The URL can be used to link to this page

Home My WebLink About1060-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWI~ CLERK'S OFFICE SOUTHOLD, N. Y~ C£RTIF~CA'~E OF OCCUPANCY No, Z...~6 ........... Date ............... 0e.t;O~.~... ~1+ .................. -19.60' THIS CERTIFIES that the loui]ding located al .~J/S...Ket~c:~i...BIy41 ................................ Street lq conic Bay t s Map ~o ....................... ~;c~t~ ....... ~I;~...-. Lot No. -~.2.-~ ....... G~eenpoi~; .................................... conforms sabstantially to the Application for Building Permit heretofore filed in this office dated .............. 1~.10I~.i.1...-..2.] .......... 1900.. pursuant to which Building Permit No. Zl.060 .......... ~lated .............. A~oI'.i'~""'~ ........... 19.60., was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ................ P~..~-Va ge,...one.. 'g' a~'i'!y" dwo,'~'TSng ......................................................................................... This eertifieale is issued to ...1/&n~ont.Gadoms~i...&.~Iane~;...My. sSl~rosl~i......0~mer~ ....... (owner, lessee or tenant) of the aforesaid building. Building Inspector TOWN OF $OUTHOLD 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? 1060 Z Date ........................... ;~pril.....29 ......... 196.0... PermisSion is hereby granted to: Chef .~.lew~l~.....A/.~.....~....~a~c~sk~..&..~.ar~et ~ySlb~oski ...... Ou.Ceho ~e.~...~...~. ...................................... to ... ,B~¢~ Zd.. ~e~..o~e.. ~u~iX~...d~.e X1 &~ .................................................................................. at premises located at ...:~,B.~..~:rto~.~,...~d.~,.....~O~,~..~,~...'~,~'~,~ ................................ ........................... .P.a~.t..e£...~t~..~i~..~..f~.~, ........... ~'~en'~¢~.~.....~.~ ..................... ~ ......... pursuant to application dated ............................ A~r~.~.....~ ............... 19~.., and approved by the Building Inspector Fee $]LQ,~ O0 ...... : ..... Budding Inspector1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......... ~ ........ ,~ ......... 19 ........ Approved ........................................ ] 9 ........ Permit No ............................... Disapproved a/c ............ ~~ ....... .............. ./..C:. .................................................. Application No. I 0 f~ (:) APPLICATION FOR BUILDING PERMIT ... - , Date ' ~'~ 19 ~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 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 a Iterations, 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) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................. :~ ...... ~.~.~.~.~Zz ............................................................................................................. · ~ ..~.~ }....~~. ¢.~~ ~ ~£. , . Nome 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 N : .............................. ~ ............. N : .................... .................................................. 2. Store exist[n~ use and occupancy of p~emises ond intended use ond occupancy of proposed construction: o. [~,~,~ ~ o~ =~.~.....~.~:~~ ................................ ~ ........................................................ ........................................ 3. Nature of work (check which applicable): New Building....../..', ........... Addition .................... Alteration .................... Repair .............. ~,~y..Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... /....~../...~ ................................... Fee ........ /.~..:.¢zTcJ ................................................................. (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 existinfl structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stgries ................................ 8. Dimensions of entire new constrL, ction: Front ......... r~/...~ ........ Rear ......¢~..~. ............ Depth ..~..~ ................. Height ........ /..~...[. ......... Number of Stories ......... ~ ..... 9. S~ze of lot: Front ...Z.~.....~- .........Rear ..~..~....'.' ......... Depth ...Z..~..~.~ ......... 10. Date o~ Purchase ...... ~..~..~..~.~ ........... Name of Former Owner ..... 11. Zone or use district in which premises ~re situoted .... ~...~ ........ ~ ........ ~ ................................ 12. Does proposed construction violote ~ny zonin~ Iow, ordinonce or reOuloffon? ..... ~ ..................................... 13. Name of Owner of premis~s..U.~~Address ..........................~,~_~ ~;~'~ ............ mane NO ..................... Name of Architect ........... (~ ............ ....~.......~................Address ~'~ ...Phone NO ..................... ~ ~~ ' ' ' ~~;~-~ ~ ~Phone NO.~&..~.~,~.~.~ Name of Contractor...~,... ~] Address 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, (~t .... STATE OF NEW YORK, ) S S, COUNTY ~F ............................ ) .......... ¢ ................................ being du[y.,sworn, deposes and says that he is the applicant (Name of individual 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 app cation; 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~ ~lication fJ~ therewith. Sworn to before me this . ~'~ ~0tV~ ~/~.~ ~ K()) ~_ ~ ~,' O O ~ ~_. ~ ~)~ ~ x ~ 1~ su¢--~~fS gnature of app cant) ..~.71.....~.~ ....... ¢~uy v~ ..~..=7.~.~.~ ................. ~L'~ ' '~o "5~,~.,~~ cou~l~y / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .............. ~ ................ ./ ........ 19_: ..... Approved ........................................ 19 ........ Permit No ............................... Disapproved ............ t"::"'v ........ ? ....... :"x .......... ::~ ........................ ................. ' ...... ~: ~1_..._..:.:7::::::...,. ................................... (Building Inspect6r) Application No. / 0 (o ~ 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 cov. ered 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 p art for any purpose whatever until a Certifica~:e 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all appliaable laws, ordinances and regulations. ......... : ~.,~-.- ........................ ~c .3~_:...4 .~-. ~ ......... ~ ............................... (Sign.a_t~ure of app!icant'~-~, or name, if a corporation) ,/.. ~ / / ~"- .............. !. 2. .f.... :.. :::.. :... :../..:... i..V'.: ....... (Ad4fess of applicant) State wheth.er,?pplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. /~ ~£-~ ~,, ,~ .~. ~,,L:.~. ~:~ ................................................................................................. Name of owner of .... ises..(J./'a.~,f N~>~..:~(::.:,:~.f2Z':~,,.~...~...:'..).Z:;:.~7.:.::~:?.)...,~7~: ~:.~:7~:.7:>;::* .................. If applicant is a corporate, signature of duly authorized officer. .................... il~l'~'~g"a n d t i t I e ' '~ ~' '~'~'~'~'~'~' '~;(~'i~ g ~i ' 1. Location of land on which proposed ~ork will be done. Map Np: ."~ ................ ' ............ '~t...:..L... kot No: ....d......,..,:... Street and Number ...., .................................J :a:[:f~ii~'~" 2/. ........ 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: Existing use and occupancy...~.'...:;..' ................. ' ........................................... , .......................................................... ........................................ 3. Nature of work (check which applicable): New Building....../.~ ........... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ,X (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 some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ~/..~.. ........ Rear ............................ 12. Does proposed construction violate any zoning Iow, ordinance or regulo n? ..... ~.~ ..................................... 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. [ I STATE OF NEW YORK, ) SS, COUNTY OF ............................ ) .'~, t~, · , ~. , -,~ ~. . being sworn, ........ .~ ............ .,~.~, .~..~.. ..... :~,.: ~..,~..~. ~ ....:.....: ..............duly deposes and says that he is the applicant ' ame of m"'~v~'~ar s,gmng appl,cahon) 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, application filed therewith. Sworn to before me this , .... ~1~ ~OW~' ' ,) {- ~- ~'. ~ -' ' ~ b , State o ' ''~--~> ~-~'~/~ ' ~ ~ ~ day of ~.~, 1~.~,,,ok~ (~ig~re bf appear) .................. ~ ~ .... Y~ - ~ ~ ~ ~. __ No. 52-036 ~n~~"'''~ Notc,~ Publi~~~~..~....~k"s ~arch 30, 19~ ~