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HomeMy WebLinkAbout946-zNO. 4 TOWN OF sot T iotb ~UILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Cerlifica|e Of Occupancy ............. 7!+ NdZ6067 Date ............... A~.u.~...2.3 , 19 .... THIS CERTIFIES that the building located at .It...O. ~'.~...-.. ~.~f~..~..i.e.n.t~..A.¥~Street ..................... xxx Fishers Island N.~. Map No. xx Block No. xx . Lot No .................................. confoms substantially to the Application for Building Permit heretofore file~ i~ this~ office Dec. ~q~ i9~9 dated ..... Aug.. 1 ~ ....... , i9 .?~. pursuant to which Building Permit No. Dec · dated ............. &~g .23.., .., was issued, and conforms to ail of the reqUii'e- ments_ of the applicable provisions of the law: The occupancy for whicia ~hls certificate is issued is . .P.r.iy.a..~9..qn.?..f.~.Li.ly..fl.~!,(e.~;l. ing ....................................... ':The certificate is issued to James & Lillian 5hUllrott to Clara Scha.~eigcr (owner, lessee or tehant) of the aforesaid building. Suffolk County Department of Health Approval p re ~..re qtli~e~n~.-~; t s .............. UNDERWRITERS CERTIFICATE No. ~.r.e?..~ .q.u.i.z~.te.nf: ~ ........................ HOUSE NUMBER ...~.n.e ....... Street .......................................... Building Inspector FOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..Z..808. ......... Date ........................... Aug.u~t..,..2~ ....... 19...6.0 THIS CERTIFIES that the building located a~ ...0t~ ..01~:[.~.t~,l...~V.e ........................... Street _Map No. XLXL~ ........ Block No....XXXLX....Lot No...XXXX ....... Ff~.shers....Is. land~......l~,~f. ...... conforms subslsntial]y to the Application for Bui]dlng Permit heretofore filed in this office dated ................ De.c~b~......26 19....~). pursuant to which Building Permit No ...... .Z...9}+6 ..... 'lated ............. ,D.eo.el~lheI'......~9..., 19..~.9..., was issued, and conforms to all of the requirements of the appiicab]e provisions of the law. The occupancy for which this certificate is issued is ............ .?.,..i.~.a...t. ~....o.~e...~'.~m:[lI..d~ell lng, ............................................................................................ This certificale is issued to .....~'affle~;...V.,....T.h%l~..1,~; ............. 0~/~1~ ............................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~iVf NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS I~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 946 z Dote .................. ~ri~J~,Y.... ~ ............... 19,~.9 ..... Permission is hereby granted to: · Ta=e~..y...'~ r.r..~,t:.~ ......................................................... · ..~aZ~z;en..A~ e ......................................................... ....... · E. ye t,~e i~ · · * -e, onm,. ............................................. to ~i~l..ne~..a~ell/~ ....................................................................................................................... at premises [ocoted at .}~...l~o~..~(..Ol~,.£~o~..O=lent~l..A~,e)..~f..Dx,~t~.AV~ ................. ................................................. t~ t~he,,~...I~..~, r pursuant to application dated ....................... ~,~,~ ...... 2~. ..............lC~,~:~)....., and approved by the Building Inspector Fee $1g..gg....p~ct. cheok Bu Iding I~nspe~tor / FORi~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~xam ned .L~.'-,~.C..~tr..,.,.:....,/.. ...... 19 ...... L Approved ........................................ 19 ........ Permit No..,~%.~.../.., ............. Disapproved a/c ....... "/'".F":} .......... '~"~f ............. >~:~t ... q ~ { / .... / "'/ ........ . (Building In~pecfo~) Application No ....... ~];' ........... APPLICATION FOR BUILDING PERMIT Date 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 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 a~piicant, or name, if a corporation) .... ,. ...... ...... (Address (~f applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder· -rem ses Name of owner of p ...... 7 ................. ¢' .......... "¥'"" ....................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land o~hicb, proposed wo~k will be done. Map No ................................... Block .................................. Street ond Mu ......... .. ......... ~. ... : .......................................... ,'" v'""~'"'""'".';:'" '"' ""'"' "".'. . .,:~l~ / ' 2. State ex,Crag use and occupancy of premieses~and ~?ended use and occupa~]cy'of prop6~edz'construcfon: 3. Nature of work (check which applicable): New Building ...... ~ ........... Addition .................... Alteration .................... Repair .................... RemoVal ............. .,......Dernolition ................ ....~ther Work (Describe) .................... 4. Estimated Cost ?~...,./..~..¢..~.~)..~...~...!..:~: ..................... Fe~...Z...~..L..E?. ................................................................... (to be paid on filing this application) FEES: If dwelling, number of dwelling units ......... /. ............... Number of dwe)ling units on eoch floor / If goroge, number of cors ........................................................................................................................................ 6. If business, commerical 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 ..L./.,~,,~: ..... Rear ..... Dep,., .-~...~..~...~..~.-.~.. He I 1. Does proposed constructio~ violate any,zoning law, ordinance or regulation?...~.2...~. ..................................... ~2. ~ -- ~. Z., , , ~. , .,. Name of of ......... ............................... ....... :...' PLO~,DIAGRAM Locate clearly and distinctly all buildings~ whether"existing or pro~d~ and indicate all set-back dimensions from property lines. Give street and block numbers or description according~dfed, and show street names and indicate whether interior or corner lot. ~1%(, ~ [~)~ STATE OF ~, ~ ) COUNTY 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 stotements contained Jn this application are true to the best of his knowledge and belief; and that the work wiJJ be performed Jn the manner set forth in the application filed therewith. Sworn to before me this iVly Commiss!on fi×pi:.': April ~, ]9~n FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ ]0 ........ Permit No Disap roved a/c APPLICATION FOR BUILDING PERMIT Date....~ ,.:,.~::~.:.:.:~,..~..; .......................... 19.~..:/.... INSTRUCTIONS o. 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 shali 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 Occupahcy 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. ..... :~:g.g:.~,~.-.:....~: :. : ,,, ?.~Z.~..t/n.~.:~.7. .............................. ~ ,r (Signature of applicant, or name, if a corporation) ...... ........ (Address of',,applieant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. . "'- ~ / .,x , Name of owner of prem.ses ............ w.',~.'...vZ2..%~d, ...... f'...'.....,:..u:.~.:.k~..'...~.~zZ,..Z~,,<.. .................................................................. If applicant is a corporate, signatg're of duly authorized officer. (Name and title of corporate officer) 1. Location of land on whifb proposed work will be done. Map No ........... : ....................... Block .................................. 2. State existing use and occupancy of premieses and intended use and occupd~og"of prOpos~'~'~anStruction: ~' . ,9, ~'~ ? . ~ .~.~ . ' (,- IL ' ............. b. Intended use and occuponcy.~.:'~:~.:.~m.:>j,.,,:~fZ~(',~,.., X~Id.?::~(C¢~.,::~e. ............. 3. Nature of work (check which applicable): New Building ..... .]::'~i~i ....... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... O,t~er Work (Describe) .................... 4. Estimated Co ...( ............................................................... .~..."..~.;~ ................................................................... (to be paid on filing this application) FEES: If dwelling, number of dwelling units ....... /. ................. Number of dwelling units on each floor ....... Z ................. If garage, number of cots .................¥:':..; ...... :..: ....................................................................................................... 6. If business, commerical 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. : / '~.'"' "~''[' r X-I ~., Dimensions.....~...L~'~:'"z°f ,p~ire new construction: Fro,, ...... ~" ........ '~.. .......... Rea ...~..'......~...... ........ ~,,~h~ .......... ~b~ of S~o~ ...... .................... ~~ ]~. Does proposed constructio~ violm~ any zonin~ law, ordinance or :e~ubHonP ....... ~ ........................... : : ~ .- . ,, .. ...... ........ ............................................ ..................... ~ ~ ~ ...,..,....,~,,~.,.,.... ....... ~,, ........... ~..~ ............................. ~ ~ ..................... P~OT DIAGRAM ~o~te ~le~rly =nd distinctly ~1 buildings, wbet~e~ existin~ or pro~s~d, ~d indi~e all se~-b~k dimension~ f~om proper~y lin~s. Give street ~nd block numbers or des~iptio~ ~cordin~ to deed, ~nd show street n~mes ~nd indicate w~ether interior o~ come~ lot. . ~ :~-I ',, ·r~"~~ -/ i .... % ,,.,,:--' , ........... : Z~:,/ ', ~ '-, t ~ I~''~'1~. T ' ) j '~ ,-."~ 'I " S ATE OF ~ , ,.. . x q ., ~ ~ 0~. ,~ ~ ~ ................. ~...~:~:,¥~..~.:::. ................................................................................ , ........ : ............. (COnfroctor, ogenf, cor~rote officer, etc.) of soid owner or owners, end is duly outhorized to perform or Hove performed the sold work end to moke ond file this applicotion; thor ~11 stotements contoined in t~is opplicotion ore true to the best of His knowledge end belief; odd thor the work ~ill be performed in the monner set forth in the Qpplicotion filed therewith, Sworn to before me this Notary Pubhc,. ....................................... .~.... r.:Y,~. ........... County J/ (Singature of applicant) "iVly Oommission F. xpr[cs April