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Home My WebLink About605-zFORi~f NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES thor the. building located at~,/,,~....~..S~;...]r~i~e ................................... Street Map No. TJI. ON.I~ ............ Block No...;~,~ ............... Lot No. :Jgf'~.....~a,S~,.,~,~.;J.,O~.~......J{,.~r, ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................... ~J~'P,~....]*6 ............ , 19.~9..., pursuant to which Building Permit No ....... ~..1~0.~. ........ dated ...................... ~.e,J~....-'l 8 .......... 19..~.C).,wa.s issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ ............. ~r.t.va ~m .. an~ ..fa~d,~r...d~e ~,l.~ ..................................................................................... This certificate is issued to ....~.t~..~,...W~,~O~ ............ ~...~Dw~e~..~ ........................................ (owner, lessee or tenant) of the aforesaid building. .............. ~f. xlq ..... Building Inspector ~ FO]~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.o 605 z Date ....................... ..~.~....t~...~.........1~.. .............. 19.~.~... Permission is hereby granted to: Kt~I~ C~trac~n..C ~ r.p...~/~.. ~.t~r.. ~ ..................... .... Be~.~7. ........... ~.~ ....................... ..................... ~~....~.,~., .......................... to ....~..~.. ~ ................................................................................................................... at premises I~ated at ..~....~.~.~l...(~..o~oh~)..~.~.~l~l. ................. ............................................ ~. ~.~ ~.....}~ ,~ ~ ................................................................................ pursuant to application dated ........................ ~.~....~. ..................... 19.~9..., and approved by the Building Inspector Fee $. ~..,.0~.... ~l~t~ N E LOCATION PLAN Lot No ......................... Block No ............. Unit ........................... Village .............. NAM~ .._.w(.._.':._:..~.....':..f......:.2..'....._.':...~..:?.~?_.:._~ :D:~::~.ss ~...~.~.~..~-.._~.~?':..........~..~.~ ~..-..~:~,'~ LIDO CONSTRUCTION CORP. ROSEVALE AVENUE RONKONKOMA, NEW YORK FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFPICE SOUTHOLD~ N. Y. Approved ....................................... ~19 ........ Permit No .............................. ................. ...... (Building Inspect?r) ] Application No...~....~...~ .............. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS' a. This application must be complel~ely filled in by typewriter or in ink and submitted in duplicate to the Buildir~g 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 cov, ered 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 Certificat, e 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, Ne,~w York, and other applicable~Laws, Ordinances or Regulations, for the construction of buildings, additions or alterati~f~/or for removal or demoliti~/as herein described. The applicant agrees to comply with all applicable laws, ordlnan(~s/and regulations.// ......... ...... ~o~..~?..7...ILo e e.~a~ e.. JLr. e... ~tcor~or~a ~..~.o~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................. .t~;I,~.~,~' ................................................................................................................................................ N~7 of owner of premises..;7~t~].~....~.o...~£[a.er~ ...................................................................................................... If~,dpplicant is a corporate,/~ign~ture of duly authorized officer. ,// ~ame and ti~e of corporate officer) ~ 1. Location of land on which proposed work will be done. Map No: ....... ~.~.~.~...~.P~.~ No: .................... Street and Number~..~.~...~.~..A~..Q~.*..~...~/~...~Q~..~.'...~.~..~e~...'~*~ ........ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................ ~,f)~ft ................................................................................................... b. Intended use and occupancy ........ ~.we.Z.l,t,n~...ye~....r.o.un~ .......................................................................... 3. Nature of work (check which applicable): New Building....X .............. Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.~..~..0..0..Q.A.0...0. .......................................... Fee .......................................................................................... (to be paid on filing this application) 5. if dwelling, number of dwelling units..J{,...~ ...................... Number of dwelling units on each floor....[I-.....¢l,o?,,/~ ........ If garage, number of cars .................. ~.o~e ................................................................................................................ 6. IF business, commercial or mixed occupancy, specify nature and extent of each type of use......~..O..~ ................ 7. Dimensions of existing structures, if any: Front ......... ~.,~.e ......... Rear ............. zt. one ..... Depth ...z'lot'te ................ Height .~,ozl,~ ................. Number of Stories .................~.~:....,~o~e ................................................................. Dimensions of some structure with alterations or additions: Front ....... ~.o.~ ...... : ........ Rear ......... .~.9..~.e.. ............. Depth ....... ~.o~'~ ............. Height ......... ~on.e ........... Number of Stories ...........~'o~ ........... 8. Dimensions of entire new construction: Front...:'..j~..6..,~..26.o~earz..~. .................... Depth ............................ Height ....'1.'/. ................... Number of Stories ...1,'i~. ................... 9. Size of lot: Front ...]..0.~ .................. Rear ............................ Depth ......'1...,~0 ................ 10. Date of Purchase ...~.~'~,,...2..~r..J,f;).~ ..................... Name of Former Owner ...~.~.~,]Q~;..~.,...~.~O ................... 1 I. Zone or use district in which p~emises are situated......ql,~.~A~',~,'~.Ct ..................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation? .... ~O ........................................... 13. Name of Owner of premises"S't'~tZ'~J'e~'"~'""~'LZl~oz~ddress~l'~l~'~:~.~"*-. -- z~ ,,,, ,-, ............ Phone NO...[.V...-..~.-.~..~.~ Name of Architect......:D.,l~DQ..(~.O~3.~.....(].0.~. .......... Address .~9,0~/'~.l'.~....A.V.l~..,.~....~(~l'~one NO.R,~)9-.;~.].~)~.. 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. L ST, J/rE OF NE~,yq~. ) s s · co/ ;rY x .../.~~~.~ ................. ,. ........... being duly sworn, deposes ia~d sflys that he is the applicant / ~ '(N~~n~g application,) X M~ ~bove n~me~H~ the~~]...~~ ........................... : ........................................ ~(Cont~ctbr, agent, corporate officer, etc.} of said owner or owners and is d~ auth~e~ to,perform or have p?~for~edt the ~id 7~ and to m~e and file this app cation; that al statements contained in this application are ue f~ he b o ' knowle~e ~d belief; and that the work will be performed in the manner set forth in the applica~filed therewith. C~ / Sworn to before methis~, . ~ ~ , /~/~/~ ~ ~ . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT T~(:~A/N CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................................ 19 ........ Approved ........................................ 19 ........ Permit Application No.....~....~.. ................ APPLICATION FOR BUILDING PERMIT Dote.....~. ~...~..C~. · .....~...~'..;/ ..................... i.. 1;9.....~..... 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 drown onth~ diagram which is pdr~,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 o 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 Buiiding 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 Regulations, for the construction of buildings, additions or a Iteration~/or for removal or demolish, as herein described. The applicant agrees to comply with all applicable laws, ordina~nd regulations.~ L~aaress of appdcant) State whether applicant is owner, lessee, agent, architect, engineer, general contr¢ctor, electrician, plumber or builder. ~lic~nt is~ corpo2~ ~ture of du~o6~ho~ized o{ficor. ~ ~n~ title o* corporoto o ' ~ g -~ 1. koc~d on ~ich pmposod work will b* done. Mop No: ...... ho: .................... 2. State existing ,use and occupancy of p~emi~e~ and intended use and occupancy of proposed construction: 'a. Existing usb'and occupancy ................. ~...,..~ ......................... ; ......................................................................... 10. 11. 12. 13. Nature of work (check.which applicable): New Building....x .............. Addition .................... Alteration .: .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... Estimated Cost~000,,Q0 .......................................... Fee ........................................... . ............................................... (to be paid on filing this application) If dwelling, number of dwelling units..~,,...~..?..~... .............. Number of dwelling units on each fl.oor..J~....d~~ ........ If garage, number of cars ........ : ......... '~It ................ If business, commercial or mixed occupancy, specify nature and extent of each type of use.....~O~e .............. Dimensions of existing structures if any: F:~:onf. ........ ll~t~' ......... " "~i~l ................ .. ,, ~ Rear .............. t~'O~.~ ...... Depth Height .~ot~e ................. Number of Stories.. ................ :~I;~IIIZ'"'~:~II ................................................................. Dimensions of same structure with alterations or additions: Front ....... 1~O1~.tl ............... Rear ......... ~1~1~ .............. Depth .......t~Ol'~ ............. Height ......... ltol~'~l ........... Number of Stories ...........t~,'~ ............ 'Dimensions of entire new construction: Front.~.;.!~J$~6...3l,.J~0.,~ear;z...~. ..................... Depth ....~ ....................... Height ....~.~ .................... Number of Stories'.....'l.~ ....... ........... Size of lot: Front ...~00 .................. Rear ........................ '..;. Depth ..... ~,.~ ................ Date of Purchase ...~¥.~...~.'1.~....~8 ..................... Name of Former Owner ...~.t'll,~.~..~/,,....~h~ .................. Zone or use district in which premises 'are situated......~%~ll~l.;~..b~i, ..................................................................... Does proposed construction violate any zoning law~ ordinance or~ regulation? ...'ilt. O ........................................... Name of Owner of premises"lii'~lli~"li'~"Jl'l'lll~ddress~':J~"~"-'~llll'~:Z~d';-, ~*,~t-v -,,,.~,~ ............ Phone NO. Nome.of Architect,....~:)0,..0ON~,~...0Ol~p.r ......... Address .R~,~l/l.~]~..l~,~.i.i...~(~none NO.~o~)~;~lO}... .Name of Contractor ........................ ..~ ........................ Address ....................... II ................... Phone NO ....... II ............ ' ' 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 ~F NE'¢/~.¥O~I~,_ . ,¢ ,)..~ S ....... ~~ ..................... bein~ duly sworn, deposes end says thor he is the applicant (~ab~le~amed~Heisthe'"'~'"~~"agent, c~rporate officer, etc.)__ ' . - ~ ' of said owner or owners, and is duly authorized to perform ar hn,,o-.,~,'-z ........ _this application:,thnt ,,IF. ~*,-* ....... ' '