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HomeMy WebLinkAbout1633-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OC:CUPANCY THIS CERTIFIES that the bu,ld,ng located at N/~'~ .PeeO~i~..]~a~r...~].I/d. .................. Street Map No....::~h~ ............. Block No ...Z.~r. ........... Lot No ~ ....... [~1.~'~,~...1[,,~,~ ........................ conforms substantially to the Apphcation for Budding Permit heretofore filed in th~s office dated ]~[a~eh ;~7 1~ pursuant to wh,ch Budding Perm,t No ~ -~ ............................................................ , ....... ~i ~.'.. doted ........................... .~.~.~.~...~. ......... , 1~.~. .... was ~ssued, ~nd conforms to aH of the requirements of the applicable prowsions of the law. The occupancy for which th~s cerhficate ~s ,ssued is ........ ................. ~1~1; .e...~ft.. ~e~ll~...¢1 ~e llizl~ ......................................................................... The certihcate ~s issued to ...... .~LetO.,...D~B.~.[3.~1~ ............. ~ .................................................... (owner. lessee or tenant) of the aforesaid building Budding Inspector FO~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN C~LERK'S OFFICE Sou'r~O~D, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1633 Z Permission ts hereby granted to: ~[~,g~.oze... D.~acb~.n_ .................................. to .... ~-lx;l .. aec.. o~e~..£e, ai.],y...d~,e 1 li~ ........................................................................... at premises Iocated at ..~.~.. ]~e~;~l~l~:~..J~l~...~Bl~d ................................................................. ................................................... ..~el, ..... ~[~, .......................................................................... pursuant to apphcot~on dated ............................... ~eal~el~ ....... ~.~,t.., and approved by the Bu,ldmg Inspector Fee $.. ~l~.,.~... ];1~.. C~ ~. - - FO~M NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFIGE SOUTHOLD, N. Y. Examined ..........~f~X'.¢:~ ....... ~. ....... , 19...~.~ Ammended Approved ........... J/tn,~ch.....22 ...... , 19....64~ermit No....~....~..6.~.~.. ............... Ammended Application No. &6.~ .................. Disapproved a/c ............................................................................................ APPLICATION FOR BUILDING PERMIT D- March 27 19.~ ........... ate ........................................................ , INSTRUCTIONS a. This application must be compltetely 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 application. 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 whale or in pa rt 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. Theo Diachun (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. .............................................. .9.%['~.~ ........................................................................................................................................ Name of owner of premises .......... T.~.e.Q.,...D~t1,1~ ...................... . 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 ...~/~.....~.e.co~;[~,..~a¥...B&~'d,t .......... Ln.uz'.e~.~......~,.~' ............................ Municipality ...... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... ~.~f~.~...~.~l. .................................................................................................. b. Intended use and occupancy ..~a.._t'.ntl~'l~..~we.l~-Lt'~ .......... . ............... 3. Nature of work (check which applicable): New Building ....~....~... ....... Addition .................. Alteration ...'....'..:.z.~..... Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ................. ~,.Lk~....0.0.Q .......................... Fee ...],Q...P~ ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..........oz~e ............. Number of dwelling units on each floor ............................ If garage, number of cars ........... ~ ................................................................................................................................ 6. If business, commercial or mixed occupancy, specify natureand 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 ....... .72- .................... Rear ....... ~.c,} ................ Depth ....~. .................. Height ............................ Number of Stories.....OZte ...................... 9. Size of lot: Front ....... .~,~..Q ................. Rear ..... .],.~...0. ................ Depth ........ .~.~'..0. ........................ 10. Date of Purchase ........ ..~.]g.P..~.l.. ....... .~...8. ....... .1..~..b~... ...... Name of Former Owner ...... ...]~..g...?..P..~.S...~.....O..O. ..................... 11. Zone or use district in which premises are situated......!!~,!! .................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ZJO ........................................... 13. Name of Owner of premises ....q~e.o..T)'lac~.~ ...... Address ........... l',a~el .................. Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ...... ~.~,:R.~Z,~...~fL~.Ct~'. .................. Address ........... ~,;L.Y.~;~.~.~,~ ........... 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 nanes and indicate whether interior or corner lot. STATE OF NEW YORK, ) COUNTY OF ..... ~D.tt._f'Dlk.....) S.S. ................................... ?...~..e...o..:...,D. 1..~..~.l~...-~ .............................. being duly 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 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 JUI)ITH T. BOKEN N'otary Public, State of Hew York - .,r', 2'7 do of ~1{~.~2~&~44963, Suflol~nCo~n~J_,..~ ....... ............................. FOR~I~ NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............ ~.t~,..~ ..~....., 1~.1. .... Approved ....................... , ................ , 19 ........ Permit No. ,~./..~a~..~...'~. ..... Application No. APPLICATION FOR BUILDING PERMIT Date ................................. ~....~....?. ....... , 19...~.../. ........ 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 application. 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 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 shall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy shall have been gro~ted 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 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. ......... c ............................ (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. Nome of owner of premises ....... '~..~.g~ ........ ,~..~...~..~ ................................................................... If applicant is o 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: ~ .kk ............. Lot No' )<' /.. ......... ............ ....... i.iiiiiiiiiiii.. ...... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ................................................................................................................................... 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 ..../.~....~L.z..~> ...................................... 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 a:nd 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 ............?..?s.. .............. Rear .......... .~...~. .......... Depth .....~..;?.. ............. Height .......... .(..?. ............ Number of Stories ........ ~ .......... 9. Size of lot: Front ....... /./..~. ............... Rear ............................ Depth ...... .~.~:...~?~... ...................... -- 10. Date of Purchase .-~.~..-~-.. ~ ~../...?'...~.{..~! . .. Name of Former ~Owner .~...~,~?~2~...~:~...~? .................. '"~' ........... 11. Zone or use district in which premises are situated.....~././,~ ........... .~. ..................................................................... 12. Does proposed construction v~te an~,/,zoning law, ordinance or regulation? .......... .../~....~ ................................... 13. Name of Owner of premises /..J,~ .~...'c~v'''~'- Address .........................................Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..../.~.(~../,~..~.~...~...~' -'~ ~ ........... Address ~.~/2~ ~ ~¢._____ 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 corner lot. STATE OF NEW..~¥O~[~ ) c ¢ ...........................................~.-~.~:) ~ ~ ................................ c~-c~)~'~-~~ be ng duly sworn, deposes and soys that he is the applicant (N,c~me of individual signing application) above named. He is the ........ ~ .................................................. : ............ ~' ......... ;": ............................... (Contractor, agent, corporate o car, e c.) 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 oil stmements 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 ~ N°ta~d~u~'h~St'ra'teBo~K~EN ork ~ ~, ~ ........................ 2: ........... ................................................................... ~.....~.'~..:.~..~y (Signature of applicant) Notary Public,