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HomeMy WebLinkAbout1115-zFO,R~ N,O. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. ~, CERTIFICATE OF OCCUPANCY No. Z., 895 Date lqovember 7 19...6...0. THIS CERTIFIES that the building located ai ~4~..n_~....¢~..d~.....E...a..~..~..~.~i~r;~ ........... Street Map No .......... ..*.*..~..... Block No .........*...*..*....,..Lot No ......... .*..~.~ .............................................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................. -J-u..T-Lc....2.0. ........... 1~..6...0... pursuaut to which Building P[~mit No ........ .Z....1...I..1..5... June 24 156.0 ., was issued, and conforms to all of the requirements ~lated ................................................ , ..... of the applicable provisions of the law. The occupancy for which this certificate is issued is PRiVA~ 0~ FA~L¥ I~LLING This certificale is issued to peter and Caa~elia DI/kovitz, owaer (owner, lessee or tenant) of the aforesaid building. 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,° 1115, z Dote .......................... ~.....2.~ ............ 19.6~. Permission is hereby granted to: Pe~e~.-.Dyko~iti~ ................................................ ............. ~-.~,~..ttoae~ .............................................. ....................... East..l~arion ....... ti.~ .............. to -Bu-i. td- -. a=*l. · a(M.i t-iol~ · · o~l. · an. · ~S-i~ilTg- · '~l~et'~,t~ ......................................................... at premises located at ........................................... Ea~.t .i..!~.t~m, .....li,/, .......................................................................... pursuant to application dated ............................. ~ ....... '~0 ............. 19t~O,,.., and approved by the Building Inspector Fee $..~,~ ................... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exammed ...................... ~ ....... 19 ........ Appra?d ................................ : ....... 79 ........ Permit No.. /1 Disapproved a/c ........~......~ ....................... .. ................ ................................. Application No ......LI..J.....~. ........ APPLICATION FOR BUILDING PERMIT D_,._ June 20, . ~60 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 ~nspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanc.e 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. ~- · .... ......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0~ez' Name of owner of premises ............. ?.et~e~..~..~e~el~,.Z~'tco.~.¢~ ....................................................................................... if appiicant is a corporat.e, signature of duiy 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 .............~A.,,R.O.~.,..E~...,~eX.~c~A~..~'.e~..~'g:e)~; ............................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... ~..z'.Jr?..~.~.e...d~..e..]'..1.J:~. ........................................................................................... b. Intended use and occupancy .......... e,C~L~.on..oz~ .e~¢~L~x~..~¢,~o ...................................................................... property lines. Give street and block numbers or description according to deed, whether interior or corner lot. 3. Nature of work (check which applicable): New Building .................... Addition ...... .3.. ........... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .................. About..~b6D ........................... Fee .......... .$5,,C)0 ...................................................................... (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 ........ t~ $.~; ........ Rear ......... 28.~':l; ....... Depth ........ ;¢'2.~'..¢., ......... Height ........ ~9~...~, ......... Number of Stories .... .:1'~.~¢..9~.:i:e..~. ................. ' ..................................................................... Dimensions of same structure with alterations or additions: Front ........ .2..8...~..~... ............. Rear 28 ~ £t. 25 Depth ........ 5D..1/2..Z1~..... Height .............................. Number of Stories ....... 1..~..2..S.t~;~ B, Dimensions of entire new construction: Front ............................Rear ..... ll..ft... .3,. in, ~ ....8..1/.2.~.¢, ....... Height ............ .t0..~.t, ..... Number of Stories ...........]. ................ 9. Size of lot: Front ......... .3:.0..0...~.¢.: ...... Rear ......1..O~....~.¢.: ........... Depth ...... ~.,~: .......... 10. Date of Purchase .................. ~.u:.]-X...2~...]:.9..5.~ ............. Name of Former Owner ..,.S..o.R~,l..e....]~,~?~f.l.~.s. ........................ 11. Zone or use district in which premises are situated ...... ..~.. ...... ...'T~..~:.T...~...~.~., ........................................................ 12. Does proposed construction v,[olate an~ [onin.~ law, ordinance or regulation? ........ 3[c~ ................................... ye~er ana u~me~a "' l~d ~ t '~ ' '~ ~3. Nome of Owner of premises .......... ][~rlco~aJ;z ............... Address ............................................ one NO ..................... Name of Architect ..................... ~.o.g.e. ........................... Address ............................................ Phone NO ..................... Name of Contractor ................... ~3~ae ......................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate dearly and distinctly all buildings, whether ex/sting or proposed, and indicate oil set-back dimensions from and show street names and indicate 'STATE' OF NEW )~ORJ~,, xT~'), S S COUNTY OF ~ ' ' ................... ~~ .................. being duly sworn, deposes and says that he is the applicant ............... ' .................................................................................................. (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 opplicati~filed ~her~with, Sworn to befg~e me this /~J/ ~ Y ................ ~*'~'~ ...... ~otary ruhhc, Stat~ of ~ew Yo~ ~ ~. ~ ~~ ~ount~No, 52 (,3,N~53, Suf[olk County , ~ Nota~ Public, .... ~....~*.~:~ ~qmm~ss~ot~ Exotics ~tch ~0~ ~ FORM 1~10. 1 TO~'N GF SOUTHOLD BUILDING DEPARTJ~ENT TO~N CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ ~ ............................. 19 ........ ~ Approved ......................... ~..~ ........... 19....~.~..Permit No. '~ /t ~ ~) (Building Inspector) Application No ...... l..l..!.....~.~. ........ 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 edioining 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 port 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. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises ........... ~..~e~..~.~,..Car/l~.Diirko.vi.~z ........................................................................................ 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: .................... NaiU P~o~, East Marion, New York Street and Number ....................................................................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use .and occupancy of proposed construction: PrivaCe dwelling a. Existing use and occupancy ............................................... .. ..................................................................................... addition of outdoor l~atio b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .................... Addition ....... [. .......... Alteration .................... Repair .................... Removal .................... Demolition ......... ~; ......... Other Work (Describe) .................... 4. Estimated Cost ................... ~,1~0u%":~60 .......................... Fee ..~ ...... gg~00 ..................................................................... '[~(~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 ......... >~8"~i' ......Rear .......... L'28"~'~,' ..... Depth ....... ~.~ ........ Height ........ 25..f.%, ........ Number of Stories ..... ].,~...t~f,,ex-;Lel~ .................................................................................... Dimensions of'~ame structure with alterations or additions: Front ........ 4~,.~'%, ............ Rear ...2~...~%]1~..~'t,,.. Depth ........ ,~0..l,/.;~..f.t,,... Height ~ ['t. ' ' Stories ........ 8. Dimensions of entire new construction: Front ............................Rear ...... -i.l..~4:.i..~..~zn~ D~r~ ....~..~/~..~,~ ....... Height ............. 1~"~¥ .... Number of Stories .......... .&. ............... 9. Size of lot: Front .......... 1(~..~'.t;, ..... Rear ..... ;I.0(:t.[1:~, .......... Depth ...... ]~]0.Xt, ......... 10. Dote of Purchase .................. g'Ulgt..29~..'lg~.'/ ............. Name of Former Owner ...~l~]~;I.e..l~ko~J~¢~, ....................... 11. Zone or use district in which premises are situated.......<7/....../.~..~..4....L~.c~....:.' .......................................................... ]2. Does proposed construction violate zonina law, ordinance or regulation? ......... ~O ....................................... 13. Name of Owner of premises .......... ]~i~ ............... Address g,~,~...R.~.*~..~,~..J~..~, .~.,N~one NO. Name of Architect ...................... ~O.~e. .......................... Address ............................................ Phone NO ..................... Name of Contractor ................... z~Oz~e ......................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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 STA'TI~ OF NEWX~Oz~.~,,~.~/~,~) S S COUNTY OF~:~.~.~ ....... ) -' ,~ ' t ....................... ~..~~ .......... being duly sworn, deposes and says that he is the applicant ._ (Name of individual sig~ppl~at[o~ 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 applica~ filed the~with. Sworn to before me this 'J~mTH T ~0~ -'~ ' ~-'~ ' ........ ........ ..........