Loading...
HomeMy WebLinkAbout1183-zTOWN OF SOUTNOLD BUILDING DEPARTMENT '~'OW~ CLERI('S OFFICE SOUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY No. g .~0-~.~ .......... Date ....................... M .a~.01~ ....... 6 ............. 19.6~. THIS CERTIFIES that the building located at .I~/8...~e.sg,..lfJ, e'~.. l~lt ................... Street IVlap No.~.e.l{.~'.i. etq..... Block No ......................... Lot No. pZs~&.ff.~.,......Matti~uek~....Nr,.~, ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................ ~lig.~lS.~......~{~ ........ 19.~0. pursuant ~0 which Building Permit No...~3,~L8~ .... dated .............. .Allgl. l~;...2)+ ............ 19~.0..., was issued, and conforms to all of the require- ments o~ the applicable provisions of the law. T,'he occupancy for which this certificate is issued isp~.~..va~e...orle.. ~. a~:~L¥...c~v~e ~.]:~lqg ......... ':, ....................................................................... This certificate is issued to0e~l~ge..&...lgtnt.~..~/i...l~o~,.~a,-~ ........... 0~e~m ...................... : (owner, lessee or tenant) of the aforesaid building. ~uilding ~nspector / FOI~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? 1183, Z Dcrte ......................... /~U§~S.~.... ~ .[:l. ......... 1960... Permissior is hereby granted to: Ao~ei-i'~"~"~oit"-"'~C"~o~'ge'"-'~'~ ........ ......... ~t~'~l~;tte'k~'"" N;'T; ................................. to · -. · ~ll.:[.J: d. · .Ile'd. · ~11~. · ~at~z .~F. · O~-~e.1. 5.I.~ .................................................................................. at premises located at ....N~...~...~.i~t~....r).l~e ........................................................................... ...................................... : ........... M~%.~it~l~ek.~.-...-lg,&r., ......................................................................... pursuant to application dated ............................... j~llg'[~.$4$ ....... 2.~ ....... 19..,6(~ and approved by the Building Inspector Fee $ '~'~'i'gO ........... TOWN OF SOUTHOLD EUILD]NG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, ~L Y, CERTIFICATE OF OCCUPANCY No .......Z...~..0.~4. Date THIS CERTIFIES that the building located at ~ap .~o.~??.~:.~?~ ...... ~lock No ......................... ~ot part ~w Dr., MattitU~eet ;4 & 55 conforms substantially to the Application for dated ............ ~.u..9.U.s...~....2.~ ............... 19..6..0.... pursuant which dated ........... .A..u.S..q.s...t....~.4 ................. .6..9.., was issue and ments of the applicable provisions issued is PRIVATE ONE Geo This certificate to the law. The DWELLING Morgan, of the filed in this office Permit No....~....,]:..]:8..~... to all of the require- this certificate is lessee or tenant) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......... ~.~..~.c;. ~.....'... L ........ 19.~!:.~.. Approved ........................ ; ............... 19 ........ Perm't No...~.I..(...?....~.. ....... D i sapp roved a/c ........ ,. ,~....,~ ....... .,4. ...... ~ ....... .,,<.% ........ ?~'~. ....... x~ ..................... .................................. ~(Buildlng Inspectc~) APPLICATION FOR BUILDING PERMIT Application No...i..1...~..3 ............. 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 descr.iption 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 shah have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buffding Permit pursuant to the Building Zone Ordinance of the Town of $outhold, 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, ordinances and regulations. ....... r. . ./. . ~'. ~>;~.7,~.~. ;2~ ................................................................. (Signature o~'applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Confa~act:o~' Name of owner of premises GeorC~.~ ~orgalt If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which pr,oposed work will be done. Map No: ..~.~.V..~.G..~.. ................... ...~ot~ N°o..~ ..~...~...~.. Street and Number ~ ~e~v&~ Dr~ve~ Ma~lt~ck~ Ne~ York Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ ~..~ ..................................................................................................... ~=iva~e one f~ly ~11~ng b. Intended use ond occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New E~u0ding..,X~ ........... Addition ................. MAlterotion ................ Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost~"l'~'000' Fee (to be paid on filing this application) · OI~O ' ' ~er oar ............................ 5. If dwelling, number of dwelling umts ................................ ~'tumo of dwelling units on each f If garage, number of cars.....~...~.~.~..~...~...~....J....l~.e...~..J...~ ............................................................................................. 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 ~.~/~.~......;~: Height Number of Stories 9. Size of lot: Front ..... ~.0.~ ............... Rear ............ ~..0..0. ......... Depth .......... .~.~..0 ........... 10. Data of Purchase ...... ...J~...¥....~...~..6~ .............................. Name of Former Owner ........ ...I~....~..Q~ ................................. use district in which premises are situated 11. Zone or ............................................................................................... ~ 2. I~0 Does proposed construct on via ate any zoning law, ordinance or regulation? ............................................... Geo~'a H,o~al.n· Add r es~],..?. ~....~..~. ~....~...~..~. ~?.. ~ .~...~..~l~l~n el/~, .~.~. ~ .~. ~..~. 13. Name of Owner of premises.~.T.T. 7...'...,..:T.:.T.."..E;; ......... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor~'.."......J~....~.~.~.~....~.....~..Q.~ .............. 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 ar description according to deed, and show street names and indicate whether interior or corner lot. / STATE OF NEV~ Y_O_RI~,. ) S S. COUNTY OF .~.lA~.~[.q,],~ ..........) ~lIo!Ld Re;L~3¥ , , be ng duly sworn, deposes and says that he is the applicant (Name of individual signing application) . . , COn & tor above aamad. ~e Js t~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 ig this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the app~ion filed,~rewith. Sworn to before me this .. ~u~r,, - ~.~.,~ "( ~-~ , ..................... day of ....., ...............