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HomeMy WebLinkAbout588-zFOI~M NO. 4 TOWH OF $OUTHOLD BUiLDinG D~PA~,TMENT $OUTHOLD, N. Yo C~RT~F~CA'T~ OD OCCUPANCY THIS CERTIFIES that the building located at~./.~..~.lltl~.e.~..~,t~[LO.t~.,.~'..~.G~.O.~..~.,~ .... Map No...**~ .............. Block No. ~.~ ................. Lot No...*~ ........................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................... ~'~h..~, ............ , 19...~.~.., pursuant to which Building Permit No....Z..~J~ ............. dated .......................... N}~Z'~-"~ ........... , 19..~0~.., 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 .............. .................................... · D~.Z:t~FA,T.~.. ON~...F.A~.~.~.- .DW~ -tNG ........................................................... This certificate is issued to ~.~C~..,~.~..,,~.y.~O~,~...O-~O~,. .................................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector Howard M, Terry FOI~I NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS P'ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 588 Z Date ..................... ~.~h....2 ..................... 1959 .... Permission is hereby granted to: ~r.ta.&.D.o.~.~n....~.~ ........................................ ............ ~u.~et,..~ne .............................................. .................... .6..r..e..e..n.p. ,q ?..t. ~..,..~ :.~ ,.. ............................ to ...... Bu~.~..~. ~n..ac~d ~f,~on.. on..an., ex&af4L~ .~:b~rell ~,n(; .................................................................... at premises located at ....~q/.S....Bl,~t~.t..Y4~t.e. ........................................................................................ .......................................................... .q.v..e..e..~ .~..~ .~.~....~.,.~.,. ...................................................................... pursuant to application dated ..................... ~..~...~, ........................... 19...~.C)., and approved by the Building Inspector Fee $..~ .............. · ?: .,k,.~. ~. ...... ~ ............ ~ilding J~spector ...................... j TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT.OLD, N. ¥. Examined ........ .~..~...~...~ ....... 19..~...?.. Approved ........................................ 19 ........ Permit No ............................... Disapproved a/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 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 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 pu~'pose whatever until .a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanc,e of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lgws, 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 ali applicable laws, ordinances and regulations. ~ (Signature of applicant, or name, if a corporation) Sunset Lane Greenport,N.Y. (Address of applicant) If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) State whether applicantJs owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buJJder. ..6~ne~ ...................................................................................................................................................................................... Name of owner of premise~..~....~.~ff~......eff'-~..~..~-]~..~R~!~.. ~e-..'-~'"~ ................................................................................. No Oorp. 1. Location of land on which proposed work will be done. Map No: .~ ......................................... Lot No: .................... Street and Number ~.e..e.~..~$.d:.e.....8~...n...~.e...t..~..e~...e ....... ~.9.~,.*.~.7. .......... .~..~..~.~..~....~.~...~..~.~.d....~..~.~.(..~...?~.9.$.~..e...).~?..~.~.9.~s.~.*¥° Municipolity 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy....R.?.~..~..~.?~.C...t.~.l....cl:.~..e..1.~P~ .......................................................................................... b. Intended use and occupancy.....Be~i¢~i~l~..]~.e.l.2iz~. ................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition~.~gg.~.. ........ Alteration ..~.....~'...~...~..?..~.. Repair .................... Removal ¢l~'..~.+,f~g~....Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~'~.8..°..0..: ................................................ Fee ~ ~. :. .0. .0. ................................................................................ (to be paid on filing this application) floor ............................ 5. If dwelling, number of dwelling units.....9..~.,e. ..................... Number of dwelling units on each one If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.....e,~.:L..~.~.~.~k~.e.~;La! 7. Dimensions of existing structures, if any: Front.26..~h ................. Rear....28~.t ................ Depth ...2~.~.~ ................. Height ..]:1~'. ...................... Number of Stories ~ .......................................................................................................... Dimensions of same structure with alterations or additions: Fron~.-J£.t. ......................... Rear ~?.¢.& ....................... Depth 2-J~t ....................... Height .............................. Number of Stories ~ ............................ 8. Dimensions of entire new construction: Front..~.~.~..e...~ ............. Rear ......~'...+¢ ................... Depth ]:..2.~ ..................... Height ............................ Number of Stories ..o..'fl..e...~...+-~..~.....~..~.h 9. Size of lot: Front 7.~.~.t¢. .................... Rear ...7..~..t...~.~ ....... Depth ,1,~J..;~..~:J~.~r to i0, Date of Purchase~¢.hJ~,9,~...~Z:~.r.~ ................... Name of Former Owner .~9..s..e.~..'g:..~:...8.~.~!~ ..................... 11. Zone or use district in which premises are situated ......................... I~.:...~ .................................................... 12. Does proposed construction :violate any zoning law, ordinance or regulg,tio,,n? ,~..~Jg.,~ ........................................ Erie S. _Tyrer r.v. ~ox ~¢f~ . I3. Name of Owner of premises...~lf~'.~..~:.,...~'~'.~C.....Address $.tA-~.~.C.~..~-.q~...Q~CT~...°.~..Phone NO~.r.~.t....7...~.1 Architect ........................................................ Address ............................................ Phone NO. "'7" ............. Name of ' None Name of Contractor.....C.~..~l~.u,.~' ........................... Address .~5..~..8...M.~.$.B...8..C.E~.e..C...~.e..e?.~fl~i~e~: ..6.~.~...0...0..~.8 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. O , STATE OF NEW YORK, ) S S. COUNTY OF E~ic S. ~er be n duly sworn,~poses and says that he is the applicant (Name of individual signing application) above named. He is the.~.~¢.E .................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owne~, 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 w I be performed in the manner Sworn to before me this ~ ? {~"H:.' "L ¢ ~ z,; ~ ~¢ l ~J / ............ ~ day of .Z....g~r~h.~ ................ ~ ct~?:~:'"'. "~ (~ffof app~~ Nota~ Pub lC, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD', F~. Y. Approved ........................................ 19 ........ Perm t No ............................... Disapproved a/c ..... ~., ................ :, ................... .~ .............................................. ....... /.~:,.47.z...'...... ::.: ................ : ....... L., £~. :. :.. ;':':t .................... (Building Inspector) ~ Application No...~.~.~..~...:~... ............ APPLICATION FOR BUILDING PERMIT Da to......~., i~/~(t~ ..~, ~ .............. '~. ~/. .............. 1 9~. ......... INSTRUCTIONS a. T}~is 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 ~dioining 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 P~rmit. 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 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 br 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 regulatlons. (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 v ............................................................................................................................................... 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: .................... Street and Number'~.~.~..~;i..4.~..~.~'n,.~.~.~..I.~~ ........ ~]... .........Sau.~h..o£..%u~i..~.~v.e~tc~z~le.~Gr.e~npo~I~.Y' ' ~ ' Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occuponcy.~.~,~.~t.~,~J,e.t...0,'~ifll.'l/,~a~ ........................................................................................... b. Intended use and occupancy..P,~s£d,e,~¢~,al,..ctwel.l&nf; ....................................................................................... 3. Nature of work (check which applicable): New Building .................... Addltion~.~ ........ Alteration Repair .................... Removal O~'..a~M~....Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~[~ ................................................ Fee~l~*.~[. ................................................................................ (to be paid on filing this application) 5. If dwelling, number oF dwelling units....ffl~.· ..................... Number of dwelling units on each floor..tl~llt ................... 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: Frontl[~.t~, ................. Rear ....?~r, ................ Depth ..~1~ ................. Height ..~ ....................... Number of Stories~. .......................................................................................................... Dimensions of same structure with alterations or additions: Fron~l~ .......................... Rear ~ ....................... Depthk:~J~ ....................... Height .............................. Number of StoriesJ~. ............................ 8. Dimensions of entire new construction: Front~/~4//t.~ ............. Rear ...~":~ .................. Depth~,~ ..................... Height '. ........................... Number of Stories ~lt..~l~.:.~l~.~' ~ 9. Size of lot: Front~...~'... ..................... Rear ...~,~.....~·~ ....... Depth :l~.~l~.~W~t~,~t' ~ ,~ 10. Date of Purchase~..~,~.~,e~....~ ............... Name of Former Owner ~.g~f;~t.~'~..~.~e~l~ ...................... 11. Zone or use district in which premises are situated ................ ../~"....~ ......................................................... 12. Does proposed construction via ate any, zoning law, ordinance or regulation? ..~ ............... ' .............................. 13. Name of Owner of premises..~.~,.,T,.T~:~.....Address~..~tM.:~dk..Phone Name of Architect......~ ....................................... ;.Address ............................................ Phone NO .................. Name of Contractor....~r~q~.~l~. ...........................Address ~1~...~]~..~t~l~'~..~K~i~i~ ~.'.~: PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or pr( property lines. Give street and block numbers or description accQrdin whether interior or corner lot. STATE OF N_EW,,,y~,RK, ) COUNTY O I:II~I~P~.~ ................ ) SS. ~osed, and indicate all set-back dimensions from to deed, and show st eet names and indicate ,~.f:9...B.,:...~.,....~,~...e..z'.. ........................................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the...03?.~..e.?. ................................................................................................................................................. (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,farth in the application filed therewith. Sworn to before me this *Y°~/?~::,~%,~0!~,.,~£~, ~.~.~*;; ~,. /~ , / ............. · ~:~.....~ da~ of .... ~'.e.~ ...................... ~/c]~:~,..,..,.,.~ ,,:, , , ,,,o,,t (:~gnature at epp~lCan~ Notary Public, . .. ty" ' '~ ~'0, ,,~¢'~