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HomeMy WebLinkAbout1539-z~OP~ 1~0. 4 TOWN OF SOUT~-IOLD BUILDING DEPARTMENT TOWI~ C~ERK'S OFF~CE SOUTHOLD, N. Y. CERTIFICAT£ OF OCCUPANCY No .... Z ..11~.0 ...... Date ...................... ac.to, bar.....23 ......... , 19..61 TH~S CERTIFIES that the building located at ~f8,,,..Ce~ta~....Poin~t.,Dr...East; Street Cedar Beach Park ivlap No. 90 .................. Block No....~C ............... Lot No. 96~ ............. ~OlZtBold ........................... conforms substantially to the Application for Building, Permit heretofore filed in this office dated .................... ~.e..p.~..e...m.~9.~?.,.(~., 19....~.~ pursuant to w~ich Building Permit No ..... ~.~..~.~.~... dated .................. ~.e.p~.~l~b~3~ ._.6, 19.~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ]~.r.~.¥.a.ls~...o~l~,...~.~mi~,3[..~[~{o~ ................................................................................... This certificate is issued to....~,.,T.,.HaF~,~ ....................... 0~...~ (owner, lessee or tenant) of the aforesaid building. Building Inspector .... FOI~V[ NO. 2 TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OI:FICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 1539' Z Permission is hereby granted to: .......... q.~.~.o.~.~ ................................................. at p~emis~s Iocoted ot ..~Z~!...C.e..cta:a...~.a~,~b,..:D~..:tq~.'k.,...~,.o.t,..~ .............. ..C..e..a...a.~....b...e.~.e...t-~...~.~ .................................................. ~.~?,b.a~t .......................................................................................... pursuant to application dated ............................... ~.~.~. .......~ .............. 19..~,.., and approved by the Building Inspector Fee $. ~'...0~. ............. Building Inspector I~01q, M NO. 1 TOWN OP SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ....... ........... , ,pprove~... ..................................... ........ ............................... Disapproved a/c .................. ~[~ .................... ................ ........ ................................. APPLICATION FOR BUILDING P[RMIT Dote ........ ............................... .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plon showing Iocotion of lot end of buildings on premises, relotionship to edjoining premises or public streets or oreos, end giving o detoiled description of Ioyout of property must be drown on the diogrom which is port of this Iocotion. c. The work covered by this opplicofion TOy nbt be commenced before issuonce of Building Permit. d. Upon approval of this application, the Building Inspector will issue o Building Permit to the opp{icont. 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 Deportment for the issuance of o 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 a Iterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ...... ............................... (Signature of applicant, or name, if a corporatqon) ..... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......................................................................................................... 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 d~one Map No' . ........................................... Lot No' . ......... ~ ...... Street and Number ~.-..~..~.~..~K~Z..-..~...~ ................................. i ..................... Municipality 2. State existing use and occupancy of p~ intended use and occupancy of proposed construction: a. Existing use and occupancy .......... ~ ....... ~ .............................................................................................. b. Intended use and occupancy.....~....~....~...~./.~ ............................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Rem~a[ .................... Demolition .................... Other W~ork (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 .............................. Rear ...... ~....-~... ............. Depth ..... ~,~ ~' 7. Dimensions of existing structures, if any: Front ........... ..,~..~... ............................. 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 ....... -- '- '.~....'~.,..i. ......... Depth .....-~....~..,~..-- ......,.' ....... Height .....Z.~..../'. ............. Number of Stories ........ ,./.. ................ 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. 7one or use district in which premises are situated .......................... ~. .............................. 12. Does proposed construction~-/ -"~ ~ .. ,vi°l'ate any zonin? law, ordinance~ 'Y ~"~ ~,,~ ~/~-~,~-°r regulation? .... ~ ..............~ ....................... 13. Name of Owner of premises.~..~..'.~ ....... Addre~J~....~...~--~...,,~...~..~..z~,,,~'./'.~...Phone~~.~, Name of Archltect.....~? ...... .. ................. ~ ...... Address .......... , ............................... Phone NO ..................... Name of Contractor(,~--Y-~...~..~ ..~....~..~......Address ,~.r.~r~~,~C~ne Ni~,~. ,~,..~.~..."~..~ 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 fndicate whether interior or corner lot. ~:~-~t,j~~ ~ ... STATE OF NEW ~OR,~ CO~JNTY, OF ...~~..) ~, ' ~...~...~ ........................................ being duly sworn, deposes and says that he is thrapplicant (Name of individual signing applic~ion) ~bove 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 ication; that a statements contained Jn this application are true to the best of his knowledge and belief; and that the work will be performed Jn the manner set forth in the applicat on filed therewith. Sworn to befor~ me this FORI~I NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. E×am,ned ......... ......... Approved ........................................ 19 ........ Permit No ...................... Disapproved a/c .................... ~7~~.~'"""'- ......... ....................... ................................. Application No.../....~.~..~ .......... APPLICATION FOR BUILDING PE~.MIT 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 Buildin~ 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 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 alterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinaq.ce~ and regulations. ................................. (Signature of applicant, or name, if a corporation) ................ (Adc~:~s of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ...................... ~,'.~:~' ...... ~x.~,~c~..,r~r..'~. ....................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work wi~de done. Map No: ............................................ Lot No: .................... Street ond Number. " ........................................................ State existing use and occupancy of pr.~.n.n~es and intended use and occupancy of proposed construction: o. Existing use and occuponcy ............... ,.~.....~... _..~ ....................................................................................... 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 ............................ .~.~...~...t...¢~... ............... 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 ..... ,~k.~.. .............. Height ......... /.~../. .......... Number of Stories ........... /~. ............................................................................................... Dimensions of same structure with alterations or additions: Front ......... ~..~ ................. Rear ..... ,~...~. ................... / / Depth ......... ,~.¢...I. ............ Height ......... ,/...~. ............... Number of Stories ................................ 8, Dimensions of entire new construction: Front ............ /.~ ........... Rear ......... /..~....( ......... Depth ..~.,..~...~...~ ......... Height ....... //..~.../.' ............ Number of Stories ...... Z ................... 9. Size of lot: Front ............................ Rear ............................ Depth ............................ 10. Date of Purchase ........................................................ Name of Formera /7) ' ~, ~---;'~Owner ¢ ................ ~; ..................................... 11. Zone or use district in which premises are situated ................. ~..%..~~..¢:...... ............................... i2. Does proposed construction violate any zoning law, ordinance or regulation? ...,~. ............. ,~.,~¢.~..,,,,~.,.~,,.,, ...... · 13. Name of Owner of premises.27/~.~c./~..~ ........... Addrese~-~...'~..~l~...'~..d~.,,.¢~/%~'./~..Phone NO. Name of Architect .............. .................................... Address ........................................... Phone NO ....... .. ............ Name of Contractor~Z','~...(:.O..~.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and ~cate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and~hew,~treet names and indicate whether interior or corner lot. · STATE OF NEWjYOBI~, ~_ ,) S S COUNTY OF ..~.) --' (Name of individual signing application) above named. He is the ............... -~ ......................................................................................................... (Contractor, agent, corlborate officer, etc.) af said owner or owners, and is duly authorized to perfarm or have performed the said work and to make and file tMs ~ppl cation; that all statements contained in this application are true to the ~st of his knowledge and belie~; and that the work will be performed in. the manner set forth in the app ication f ed therew th. Sworn to befor me this JUDITH T, BOK[~  pubt~x State o~ New Yor~ t~ry ~, S~ffolk County ............ ~ ...... da~of ...~~. ]~ ...... ,r~ '~, ~('~ (Signature of~licant)