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HomeMy WebLinkAbout676-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N,Y. CERTIFICATE OF OCCUPANCY No...~..~.¢).fi ............ Date .......................... ~P,~J~....;~ ........... , 19.~B... THiS CERTIFIES that the building located at..~/.~,....l~c~ezn.b~ ..................................... Stree~t Map No....2..~.~...~ ........ Block No ......................... Lot No..~.O. .......... ~fi~....~l~%fJ~l~..J~.~ ................. conforms substantioJJy to the AppJication for BuiJding Permit heretofore flied in this office dated ........................... ~e,;:¢....~L2 ............... , 19..~.9..., pursuant to which Building Permit No ................ dated .............................. ~t....~ ......... , 19..,~c~.., 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 .............. ............................. £.~'i.~. ~e .~e ..~:]~y · ~weZ-k..%n~' ............................................................................. This certificate is issued to .....g.~.~.O..]J~i~h~f.f. .......... o~.¢~.) ................................................................ (owner, lessee or tenant) of the aforesaid building. ..... /~?'i~ ":~'ki~' ?"' '~'~?ld i n g?' I~pector.' ........... ii ........... FORFI 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) 671] Z Permission is hereby granted to: Wm, Beebe .A./..q Otto Bisthoff ....... .c. ~..~..hg..~..e, ~.~. . ...... to Build new dwelling ................................................................................ at premises located at Lots ~ 129 & 130 6ardinerS Ba~. Estates Cead~.r Lane, East ~rion~ N.Y. pursuant to application dated .............................. ..~nY ...... .~.2.. ................. 19..~.?...., and approved by the Building Inspector NOTE~ This permit issued to replaY® per~ft # ~620 Building Inspector ~ TOWN 'OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 620 Z Permission is hereby granted to: .................. ~...s.~.o..Z.~..~:n.e. .............................. pursuant to application dated ............................ ~ .............. 19,..5..9..., and approved by the Building Inspector Building Inspector 0 o~. o~ O, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned .............. .~.l,,.~.. ,': ...... ~.~ ..19.~..¢: Approved ...................... ~.: .......... '.....19...:,...Permit No. ~,~'~..(,~..~..:cD. ....... Disapproved a/c ......J ~///~"'/~ ................... ~ ............ ;~,~~..~ ..... ~. ! 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 coYered 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 puFpose 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) (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: ~'~ '~ .... ~'~"'/. ~z~ Lot No: Street and Number ...... .C.~...c.::.c,~,c.~:.~......~;',~.;:..~.,. ................... (,;.~:,%~C.,.....~..-%".~.,~.:'?.7;;:; ............................ .. ................. Municipality 2. State existing use and occupancy of pr,emises 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....¢~....~..~......:.~. ............................. 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, Jf 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 .......... ~ ......... Rear ...... .~.. ............... Depth ...°~...~::...~.~.? ........... Height ............................ Number of Stories ....~ .......... 9. Size of lot: Front .../....°Z~... ................ Rear ............................ Depth ............................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are s~tuated ...................................................................... 12. Does proposed construction vlola, t~elany zoning law, ordinance or regulation? .................................................... · /'~-~' '' ress ............................................ Phone NO ..................... 13. Name of Owner of premises ~ .......................... Add Name of Architect .............~..~...-~T.. ......................../" Address ............................................ Phone NO ..................... Name of Contractor.....~.: ...... ~.; ........... Address ............................................ 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. STATE! OF NEW ~P,J~, /Z ) COUNTY OF .... ...C~..~,.~.%~..~...~.....) S S. ~/~'~ ~,~ be na duly sworn, deposes .and says that he is the applicant (Name of individual, signing application)~-~-~, above named. He is the ............................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, end is duly authorized to perform or have performed the said work and to make and file th s app cation; that oil 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 app~jcotiqp filed therewith. Sworn to before me this ~ ~o~ ~?~1~ ................. [¢d~,, ~f ............. ~.(~.?~ .......... 19..~..Z.... ,s~k~ s~~ ~,~o~x, ~.gnatura of appl.cant) :' ..... I~ota~ ru~~~4~7 ..... ~ ....... ~ '~,~o~ ~ - ~ ~ ' ~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHO-D', ¥. Examined Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c ......~ ................... ~t. ......... ~ .......... ~x ........... z~ ....................... ...................... ................... ............ Application No......~...'..;~...-..O. ............ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and sub)miffed 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 k, ept 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 issuanc,e of a Building Permit pursuant to the Building Zone Ordinance of the 'rown of Sou.thold, 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) State whether opp!icant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome 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: . .?.'.;'.: 2.%!?.%%. at No: ./'..~.-.:..~;./..~...o Street and Number ...~..~.~..f¢...~.:,.~;...~%';I.:.;.~...'. ......... .C.,.:....~...~.::::~.::::.?.¢ .................................................................. Municipality 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................. ./.~.~;..~.::.~..'.~ .................................................................................. b. Intended use and .............................................. ~ ............................................................................. 3. Nature of work (check which applicable): New Building ....... ~ ......Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost....~.r..i.....Q..0...°...:~ .................................. Fee ../...Q...?~ ......................................................................... (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 ............................ ~[C?.....'h~>.....~..~/..'~...--.......(~....~;~...:~::..~..~. ...................................................... 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 ................................ c~ . ...... . '~....~/. i ............ Depth 8. Dimensions of entire new construction: Front ...... .,~....~. ............ Rear Height ............................ Number of Stories ............................ 9. Size of lot: Front ...... /...~..-Q ............ Rear ............................ Depth ............................ f0. Dote of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises ore situoted ...................... ~ ....................................................... 12. Does proposed construction vlolote on,/ zoning law, ordinance or regulation? .................................................... 13. Nome of Owner of premises.,~....~,.~....Address ............................................ Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor........~...."~.,.¥...~! .............. Address ............................................ 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. STATE OF NEW~'O~,K,/~/ ) S S COUNTY OF ...~.~:(.C..~.....) . "'~b'3'144 /"~¢'~'~'"- be n~ duly sworn, deposes and says that he is the applicant (Name of individual signing 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 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 a~i,ca~n filed therewith. Sworn to before me this Nota~ ......................................................... Pub,,~;~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................................ 19 ........ Approved ........................................ 19 ........ Permit No ............................... Disapproved o/c (Building Inspector) APPLICATION FOR BUILDING PERMIT .............. INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and su/omitted 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 BuiIding 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 port for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuonc.e of a Buiidlng 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, os herei~ described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 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 don, e. Map No: ............................................ Lot No: .................... Street and Number ................ ~[~'ipali't'~ 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.......z~..~....~ ........................................................................ 3. Nature of work (check which applicable): New Building ................ Addition .................... Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost /~.~...~.-.~ Fee ~.0. ~ ............................... (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 ears .............................................. 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 ......... ./..~'~..:~'. .......... Rear ....~,,~, ............. Depth .,,/.~... ................... Height ......... ~ ............. Number of Stories ...... ./.. ................... 9. Size of lot: Front ....... /...~F~.., ............. Rear ........ ./.~ ............ Depth ....... /,..~',.i..~. .......... 10. Date of Purchase .......... .,/..~..~/..~iC,..'. ............................. Name of Former Owner ...~.'r....~....~ .......... I1. Zone or use district in which premises ore situoted ..................................................................................... 12. Does proposed construction violate .any/./~ ~Jz°g[ng... Jaw~ ordinance or regulation ............ ~...~.. 13. Name of Owner of premises.~..~..~.:..~...~....Address ...~ ............... Phone NO~.~,..~..~....~..// Name of Architect ........................................................ Address ............................................ Phone NO Name of Contractor ................. ~.] ................................ Address ............................................ Phone NO, PLOT DIAGRAM Locate clearly and distinctly (~ll 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. _ /V~i_~ ~ STATE OF NE¥~/~YC)~P,~K,, ~ ) S S COUNTY OF .....~Z~..~...z:;~...~ ...... ) ' ................................. ~.~ ...... ~.~...~.~ ...................... being duly sworn, deposes and says that he is the applicant (Nome of individual sfgnJng 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 file this application; that a I statements contained in fhJs 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 [herewith. Sworn fo before me this '~ ~ ~ o ~ (Signoture o~ opplicant) ..................... ~.. cloy of ....... ~.~ ......................... Nota~ Public, ..[,~..(~.~.....Z~'~'?~d~¢;~