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HomeMy WebLinkAbout619-zFOt~H NO. 4 TOWN OF SOUTHOI. D BUILDING DEPA~TM~:NT TOWN CI.E~K'S OFFICE SOUTHOi~, N. Y. CERTIFICATE OF OCCUPANCY No ........ '~'"1'29'~ ...... Date ..................... ~nua~'y"24 ........... , 19.t~2.. THIS CERTIFIES that the building located at ..~/~..~..~./~..~'.,.~..~.~;~-.Street Map No.~.~ ................. Block No....~ ............ Lot No ................... ~ ........................................... conforms substantially to the Application for Building Permit heretofore filed in this office doted ~g .............. F~IE~h...~I~.. ................................ , 19..:~Ll~. pursuant to which Building F~ermit No. Z...6~ .... dated ...l~l~'~h...~.~ .............................. , 19....,~ was issued, and conforms to all of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is .......... ............. I~.R.%VA~E...0~.. F. AM ~LY.. DWELL IN~ ............ : .................................................................... This certificate is issued to ............. D~...~...Ht~,~;;L~'I~...~...~/;~.~.,....~.~.//~.~-~'~i. ............................ (owner, ~essee or tenant) of the aforesaid building. 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.° 619 z Date ]1~ ~'1_ 19..:~.~.. Permission is hereby granted to: North Fork bus~g .G~.,.t~ ........ /~/.O....P..~.~e.....~.~.~...~...l...~..~ ........ ....... ~l~%t.~tu~ ~....~ ........................................... to ..... ]II~L,,~!...lJt,~..~....e...~....~ .~..m..J..~7.....8..~..e..3r.:];~.n. g ........................................................................... at premises located at !./~....~.e..e.~...~.e.~.,~.~v..e.. .................................................................................... ............................................................ .~.t:..t..~, .%~. ~ ....... :.~... .................................................................... pursuant to application dated ............................ ~.~p,J~l....,~,~. ................. 19.§.~...., and approved by the Building Inspector Fee $ ,..]...0.:...0~., ............ Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN C,ERK'S OmCE SOUT,OLD, N. ¥. E×om ed ........ ...... Approved ........................................ 19 ........ Perm t No .................. Application No ............... ~ ............ Disapproved a/c .............................................................................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Dote ................}.~r.a...b.... ,,3.~ .................. 19...5.~ ...... 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 punic 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 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 ale applicable laws, ordinances and regulatio'ns. North Fork Housing Ou_ild (Signature of applicant, or name, if a corporation) ~,ttituck~ N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................. Ag~n~..~...q~n.~r. ..................................................................................................................... Name of owner of premises ....... ..D...t~...~..q..?'l..'.....~...w..~.~...~....VJ~?.fi ............................................................................................... 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 ..~/~....~eep..H~..Dz&~.e.~....~.~....~..~. ....................................................................... Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................. ~9~..~-~ .................................................................................. b. Intended use and occupancy ...................... .9~..~D.$~...~Eg.~.$.~g ................................................................... 3. Nature of work (check which applicable): New Building ...... ~ ........... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...?.,~..~O(~ .............................................. Fee ...~.0..~..0..0.. ........................................................................... (to be paid on filing this application) · 5. If dwelling, number of dwelling umts ................................ Number of dwelling units on each floor ............................ If garage, number of cars .............. .D..o...~..e. .................................................................................................. 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 ......... 3.~ ............... Rear ...,~6 .................... Depth ,....2..LF, .................... Height ............................ Number of Stories .....O,q.e ................. 9, Size of lot: Front ...~r..1. .................... Rear ......~ .................. Depth ..2...~.~./..2.~..~. .......... 10. Date of Purchase ....,F.e.~b.:....~..~..~....~..~.~. .................... Name of Former Owner .J..~.m..e...s..t.,~i...~..~...e.~..~...~..~..1,.c~ ~ildersleve 11. Zone or use district in which premises are situated ......... '.'.A.~!...d.is.t~ic.t, ......................................... ' ................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... ,.n.,o. ........................................ 13. Name of Owner of premises.D...~..~...~..e.....~...~,.W.~..1.~..S...~...l~ddress .HB.~ll~.~.~....~.~.~...~,.],~9..,,~l~bne NO ..................... Name of Architec~...°..u...S..1.~g....G.~..1..1.~. ......................... Address ..~.'1;;.~.$$.!&0.~ .................... Phone NO ..................... Name of Contractor~'3;',~D.Q,l-.a..~f;.C.f~'.:~te~.~. ........... Address ..C.u.t.e, hD. gtze .................... Phone NO ..................... PLOT DIAGRAM Locate cleorly 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'¥OJ~;K,//: ~ S S COUNTY OF ....,/ /~,~ ~ ._ ' . /~/~c~.~/~ ,// ~~~-- e n t t .~~.~.~ .. being duly sworn, d poses a d says ha he is the applicant ...... ~ .... ~m~"of i~i~duai signin~ app~ation) ' ~ above named He sthe ................. ~.~ ............................................................................................................. ~ ' ~~(Contractor, agent, corhorate 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 opplicotion are true to the best of his knowledge and belief; and that the work will be performed Jn the manner set. forth in the application filed therewith· Sworn to before me this ~ ~ TOWN OF SOUTHOLD BOtL.6 hG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Examined ......... : .............................. i y ........ Approved ........................................ 19 ........ Permit No. Application No ........~....~...iI ............ Disapproved a/c .............................................................................................. (Building Inspe~etor) b~e~ t~e~bi~ tse~ APPLICATION FOR BUILDING PE~ evela~ebl~O ~o.~ib "A" Dote ............... ~X'Oh.. ~ .................. ] 9.,5~ ...... ~O~i~ INSTRUCTIONS a, This application must be comp~ in by typewriter ~~d 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 on the diagram which is port 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, permit shall be kept on the premises e. No building shall be occ~ shall have been granted.%b,y-CE~' Building Insp APPLICATION fi'~ HEREBY MADE to the B Building Zone Ordinance of the Town of Southol Regulations, for the construction of buildings, The applicant agrees to comply with all applicob State whether applicant is owner, lessee, agent, ar .............................................. Agen.~..fo.~..~ ~. ........ is~-i~fZjC~E~ilding Permit to the applicant. Such progress or in port for any Iding Department for the Suffolk County, New or a Iterations, lows, ordinances and until a Certific~'f~'~.cuponcy suanc.e of a Building Permit pursuant to the and other applicable Laws, Ordinances or removal or demolition, as herein described. ~tions. Guild a ~ licant, or name, if o corporation) ...................................... of applicant) itect, eng qeer, genera contractor, electrician, plumber or builder. Name of owner of premises If applicant is a carp of dul~thoriz~d%o~)f r. O(~ (Name and.~f corporate off cer) I. Location of land on which proposed work will be done. Map ~: ~.~.9~.~..~'~....~..~o: Street and Number ..~...D~.~.l).l:~....~,e~:,.:..,~,.~ .............................. ..~.....~. .......... .: ............ ~..~ . ~-~x ~wunic,pa~y 2. State existing use and occupancy of pr.em~ses and ~aeause and~ccupancy ot proposea construction: a. Existing use and occupancy ............................. ~B~t~..~ ................................................................................. b. Intended use and occupancy ....................... ~..~$~..~ ................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ? §00 4. Estimated Cost ....... · ..................................................... Fee ....]r.0..'..0..©. ............................................................................. (to be paid on filing this application) umts ................................ Number of dwelling units on each floor ............................ ,5. If dwelling, number of dwelling ' one cars ............................ if garage, number of ~ozte 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................ Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front .......... ](~ .............. Rear ..... 5.6. ................... Depth ...2../f. ..................... Height ............................ Number of Stories ....f~f~ .................. 9. Size of lot: Front .... ~.1. .................... Rear ...... .6..8. .................. Depth ....2..8.~/...2..6...~ ......... 10. Date of Purchase .....~..e~.:....Z..~.,....Z.c).~.?. ........................ Name of Former Owner James~ 8$dney, Donald ................. ............... "A" dietriot 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... ~.' .................................... · Duane Hawkins & W Humnhrey La. Blue Pt 13. Name of Owner of premmes ........................................ Address ......, ................ r .................... mane NO ..................... Name of Architect.....~.°.~.9.$~....q.g.~.]:.~. ........................ Address .....~.~'..¢..~.~.~.9.~ ..................... Phone NO ..................... Name of .......................................................................................................... ~none 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. 15o~ STATE OF NE~Y~Z ) S S 'C~UNTY OF ..~...~...) ' ............ ~ (Name o~ individual signina application),, ~ of sold owner or owners, and is duly authorized to perform or have performed tka said work and to make and file this application; that all statements contained in this application are true to fha best of his knowledge and belie{; and that tk~ work will be performed in the manner se~t~the application filed therewith. Sworn to before me this ~ , ~, ~ ~ ..................... ~ ....................................... A ~, -~,~s~ ~t~ F~ ~.'oTR00 ~ ~7~ ~ / . Notaw Public, ..~.~...~,CL~N~ ........... ~ounty " ~ ]~'~V ' ~