HomeMy WebLinkAbout944-zFO,I~ N,O. 4
TOWN OF SOUTHOLD
]~U1LDING DEPARTMENT
TOWN CL~-RI~'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF' OCCUPANCY
_Map No .......................Block No ............. , ....... Lot No ...............................................................................
conforms substantially to the Application for Building Permit heretofore filed in this office
~ated ................... D~a~mb.~l:. 112, 19.5!t., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy ~or which this certificate is issued is
(owner, lessee or tenant)
of the aforesaid building.
FOR;M[ NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TO~VN CLERK'S OFFICE
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Dote .................. ~e,~be~_.._~2 ...............19~ ....
Permission is hereby gronted to:
~I. t~ .~eave.. ~. &..... Zv/.~.... 3,r.o.~ ..~. ...................
........... ~a.t,~u~I~s.....~,~ .....................................
to ......... ~.~il~t. ~u. ~.cl i~i~..~..~.. ~;~.~.g...c..c..~ i~.',g .e. ..................................................................
ot pre~nises Ioccted ot ~/~.,..e.~on.~a..~e~...~&; ~ .....................................................................................
...... La~'~s ~.,~. .......................................
pursuont to applicetion doted ...................... 0~t~e.~(......~ .................. 19.~..., ond opproved by the
Building Inspector
Fee $......~,00..!~¢.id check
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTNOLD, N. Y.
Approved ........................................ 19 ........ Permit No ...............................
..................
APPLICATION FOR BUILDING PERMIT
Date ......... 0. p.t. pb. er...23~ ...................... 19...~.9..,...
INSTRUCTIONS
o. This opplicotion must be completely filled in by typewriter or in ink ond submitted in duplicote to the Building
InspeCtor.
b. Plot plan showing location of lot ond of buildings on premises, relationship to odioining 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 ~ocation.
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 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, ordinar?ces and regulations.
Harold R. Reeve & Sons
~.~.o. lcl..~ ~.o.w.~..~l?..a~.t.~,e.~. ...........................................
(Signature of applicant, or name, if a corporation)
Nattit~ck~ L.I.~ N.Y.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buitder.
General Co~.trae.~o~. .........
Name of owner of premises....}~.~.~...~,.*....Q.*.,,~.-T..~,~Iq,-..~..,~'p.S,. ]amiltom.,Adams ....................................................
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 .f].O.t~..~h..,~.;i.-.c~...~.~...~fl..~.~.~p~,o....~.~,~...]~Up,~.~....O..~.~.~.....~p.~.~.~ ............................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ................... ~...0.a~.t. ag.6t ......................................... ; .....................................
b. intended use and occupancy .................... .~.~,f} ..................................................................................................
3. Nature of work (check which applicable): New Buildlng .................... Addition .................. AIteratlon ....................
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, if any: Front ............................ Rear ............................ Depth ............................
Height ................... ; ........ Number of Stories .............................................................................................................
Dimensions of same structural with alterations or additions: Front ................................Rear ................................
Depth .............................. Height .............................. Number of Stories ................................
8. Dimensions of entire new construction: Front.....~,2..'..-.~.~! .........Rear ....3,vO~.:..-.O?! .......... Depth
Height ...].6.!.~g.t.! ........... Number of Stories .....T~O ................ ~inutS
9. Size of lot: Front ..8.6.....DJ0-..Ba~... RearlO. O.!...g~..B.].Ira. Depth .....~D.O.!.~....~l~s
zvtrs. R.C. Brown
10. Date of Purchase ....1..e.g.8..o.~. ....................................... Name of Former Owner ...~'~.s¥...Ha~i.t.~.on...Ad,~n~s .......
11. Zone or use district in which premises are situated ...... ..~. .......................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ........... ~Tg .....................................
13. Name of Owner of premises.,..~....~.i~.q.V..~. ................. Address ..~J-.V.f~,V.~.~.a~t.~L.o.Z.o~,¥lthone NO.P.I~...~..-..0.~2,~
Name of Architect ........~..o..~...e. ....................................... Address ............................................ Phone NO .....................
Name of Controctor...H..8..r...o..1..d.....H..,....~..~..e..V..e....~.....S...O.~dress ..~fL!~.zLI~.~Xq4~...~,Y. ...... Phone NO. ~,..9..-.~.~.&
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 s~reet names and indicate
whether interior or corner lot.
See Seperate sketch
STATE OF NEW YORK, ) S S.
COUNTY OF .... ~.!,~J~.O.~L~ ...... )
..................... }.]~,~'.9.~.d....l~,...~fL~.~.~. ....................................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ........~.q~.~Q~.Q~. ............................................................................................................................
(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
th s app cation; 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 m~,~R~cqtion filed therewith.
Sworn to before me th s ~c,'~ ~ ~"~ -~ . ~ ~~ ~
...................... . ~f ................ ,~ ......... ~,,,~'-., ~ ~ g
.~Suffol~. ~? C n
Notaw Pub,,c,~~.~ .............................. ~
NO. 1
TOWN OF SOUTHOLD
BUll. DING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ......... :' ....:: ....... :: .............. 10.:. .....
Approved ........................................ 19 ........ Permit No. "- ~
APPLICATION FOR BUILDING PERMIT
App~',coh ~kg No.
,( \
INSTRUCTIONS '~'
a. This application must be completely filled in by typewriter or in ink and su~omitted in dgpl!cate to"the Building
Inspector. i'i', '~'
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining prerq~ses or pul~'lic streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which isipSrt of this ~ocation.
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 tl~e 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~f Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursu6Lnt to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordir~'~nces' or
Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein deaf?bed.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
Harold R. Reeve & Sons
Har~:LS..R,~ee~e.,~.az.~zte~ ............................. /.:i .........
(Signature of applicant, or name, if a corporati~¢/~
............................. ......
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber d~ build?~.
......................................................................... ~.e.~e.~. f~.l...¢. ~ .¢z'.~ ~..~ .............................................................. . ..............
Name of owner of premises....~'~,g.,,.~...C~.-..]~.~.~.~.~%.[,4Z~..~.....~Bl~:J.~O~..~l~ .....................................
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 ..8~t~.~Jl....¢i~e...of...~¢...~]L~t~o...r¢~..~,~'.t~f~..¢~¢.~.....~¢~ ...........................
Municipality
2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .................... .81,1~l~e:~...g.o:~.~J~¢e...'. ................................................................... : ......
b. Intended use and occupancy ..................... .8~.'¢~. ....................................................................... i ..................... ~..
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 ar mixed accupancy, 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.....1.[.l.,,,01! .......... Rear '....}.2.1.,,0, .......... Depth
Height ...%6.t~,0~. ........... Number of Stories '"'TNI~ ................
9. Size of lot: Front 'J]~'~'"O~"J}a~"" Rear.'t'O()l'"OJ~"~'lTd' Depth ...~001~,...~.'1.~1.
10. Date of Purchase .... .J.~§&lj.~ IName or Porme uw ~.~.~'~'i~ H~i~.I~..n~a
1 1~ Torte or use district in which premises ore situated ...... ~; .......................................................................................
12. Does proposed construction violate uny zoning law, ordinance or regulation? .......... ~1) .....................................
13. Name of Owner of premises...a.j~..&b~V2 .................. Address ..JJiVe~.~8~d.i.L~.]~tJJ~,Phone NOpj~..~,,0~J~~
Name of Architect ....... ]~11~ ....................................... Address ............................................ Phone NO .....................
Name of Contractor...}Ja.l~t~l...1%~...~ee,~e..&..~dress ..~,,/ek.j...~,.~'.i......phone NO.
PLOT DIAGRAM
Lo,ate 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 YORK, S S.
COUNTY OF ....8'I~f'~'1~ ....... )
.................... · H&~J..,~..,' .Rge~e ................ ..:....,' ............... being duly sworn, deposes and says that he is the applicant
(Name o~ ina v aua~ s gning app ca~ on~
above named. He is the ....... ~$~a~ .............................................................................................................................
(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 Jn this application are true to the best of his knowledge and belief;
the work w I be erformed in the manner set forth n th~ a~l}~ation filed therewith.
and that P ~.~ ~ ~ ~ ~
Sworn to before me th~s __ ~ . .,'v.. '~tsx,'~ ~, _ w ~/~ ~
'~ [~ ~, ~f ~ ~... 19~,?~]'"' '~,,~'~ ~'~'~ (Signature of app cant)
......... ~.,..~...., ~ ~ ~ ........ t ..................... , ,' '~,%~ ' ,~v ~'' ~' , '
HAROLD R, ~ ~,ND SOl~
BUILDING CO~HSq~R UCTION,
MATTITUCK, NEW YORK