The URL can be used to link to this page

Home My WebLink About569-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTME~IT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OC:(,~UPANCY Z 642 June 41 60 No ......................... Date ........................................................ , 19 ........ THIS CERTIFIES that the. building located at South ~op No...~..~.~ ............... Block No ............ ~.*.,*. ...... Lot No...~,....~.0.~. ............................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................... Ja,~a.~...2~....., 19..~9., pursuant to which Building Permit No ........ J~..~JJ~,. ...... dated ...................... .~....a.~.~..~...~/.....~..~. ........ lCj~...g....., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ ...... .,.I~,,IVATE O~E FAMILY DWELLI~ This certificate is issued to .................. .~l.~,,I~.~..~.,...~.a..~...C].~..~. ........................................................... (owne. r, lessee or tenant) of the aforesaid building. Building Inspector 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? 569 Z Permission is hereby granted to: Walte~ J. Date ................. ,TanuarT...26, ............... 19....59 Madden ........... l~.~a~kl~.~q, uar. e.,.....i~..Y., ................ to... Bu/1 d...an.. ~.ddi. l ~.~:.oi~ ..on...e.~;la.~,.~ ~,~; .. b~.1 .l.,%~.~g ............................................................. at premises located et ..... .Lt~;S...2~'~..,~]Q~..20.~...J~a~..~o...8.~.~.. l',i~J.O.O...~.O~'.~., .................... ........ S/S'-'hake"'gri-~-i...~ e~ ~ho~.~.V..N.~.~.~ ................................................................................ pursuant to application dated ........................... Ja~a.~.~...2~9 .......... 19....~9, end approved by the Building Inspector Fee $...5,C)~ ............ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c ""7 ...... :. ................................................................................. ........................ ........ [ ....................... Application No. ~'~ ~ APPLICATION FOR BUILDING PERMIT Date..c~ ..~...-....~....& ....................19..~...Q~. 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 coYered 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 Certificafe 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ....... ............. (Signature of a~icant, or name, if a corporation) .... ............................ (Address °f~l'cant'/ ' Cl ~.7~ State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ................~~ .......... ;..~Q:'. ................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~o~ 1. Location of land on which proposed work will be done. Map No~ ...... ~.~.~ ........................ Lot NR: ~.~z.~.~.~ ~ M~icipolity 2.State existing use and occupancy of~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~~ ........ ~~ ........... : ......................... ~. .......... b. Intended use and occupancy..4~Z..~~,....%.~~....~....~.~~-- --~~ 3. Nature of work (check which applicable): New BuHdlng .................... Addition ..... ~....Alteratlon .................... Repair ............... ~,.Removal ...,,~.~, ........... Demolition .................... Other Work (Describe) .................... 4. E t, t o t s'maed C s .............................................................. 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 .............................. )O' ~ ' ............................................ Height .... ~,,,,,,,,,v ............. Number of Stories '/" .............................................................. Dimensions of same structure with alterations or additions: Front ......... ..~.....~...' ........... Rear ........ (,,~...(~ ............... ~-~ /~ ~,,' / "/ ~/' / Depth ..~,,..'..'....?..." ........ Height ........ ~5.....~ ............ N~umber of Stories ...... y..,.. .................... 8. Dimensions of entire new construction: Front ....... ../../.. ............... Rear ..... (../. ................... Depth ..~.~..~ ................. Height ...~.....0...~....~...~'. ...... Number of Stories ......... /; ................ 9. Size of lot: Front .../...~....O..,..~.,~ ..... Rear ...[...O...~..,...~..~, .... Depth ......~....~.....O...:...~..... 10. Date of Purchase ...(~..O_~..../...~)..~....~..~.~/..'"' - *'-- ................ Name,, of Former Owner ...~.~....¢~....C-~;...,..~..~--/)-.. -- ......... 11. Zone or use district in which premises are situated....,~;;~..°.~~-,'~.....~ .......... O ................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... ~ ............................. 13. Name of Owner of premlses.....~....~...~...~:~./.~--,~-'~kddress ...~..~...~.../~ .~...~R-,-~,rx....4~-rr~hone NO. ~,~...~.,~ .... 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. STATE OF KL~V~ YORK, ) S S. COUNTY OF .l,/....¢~3,~..~;,,,r,~f~..~} ............ ...... being sworn, deposes and says that he ,s the o ,,cant (Name of individual signing application) above named. He is the ............................... ~~_~.~' ..~,k: ~,~. ........... (~..~ ............ (Co~t'ractor, 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 ali statements contained in this application ore true to the best of his knowledge and belief; and that the work will be performed in the manner set forth Jn the application filed th~ew.i,th. Sworn__.~rto,before me this/'~ ..... ~..:~.~...~.T ...... day of ..~~.'.~'~ .......... 19"/'"':'"" /' New Ye~k Notory Pub,,c,. .............. .......................... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................. 1 9 ........ ,~pp roved ........................................ lY ........ I~erm~t No ............................... Disapproved o/c ...~,..,~]] ................................... (Building Inspector) Application No......¥..,,('~...~'. ............ 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 o 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 I~ept 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 pursuc~nt 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 ol~licant, or name, if a corporation) ...... (Address o'f applicant) ~/*-)-'1 ~y State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... ...~....~..~..2.'.....~-'~..C~...C.~.'.~ .......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) -,,,~ ~." ~-~ /O~C~' ~ ~ ~, , ~. ~ 1. Location of land on whic~h~ proposed work will be done. Map No: ....... ..~,_...O.......~........._. ............. Lot No: ......~...O....~..~....O/ Street and Number ...~."~..g~w.~.......~-,~......~.~......~r-~-~...-~.~.~../~.~/~.......~}.. .... 2. State existing ~6se and occupancy of pr, er~ses and intended use and occupancy of prop?sed c,~struction: a. Existing use and occupancy .......... ,~,,~f~¢:~'~,~ · .,. ~-~. '~,(::~L .,~j~, ·, · ,,,q',,. Z, ,,,,,~..-~. ~, b 'ntendeduseandoccupancy~/..~C~.~~ ~'O~¢~.~-~ .~...~.~.~ .-'~O ~j' '"'/"/Alteration . 3. Nature of work (check which applicable): New Building .................... Addition ....................................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ....... ..~....~.T..c~.....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 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 ...~f~.l.....c~. ........... Height ....J...'.c~.....~. .......... Number of Stories .......... J. ................................................................................ t ............... Dimensions of same structure with alterations or additions: Front ....... ~...(~..~ ............... Rear ........ '~....~. ................. Depth ...~....!..'...~..~ ........... Height ../...~..'..~.." ........... Nu~mber of Stories ......... ./.., ................... 8. Dimensions of entire new construction: Front ........./...L .............. Rear ........ ............... Depth ...... /....o'~....' ............. Height ./...~..~...~..:i. ........ Number of Stories .......... ~. ............... 9. Size of lot: Front .....~....O...:...~. .......... Rear ../....o../..:.~'...Z. ......... Depth .~ ............. · ....... 10. Dote of Purchase ....L~'..~.T....J..Id...~...(,....cJ,..k--..~ .................. Name of Former Owner ...~...~....'.~.~........~...¢m'...,4~., ...... 11. Zone or use district in which premises are situated...'.~..O,~dbo~...r4~........~ ................. ................................ ]3. Nome of Owner of premises..~.~..,..~.~......~..~...Address}~o~ ..~......~.,~ ............... ~l,~,?,....~..Phone NO..~.~.~.,~.~ ...... Name of Architect ............................... .~. ....................... Address ............. ~.~ ............................ Phone NO ..................... ............................................ Phone NO ..... :¢. ............. Name of Contractor ......................... f.: ........................ Address 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, STAT[..' OF NE~ .YORK, ) t~ COUNTY OF (Name of individu~ signing application) above named. He is the ................................................. ~~ ............................................................................ (Con~ractor, agent, corporate officer, etc.) of seJ~rs, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in t~applicat~on 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 therewit~ Sworn to, before me this ~ /- ~ _ n .... ~ .................. aay OT ..7.~,,~zz..: ...... :.'..j ........ ,~ ............ ~ .~ /t ~ 7' '-'--'-"-~T~]i~ ....... l~.~ ..... ~ c~..nt,, L~ ~/'~]~ ~, ~i~ ~, ~ c~ ~oraw rUDHC, . .............................................................. x,~-~,~¢,//~.,~