The URL can be used to link to this page

Home My WebLink About983-z?OWN OF 5OUTHOLD BUILDING DEPARTMENT · OW~ CL~HK'$ OFF~CE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .a/s..pu/:,...l:d,.,.o££ ,CamR.M~t~lta ltd, Mattituck Map ,No...Camp....~.lne~k No. _..,.,.~ ............. Lot No, .~ _~..._~ conforms substsntially to the Application fox' Building Permit heretofore filed in this office dated ................. ,~.b.~'~9~.,.~,6.,.,., 19,..~,.0, pursuant to which Building Permit No ..... dated .................. Pe~t~a~2'-'26,-, 19..-.60 was issued, and conforms to all of the require- merits of lhe applic,.able provisions of the law. The occupancy for which this certificate is issued is ....................... I~R~FA~I*...OI¢~ ..P. at~I:I:~Y,..D,W.~..~... ............................................................ This certificate is issued to G.ll~.,~,~.~iTlttit~lO.,....Ol~..e..Ig. ....................................................... (owner, lessee or tenant) of the aforesaid building. FOi~I 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? 983 z Date ................ .F..~..~...~....i'J~'....... ~.~.. ................. ]c~ ..... Permission is hereby granted to: Jo~$ph ,~.~.~k~,~kt ... A'/.~....~..G~elal-~nn ................... .... .~.¢..t.~.e.~....~,.~,. ........................................... to ...B....u$..~.... ~...~.$..¢.~,~.~..~..~t~..e~g.. ~lwe~ ~ ~..,~ ....................................................................... at premises lacated at .l~t~.~o~d..~S..,.~?,a~p.~ ~;h~.'x~.~.:..~...Ti~..0~t,,..) ....................... ..................................................... ~.~;~k,....N,,~ ............................ ;..~ .............................................. pursuant to application dated ........................ ~J~t~,~.,~,.....~/~ ............... 1~....., and approved by the Building Inspector Fee ~:.~ .....t~..~ .~...,-...*~Ok Examined ................................... , Approved .................................... , FOEM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEP~K'S OFFICE SOUTHOLD, N. Y. .......... Disapproved a/c ...... Application No ...... .~.~.....~. .............. APPLICATION FOR BUILDING PERMIT Dote ..................................................... , 19 ........ 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 Bu,ilding Inspector will issue o Building Permit to the applicant. Such permit shall be kept on the premises avo,ilable for inspection throughout the progress of the work. e. No building sho~l be occupied or used in whole, or in port for any purpose whatever until a Certificate of Occupancy shall hove 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 all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) ................ ' ............................. · Name of owner of premises..~....:~¢~..~.,.~.c~ ................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ..~,!.~.~.....~k~,~.~ ..... Eot No: .................... Street and Number ~./..~....~'.!..~...~..../-~...~........~....U~...~.~c'~..../..c~.~.~.~.c..~......~'J~.~.~.?.C..f ......... // Municipality 2. State existing use and occupancy of~intended use and occupancy of proposed construction: a. Existing use and occupancy .............................. ~.~,...,~ ................ ~ ........................................................................ b. ntended use and occupancy ..................~.! ................ ~......~.~.....~..~.~ ................................................................. 3. Nature of work (check which applicable): New Building .................... Addition.....~ ............ Alteration .................... Repair ................... ,~,Removal .................... Demolition .................... Other Work (Describe) .................... ~ O O ~ Fee 4. Estimated Cost .......~. ............................................................................................................................................ (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 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 ~ g'~ Height ' Number of ~Stories ~ Front ~.~..~ Rear .~...~ Height. ........................... Number of Stories .......... ~ ...... 9. Size of lot: Front ...... ..,:~'...?...,Z~'. ......... Rear ::~'o ~ Depth .~..O O ~ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... ;....~..~...O ................................... 13. Name of Owner of prem,ses...~..~.~ddress ..~.......~.. ............................. Phone NO ..................... Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor .................................................... 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 corner lot. STATE OF NE%~-~YO~:~. ) S S COUNTY OFJ//k. )__ ~ / ~,'"~'"") ' ' ....................... ~.,~~...~..~..~.~,c~.', ....... being duly sworn, deposes and says that he is the applicant (Name of ~ndi.~dual signing applicati.Q~) above named He isL'~e ................................ ~..om.~ ........................................................................ (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; and that the work will be performed in the manne~u~ff~,rtl~l(i~ the application filed therewith. Notary Public, State of New York Sworn to before me this f,:o 52-0344963, Suffolk County / ............... r~.....~., day of ..: ...... ~ ..... 19...~....O, .... Notary Public,~'~/...~.,.z~....~,¢~'...... Caum-y ~' ~-SiJnature of applicant)