HomeMy WebLinkAbout1542-zFOI~M NO. 4
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ..j~lj,~j~,l~..l~l.~...&..~l~w.g...R~. ............ Street
Map No ...... ',.* .......... Block No ....... /t.~ ......... Lof~...~..~.~.~,~.. ........ .~/.~.~ ....................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.................... ~..e.~..~.e...~.~.~...~. ................... , 19....~..]r pursuant to which Building Permit No ...........
dated ......... ,.S~p~.~t!~,..?/ .................. , ] 9....6.~, was issued, end conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ........
.......... l~il~:~'A~ .. ~:~1~..l~t~J~Y..D~O .....................................................................................
The certificate is issued to ...................... J.O.~...~.....~.~,~.~.~i.....~..E~ ~.
(owner, lessee or tenant)
of the aforeso, id building.
FORM lqO. 2
ToWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTNOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION, OF THE WORK AUTHORIZED)
N? 1542 Z ~at~ ....... ~.~.;¢?.~i~7: ~ ~..~.../
Permission is hereby granted to:
Doagi-a~..-~ee~..~..~om...A/0..~Ze~...8~o~...~m..
to .3~..me:~..o~e...~&~..d~e~m~ .....................................................................................
at premises located at ~/~,..}~:~.~..~G~..~..~/8,.-]~.~...~G~ .............................................
.............................................. ;~a~.t~,t~ek ............................................................................................
DUrSLiOn~ to application dated ........................ .~.~...~ ............. 19..6~., and approved by the
Building Inspector
Fee $..,~.0..,01~ ..........
BLuldlng Inspector l' '
TnWN OF SDUTHDLD REC~-~VED
OFFICE DF BUILDING INSPECTOR ,~] S[~ I~ ~i'~ 9:
TBWN CLERK'S OFFICE
~L'F'F0'. K COUNTY
Mr. Herman Bishop
Commissioner of Public Works
Suffolk County
Yaphank Ave., Yaphank, N. Y.
Dear Sir: ~J ~?A
In accordance with Section 239K of the General Municip'al Law of the
consolidated Lows of the State of New York, this is to notify the Commis-
sioner of Public Works of the County of Suffolk that .....Q.O.g,~.]],$D...~..e..e...~..e... & Don
~_u.~!~.e...r.~.,........~Z..q...Lq~....s.~..q.r....{ .r..(...o...wg.....e..r.. ). ......................................
has applied ~ the Town of Southold for a permit to construct a building
on ~/S ~d~.~ ~.d .(g.,2~2A~..~. E~S M~z~.~...B~,...~ttituck
as shown on the attached plot plan, submitted in triplicate, doted ..... Sap~ember 7s 1961
............................................ andtted...R~g~..~aZL.~Q~...JD.J'~l..~D~ Jr
We shall withhold further action on this application for ten days or as
otherwise provided in the aforementioned Section 2391(.
Very truly yours,
~111a~ ~. Xatauaaye,~ \
C~lef ~a~aee~. ~
B/~n~ec tar ~'~
Town of Southold, N. Y.
TOWN OF SOUTHOLD
OFFICE DF BUILDING INSPECTOR
TOWN CLERK'S OFFICE
Mr. Herman Bishop
Commissioner of Public Works
Suffolk County
Yaphank Ave., Yaphonk, N. Y.
Dear Sir:
In accordance with Section 23C)K of the General Municipal Low of the
consolidated La,ws of the State of New York, this is to notify the Commls~
sioner of Public Works of the County of Suffolk that ...~·..o.~.....~..e..~]g..e....c% Sozz
· ~...u. j~..]., .q-.C .r. ~..,.. AZ.~......~..oh:~...$. J,.c~ ~ ,r....;~.:m...( .CW.a .e.~..) .................................
has applied to the Town of Southold for o permit to construct o building
on ..... ~i/. ,.~ .. ~i ~.d.%c .. Ro;id.. &.. F~.. S....L~r. Y. Y. ~...~ .o.~ d.,......i.'~, a.t.'.t ,t.~ .~¢.2.
os shown on the attached plot plan, submitted in triplicate, dosed ...~..e..p...t.?lber
..~.~......]:?..6.]~ ....................... and titled .k).],o.t....p. lszl..£.(~r...J.o, hm..~.J~(I.o.~.. Jr
We shall withhold further action on this application for ten days or as
otherwise provided in the aforementioned Section 239J{.
Very truly yours,
Building Inspector
Town of Southold, N. Y.
q
L
FORM NO. I
TOWN OF SOUTHOLD
.BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined.....~.~..~.
Approved ........................................ 19 ........ Permit No.....~.../...~.....~.......~......
Disapproved a/c . ..~...~...~.'~..~.;..~.c.....e~.....~..~/C-
Application No. l..~'......~.......~... .......
APPLICATION FOR. BUILDING PERMIT
Date Se~.~,e. mb' ' 61
...................................... ~..~...2 ......... 19 .........
INSTRUCTIONS
a. This application must be completely filled in by typewriter or m ink and submitted in dul>licate 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, ondgiving a detailed description of layout of property must be drown on the diagram which is part of this !ocation.
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 us-ed 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~ of a Building Permit pursuant to the
Building Zone Ordinance of the Town of So~'hold, 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)
CutchoEue
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..................................... ..................................................................................................................................
Name of owner of premises.....J.O.~'~l...~.~,~.~.~...~'.t ...............................................................................................................
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: ..... ~.~ ......
Municipality
· 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
3. Nature of work (check which applicable): New Building....~......Addition .................... Alteration ....................
Repair, ................... Removal .................... Demolition ......... ~.~ ........ Other Work (Describe) ....................
4. Estimated Cost. ~.,~0..0~..t..00 ~/.~ Fee ........ .~0~. .........................................................................
. - '~ (to be paid on filing this application)
' 5. If dwelling, number of dwelling units. O~.e ...................Number of dwelling ~ts'.an each floor ............................
if 9orage number of cars.. ................ 2~.&Z'. ................... . · r . ~ ·
6. If business, commercial or mixed occupaqcy, specify nature and extent of each type of use ..............................
7. Dimensions of existing structures, f any Front ............................Rear ............................ Depth ............................
Height ........................ .....Nu'mber of Stories .............................................................................................................
Dimensions of same structure with alterations or additions: Front ................................ Rear ................................
Depth .............................. Height .............................. Number of S~ories ................................
8. Dimensions of entire new construction: Front....~7.~ ..................:' Rear .~i.~....~ ............... Depth ~8/,,~'1 ...............
Height ............................ Number of Stories ....Q~l,.e. .................
9. Size of lot: Front ..... .].,~.Lj: ............... Rear ....... ,l.].~ ............. Depth .....~.QQ. ...............
10. Date of Purchase ....'19~1 .......................................... Name of Farther Owner ....~..~.~..~]g,~-.~ ..............................
11. Zone or use district in which premises are s tuated J~. ......................................................................
12. Does proposed construction violate any Zoning law, ordinance or regulation? ......... ~ .....................................
13. Name of Owner of premises ....... ~Ob,t~..flJ.~oL'...J.t'..Address ...... .[~.t,~;J,~;l~lr. ............... Phone NO.
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor .......D.,..Beebe..~,..S~'~ ........... Address ........... g,~t, ol:u~g=e ........... Phone NO .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from
property lines. Give street and block numbers or description according to deed, and show street names end indicate
whether interior or corner lot.
- '
STATE OF NEWsY~P~K.. ) S S.
COI. J NT~ OF ..... ..t~.. ~.Q~I~ ........ )
....... ............................................... (Name,of~i~v~l~s~ganbi.~.applicatl~) : .... ..... bong' duly sworn, deposes and says that he is the applicant
above named. He Js the ....................... ~.O~.t=ae.t,o~. ....... · ......................................................................................................
(Contractor, agent, cO,orate officer, etc.)
of said owner or owne~/ and. is du. ly au.th.oriz.ed, to.~.l~_ ~°__m~,.__o.r='..h0v,,e,~l~ffr~ frr~do thtehebe~ldo~sk ~r~ow~dam. eayndanbdel[~
,,is a~,~, ......... ' ,"-:.,-;' - -: , ,,~- ........ · forth in the am~lication tilea tnerewitn.
and that the work WlJl De perTormea ,n
Sworn to before me th s
_ . . ~ ..... j'.~ ¥-~ ~/(Signature of applicant)