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HomeMy WebLinkAbout1556-zFOI~M NO. 4 TOWN OF SOUTHOLD BUiLDiNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...ta&~a~..i~ll~ .......... ~ ........ .{ ................. .. Street conforms substant a y to the Application for Building Permit heretofore filed in this office~dbt~,d, dated ......................... ~l.yg. Oli}l~l~..~O 19.~.1..., was issued, and conforms to 611 of the requirements of the applicable provisions of the law. The occupancy for which this certificate ]s issus~d is ....~ ..... This is issued to Lowner, lessee or tenant) :, ~ , of the aforesaid building. N.D.Approval Doe. 6~ 1961 Building InspeCtor FOI~M 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.° 1556' Z Date .................... Permission is hereby gronted to: ~:vasnesk! &..P.o~.e Lt .... Jq..C.... ~£c~.d...F~e. rme. r ........... ....... Gr.e ~nl~a~.t ................................................... to..Build., n e.~.. an a..famtJ.~'...d.~.e2 ].~g .................................................................................... at premises Iocoted at .J.~O.t...~,l...Sol,1/~h~/O0~], .................................................................................. ............................................. P~;~...l~.:Lv.e., ......... .8o.ul~hoi.d ..................................................... pursuant to application dated ................................ ~eptembe~,......~:..19.6~.., and approved by the Building Inspector Fee $ ~,0,.00. ........... Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19...~....Perm~t ............................... Disapproved a/c ............. ~ ................................ . .................... .................................. (Building Inspectc(r) APPLICATION FOR BUILDING PERMIT Application No. ,4..~....'~....~.. ............ D . ~eptember 5 61 a~e ............................................................ 19 ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su6mitted 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 p~rsuant 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) Greenport, New York (Address of applicant) State wheth.er applicant is owner, lessee~ agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor · Richard Kenner , 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 done. Map No: .....S...o..~...~..h..¥.o.~.d: .................. Lot No: .~.~. ............. Street and Number n.s Parkway Drive, Southold Municipality 2. State existing use and occupancy of pr,emises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............. .¥..~..?,.a...~.~...,3:,o.,.¥ .............................................................................................. b. Intended use and occupa ey ........... .................................................... 3. Nature of work (check which applicable): New Budding .................... Ad&ban .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated r-_~. $'16,000 ,- $10.00 (to be paid on filing this application) 5. If dwelling, number of dwelling units .........1. ..................... Number of dwelling units on each floor ............................ If garage, number of cars ........................... 1...car.,.~ttau/~e,d ................................................................................ 6. if business, commercial or mixed occupancy, speclfy nature and 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 .......................... i...Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... .4..8. ................. Rear ........... .4..8.. ............ Depth ......... .3.4. ............... Height ............................ Number of Stories ...1. ........................ 9. Size of lot: Front ......... ~ .8. .8. . :. .6. . .4. ..... Rear ...... .1...4..0. ............... Depth .....1..9..6../.2..2.1. ........ 10. Dote of Purchase .............. .1..9..6...1. ................................ Nome of Former Owner ............ 11. Zone or use district in which premises are situated ......... ~i.A..:~.....R.,e..s./.~e..n...t..i..a...1. ................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...n..~i~.T1..(~.6~i~.,.2.6.,...~;.¥;..... 13. Name of Owner of premises.R~i,f~k~,r.~..K~g,,'qf~r......Address ...t~,5..-..42,...2...42...~.t, ........... Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor....C...1..a...r..e..n...c..e.....P..9..w...e-1..1. ............. Address ....G..~...e..e..n. lq..°...r.,t. .................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from Pw~ePerty lines. Give street and block numbers or descrlpt[on according to deed, and show street names and indicate t~er interior or corner Iot.vx,~' //69,00 STATE OF NEW ~(g~Y~,.,~.~ ) S S. COUNTY OF ..... .Y..~..t t .Y,%~..... · · ) Clarence Powe] 1 ................................................................................................. beigg duly sworn, deposes ~nd soys that he is the applicant (Name of individual signing application) · .~_ Co~tracto~ above named. He ~s ~ne ....................................................................................................................................... (Contractor, agent, corfforate 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 f~i~.t~plication filed therewith. Sworn to before me this ~otary Public, State of New York ~ No ~3449~3 SuUoI~ Cou.~ ~ FOR1YI NO. 1 TOWN OF SOUTHOLD BUIt. DING Dt~PA~TMt~NT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. (Building Inspectlr) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Zh!s application must be completely filled in by typewriter or in ink and submitted in duplicate to the Bui~Ji~g .. Inspector. ] b. Plot plan showing location of lot and of buildings on premises, relationship to adioining premises or public streets or areas, ?d g~wng 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 or~ the premlses available for inspection throughout the progress of the work. e. Noibuilding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall hay? 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, as herein described. Zhe applicant agrees to comply with ali applicable laws, ordinances 6nd regulations. .......... Cla~ce..~.o~.ell ................................................. (Signature of applicant, or name, if a corporation) (Address of applicant) S~ate whether applicant js owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. / Contractor , ' R~ c~ar~ Kenner Name/of owner of premises. ......... .T ......................................................................................................................................... tf g,pplicant is a corporate,~ signature of duly authorized officer. (Nqme and title of corporate officer) Location of land on which proposed work will be done. Map No: ....~...O..~.t'/9..W...O..O...~. ................... Lot No: ....'.~-....J'.. ........ Street and Numb~er ......~.?..~..~?..~,,~....?.,~..~.~...e.!.....~.?.,~.~..O..1.~ ................................................................ i ............... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: vacant lot a. Bxisting use end occupancy ........................................................................................................... ~ ......................... b. Intended use and occupancy ......... ..~..r.!v..a...t..e.....°..n..e....~..a~..../:.l..Y....~.e.,.1.1..~'..~.9'.. ............................................ i ........ 3. Nature of work (check which applicable): New Building....]~ ........... Addition .................... Alteration .................... Repel r .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~,ll,~.,0.00. ......................................... Fee ..... ~,.(~.0 ....................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........,1. ..................... Number of dwelling units on each floor ............................ If garage, number of cars .......................... '~"~Jl~-"l¥~t, lJ, c/~e~ ...................... ; ......................................................... 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 same structure with alterations or additions: Front ................................ Rear ................................ Depth .......................... . ..... Height'. ............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... 4B ................. Rear .......... ~ ............Depth ........ .34 ............... Height ............................ Number of Stories ..1 ........................ 9. Size Of lot: Front ........,~8.,.~4 ..... Rear ...... ~,4,0 ............... Depth ..,3,~/2,~ ........ 10. Date. of Purchase .............. ~g61 .......... ...................... Nome of Former Owner ...~..//~('~.,~ .............. 11. Zone or use district in which premises are situated ......... ~.'J~.."...lt~l,l-J,d~l~t:.~,~ ................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...rio ............................................ Bel:LeL"of~e 26,, ~, Y, 13. Name of Owner of premisesji. J.~hjl~J..Kenl~ll~.....Address "SS"'43'"247"~lt.'* .......... .Ph6ne-NO .......... ............ Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor..~tti~'e~e...lp~,~e~l,~ ............. Address ..(JlJ/~l~:~.t, .................... Phone NO ..................... PLOT D~AGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-ba~k dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate v~ether interior or corner lot. S~A'TE OF NEW ~'0~1~,. ) S S. COUNTY OF ..... #.~ ~.~,t,/~ ...... ) .~, .............................................................................................. being duly sworn, deposes a~d says that he is the applicant " (Name of individual signing application) 6bove named. He is the .................. ~g~ .................................................................................................................. (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 aH 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 fo~T~T~plication filed therewith. Sworn to before me this Notary Putfl~c, State of New York ~ day O~ ...................... Note~ Public, ,~._.~..~.~.~....~mnty