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HomeMy WebLinkAbout1008-zF,OR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. CERTIFICATE OF' OCCUPANCY THIS CERTIFIES that the building located alW/,~,...S..0..t!.i.;.~...0...~. ,k..w.,.0..°..d.....D.~..~..v.e..:...~.~...~.l:~eet u~ Pa~k 15 ....... Map ~ ....................... Block No. .................... Lot No ........................................................................ conforms substantially to the Application for Buildin~ Permit heretofore filed in this office dated ~Ch 24 19~.~... pursuant to which Building Permit No. flated . ~a~ch 24 , 19....~Q 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 ~IVA~ O~ F~ILY D~G Tony Zagarino~ Th~s certificate ~s issued to .......................................................................................................................... Building Inspector FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS P, ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE'~ ON OF THE WORK AUTHORIZED) N? 1008 z Date ...................... Permission is hereby granted to: Irwin Tt~th.~ll.....~/¢ .....~¢r~.....~a~ ............... pursuant to application dated ....................... J~ll~! ~,....'~ ............ 19.(~0.., and approvec~'by the Building Inspector FO][~I~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. ¥. Approved ............. 9 :..Perm t No ..... ........ Disapproved o/c ........................................................................................... ................ ....... 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 o 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,liable for inspection throughout the progress of the work. e. No building shall be occupied or used in whol~ or in part for any purpose whatever until o Certificate of Occupancy shall have been granted by the Building Inspector. nl.,~ ..... 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 appl cable laws, ordinances and regulations. .... ......................................... (Signature of applicant, or nome, if a corporation) . ........ ......................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........ ..~.?.~. .C~...~ .~..~ ............................................................................................ If applicant is a corporate, signature of c~c/l'y authorized officer. (Name and title of corporat~ officer) ]. Location of land on which proposed work will be done. Mop No: ..J ........................... -. ............. LOt No: .................... Street and Number ................. ~,...~ .... ~..,,,' ..................................................................................... Municipali~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ........ ~~:~.~ ............................. : .............................................................. b. Intended useondoccupancy tt ~ ~4~ 3. Nature of work (check which applicable): New Building .................... Addition ...... ~ ........ Alteration...~..~,. ........... Repair ................... ,,;~Removal .................... Demolition .......... .~ ...... Other Work (Describe) .................... 4. Estimated Cost .....~.~..~?,.o...~ ..................................... Fee ..~ ..................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ .k'~.~...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 ................................ Height ................................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ..... ~..?~., ................ Rear .......... ../..,,~,.~ ......... Depth ..../..~ ............... Height ............................ Number of Stories ........... ~: ........... 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ................. ........(j.c..~ ..............................................., ..................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~)...'. .................................. 13. Name of Owner of premises....~.. Address .......................................... 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 ail 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 NEW S S couNw ......· ' ............................................ I...t.~ .............................................. g duly sworn, deposes and says that he is the applicant (Name of individ~dl signing application) 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; and that the work will be performed in the manner set forth in the a~lication filed therewlth~ J~l~ T~ T BO~N Sworn to before me this rm-r~;.~,~ , w York ............... , ..... . .... , FOEM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Approved ....... ~?~.~.~7z~.-~-.~..~.., 19..~.'..d...Permit No....~_.~..z/..~.2:~...~.~. ......... Disapproved a/c ........................................................................................... .............. ...... (Building Inspector) , _.~:~ Application No ..........~...~.2...~..),....~_. ....... 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 ar 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 commdnced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o 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 shatl be occupied or used in whole, or in part for any purpose whatever until a Certificate of Occupancy shall hove been granted by the Building Inspector. m,l ......... 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 Lows, 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 i,~.,owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................................................................ Name of owner of premises ....... ..°.'?.!~.q/.~.-Z.:'.~.o..~i....~rt~..,,~..<,~. ............................................................................................ If applicant is a corporate, signature of ~y authorized officer. (Name end title of corporate officer) 1. Location of land on which proposed work wily be done. Mapt~o" ................................. .-~-~-~ ~, ~ ~-~zc,- ~>¢f,%~4. Lot No:-..../.'.?. ......... Street and Number -~,~ c~o, ~, ~' Municipality 2. State existing u~se and occupancy of premises(~ and ,intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .¢:~...~.'?.x~:;~.;:g...~..~';..:l .......... :; ........... .....% ............................................................... b. Inte ded use an cc p cy ...................................................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition ...... ~ ......... Alteratior~..,,,.~, ........... Repair ................. ../,~Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ........~.~..~..,¢.?..~'~'-- -- - ..................................... 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 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 ................................ Height ............................... Number of Stories ................................ 8. Dimensions of entire new construction: Front ..... ~.~. ............... Rear .......... ,/...~,Z ......... Depth ...,/,~ Height ............................ Number of Stories ........... ~ ........... 9. Size of lot: Front ' Rear ............................ Depth ............................ 10. Dote of Purchase ......................................................... Nome of Former Owner ........................................................ 11. Zone or use district in which premises are situated .................../J.. ........ (j.c~ ................................................................ ..... 12. Does proposed construction violate any zoning law, ordinance or regulation? 13, Name of Owner of premises....?..~:::.~/.. ~Address .......................................... Phone NO ..................... Name of Architect ............................... ~) -T ~'.~i; '~'~ .............. Address .......................................... Phone NO ..................... Name of Contractor ..k~.' ..~ffZ~..".:~.;;!2.?:'..q'.:..%.?..: ........ Address .......................................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ali 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 NEW~OR~ ~)~) S S COUNTY OF ..... ~(F~ ' ' ............................................-- (.~;~'.'.i,,,'l~ ........ ~......being duly sworn, deposes and says that he is the applicon( (Name of individu'cfJ signing oppiicotion)~ above named. He is the ......................................... ~.'~..~f~ ............................................................................... (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; Swornand that the work wi,to before me thms' be performed,~,~,~,.: ' .. ~'~g~].;'"'" g the manner set f°rth in the ~?i~ti~.filed therewith' ' 'i'm'iai',, ........... dw .............. ....... .... Notary Public, .~4~.'~~,,',;~u~y (Signature of applicant)