The URL can be used to link to this page

Home My WebLink About581-zFOI~IV/ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY Z 609 June 7 No ......................... Date ........................................................ , 19 ........ THIS CERTIFIES that the, building located at ..p..~,,~,.~:...I.;.~?...c...e..:.,..:F.,.~,s.,~...~.,~..a..z.~?;.o..t.? ........... Street Mai~gqrc~.Lt.~:.~?..e..r..s.....B...a..y....FB~otc~tfx~' e** Lot No. 138 conforms substantially to the Application for Building Permit heretofore filed in this office dated February 9 59 Z 581 ....................................... · ................. , ]9 ........ , pursuont to which Building Permit No February 14 ... 59 deted ...................................................... ly ........,wos issued, and conforms to cd~ of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ PRIVA~q~ ONE FAMILY D~'~:LLING This certificate is issued to Robert Darbee, (owner, lessee or tenant) of the aforesaid building. Building Inspector FORM 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? 581, Z Date ......... .~...e.*9.~.~...z'~.......~.. .......................... 19.~.?.... Permission is hereby gronted to: ~ou~i~ ]~ O ~ .e.?. ~.. i .A ./..~......~..o..~. ?...~/... ?..~. ?..~...J-.e' ................................ .................... ~e,~.~.. ?,~.r.L .o.r~#.....~ :Z ~. ....................... to ...... tL~;~. ~.. ~.. e...a. ~.$.tA~.~...o~...~....e..x.~.~ ~ .n.g..~ .~.e..Z. ZLn. ~ ................................................................... at premises located at ...~...t'...~..~.8.~.....~.e..z'..f~....~.~..Z...~..~.C.~..~..e.~ ......................................................... ................................................. ~ ¢~..~f~ ~. :~,¢~r~ .... ~..,.Z..,. ........................................................................... pursuant to application dated ................... .~..e..b..u.~..z~. .......... c~ ................... 1c~.~)....., and approved by the Building Inspector Fee FO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exom,ned ....... ......... ~ ~ ,, . ~. 5"~1 Approved ........................................ 19 ........ Permit No ............................... Disapproved o/¢ .............................................................................................. I~('~ (Building In ......................... ................................. Applicot,on 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 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 Buifding Deportment for the issuanoe 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. ......... ......... ................... ...... ................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......... c~......~...4L~...4-x........~~ ....................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which pr osed work wilJ be done. Map No:~.....~..~ot~ No:~..?.....~....--~ ~r~" ......... Street and Number ~ .~..,~.. ' C' ~/]4--~"~'~'"-~ ' MuniciPality 2. State existing use and occupancy of, prem_ises~, and intended,~ occupancyt/'. '~'~-~/x.~,~; of proposed construction: a. Existing use and occupancy ........ ,,,~,.?,~¢~.~¢xZZ/~4 ......... ~~ .................................................................. b. Intended use and occupancy .................. .~..~..: ...................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition ..... ..~?.............Alteration .................... Repair ................... ~:~yemoval .................... Demolition .................... O~her Work (Describe) .................... 4. Estimated Cost ......... ,~...~.~..cf. .................................... 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 ...... ¢~;2~,~,. ......... 9. Size of lot: Front .......~...~.. .............. Rear .....,..~...'~.. ............. Depth .......... '...~ ........ 10. Date of Purchase ........................................................ Name of Former Owner ..~.~...~-r~.. ...... !1. Zone or use district in which premises ore situated ................................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~ ................................. 13. Nome of Owner of premises.~...~...~..Address ............................................ Phone NO ..................... Nome of Architect ..................... ....., ............. ~ ........... Address ............................................ Phone NO ..................... Name of Controctor......~../~.....~,~.....~~.Address~ ..Z~...~..r'~./4~. ....... Phone NO, ...~...~...~...~...../!.~. / PLOT DIAGRAM Locate dearly 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. SmATE OF s s COUNT ' ' ........................(N~i~'i~_~' ...... ~licatJ~n) ....................... be ng du y sworn, deposes ond says that he s the app cant 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 manner set ~orth in the application ~iled t~rewit~ Sworn to before me this ~ ~ ~ ~ow~ ~~ ~~ FORI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD', N. Y. Examined ......... (~... ?...~...~......./....(. ........ 19...~.]. Approved ............... ;.~ ...................... 19...Z...Permit No. ~' .G-~ ! Disapproved a/c .............................................................................................. ............... ...................................... (Building Inspector) Application No ........~..i?..~. ............ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted Jn duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or punic streets or areas, an~ giving a detailed description of layout of property must be drown 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 who~e or in port 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 issuanoe of a '~uilding 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. ...................... ........... ..?:......¢... ....... (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect,.engineer, general contractor, electrician, plumber or builder. ................... ................................................................................................................................................... ome of owner o' premises .......... ........................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of landon which proposed workwill be done. Map No:/J~.s~.~..~t No: ..../...~.....~... .... Street and Number .................................. ~ .....~.~..,,.~.,~ O¢'~ 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 occupancy ........................,.~..~?~ ..................................................................................... 3. Nature of work (check which applJca'ble): New 13uildJng .................... Addition ...~ ........... Alteration .................... Repair ................... ~emoval .........Z ......... Demolition ............ ~......Other Work (Describe) .................... 4. Estimated Cost ........ ~..~./...~..~...?....~,....i ....................... Fee ...... ...~.:...O..a. ......................................................................... (fo 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 ........... ~ ............................................................. ~.~:..? ............ Dirnensions of same structure with alterations or additions: Front ....... ~./....~...¢ ............... Rear ................................ Depth ....... .~.....[ ............... Height ....... ,,/.fi,. ................ Number of Stories ....... ~ .............. 8. Dimensions of entire new construction: Front ............................Rear .......... ..~.....~..../ ....... Depth ............................ Height /a~/ Number of Stories ........ ~ .......... 9. Size of lot: Front ............ ..¢7.?'.../. ....... Rear '~/¢" Depth 1 i. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction violate an,/ zoning law, ordinance or regulation? ....... ~.'~.. ................................ 13. Name of Owner of premises..~..~...~.Address ............................................ Phone NO ..................... ............................ Address ............................................ Phone NO ..................... Name of Architect ........................ ....... 'Z Name of Contractor ../.~....aJ~../C.......~.../,42¢,~..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 NEW~ORJfCa ~Z/) SS COUNTY OF ;.~-/'~' ' .~.....~..z.=..~~ ................... being duly sworn, deposes and says that he is the applicant 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 ~l~D]ication are true to the best of his knowledge and belief; and that the work will be performed in the mann~rl~t~i~J~l~0t~e application filed th/erewith:~,._~ Notary Public, ......~.~.f.....L, ounty ~ c