The URL can be used to link to this page

Home My WebLink About1006-zFO~V~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTiFiES that the building located at W/~.....J~.i.~j)Sr..,.~>a~. ............................. Street Map No. ~a~.t~...]~k.,...~41~ No ......................... Lot No...~l.3..~lJ+ ....... }~.t~"~-Be~'~/.....~¥~., .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................ · Ma.~eh.....~ .......... , 19..~), pursu.a'nt to which Building Permit No..,'~..'~.O~ ........ dated ......................... ~f~,~.....~,~. ....... 19~...,was issued, and conforms to eli of the requirements of the applicable provisions of the law. The occupe.ncy for which this certificate is issued is ................ ............... · ~.i.v~e..~e...~.a~..~weDl. i~ .................................................................................. This certificate is issued to ..(].~.~,~.t~...~d-~'~ ............... ('~j~eP')' ..........................: ..................... ~owne, r, essee or tenant) of the aforesaid building. Building Inspector 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? lOO6 z Permission is hereby granted to: 14 Gran~ Argue Isl~. N~ York at premises located at Lc~t ~O. 44~ ]l~t*~t. itU~ P~,~k ~r~]~,e~, ' . W/S Stg~bee Itoacl, l~lat~:i[~iek~ New Yang: , ,, pursuant to application da;ed .................................. ~...~.~.. .......... i9..~.0.., and approved by the Building Inspector Fee $..~.,/.~.(~1.~.~,~.¢~ ~aid Buildi6g tnspect/r FOH~ NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. Approved ,9. ¢/.Perm,t .......... (Building Inspector) App,,cat,on No ..... .............. 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 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 demolitior~, as herein described. The appJicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) " (Address of applicant) ~' 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) 1. Location of land on which proposed work will be done. Map No: .~.../~/~,.~..~...~,~.~..~..:'~:.":... Lot No:.~ ............. .................................... Street and Number ~ Municipali~ State existing use and occupancy of premi%es and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... ..~.:~.~./~.~!~.~.~...~,~,, ......................... : ............................ ' ............. b. Intended use and occupancy ....................................................... ~,....,.../......,,...,i-...:.:.....~L...: ...................... .......... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... (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 ................................ Dimensions of same structure with alterations or additions: Front /...~/¥.~ :..~-...--. Rea r -----.-~p_,/.....-....-..-...- 8. Dimensions--of entire new construction: Front ......... ./..f~: ............. Rear .............. (~',,~f~':' ...... Depth ..... ../.,.~m .......... Heigl~t ..... ~2 .......)/'~ --?.4~"' Number of Stories ................................ Date of Purchase ........................................................ Name of Former Owner ....................................................... Zone or use district in which premises are situated ............. ~.....~..~.~.~..~.Z.~.,~.6..., ................................................... Does proposedconstruction v~late any zoning law, ordinance or reaulation~ ,~ 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 car ,er lot. 10. 11. 12. 13, .Fig-: sworn, deposes and says that he is the applicant (Name of individual signing~,~. /~ ~/~, __~appiication) .~/~ . . ~ 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 in the application filed therewith. JLIDITII T. Notary Public, ~.'~.~.,,,~f~C,~,'~ . g~ture of applicant) FOi~I NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWIq CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....~...~.~.~-'..~.-,e;~.., 19....O~.~..( 19 ...... ~:.Perm~t' No. Approved . E~e~e~x~:= =~.. ~. ~}~..., . ...... ~....,... ...... Disapproved a/c ........................................................................................... Application No ......... . .~...c'57.~ · · .~.'. ·..~7.1 ...... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be comp[etely 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 ava.ibble 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 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) ' ' (Address of applicant) " ~/ ..... State whether applicant is owner, lessee, age5 architect, engineer, general contractor, electrician, plumber or builder. ............................................. ......... : ..................................................................................................... Name of owner of premisef.."~..~..~...~...~...'/.~.~.iff.~.'~,a'h:i</~.-..~,, ................................................................................................... If applicant is a corporate, signature of duly authorized of}icer. (Name and title of corporate officer) Municipali~ 2. State existing use and occupancy of premis.?s and intended use and occupancy of proposed construction: b. Intended use and occupancy ............................................................. ~ ........ 7: ................................................. property lines. Give street and block numbers or description according whether interior or co',ner lot. Nature of work (check, which applicable): New Building .................... Addition ....... ~ ........ Alteration .................... Repair .................... Removal .................... Demolition ......... i .......... Other Work (Describe) .................... 4. Estimated Cost ...... ~..~.,/.~../).~,...Z':...~ .......................... Fee ....~,~.~_o_~O ....................................................................... 7~ .(to be paid on filing this application) 5. If dwelling, number of dwelling units .............. ~ ......... Number of dwelling units on each floor ........ , ......... 1' ............. If OoroOe, number of cots ............................................................................................................................ 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 ........ ~ ............................ j.....x..,,~~ ........................................ ~..~/ ............... of same structure with a.terations or additions: Front .~~ ...... Rear ....... ~.~.. ............. Dimensions Depth ....~.~. ........... Height ...... .......................... Number of Stories/~ ..................... 8. Dimensions of entire new construction: Front ......... ~ ............ Rear ................ ~ ..... Depth ..... ~..~ ........ Height ............................ Number of Stories ................................ ......-~,~ .......... Depth P. Size of lot: Front ............................/~ ~ Rear ............................ 10. Date of Purchase ........................................................ Name of Former Owner ....................................................... 11. Zone or use district in which premises are situated ................ ,~ :.~V~..: 12. Does proposed construction viglat¢~ny zoninfl law ordinance ar regulation? ............................... ~ ..................... 13. Name of Owner of premis~Z~Z~;~.~.~Address Z~AE.~..~.~.~,..~.~._ Phone NO....:.....'.7 ...... Name of Architect .................................................... Address ........................................... ~Phon~ NO. . .................... Name of Contractor ~C~..~..~.Z~:~,;/4~:~Aadress~,.>,~c~,,~..~.~.. O. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate aH set-back dimensions from to deed, and show street names and indicate STATE OF NEW~YORI~ / ) S ~ ' (Name of individual signing app[icgtion), ~ ~ / (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 Jn this application are true to the best of his knowle4ge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ~]Dfflt T. BO~N york ~wnr~ tn h~fore m~ thi~ No ~ry lubhc, State of New ,, ~ , f