¥....~.~1_.~,~'-~,~.... ......................... being duly sworn, deposes and says that he is the applicant
(Name of individ~l signing~pplication) '
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 file
this application; that all statements contained in this application ore true to the ~st of his knowledge and belief;
and that the work will be performed in the ~nner ~~ application filed therewith. ~
Sworn to b~re me this . ~.~ ~ ~ / . ~ / ) n
...... ...... ...........