The URL can be used to link to this page

Home My WebLink About798-zNO. 4 TOWN OF SOUTHO£D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY t S/~ ~n~ N~ek Roa~ ~outho~OStreet THIS CERTIFIES that the building located a ................................................................... Map No ......................... Block No ......................... Lot No ................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................ ~...~.~ .......... , 19..~., pursu.a'nt to which Building Permit No. dated ........................ ~..~.~ ........ 19..~.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occuponcy for which this certificate is issued is ................ This certificate is issued to [~ederick P, ~zz~erre~ (owns, r, lessee or tenant) of the aforesaid building. Building Inspector HOWARD M, ~ TOWN OF $OUTHOLD 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) N? 798' Z Date ........................ .A..~..~..~.%....:~_ .......... 1~.? ..... Permission is hereby granted to: ~.*.~..~.:..~..~... ................................... ?,~.e. ;~,~.~. ~,~ ..................................................... 8o~:~t.~..¥~z~ ............................................ at premises Iocoted at ..S./..s...?.~.n..e....N..e..e..k...,,K~..,a..d.~..~?.u~'?.9..~..~.L~.~ .............................................. pursuant to application dated .......................... .~,..~'...~...~'.....~.9 .................... ]9~?...., and approved by the Building Inspector Fee ~.,..0..0. ................ Buildinq ~tor TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......... ~/,,,~.,,,, 1 Disapproved a/c ............ ~,..,.J.., (Building Inspector) APPLICATION FOR BUILDING PERMIT Date..~.g~.q~. ...... /...d. .................................... 19~T~.. ..... 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 Lows, 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 oppJi~,~t~;~r ~;~e, if a corporation) ...................... .......... ., ....... ..... State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................................. ~¥f.o..e.~' ............................................................................................................. Pre~[er; ok P ~ I(a%hry~¥ ~[azzafe~'o Nome of owner of premises ................................................... ,~ ................................................................................................. If applicant is a corporate, signature of duly authorized rofficer. (Name and title of corporate officer) 1. Location of land on w~hich proposed work will be done. Map No: ............. ~./.~. ........................ Lot No: ....~..~. .......... Street and Numbed ....;~..i~m.~e~k...~oa,~.)...~4~u~be],([ ......................................................................................... Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: o. Existing use and occupancy .......... .[.:~.¥.~;'g.g...~..~.~.e..z/..s. ....................................................................................... b. Intended use and occupancy ................................................................................................................................ X 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal '....: ............... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ............. ..~...~..5.!)..(.).,...0,.0. ........................... Fee ........ ~........~.,~.~ ............................................................. (to be paid on filing this application) §. 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. Dimensio'r~s of existing structures, if any: Front.....~.~.~ ................. Rear ...... L~.~.! ................ Depth ..... ~.~ ................. Height .....2...0..'. ................. Number of Stories ......... ~. .................................................................................................. Dimensions of same structure with alterations or additions: Front ....... .&z~.! .................. Rear ...... .zL~.! ................... Depth ....8..~.! .................... Height ....... ~.Q.~. ................ Number of Stories .........1 ..................... 8. Dimensions of entire new construction: Front ........... ],4.! ........... Rear ...12.! ................... Depth ....2,f! ................. Height .....~.,0..~ ................. Number of Stories ..].. ........................ 9. Size of lot: Front .~.0...0..t. .................. Rear .....~..0.Q.~. .............. Depth .....~.0.QJ, .............. 10. Date of Purchase ...... ~!.~...z',.c.~..~.~...~..9.~..8. .................. Name of Former Owner .~'~...~...~.~.t~;~. ............................ 11. Zone or use district in which premises ore situated ........ ~.¢..s..J,~.e..~..~...~.~ .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .... ~.9. ........................................... ...... Phone NO Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street and block numbers or descriptio.n according to deed, and show street names and indicate whether interior or corner lot. sr., ... COUNT ' ¢. .......... ) ' ,~..~,~ .~. ~ ~J.~...J...~.O.Z..Z.~ .~,~, .~. ~ o. be ng duy sworn, deposes and says that he is th ,licant (Name of individual signing applicatioh) 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 mai and file this application; that a I 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. FORH NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. E×amined ............. Approved .............. ~./..~. 9~.~.... Per m i t No ........... ...~.... · .~..~.., .'"~. Disapproved a/c ~ 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 covered by this application may not be commenced before issuance of Building Permit. d. Upon approval o.f this application, the Building Inspector will issue a Building Permit to the applicant;. Such permit shall be kept on the premises available for inspect{on 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 Buildin,g 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 a Iterations, or for removal or demolltion, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. , ................................ . (Signature of applica~{,~bf, name, if o corporation) ..................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of ~ ' ' ..... ~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) of land on.~,~hlch proposed work will be done. Map No: ............ ../..~.~.'. ......................... Lot No: ...../..~..~ 1. Location Street and Numbe/.~-....~.~.e.....~..e..g..k.....~..°..~.(t.....~....~..°.-~.}.z..9.~.~ ..................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....................... ;L~,.-c.£n~...gu~,~.~.e.~.~ ..................................................................... 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 .............. ~....1.~.t.i~.~.*.(.}.O. ........................... Fee ........ ~.. ....... ,-~..'...~ ....................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... g~ ..................... 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 ........... ' ................... Depth ....... .¢:.~ .................. 7. Dimensions of existing structures, if any: Front......~.,%.~. ................ Rear ........ >.~;.! ............... '~ t Height ...... ~..*. ................ Number of Stories ......... ~ ................................... ......................................... ' ..................... Rear ........ ,~.~. .................... Dimensions of same structure with alterations or additions: Front ........ :~:.'~.! ................. "'~ ~ Depth ....~..-,.~. ................... Height .......... ~.l, ................... Number of Stories i ........], .................... Front ............ *..~ ............ Rear ...],~;.? .................. Depth .....~.~.~ ................ 8. Dimensions of entire new construction: ~ Height ...... .~. .................... Number of Stories ..~ ........................ 0 ~ ~00 * 9. Size of lot: Front ..],...0 ................... Rear ...... .~.{J.g..~. ............. Depth ............................ 10. Date of Purchase ....... .[~,~.~.q.J.t...'.8..~....1..~g~J. ................. Name of Former Owner ../~..:~...~...[g~. ........................... 11. Zone or use district in which premises are situated ......... !.~.~..~..[..e..'fl...~.~..1. ........................................ 12. Does proposed construction violate any. zoning law, ordinance or regulation? ..... ~.9 .......................................... ..... r of-remises ~{~.~.~.iTtc~ :~r~e,~ed~]~ ~':J.~e ~ecJr, l~o0~di, Phone NO ,5:j~;]~G 13. ~'~ame or uwnu p ..... ~ ................... : ........ : ......... ~....:...... ........................................... 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. %1 ~.0 i', I ,-~. - · , ~. ) .... . _,~c~ t~ . . COUNTY OF ~'-~P.~./']~ .......... ) ' I ~! ....... du,. swam .ho. he ,s .he ............. '~'~'~¥ i"~idu""~'['si"~'~'~g"a~pl*'~['~'~[onf ......... J J above named. He is the ............. ~.~.~..~ ............................................................................................................. '~j ..... (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; ~n~r~h~ the work~lisbe performed in the manner set forth in the application filed therewith.__ ........... ~ ..........d of .......... ~ I~.~...JOSEPH J. ~LI~N~ ~lg Notow Public, '~~'~, ~.~}ilJed in Suffolk County