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HomeMy WebLinkAbout625-zFORM NO. 4 TOWN OF SOUTHOLO BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED Certificate Of Occupancy No. Z328 Date June 23 19 59 THIS CERTIFIES that the building ...... Qla.e..I~a~-.~ky...d.w.~.% % ~a~ ................... n/s Private Road Location of Property .... wY~. N .. ~Bay~r~i. aw. Ro. ad ........... S o u.tJ~Q 1 ~ ................ House No. Street Hamlet County Tax Map No. 1000 Section * * ..... ~Block * * . .Lot * * Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore ~ed in this office dated ....... /~Pr.J-.], ..4 ....... 19 ).9. pursuant to which Building Permit No...6..2.5.Z ............... dated . .A.p.r.i.],. 2.4 ................. 19 ~., was issued, and conforms to all of thc requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... The certificate is issued to Stephen Irimescu owner (owner, ~.gAv~ Y~I( ~;~t; X X of the aforesaid building. Suffolk County Department of Health Approval .......... N../.R ............................. UNDERWRITERS CERTIFICATE NO.. N/R Building Inspector Rev. 1/81 FOEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOW'I'4 C~.ERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No.Z..3~,8 ............. Oote ............................ ..0'...~....e..,~ ............. , ~ 9.~... THIS CERTIFIES that the building located at..~/~..~,...~...~d.l...~Rt~tree,t Map No ......................... Block No ......................... Lot No ..................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................................................... ~..~9., p~,~o~t to wh~=h s~i~i~g ~,~it ~o..~...~.a~. .............. d~ted .......................... A~.~9 ........... , ~ ~..~9.., wo~ i~s~e¢ o~d co~fo~m~ to ~,, of th. of the cp)]icoble provisions of the low. The occupancy forwhich this cerHfJcote Js issued Js .............. ....................................... ~.6~..~...~.~LW..D.W~LL~Q ........................................................ This certificate is issued to ....~$.~Ph~..~~...ON~$~ ........................................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector HOWARD M. ~errY FOI~M lqO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 625 Z Permission is hereby granted to: ~.~.~..e.~..~.~.e.~,.e~ ................................ ..3o:~...~J~ ............................................................. Southold~ New Zork to build an addition on exi~.i.~ dwelli~. _~North side Private Road -west ~ide North Bay View Road~ at premises located ~,80~t~!.~.~...1~,~..~,0~.J ............................................................................... pursuant to application dated .................................... .~.~.~..~...~.....~. ........... 19...~.?.., and approved by the Building inspector Fee $...~ ~'~. ........... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICf OF DISAPPROVAL ....... ~.o.~h~il,...Ne.w...~T.o~.k ....................... PLEASE TAKE NOTICE that your application dated .......................... ~.~...~. ........... 19..,~'~. for permit to construct .~...~,d.~.t.~.iO~ .............. at the premises located at ..w/.~...~..... ~zv...i.~..~.,..,... ~..o. ~.t;..h...e..Z..a.., s~ Zo~k Map ~ Block *~* .................................................................................... Lot ............................................ is returned herewith and disapproved on the following grounds ..~e~.~.~...~....:J~.~,~.'J.~ ........ ~...~.. ~.o.~'...o..~..~.o. ~.~.o...z.~.. ............................................................ / Building Inspector Howard M. Terry FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ....... : ................................ 19 ........ Permit No. ~- (~ ~ 6 Disapproveda/c ~~,~.,~?*J~' ~'~'- -~;I,"-~,..~.~ ................... ................................. 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 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ord inances and regulations. Stephan Irimescu aud ............ Le. ..................... (Signature of applicant, or name, if a corporationl (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises.:.S.~..e..12.~..~.~?.~¢.9.'~....¢¢~.~.1~?.~.~:~.D.~.~9~.~?.~.Tr.t.9.~..q.~.~....~.~.~.9 ...................................... 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. Mop No: ............................................ Lot No: .................... Street and ,'~umDer ...................................................... 7...: .................. ¥. .................. .~.t ......... ..~.~:C.......'T~....':. .................... Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: a Exlstin use and occu ancy ~~¢"*'~ ~' · g P ................................................. I'"~ .............................................................................. b. Intended use and occupancy ............................. ~ ............... .~........OZ...'...~'..~.: ................................................. 3. Nature of work (check which applicable): New Building .................... Addition ......... ~lteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.~L,..~...g...©. ........................................... 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 .....;L..~. ............... Height ............................ Number of Stories ....6,~-,~ ............ 9. Size of lot: Front .....~.~:. .............. Rear ......... .~.~ ........... Depth ...,~..:~./....~.z/2,.,..-- 10. Date of Purchase .~.~,4,...j...'~..Z.~...~. ........................... Name of Former Owner ....~..h ..~..~..~...':~.~.,.~.../~ .~.'...¢ .......... Il. Zone or use district in which premises are situa ed ............................ , ......................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ '/~'C~ ................................. ) ,~::..,~ ..:.....~ ~, , ,/} zj,~-~ ~.,,?Phone ('' NO 13. Name of Owner of premises.~c~;~.~,,~..~.~:,~z~/K,;%c~,~adress~-A T~, ,/'. ......... ...................... ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor ....... /..~...'./,;i.~.~' ................................ · Addre ss ...... :.~..q.:...:...:...~.~ ................ 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. ~,~ ~.,tZ,~*-Ik, duly sworn, deposes and says that he is the applicant STATE OF NEW~VOR[~ I, ) S S COUNTY OF ..,.[~¢.;~...': ..f~n'....,)O,/( ' being above named. He is the ............................................................................................................................................................. (Contractor, agent, corporate offic~ etc.) of said owner or owners and is duly authorized to perform or have performed the s~ ~o~k and ~make and file this application; that all statements contained in this application are true to the be~/of ~s knowledge and belief; and that the work will be performed in the manner set forth in the application Sworn to before me this . ..................... ............... Notaw Public, (~..(.~.~4,~[.....~-h7.~H~