Loading...
HomeMy WebLinkAbout1402-zFOP~M NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...~..,1,~:~'.~. ........... Date ~c~ober ~ , 19 ~:2 THIS CERTIFIES that the building located at ...e../.~...~...h..~.~.....R...~.:.x....G...~.~ .J~..~ Street Green~ort Shores Map No ....................... Block No.....................,.~ Lot No ....................................................................... conform~ substantially to the App cation for Building Permit heretofore filed in this office dated Ma]/ 15 19...?..~.. pursuant to which Building Permit No. Z !402 doted ......... 1~...15 ............................... , 19....6~ was issued, and conforms to all of the requirements of the appticable progisions of the Iow. The occupancy for which this certificate is issued is ........ ......... ...~.....~..~.....c~.....~...~I.~..~...~...~....~..~....~..~..z.F.~ ................................................................................... The certificate is issued to ................................. ..~.~.~,..~..~...~.....H..~...~.g,~.~...~.~.....O..~,..~..~...~. ............................ (owner, lessee or tenant) of the aforesaid b'uilding. FOR~[ 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.° 14o2, Z Date .................. ' ........ JJl~... · ~,.~'. .............. l(Jr~ .... Permission is hereby granted to: .......... · 1.l.8,.~/.....203sti...~t...~t. ba,~s ............ to ...blLl~.. an.. && :.l.tion.. on.. ~r~..e~t~...d~e.l.t.L~ ....................................................... at premises located ot ..F~.S.....[~h~)r~..B~ad.,......(~een~oz~c..81~z, el ........................................ ....................................................... ~.e s.t .. ~. ~l~po~.tt.....l~..Z.. ....................................................... pursuant to application dated ............................... J~r.....l.~ ................ I(~....., and approved by the Building Inspector Fee $~.,.qO .............. Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFtCB SOUTHOLD, N. Y. Examined ......... ~%~.'. ..................... ..... Approved ................ ~.../.?...19...~...Permit No ....... Di so pp roved a/c .................. ~..~-..;':~.': .~..Ti'i'i~ ................................................. ........................... ......... . ............... i'~'~'i'ld in~ I ns'~'J~ Application No ............................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be com?!etely 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 inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanoe 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. ......................................... (Signature of applicant, or name, if a corporation) William Hoechner 118-27 203rd St., St. Albans, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner William Hoechner ~ome 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:C'..r.-e..e..n...P..°...r.?.....S..h...°..r..?..s. ....... Lot No: .................... Street and Number .............e.../..s. .......... ~.~. 9~:..e...~.o..,~.,...~.~.ft~Df~,r.t,.,...~.c~...~-.o.~fk, .............................................. Municipality 2. State existing use an~d occupancy of p~emises and intended use and occupancy of proposed construction: one family, dwelling. a. Existing use and occupancy .................................................................................................... ~ ............................. b. Intended use and ~ccupancy...~...n..e"...f...a..m...~..~..¥....d..w...e..~..~...i..n...g..~.w...~..t.~...~...~.~.~.~.~. ............................... 3. Nature of work (check which applicable): New Building .................... Addition .....X.. ............. Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost..~.l..9..0....?.../..m. ......................................... Fee .~...5..:..0,.,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 ears none 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front.......~..i~.......2.~ ........ Rear ....... '~.~......,.3..2. ....... Depth 20 1 Height ............................ Number of Stories ............................................................................................................ Dimensions of same structure with alterations or additions: Front 32 Rear 32 Depth ......... .2..0. ................. Height .............................. Number of Stories '1 8. Dimensions of entire new construction: Front ....... .~.~......8..' ........ Rear ......... :~...._.8, ....... Depth ....~f..:~.....8..'. .......... Height ............................ Number of Stories !l 9, Size of lot: Front ....~..5. .................... Rear ...... .7...~ .................. Depth ......~-.:~5 ............... 10. Date of Purchase ......... ..B..e.~.~..:..,.1...9..6...0. ...................... Name of Former Owner ..... .Q,..~..e...e.,~.~.,o.~...~....~...h..o..~.e..~ ............ 11. Zone or use district in which premises are situated ....... '.'..A..'~....~...e.~..$.¢..e.~.$.~..1..-..A..~r.~...i..c...q.l.~,~.~'?.l, ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... ~o. ..................................... 13. Name of Owner of premises...-w~...:,..~.°...e.~.h...~..e.-~. .......... Address ~..t.:,...A...1..~..a...~.~..M.~:.~: ...... Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .......... ...D~.........D]..o...e.~.m...e..r. ............. Address ~..}!..°,.~.e....~-~,.~.....C?lq..t..-. ........ 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 YORK, ) S S. COUNTY OF .... ~.~t.f.f.o.l.k ....... ) .. . T~.i,..1..1...~...~......~..9..e...q.~.~.e..r. be ng duly sworn, deposes and says that he is the applicant (Name of individual signing oppffcotion) is the ............................................................................................................................................................. above named. He owner (Contractor, agent, corlborate 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 appl cation; 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 app ication f led therew th. Sworn to before me this 15th day of May 2 19.....6,..~.... (Signature of applicant) BU ffolk Notary Public,. ........................................................... County TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Disapproved o/c (Building Inspector) Application No. //~¢~-J APPLICATION FOR BUILDING PERMIT Date ........ M~y ~L5 ,~ 61 INSTRUCTIONS o, This application must be cor~p!etely filled in by typewriter or in ink and su0mitted 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 port 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 fac inspection throughout the progress of the work. e. No building shah 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 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. ................................................ (Signature of applicant, or nome, if a corporation) W&l&&am Hoechner 118-27 203fa $~.., St:. Albans, ~.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. W:Lll:Lam Hoechner Name of owner of premises .................................................................................................... ' ................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ,, Green]port: ~tlhoree 1. Location of land on which proposed work will be done. Map mo: ............................................ Lot No: .................... Street and Number ...;[. .......e./S ....... 8.~.¢...~.O..~¢ .~.~.~.~L~..~,lK~.~ ~.e..~.. ~.O.~..~ Municipality 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .o...~...e.....~.~.~,..~..~.~.....,c~...e..~.~..'~"~'.~ .............. '. .................... ............................................ one fatally d~e3~i.tn~ w:Lt,h ]porch ac~d~tjLon 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.,~..O..0..,..~...,~,. ......... ; ............................... Fee .~..,~t..0...0. ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... .Jr. ..................... Number of dwelling units on each floor ............................ If garage, number of cars. .~..O...~..~. .............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing structures, if any: Front :1~ 24 Rear ~1~ 32 Depth 20 Height ............................ Number of Stories ............................................................................................................ Dimensions of same structure with alterations or additions: Front 32 Rear 32 Depth ......... .2..0. ................ Height .............................. Number of Stories ]' 8. Dimensions of entire new construction: Front ....... ..~. ,....~.". ....... Rear ......... :~1~.....~,'. ..... Depth .....~.....G..~ .......... Height ............................ Number of Stories '! 9, Size of lot: Front .....7..~. ................... Rear ...... ~.~. ................. Depth ......~.~' ............... 10, Date of Purchase ...........~..~..?.~.:....],...D·.~.,.O. ...................... Name of Former Owner ..... .G,.~?.,~.l~.Jl~..~,tt....~..~..O...~..~..~ ............ 11. Zone or use district in which premises are situated ....... ."..~..~.'....~...~..~...jt~.~..~...~.~..~..~T...~.~.~..~...~..~`~`~t~`..~.~ ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... .~..O.. .................................... · ~'m. l'IO~eJ'l~l.¢~ ~"r s ~?.....~..~.~..~..~.~...~.....~.:...~.:......Phone NO ..................... 13. Name of Owner of premises ........................................ ^aa e s Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor .......... ~.,.....~...~..~.~.X'.. ............ Address .~...~..O...J..~....~:..~....CJ~.,~..: ........ 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 YORK, ) S S. COUNTY OF .... ~1~ J£G],~, ...... ) , ~'I].,1.;LII~ ~oe~llJ~;~ be na duly sworn, deposes and says that he is the applicant (Name of individual signing application) O~e~ above named. He is the ............................................................................................................................................................. (Contractor, agent, corhorate 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 befo¢e me this ~l day of ~ ~ 19 G~ (Signature of applicant) .................................................................. Nota~ Public, , ........................................................... County