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HomeMy WebLinkAbout948-zFOR~ NO. 4 TOWN OP SOUTI-IOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY No...Z...81fl ........ Date ............................ Aug.us~;....-~9..-.., 19.60' THIS CERTIFIES that the building located atN/,~..,. ~8t~ ..V.i~.%L.D:~ ............................. Street _Map No.....~ ....... Block No .......... i~.....Lot No....:~; ........ }~a~.itllOk~......~.o.Y~ ....................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ D.~..31 .................. , 19..~9.. pursuant to which Building Permit No..~...9..~.~. ......... ~hted ......................... D~....~I ...... , 19...~.9., was issued, and conforms to all of the requirements of the app!icabJe provisions of the law. The occupancy for which this certificate is issued is ............. ..P..r.g.V.a..g.e....one...£.am~lY...cl~.~ell~ng .............................................. i ............................................ This certificate is issued to ..... /~loel.....Al~.e.~.(~.~ ........ (~)%g~'.-) ................................................... (owner, lessee or tenant) of the aforesaid building. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS F~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 948 Z Pate ................... ~27~T...~.~ ............ Permission is hereby granted to: ~eel Wes~ew ~i~ ....~.~.~,....~..~s~ ............................... t bnil~ new one-family ~weY~li~ pursuant to application dated 3 ~9 and approved by the Building Inspector Bui!?ing I~spector HOWA/tD N. TE~BZ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ,,:: Application No...f~ .......... Disapproved o/c ................................................................................... : .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. ~ .~..,.~ ¢~-m~,-ff~,,¢.~.....~../... 1 c~,...~. .... 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 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 p art 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 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. (Signature of applicant, or name, if a corporation) (Address of oppiicont) 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) Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ....~/?~/~......~'.'.¢~'.¢'~.)...~u1~i~~..~¢..~- ./.../' ~ ~ .................................................. State existing use and occupancy of pr~mises and intended use and occupancy of proposed construction: 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 ............ ./...~/..:,~......O...~.~: ............................. Fee ..'.'.../'.t~.....C.... ...................................................................... (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 ................................. Height ............................ Number of Stories ...... 9. Size of lot: Front ....... .~...~...~,...?~.....-- z Rear ....... f~....~ ........Depth ......~..~....~.. ...... 10. Date of Purchase ............... .~....~..:.~...~.. .......................... Name of ,Former Owner ....~.~..~.~..~..~..~ .............. Zone or use district in which premises are situated ............. /w.....w..~.-~..~... ........~. ....................................... 11. 12. Does proposed construction violot~ p~/ ,~' //~/°nY zoning law, ordinance orz. ~.-- -- /~ t-t~/~--~regulati°n? ...... .'~.~..~. ................................... I1 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 and show street names and indicate whether interior or corner lot. t~ (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 application filed therewith. Sworn to before, me this ~ I so~?~ ~o~t . ........... ~.~ .......... z~ '""~ ..... ~ ...... ~/ "'7 .....~u.. S~,~o~ ~ ~ ~ ~ FOR]V[ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E x a m i n e d/~.~_.~'~/~-d. ~.z... 19..~.~. ~.' Approved..~.~4'.~(~4...~Z.' 9..~..~'..Permit No .... ~..~.~......~...~....... Disapproved a/c ...................................... :~....~>~.: .............................................. Application No APPLICATION FOR BUILDING PERMIT °ate. .... 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 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 sha~l 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 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. (Signature of applicant, or name, if o corporation) .......... (Address of applicant) qtate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... i~/;.%Z2..5:¢2f,'..*~..~.~..,.~.t.~..( ................................................................................................... If appNcant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ..../.~../...~c....~.~..~!?~.rz....:c'.~.,,:.'./...~~.~:.~?./.C~;¢:(. .................................................. / MunicilSality State existing use and occ~apancy of pr, e/raises and intended use and occupancy of proposed construction: b. Intended use and occupancy ........... <~?':~... 'Z.2¢ ..................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition... ................. Other Work (Describe) .................... 4. Estimated Cost ........... ../...~....~....~....c::,.~ .............................. Fee ....z:...~ ............................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............. L ............... 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 o,f Stories ............ >. ..... . ........ 8. Dimensions of entire new construction: Front ............ ~.~.~.. Reor ....................Depth ............................ Height ............................ Number of Stories '~ 9. Size of lot: Front ............................ Rear ....... ~..~.. ............. Depth .................... 11. Zone or use distriCt"in"w'h'ich''premises''are''situated ............. .~d~../..".~:...7~..~.,'.. ~. ................................... tr hon wol ' an zo 'n law ordinance or re ulation~ 13. Name of Owner of premises..~~..~.'~ddress~..~.~.../~....~..~.~..~.~...~.'..~......~....'<.' .~(''~'. ~.. ............ 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 ~eed, and show street names and indicate whether interior or corner lot. ~ SmAm OF NBWNO, .,.Z. ) S S COLJNTY OF ~..) ' -~ ,~ / //~"~/~(~X ~~"~ be n~ du,, sworn deposes and says that he , the app cant ................ ~'~bme of in~i~ua~~'~'~'f~"~ ......... u . '. .......... ............................................................................................. (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 ap~[[catiop filed therewith.