The URL can be used to link to this page

Home My WebLink About1016-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...Z..~ ......... Date ......................... ~ep~emb~l--....?..., 19'60' THIS CERTIFIES that the building located a? .Re...(l~al~..d~..i.v$~g~,:t .......................... Street . -Map/~.a..d..?.~..B..e.a...e.i~l~c~'~o....x,xx ........ Lot No. 98 ............. Soll.thol~.~...:~I,.~., ........................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ................... Ma~I1....~.9..-., 19..~O pursuant to which Building Permit No ....... ~...1.01.~-- dated ................ MaX'.~ll.....~.9 ......... 19.&0., was issued, and conforms to al~ of the requirements of the applicable provisions of the law. The occupancy for which this ~ertificate is issued is .................... /~.£vate.. om~ ..£amt.ly .. ~lwe-l.t. ir~g ............................................................................ This certificale is issued to ..J~hrl...M.,.I~F ................ ~el' ............................................................. (owner, lessee or tenant) of the aforesaid building. Building Inspector TOWN O~ $~UTHO~D BUlkDING DEPARTM£NT TOWN CL~:RK'$ $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 1016, Z Date ...................... ~.ch ....... 29 ........... ]60 ..... Permission is hereby granted to: Goldsmith Bros.....~fC~.... J~h~.., 4~a~ ................................... ........... ~o~the,l~ ....... -!~,.~.. .............................. $o ... 2nl~d.. ne.~..ou~. ~L~y...d~e~ag .................................................................................. at premises located at ...~,t.,~...~...~....G~der...,~eh..~.a~k ........................................................ ................................ ~,~..~ad~....I~:l,V~ ......... 8eu.thold.~...-.N,:/., ............................................ pursuant to application dated ......................... :....~.~1 .......29 .......... 19.~Q.., and approved by the Building Inspector Fee $],t~ ............ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE $OUTHOLD, N. Y. Approved .................................... , ]9 ........ Permit No ................................. APPLICATION FOR BUILDING PERMIT Dote ....... :..~..... ~.'~..;.~...~........".~....~ .............. , 19.~...?... 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 property must be drawn on the diagram which is part of this location. c. The work covered by this application may not be commenced be~fore 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.ilable for inspection throughout the progress of the work. e. No building shall be occupied or used in whole, or in port for any purpose whatever until o Certificate of Occupancy shall have been granted by the Buildinfl Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issua.nce 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,/~ssee, o,~gent, architect, engineer, general contractor, electrician, plumber or builder. (Name and title af corporate, officer) 1. Local,on of land on wh,ch groposed work w~l be done. Mop No: ............................. : ......... .~..::~zot-No:...l...~...... ...... Street and Number .,..~..:..(~...c.:.~....c~,.. ....... ~...! ...................... ~...c~:.....~[,~.:: ...... : ................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy J~> ~ ~ / b. Intended use and occupancy ............. ~..~ ................................... ' ................................................... 3. Nature of work (check which applicable): New Building ....... L..~. ........ Addition .................... Alteration .................... Repair .................... Removal .................... Demolition ......... ~ .......... oOther Work (Describe) .................... 4. Estimated Cost ............~j..?.O..O. ....... Fee / 00 (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 .......... ...................... -- , Height ............................ Number of Stories.....~ ............ 9. Size of lot: Front ...... ./...C~...O. ........... Rear ......... (...o..?. .......... Depth ~ ~'~,/'~'-/~) 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ............ ,..~ ......... ~ .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... .~.~.....0. ................................... 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 al~ 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',,'~YOR)(t~,// ) S S COUNTY OF .~..~......) ' ' 0 ......................... ..'~.._~./...~.... ....... ¢~. ................. '~. .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing applic/g~ion) ~ above named. He is the ............................... ~..c,:.....~...~ ......................................................................................... (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 ore true to the best of his knowledge and belief; and that the work will be performe~uiD~THtl~. J~'~[iner set forth in the application filed therewith. Sworn to before me this ~ ~ y publ~c /tste of New York ................ ~....[. day of ................... :..~.;....,"~......~,... 19.....~..C)