The URL can be used to link to this page

Home My WebLink About1140-z~O~V~ 1~0. 4 TOWN OF SOUT~'IOLD ~UI~DING D~PARTME~T 'l'OVgl~ CL~R~'S OFFI(~E~ SOUT~OLD, lq. Y. CERTIYICATE OF OCCUPANCY No ....... ~"'937'"' Date ....................... ~alti~i~..:~ ........... ~9.~. TH~S CERTIFIES thai the building locate~ at ~,~.~..,~V~ t....~9~.~ Street Map No ...... ~ ...........Block No ....... .~. ......... Lot No .......~,~ ...................................................... conforms ~ubstantially to the Application ~or Building Permit heretofore riled in this o~fice dated .................. ~...~ .............. 19....~ pursuant to which Building Permit No. ~...~,~. .... dated ................ ~F...~ ...............19..~.~., wa~ issued, and conforms to all o~ the require- merits o~ the applicable provisions of the law. The occupancy for which this certificate' is ~ssuea is ............................ ~...0~,,~,.~ ..................................................... This certificate is issued to ~...~...~~,.,.~ ..................................... ~ ........... (owner, lessee or tenant) of the afm'esaid building. Building Inspector ..... FOR3/I NO. 2 TOWN OF $OOTHOLD BUILDING DEPARTMENT TOWN CLERK'S O~=FICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 114o z Dot~ ........................ .-T.~Y.. ....... ~. ............ ~ 9..6..0... Permission is hereby granted to: A.~:~.~.~ll~.e.y.~.~. .................................................. ...8~md...Vi.e.g.. A.v.a ........................................... ........ ~o.u~;~o 1~ ~...N.,.2:~ ....................................... to B'ttllc~..a~.. add £~£or~..o~ .. a,u.. ~,l~.~i.~.. d~,~,13;1 ~ ......................................................... at premises located at ..N~.~....~Otltld...~'i.~..~. ............................................................................ ................................................ Sou. thold.~......N~ :~., ............................................................................. pursuant to application dated .................................... ~......~.~ .........19.~0., and approved by the Building Inspector SOUTHOLD, N. Y. .... Examined .......... :~.~ .~ .,~ ~[ c~r,) Approved ........................................ 19 ........ Permi No. Disapproved a.f.~.;;..;~ ~.-.~ ............. ~.........~ ........ ~ Application No ........~...1....L[....O. ....... 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 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 issuanoe 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 regulations. (Signature of applicant, or name, I(f a corporation) .,.z ............. r-" of 'iicontl ........ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) t. Location of land on which proposed work will be done. Ma~ No: ...... ~ .................................. Lot No: .................... Street and Number ................ "'~'""~'"'"'t ............................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................ ~.........].'...,..~,~ .......... [ ................................... b. Intended use and occupancy ............................. ~.....~...~..~~ ...................... K/' Alteration ~' 3. Nature of work (check which applicable): New Building .................... Addition ........................................ Repair .................... Rer~oval .................... Demolition ................ ....Other Work (Describe) .................... 4. Estimated Cost .... ..~......~ ........... Fee ...~...~'~..~ ....................... (to be paid on filing this application) '/§. 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 .....~..~../:~ .......... L Height ~../.~.~....Number of Stories .../. ................................ .~.... ............ .;~H._:~ .......... ~ ........................... Dimensions of same structure with alterations or additions: Front ....~...:~~. ........................... Depth .............................. Height .............................. Number of ,Stories ................................ v 8. Dimensions of entire new construction: Front ....... ~..~.. ........... Rear .......... ~:..../~... ........ Depth ....~.'.../~,.x .............. ~...I.~./~... Number of Stories ..... Height /9. Size of lot: Front ........ ..~....~..~../~..... Rear ........ .~...~..?...~....... Depth ....~..~.~...~....~. 10. Date of Purchase .....//~'~"~...,......... .................. Name of Former Owner ...... ..................... _.... ................. 11. Zone or use district in'which premises are situated ...... ..~....':....~'.'.~ 12~ Does proposed construction vioL,ate any zoning law, ordinance or. regulation? ......... =.~;.~ ........................... 13. Name of Owner of premises..~.'~.,~ddress ..~...~....~::~..~... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor..~..~..'~.~ .............. Address ...~...~-.~../..~,...Phone NO ..................... PlOT DIAGRAM Locate clearly and distinctly eli buildings, whether existing or proposed, and indicate all set-back dimensions from and show street names and indicate property lines. Give street and block numbers or description according to deed, whether interior or corner lot. I STATE OF NEW~fO[?,I~,~ /~/ ) S S COUNTY OF ~) ' ................... ~~ ......... .....being duly sworn, deposes and says that he is the applicant "' (~ame of m~' ' '~j~mg a~lic~on) above named. He is the ........~ ...................................................................................................................... (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 in this application are true to the best of his knowledge and belief; ~r~h~. ~he~oWOrk~l.~e. performed in the manner set forth in the~li, cation.~, ~d ~her~th. ~ JUDITH T