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HomeMy WebLinkAbout953-zTOWN OF SOUTHOLD BUiLDiNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOILD, N. ¥. CERTIFICATE OF OCCUPANCY Z 599 June 7 G0 No ......................... Date ........................................................ , 19 ........ THIS CERTIFIES that the, building located at ~...~...~.~.9.~.~..~`~1.."~,~..~..~.~.%~..2..5.~.~..~.`.s.~,~.~.~.j.a...~51t~t Map No ......................... Block No ......................... Lot No ................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated January 3.1 60 2; 953 ....................................... ' ................. , 1c) ........ , pursuant to which Building Permit No ............................ January 11 GO dated ...................................................... ] 9 ........ , was issued, end conforms 'co all of the requirements of the applicable provisions of the law. The occupa.ncy for which this certificate is issued is ................ r/']~PORARY R~S73ARCH LABORATORY Stephenson Beach Corp., owner This certificate is issued to ..................................................................................................................... (owing, r, lessee or tenont) of the aforesaid building. Building Inspector FOI~M NO. 2 TOWIq OF $OUTHOLD I~UILDING 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.° 053 Z Dote ...... Permission is hereby granted to: .~.t,~h.~n~.o.~..~. ~..~.o...~.. .................................... ...................... .~e~t,. ~ .:~....~ ~ ~ ...................... to ...~.~.~..~...~.~..~:~ .......................................................................... at premises located at ~.~/.s..~a~13~`~/~..~.~.~.~.~.e..n..z..~..n..~.B...~...e...h. ............................. .............. ~;..~o~..-. O.~.:ke~t,~....~,.~.~ ........................................................................................... pursuant to applicotion dated .................................. ~Tz.~e.~. ...... ~,.....19.~..., and approved by the Building Inspector Fee FOI~M NO, I Examined .... ~...., Approved .................................... , TOWNzOF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19 ........ Permit No. ~' ~ ~' 3 Disapproved a/c ............................. ~ ........................................................... Application No ..... ~.......D'....~.. .............. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su~mi'tt~d 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 Bui!ding 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 ova.liable for inspaction 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"b'ben granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Pen'nit pursuant to the Building Zone Ordinance of the. Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regu orions, 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. (Signature of applicant, or name, if o corporation) East ~Jarion, L,I., N.Y~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... ~'}:~q~.~.~Tt....~.e.~..O...°.T;~? .................................................................................................. If ~a ~or/~te, sign~"F~ duly aut,~d officer. (Name and title o~ corp~-O'ra~ officer) 1. Location al~ land on which proposed work will be done. Map No: ..~f)~,:~ ............................... Lot No:...~.¥~. ........ ~ j ~ %~ E ~t ~arion N.Y. " Street and Number .~Z,, ...... ~,.,~'t..~t~ft~...(..~..,..;~5] ....... ~.~. ................ ,. ....................................................................... Munici.pality ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .~.~.a.D.~..t.;....~.~.~ ...................................................................................................... b. Intended use and occupancy ......... ~.O.m.~.gX'~..~Y.....~e.~..e..~.~.q~M.~.o.~:~o.T;~. ........................................................... 3. Nature of work (check which applicable): New Building ....~:~ ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .......~].:.1.~.~.£)..0. ......................................... Fee .]~0.,.g.g. ............................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......................... Number of dwelling units on each floor .................................. If garage, number of cars ..................................................................................................................... %~[;'0~'~"~ ..... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use....~.~.V.$;r~.~g.t~.~... 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ................................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure ~ith alterations or additions: Front ................................ Rear ................................ Depth ................................ Height ............................... Number of Stories ................................ ~' ~ ~ 16 ~:~. ?Z .... Rear ...~,~....¢f¢..~: ........ Depth 8. Dimensions of entire new construction: Front ...~ ............................ Height ..... ~. .................. Number of Stories .......... ~ ................ 9. Size of tot: Front ...... ~ ............ Rear ~.[~.~... Depth ...~P~ ............... ~l~ase out/ ~9~o M ~,~/~,St~phenson Est ]0. Om~e of P~rch~se .......................................................... ome of ~orme~ Ow~e~ ................................................... ] ~. Zone o~ ~se d~sfdcf ~ wh~c~ p~em~ses ~e s~f~$ed ....... ~?...~,~ .............................................................................. Mcme o~ Owne~ o~ p~em~ses~D~..~.~-.~h.~.9.~'~dd~ess ...~..~E~,.....~z[~... ~o~e ~O ..................... ~e o~ A~chffec$ .................................................... Add~ess .......................................... ~2o~e ~O ..................... Name of Contractor P.C,J~. ~b ~- Rivez'head ...~ ................................................ ~aaress .......................................... 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 or description according to deed, and show street names and indicate whether interior or corne, r lot. _ 4, I, ~ O ~ ~,,~ D STATF OF NEW YORK ) S.S. COUNTY OF ...~.f'.~.oJ..k ........) ......................................... .~..o..b.~X.i':.~.J.,].~..9.~.J.,9...,T..~ ................. being duly sworn, deposes and~,says that he is the applicant (Name of individual signing (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 al/ statements contained in this application rare true to the best of his knowledge and belief; and that the work will be performed in the~cnner set forth fn the ~qpp~tlon fJled,,J~erewith. ' Juu~rff T. ~0~ Sworn to before~me this Notary Public,~~~.. C~ty (Signat~ of app~cont) Examined .........j.¢~..,.././......, FOltM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19...~..P Approved .................................... , 19 ........ Permit No ..........~..~..~...~. ....... Disapproved a/c ..... ~-~'.. ~..~'~~.. · ~... · .'~/~..,. Application No ........ .~..k~...~ ............ ( uilding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. 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 prope'rty 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 o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department 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 al app Jcab eows, ordinances and ragu arians. (Addre'ss otapplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premise~~....~ .................................................... If applicant is a corporate~ signature of duly authorized o. fficer. .... (Name and title of corJborate of Ticer) 1. Location of lend on which proposed work wilt be done. Mop No: ........... xf~..~.,~...(.. .............. Lot No:.....~...~...X/,~-.. Street and Number ............ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ...~..~-~...~ .......................................................................... use and occupancy ........ ~~,~,<~.~.~~.: .................. b. Intended 3. Nature of work (check which applicable): New Building ..~.~.~...... Addition .................... Alteration .................... Repair .................. ...,~emovol .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... )f~'./~.~..~. ..................................... Fee ....~'~,..~..~. ......................................................................... (to be paid on filing this application) 5. 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 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 ....../~ ~ / ~,~ ,~,,~,~.,~-~~'Z/'"~r'~'"':'" Rear .~../.. ,.~ .z~....'..... Depth ...~-~..~.....~.~ 10. Date of Purchase .~~ff?'.~..~.~t~..~.../r(,~.~me of Former Owner ..~'....~,',',',',',',',',~.~...~..,¢~'...~F~.. 11. Zone or use district~'~-which premiv ses are situated.......'-'~ ...... ~.....'~.~ .......... ~.~....~......................~' .............. 12. Does proposed construction viglate any zoning law, ordinance or regular'ion? ...~:.,,, .................................. Name of Owner of pram' ~ o. ~~,~ ..~.4~n~e NO Name of Architect ................................................ 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 or description according to deed, and show street names and indicate whether interior or corne, r lot. cou :w ' ' ............................ ~...~./'...~. ............ being duJy sworn, deposes and says that he is the oppJJcant (Nome of individu~J_~ignin~r/appli~atron) above named. He is the ...~...~..~:...~../~z~'~..~ ............................. .,. ....................................... '(Contractor, agent, corporate officer, etcj 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; and that the work will be performed in the manner set forth Jn the application filed therewith. Sworn to before me this ........... day of ........ 19~.....~.. ,,~/,~ - Notary Publ' . .. 4~ou;~,y //~[ ~ (Signature of applicant)