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HomeMy WebLinkAbout1235-zFOPoNI NO. 4 TOWN OF $OUTHOLD I~UiLD[NG DEPARTMENT 'TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...~/~..Ha~:l~l~..l~1~l~H~.~...C~1~Gh~l~e. Street Map N........................ Block No, *e* Lot No. o~e .......................................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ~ OC~.O~ I~ ]9,.,~,,,0,. pursuant to which Building Permit No, doted ,,,O~.O~G~,,,~ ......................... , ]9,.,,~,~ was issued, and conforms to all of the requirements of the applicable provisions of the law, 'The occupancy for which this certificate is issued is .......... ~I~ZVATE ONE FA~IZ~Y This certificate is issued to ............ ..W.~.~.~...~...t~I:.....~..~.~;~.~t~,....~]~IFI~¢ ................................. J'. ...... (owner, lessee or tenant) of the aforesaid building. Building Inspector TOWN OF SOUTHOLD BUILDING D~PARTMENT 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? 1235 Z ~ote .............. Oetot~e~.....t.~ ................. ~9..60.. Permission is hereby granted to: ..... %¢t-t-t iem-- -~ -t~e~ .t i ~g .................................... ............. Ha.r-~...la.ne ......................................... .................. ~tchog~e ~..... ;~i[, ~, ........................ to ..... Bt~ 1 d... ~.. a,d r}.i Zion... o~.. an.. ~x.i.~ .ti~ff. ~w*l.l.i r~ .................................................... at premises located at ..... ~/.~.....*~....~f~n~ ................................................................................. ....................................................... ~u.%eh~Sme'~. '--.~.~.~f~ ................................................................... pursuant to application dated ............................. 0~.~;o ....... .~.~ .............. 19.~0., and approved by the Building Inspector Fee $--.5-f~ ........... FOPs!VI NO. 1 TOWN OF SOUTHOLD BUILD)NC DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E om,ned ..... Approved .................................... , Disapproved d/c ............... ~ ............... '. .................. .................................. ~ (Building Inspec¥or) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be cd~pletely.fil~ed in by typewriter or in ink a~qd 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 drown 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 ava,liable 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 o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment 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 lows, ordinances and regulations. (Signature of applicant, or nomad/if a corporation) Harbor Lane, Cutchogue, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owne~ william B. Sterling Name of owner of premises ................................................................. ., ................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporata officer) 1. Location of land on which proposed work will be done. Mop No: ............................................ Lot No: .................... e/s Harbor Lane, Cutchogue, New York Street and Number ..................................................................................................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ............................................................ : .......... " " " w/ addition b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building .................... Addition ...... .~ ......... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .. . . ~.~ .5. ,0.0. .:. .0. .0. ..................................... Fee $5.00 . (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ,1, ................. Number of dwelling units on each floor ....... ~ ......................... If garage, number of cars...9.~..e...~..a..z'.....a.~-a..q.~...e.,d ................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front 48' Rear ..... ..~.8..~. ................ Depth 26' Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front 48' Rear 48' Depth 32 '/2,6 ' Height Number of Stories '1 8. Dimensions of entire new construction: Front ....... $.8, .~. .............. Rear ............. ].,8..'. ........ Depth ........... ~.~ ........... Height ............................ Number of Stories ........ ~ ...................... 9. Size of lot: Front ...... ~.O.! ............. Rear ....... .~5.0..~ ............ Depth 250'1' 1947~ .................................................... 10. Date of Purchase ........................................................ Name of Former Owner Ral,~..~. W. Sterling 11. Zone or use district in which premises are s tuated ........... ~ ...... ..A.......R. esidential....A..g.r.i...c..u...1..t..~...r_a...1. .......... 12. Does proposed construction violate an,/ zoning law, ordinance or regulation? ....... ~.o. ............................................ 13. Name of Owner of premises..~...$.~..J:.~..m.....~..:...~..~..e.,.~.~.JAt~Jress ..... .~..a...~..])..°..r.....~..~..;.t....~.~,g~/~gqO ..................... Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor ..~..i..~.~..a~....B..:...~..~..e...~.~..$..~..cJ...,..Address ..~.a.~.,~.,o.~...~.a.....~...~..~..t..~.'~ NO ..................... PLO~ DIAGRAM Locate clearly and dlstinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions (rom proped, lines. Give street }nj block numbers or descriptic~n according to deed, and show stre( names and indicate interior or comeFat. ' STATE OF NEW YORK ) S.S. COUNTY OF ...~...q~,..~_0..~...~. ....... ) ....................... ..~.~.J:.,,a~, ....~..:....B..~.e.,~.J....~,~ ............................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the Owne~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove 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; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this /~£te~ ~S~te o/~I(NEeNw y. ........................ ................ Notary Public,~e~.4e~, ..~,~41.~...'t~'~' L'/~ Cau..,~hr (Signature of applicant)