The URL can be used to link to this page

Home My WebLink About887-zFOI~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located a~./...~.....~..~..J'...~.....~.?.~..~. ....................................... Street ~ ~ ~ Cu~chogue, New Yoz'k Map No ......................... Block No ......................... Lot No ................................................................... conforms substantially to the Apphcation for Building Permit heretofore filed in this office dated ........................ ...0~....~..O..,b..~...~.....~..~. ....... , 19..~.?...., pursuant to which Building Permit No ...,.Z....~.8.~. .......... dated ........................... ..0..~...~..O..~..?..~....,~..?... 19....~.?.., wes issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is issued is ................ PRY~AT£ ON~ FAMILY D~ELLING This certificate is issued to .~.,~...~..J...?..~.....~.,O...~.?.~,~...?..,.~..,?..~. .................................................................. (owne,r, lessee or tenant) of the aforesaid building. Building Inspector H01~ ~. T]J[RRY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z £65 Date December 23 59 ................................................................................ , 19 ........ THIS CE~,TIF~ES that the buildlr~ located at ..S./..S.....?!.a..i..n...~.o.~.d. ....................................... Street Map No~f..~ ........ Block No..~..~.. ......... Lot No :.~..x,..x~...~...,.O.~.%.?,.b..°..~.~..e..~.....~].:~.: ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... .0..c..~..o..b..e..r......2..?. ........ , 19..5..c)...., pursu~ant to which Build,rig Permit No .... .Z....~.~?. ............. dated October 29 ...................................................... 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 ................ .............................. ~ ~. ke....o..n..e... £~. ~LZ. z.. ~.w..e...z.z..~..~ ..................................... : ....................................... This certificate is issued to ..... ~.]:.~.....S..e..]r..e..9.k..~.e. ......... I..°.¥(.n..e.~)......~:~'~.....~..~.'.~,.~J)~-~ (ow~'~r, ~lessee oF of the aforesaid budding. Building Inspector FOR~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .~/~....~e~.~.~ ...................................... Street Map No~ ....... Block No..~ ........ Lot No..~PD~...J~.~$.~O~t~,~....],.~,. .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... .0.~?~O.~....2,9 ........ , 19.59..., pursuant to which Building Permit No .... 7~.~(~ ............ dated .................. .0. g.t~.~'....~t¢l ............. 19..~.~..., wes issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which th~s certificate is issued ~s ................ .............................. ~i~e.. ~. fa~.. ~iw~lling ............................................................................. This certificate is ~ssued to .....[~_.~k...~l,e,~e~ ........ ~o~er,~.. ~ ~ . (o~.r, lessee 61~tenant) of the aforesaid bu,lding. Building Inspector FO~,M 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) No. 887 Z Dote .................. Q~Q~r...Lx]I ..............19.Q9 .... Permission is hereby granted to. w~.~...~...~.~e,k~e ...~.~ ~ ~_ ' ~,, ~ .~.~.., ~ ............................................ to ~.~.~ .............................................................................................................. ct premises Ioccted ct ...~/~....~. R~d....~..~.~.~l.) ............................................................ ..................................................... ~~,....R,~ ......................................................................... pursucnt to cpplicchon dcte~ .........................0o~obe~....29 ............. 19~...., c~d cpprcved by the Budding Inspector Fee FOKM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exom ined.....~......~......~...... 19....~'.~;. Approved ........................................ 19 ........ Permit No ............................... ...................... ................................. APPLICATION FOR BUILDING PERMIT Dote ........ ................. ,9 ....... 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 port 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 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/ (Signature of applicant, or name, if a corporation) ............ ............. ~(ddress of applicant) (.7/' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~a~p~l~o~V~ra°fco~rpeorm~i~i sig~re of duly aut~ .... ' "- ' ' '~ r '""~~'" '~ ....................... (Name and title of corporate officer) 1. Location of land on which proposed work will be done.. Map No: ............................................ Lot No: .................... Street and Number ........... ~Y~J.~,...~...~....~......~ ......... i ....................................... 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 ............ .~.~ .................................................................................. 3. Nature of work (check which applicable): New Building ....... ~ ...... Addition ....................Alteration .................... Repair ....................Removal .................... Demolition ........ Other Work (Describe) 4. Estimated Cost....Y..~....../.~t..~.~..:.....~... ...................... Fee ..l.~. ........................................... / (to be paid on filing this"~'~'l~ii'~;[i;~i ................... 5. If dwelling, number of dwelling units .............. /. ............... Number of ~welling units on each floor .......... .~. ................ If garage, number of cars .............. ~rc~f~.~.....~..~ ................................................... 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: Front ......... y./ ........... Rear ...... .~../... .............. Depth _7/ Height ....... ;J.,~...~. ........... Number of Stories ........ ./. ................. 9. Size of lot: Front ..... ~f. rZlJ ........... Rear ........ ~ ......... Depth ..... ~ .......... 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construchon vi(;tlpte_any zomng law, ordinance a,r regulatign? .............. ~ ..................... 13. Nome of Owner of premises.~.~~-~....Address ..... w//~.~ ............. Phone NO ..................... Name of Architect ] ,-'"'~---~L /'//~'~ ............................ Address ........................................... ._,~;~_._.~ Phone NO ..................... Name of ContraCtor.....~/..~.,....~..~ ....... .-zAddress ...... ~6........_. .............. 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. /~// / §\ /oo STATE OF NEW,/~YgP,~,/~ y ) S S COUNTY OF~..) - ~5~ '7~2 ..~..~..., bain dui sworn, de oses and sa s that he is the a licant .................. ~~'~ ........................... g Y P Y PP (Name of individ~?~.a~lication) above named. He is the ....... ~..~... ............................................................................................................................ (Contractor, agent, corlborate 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 in the manner set forth in the application filed therewith. Sworn to before, me this ,~ ~ ~ ' "' ' / ~ ~ T. BO~N. ,...~(.,Z../~/~ day of / /'/~ ~'-Y~ 19 ~/l~0ta~y,,.,,.~ Public, State of ~lew, ~(~lgnature f appl' nt) .................... ............. . pp. a Notary Public ...... ~.._..~..~~..:OOOl~"'ss'o~/c;.~,~¢s~,/ .aI~l~ ~'~"..~/~/,~,~ ~