HomeMy WebLinkAbout375-zFO~tM NO. ~
TOWN OF ~OUTHOLD
BUILDING D~ARTMENT
TOWN CLERK, S OFFICE
SOUTHOLI~, N. Y.
CE.T,F,C^TE O' CCUP^NC'r
THIS CERTIFIES that the building located at .... N~..~.~o~.d ............................... Street
conforms substonttoll¥ ta the Apphcation for Buildm~t Permit h&retofore filed in this office dated
dated ....... ,.l'li~: .~. ............................. , 19~...., was issued,i-and conforms to all of the requirements
of the applicable provisions of the law The occupancy for which thm,cerhficate is issued is ..............
of the aforesaid budding
l~'Oll, I~I NO. 2
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.° 375 z
Permtssion is hereby granted to:
........... .~O..!~rr~.e~. _~_~ ....................... ~...
...................... ~e.~111e...f~,~;:.~ ..... ~.,.~,.
to ....... l~_~ll~..ne~'...~l., b~,L~l,t.~g...~.~;~, lll~.~.r..~..l~.~.~ 1;.. P...~..?,.~ ~ ........................
at premises located at ..~.~..~t_I1..~O~(t.~ ..... ][..~t..~-~.) .....................................................
................................................ ~"u~che~.~ ....... 1~.I. ..................................................................
pursuant to opphcatlon dated ...................... ,l~fJ].~. ....~ .................... 19~...., and approved by the
Building Inspector
Fee $.~ .............
~,ttt~tW J, I~
~ROHIT,~:~T
10~9 E, ~9th ST. BKL~
NOW OR FORMERLY
,JOSEPH ZUHESKI
NOW or FORMERLY
MARY L. DAYTON
Survey for
ROMAN CATHOLIC CHURCH OF THE
SACRED HEART AT CUTCHOGUE
Cutchogue
Town of Soufhold
Suf[ Co., N.Y.
Sco le: I"= I00'
Oct. 25, 1956
a=MONUMENT FOUND
l~OR~ NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Exem ned ...... ...... ......
Approved ....... .~. ........... ~...:./. ............. 19.~.....Permit No..~-..~..../..~.... .............
Application No....~.../../.~: .~. ...........
(Building Inspector)
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, 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 o 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 Southold, 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.
Dominick Milone Inco
(Signature of applicant, or name, if a corporation)
~0 Merrick Road, ~ckville Centre, N. Y.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
Name of owner of prem~ses~.e.[~..~.~..e..~..*.~.~...~..~.~..*.~.~.~.e...z~..~.g~..8..e.9.: .......................................... ~ ............................................
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 ........... ..~..~.~.....R°.~..d~...g.~..~...°.b..9~..~..e.,....~..°...~..~.e:..~..d. .........................................................................
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.......S.9~9.9..~. ..............................................................................................................
3. Nature of work (check which applicable): New Building......~. ............. Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
~ - ~1~.75,000.00 Fee
4. Estimated ~.osr ........................................................................................................................................................
(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. Dt~'nens,o~s..t~ ent,re new construct,on: Front. 5~...~ ............. Rear ..54~ .............. Depth .184L.8~ .............
Height .......... ~..~?.~.. N~mber of Stories ~.~.!.]~.~..~°nt 2
9. Si~, o* lot: [rant ..112,~ ................ ~o~r ...~2~.,.Q ............... Depth ~.~ ............ ~'
o* ........... ............................ Uo o ...... ............................
1]. Zono or use district in which premises ore sltu~ted ........ ~...[~.: .....................................................................
]2. Doe* proposed construction viol*to *ny xonin~ Iow, ordinonco or re~ulotion? ....................................................
]3. ~mo o{ ~ner of premise~.~..~g~..~.~..~r~gAddross .~.~.~,. .................... ~hone ~O.
~*me of Architoct...~r~..~x..J.~[ .................... Addross !~...*~.~.g.g~, ............. Phone ~O .....................
PLOT DIAG~M
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.
STATE Of NE~6~,Y_ORK, - S S
COUNTY. OF ..~.~ '
.........u~u,.~ v, .~u,v.~u. ~.~...,~ :...~.~.~ -~'"'~'-"~~b~ing duly sworn, deposes and sa~s that he is the applicant
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 n~RLication are true to th~st of his ~owledge~nd belief;
and that the work w~ll be performed ~n the ~~.i~plication ~ed~here~.
.
Sworn to before me ,h,s , .
~ ........ ~ of ~ ............ ~~;~,
....
Nota~ Pub ' , .................................... ~.~..:::.:~ .