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HomeMy WebLinkAbout1193-zTOWI~ OF SOUTHOLD ~UILDING DEPARTMENT TOWI~ CLERK'S OFFICE SOUTHOLD, N. Y, CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..0.~..~.r..~.,Y......~.~.~....~(~..~.~ .................Street Cleaves Point Map .~o ........................ Block No ........ ~ ............ ~ot No.....9,.....9~.~9.~.~ ..~.~ ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................... ~qg~P~.....3.~.., 19.~.9.. pursuant to which Building Permit No...~.~.~ ..... dated ...................... kllglZ8%....~O, 19..~.O., was issued., and conforms to ail of the require- ments of the applieable provisions of the law. The occupancy for which this certificate is issued is ....... Private one family dwelling This ce~tincat~ is issued to ...~4..~,¢~,~. ....................... (owner, lessee or tenant) of the aforesaid building. FORM 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? 1193' Z Dote ......................... ~'~'rlS'~ · '" ~O ........ 19"~O Permission is hereby granted to: Wm. · .Beebee.....A/g..... Joke.....Ho~nbo ~.t e.~ ........ ........... ¢~,l.~et~g~e ............................................... to .~llcl...~o~...or~o...r. amii.$..~tuett, ln~ .................................................................................... at premises located at ....Lo.f,..~..9.-.-12-1eavos...Poi. l~l~..~llb~t-i.v:i,~ ....................................... ....................................... ~.S.....0s.p~y...~t.. Road.~ .......... -Gz'eempe.~.,r.....N.~.Y-~ .................... pursuant to application doted ........................... ~,U~.~$.t,.....~t~ ............ 19~0..., and approved by the Building Inspector Fee $].0. ,00, ............ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,OLD, N.-r. Exo mined......~,-~.. ~..... ;5.,.~....... 19.. ~g ....Z...!..!...5/...: ......... Approved .................. .~.?. .................. 19 ........ Permit No. i.~ Application No. / j (~ ~ (Building Inspecto~ APPLICATION FOR BUILDING PERMIT Date August 30 o 60 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink gnd 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 description of layout of property must be drawn on the diagram which is part of this location. c. The work cowered 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 Certificafe of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanc.e 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 all applicable laws, ordinances and re. gulations. (Signature of applicant, or name, if a corporation) New Suffolk Lane, Cutchogue, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor John Hornbostel Name of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. 1.' (Name and title of corporate officer) Cleaves Point Location of land on which proposed work will be done. Map mo: .......... ;.:.T ............................. Lot No: .................... Street and NumberS../...s:....O..s-P..r..e..y.~..5T'.e'.t.~.~R.~.~"a...d.f.~.~.G"r.e.e..n.~..~.~.r..~..~..N...e..w.~r.k. ......................................... Munlcipa lity State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacan~ Lot a. Existing use and occupancy ..................................................................................................................................... Private one family dwelling b. Intended use ond occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building.....;E:Jf. ......... Addition ....................Alteration .................... Repair ....................Removal .................... Demolition ....................Other Work (Describe) .................... 4. Estimated Cost...~.3...0.~..0..Q0..:..0...0. ................................... Fee $10.00 (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ ~ .................. Number of dwelling units on each fJoor.....]T ..................... If garage, number of cars a..t.t.a,c~hed..two....c~.:z' ........................................... 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 ........ .6...6..~ .............. Rear .......... .6..6..! ............ Depth 36~ Height ............................ Number of Stories ....1.. ...................... 9. Size of lot: Front 53~ Rear 16'7~ Depth 180~ 1959 ........................................................ 10. Date of Purchase ........................................................Name of Former Owner Cor~i]Dttrt 11. Zone or use district in which premises are situated .'~..~..~].`..~...e.~..J'..~.~..~.~...~.~.~.....&.....~.~.z'.'.~.`~.~..~...~..z.~.~. ....................... ;2. Does propgsed consti'uction violate any zoning Iow, ordinance or regulation? ....... .~..o.. ........................................ 13. Name of Owner of .... j~ ~'o}1~ ,~or~]Do[gte~L Arlrlr~-ree~oor'~ Phone NO. Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor...~...i..1.~.i....a~......N:.:....B..e...e..b.?.. ........... AddressC...u..t.?...h,.°...g..u.,e- ....................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block pumbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YOP,~ ) S S. COUNTY OF .... .~..~ ~.~.1...~. ....... ) ~L11;Lam ~o ]3ee~.~ be ng~duly sworn, deposes and says that he is the applicant ...................................... :": .......... ;'"':" 'v . . (Name of md~wdual s gn ng application) above named. He is the. (~o~1.c~t:o~ ............. . ............................... (Contractor, agent, cori~orate 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 a J statements contained in 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 application filed 11herewith. Sworn to before me th s _ 30th ,4,~,, ~f .......................... Notary PuN,c, ~~(¢~Y~'~¢~