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HomeMy WebLinkAbout864-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z 6~L6 Dote ~3~.~e 14 19...6...0.. THIS CERTIFIES that the. building located at ...~..0..7...~.n...~.~..t......S..t..,..,....~.r..~...e..~.~ ,l~.,..r..t. ...... Street ~F~..~....=.~...~.&=....~o~. ...... .?..*..*. ........... Lot No.~2, 6~, 64 conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................... .~..e. 19..t...~.~.~.~...~...O......, 19..~.~., pursua'nt to which Building Permit No ....... .Z.....~...6...4. ......... dated ................. .O...C..t...o.'.b..e..~....~. ............... 19...5...9..,wos issued, and conforms to all of the requirements of the applicable provisions of the law. The occupa, ncy for which this certificate is issued is ................ PRIVAT~ O~ FA~4ILY DWELLING This certificate is issued to .................. ~..~..m...a..~.....M..?.~..r..~...s....~.....~..;.,.....o...w~....~...r. ................................... (owner, lessee or tenant) of the aforesaid building. FOI~M 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) N? 864, Z Date ...................... .Q~..t.c,.b..~ .r.....~. ............... 1 ~.9 ..... Permission is hereby granted to: P~,~. ~....~.~.o..r..r..$.~. ...................................................... 807 Lir~ett St Greenort, to Build en addition on an existing dwelling at premises located at 807 Linnet St (lots 62-64) Greenp. ort driving Perk ........................................................ .gr~.e~uc~r.t.,.... N..-X.,. ........................................................................ pursuant to application dated ....................... .8.e.~..t.9.m.~.e..~......¢~... ............... 19..~.?.,,., and approved by the Building Inspector Fee $..5~0(~) .............. FO~.M NO. I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ~....~.. ......... , 19...~...~.. Approved ' '9 ........ Perm,t No. ~'"'***-- ~c (Building Inspector) Application No ......~....~.....(~... ......... APPLICATION FOR BUILDING PERMIT Date ............... ~........~.....0. ............ , 19..?.[.. 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 Deportment 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 ............. !4.~......;.......'~.. ................................................................... 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:...~..~.~.?..~..Y Street ond Number ....~....0....-,/......~.....~.."......~.....'~x, ................. Municipality 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 eccupancy ....................... .t. .................. ...c~../.......~../.~:;. :..~ .: .............................................. 3. Nature of work (check which applicable): New Building .................... Addition ...... ...~... ........ Alterotlon.....~:.. ............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .....~..~....~.....O....?~.. ................................. 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 ....... ,;,'~...(p.../. .......... Rear ............................ Depth ................................ Height ............................ Number of Stories .................................................................................... ~ ........................ . Dimensions of same structure with alterations or additions: Front ................................ Rea'r ................................ Depth ................................ Height ................................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .......... ..~'.....~.. ......... Rear .......... ...~Z....~. .......... Depth ............................ Height ............................ Number of Stories ....... ..~... ................... 9. Size of lot: Front ............................ Rear ............................ Depth ............................ ,~ /~ 10. Date of Purchase ............t~...~....~. .......................... Name of Former Owner ....~...~.r.~..%.: 11. Zone or use district in which premises are situated ........... ~" '~.:.' ............................... 12. Does proposed construction vio~te any zoning law, ordinance or regulation? ........... .~.....~ ................................... 13. Name of Owner of prem ses .~:'.: ~: , Address ........ Phone NO ..................... Name of Architect ........ ~ ~/ _ ~, _~_ _"~i,i~j~"'"~ ..... ;i'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 NEWYOEK ,e/_ ) S S COUNTY OF ' ' U I /. .I ~ ................................ ~...'..~.~n-~.../~....being duly sworn, deposes and says that he is the opp,icont (Name of i~ ~,~n!e~ a~p,l:)~fiation) 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 mar~lfffs~.t j~ in the application filed therewith. Notary Public, State of New Yor~ Sworn to before me this No. 52:03449~3, Suffolk County ...................... ...... : ";" ..... Notary Public, ..~~..~.~..~ C-~m-m7' (SignatDre of applicant) NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................. , 19 ........ Approved .................................... , ]9 ........ Permit No ................................. Disapproved ....... ......... j:; .......... t.... ...... ...... (Building In~ec~or) Application No .......~i....~....~ ./. .......... APPLICATION FOR BUILDING PERMIT Date ............... ...~.....'~."~..?. ....... .'~-....O. ............ , 19.~'..~.. 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 Jn 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 Ordinonc.e 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 ............. ~ ...............................Vi~:.~ ............... ~....':: If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) r 4<. 1. Location of land on which proposed work will be done. Map No: ............................................t.or No' ..... .......... Street and Number Municipali~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. ..m~.~.::...: .q .. b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check whiCh applicable): ew Building .................... Add t on ....... ~ ......... Alteration.....~:.. ............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .....~...~....O...'.O...?~.. ................................. 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 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 ............................ Rear ............................ Depth ............................ ^ /~ 10. Date of Purchase ............/.J.. ,~.....~,, Nam, e o,f Former Owner .. . ;. ...... .d:..~,..~....*.:.[ ....... 1]. Zone or use district in which premises are situated ........... A .................................................................................... 12. Does proposed construction vio~tet~ any zoning, law, ordinance or regulation? ............ .../~.....0. 13. Name of Owner of premises....f~..;...~'~ ............. Address .......................................... Phone NO ..................... Name of Architect ........ ~.~.,....~.¢3;..i. Address .......................................... Phone NO ..................... Name of Contractor ........ ~ .~ .}...~. ;~.'.':..~T..:.C; ........ Address Phone NO. PLOT DIAGRAM Locate clearly and distinctly oll buildings, whether existing or proposed, and indicate olt set-bock 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~YOP~I~ /~1 ) S S COUNTY OF .,.~.~..)~,~/~. /~//' ' t , ..................................... ~';~..~...~......~..~b,~:~..',:'r.J....being duly sworn, deposes and Soys that he is the applicant (Nome of individu6[ ~cotion) , above named. He is the .....~ ............................................................................................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove 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 ~ ~(£~rth in the application filed therewith. 'e~rv PuHic, State of New Sworn to beforf~ me this ~ ,u 52 314963, suffolk County ........... Notary Public, ..~..~~unw (SignotOre of applicant)