The URL can be used to link to this page

Home My WebLink About1178-zF(~P~ NIO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. CERTIFICATE OF' OCCUPANCY No..~....8...6.?. ......... Date ...................... .0a.f;~)her....2.1+. ......... 19.,.6~) THIS CERTIFIES that the building located al .N/S.....SollE:d...¥.fal4...A-¢e ...................... Street Map No. ~.X. .............. Block No. ~...X~... ........... Lot No.X...X~.. ........ ~.Q.1!~!!..O.~!;! ............................................. conforms substantially to the Application for Building Poi-mit heretofore filed in this office dated ................... .~...~.~,..l!...s..~......~.~..., 19_.6...0.. pursuant to which Building Permit No....~g~,~ ........ dated ................ .A..gg.l!O..~......~9......., 19...~.0, was issued, and conforms to all of the requirements of the applicable provisions of the law. The oceupancy for which this certificate is issued is ................. ~.~.~.~.{~.t ~...al~e...family...d.~,e;~..]~i.n~ ....................................................................................... This certiflcale is issued to ....~.~...~...a..~...~.?....~.~.~..k..i.....~.!~.~...S.~..~..~..~..~.~.q~.~:~.~.~.~...~ ..... (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~[ NO. 2 TOWN OF SOUTHOLD BUILDING DffPARTMENT 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? t175. Z Data ........................ Permission is hereby ~ranted to: ...... G'%'t~'tt~'g~t~' T'' "~¢;"~Z'; .................................... to ...... ]~i.l.~l...~ae~..one-..f- ~!.ty-.. d ~e..l.ti~ff ................................................................................ at premises located at ...I~lqlri~r..Rd.....~..~.OtttrlCt...Vlt~/..Z~T~ ........................................................... ..................................................... .S~u.thold~..... N,.~, ....................................................................... pursuant to application dated ......................... A~'St'""~ ............... 19..60, and approved by the Building Inspector Fee $"t'O1,' O0 .......... ~J~"~' ' Builc~ing 176~pecto~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ C~....~.....~...,. 19.....~.~ Approved ......................... ~ ............ 19.....~.J..Permit No.. ................ ~ j l.............? ~ Disapproved a/c .................. ('~~...................................... Application No .......!..(....~......?... ..... APPLICATION FOR BUILDING PERMIT Date "~ /'~ 19~(J ,I I N'STRUCTIONS i a. This application must be completely filled in by typewriter orj Jn ink and s?mitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sfreets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location. The work covered by this application may not be commenced b~fore 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 throughiout the progress of the work. e. No building shall be occupied or used in whole or in part for an~ purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. / APPLiCATiON iS HEREBY MADE to the Building Department forI the issuance of a Buiiding Permit pursuant to the Building Zone Ordinance of the Town of Southotd, Suffolk County, N~w 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, ordinances ~nd regulations. .~.~, .t~c~v~...~..~ _ ~, ~d~ ~..~. ~.~..~ ............................. (Sigt ~ature of applicant or name, if a' corporation) (AddreF~ of applicant) State whether applicant Js owner, lessee, agent, architect, engineer, jeneraJ contractor, electrician, plumber or builder. ................. ........................ Name of owner of premises .... :~..:... .~_.x~.. .................................................................. 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 Street and Number ...... C.,~.. . 2. State existing use a~dVoccupancy of pr. emises and intended a. Existing use and occupancy ...... '.~,..~.~ b. Intended use and Lot No: .................... and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building ...... .~.~ .......... Addition .................... Alteration .................... Repair ................ ;¢Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ........ - ''/.....~.~...~..~...Q ............................... Fee /...0. ! ~ .................. (to be paid on filing this application) §. If dwelling, number of dwelHng 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 ............................................................................................................ Dimensiens 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 ..~ .......... 9. Size of lot: Front~X~..../.?~..~.--...~.. Rear ...6....°. ................. Depth .:..~....~ .................. 10. Date of Purchase ........ /....~...., .S~.....~. ........................... Name of Former Owner ....~.L../.~.~ ................ 11. Zone or use district in which premises are situated...~,~*.~Y~ ..................................................... 12. Does proposed construction violat'e any zoning law, ordinance or regulation? ....... ~ .................................. 13. Name of Owner of premises ..t,r~...t:.?,-~w~c-~,w~dress ....... :..~....~...Phone NO...:...:: ............ Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor'S.'.- ~'~ ~'~' '~ ............. Address~..~...~...:.y....Phone NO. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ~ram property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. COUNTY OF ~.). ' ~ ~ ~~ bein~ ~uiy sworn, deposes and says that he is thb applicant -:....'~%~vidu~l',,~'.';~'~'~'~ ~hc~i~'~¥-- -~' ........ ~'" . - x' ', . . ....... ............................................................................................................ (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 th s app cation; that al statements contained in this application are true to the best of his knowledge a~d belief; and that the work will be performed Jn the manner set forth Jn the applJcat[gn flied ther~Jth. Sworn to bef9[¢ me this ' "' - ~6,,,', ' ~ ~ [ ' ~ K-"~ ~ - ~ ' ~o ti)hell'~T, ~O(EN .............. of ........... ,, Notaw Public ........~ ~ff~.¢~y~,.,~.,