Loading...
HomeMy WebLinkAbout1573-zTOWFI OF SOUTHOI-D BUILDING DEPARTMENT TOWN CI,ERK'S OFFICE SOUTHOLD, FI. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at~..~...f¢.~....~..~.,.....O..~...~...~..O.~.l~.~...~-.'~..~.~..~.~l,*.... Street H~a~:t~ Dev. Sou~'aO~C~ Map No ..........~,~.~ ...... Block No ........... ~.~...... Lot No .............. ..~.~. .............. ................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................. 0.~.~.~..,~ ........... 19...(~ pursuant to which Building Permit No ...... dated ........................ O.~f,.O~,I~..,~......, 19.....65 was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... .................................... ~.I~.¢~1~.. ~i~...~;{:{~ .~r~i~ .............................. ,..., ........................ This certificate is issued to ...L:~-~zr.~,.i.~..~',z~l~;i,~;~-.,.~T'~rl~ .................................................. ,, (owner, lessee or ~;enont) Building lnspecto~ "( 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? 1573 Z Date .......................... O~.t~.l~e.~ .. ,?~ ........ 19.~... Permission is hereby granted to: Rene ............ ~ar~e s.pz mt .............................................. to .. Du.i. tS..~e~...e~...~am~y.. ~et [L.~n~ ................................................................................... .. (~a~&anc ~u.g~snt e.d...hF...~d~p p.~ &.....Oet...26.,....k6l. ......................................................... at premises located at .~S.....i{.)~a.¢.2...}{c~ad......~]~a.t.%..~D;~.~..) ................................................ .................................................. ~.te~..P~i~.~ .......... ~0~2~ .................................................. pursuant to application dated .......................... ~e~o.be~-.-.~ .............. 19.~.., and approved by the Building Inspector Fee $~0., ................. Building Inspector FOEM NO. I TOWN OF SOUTHOLD BUILDING DEPA~.TMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ............... ........ .... Application No..~...~...~...~'~.~. .......... APPLICATION FOR BUILDING PE[~IT Date ........................... ~ .~.~...~.....~..., 19...(...~Z ....... INSTRUCTIONS a. This applicotion 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 punic 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 whole 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 appIicant agrees to comply with all applicable laws, ordinances and regulations. .... ......... ' ~/'(Address of opp 'ca~)' ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~Z'~c'".Z~ ...................................................................................... 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~z,~_Tz~~...,../9~/.~/,// 1~gt No: .;~. ................. Street and Numbe~~..~~...~]~...~..~~----/'4k~/-/'~2~/~//~--~-~- ......... 2. State existing use and occupancy of premises and intended use qnd occupancy of proposed construction: a. Existing use and occupancy ..~~..r~..'~,'.~.... .......................................................................................... b. Intended use and occupancy .~..~......~...~/~....~...'/ ~// '~ "~'~' .......................................................... Locate clearly and distinctly all property lines. Give street and block whether interior or corner Iot.~- /, 3. Nature of work (check which applicable): New Building ....~....(.. ...... Addition .................. Alteration .................. Repair .................... Remov,a,l~ ,.z; -~ ~,o .................... Demolition .................... ~-,~, ~Other Work (Describe) ........................ 4. Estimated Cost .......... .~./..~./..:.~....u.~.:..~ ....................... Fee ....'~.Az.Q...'~... .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ ~ ................ Nu~ d~elling units on each floor ............................ If garage, number of cars ............... ~.Z~C~.~~ ...................................................................... 6. If business, com~rcial 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 al additions: Front ................................ Rear ................................ Depth ............................ Height ................................ Number of Stories ........................................ ' ...~ ................ Deph ..~ 8. Dimensions of entire new construction: Front,....~ ................. Rear .............. Height ............................Number of Stories ......... ~ ...................... ~. s,~ o{ ~o~: [~o~ ...~Z..~ .......... ~,~, .. I0.~*teof ~urch~*e ........................ Zff~ .................. ~ome~?f~, ~--~ ~w~rm%?ner .... ~ ............................... ~. ~o~ o~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~o~,~ ~.....~~ ....................................... 12,Does proposed construction ~ *ny,~z°nin~/l°w'~rdi~°nce or ~ul*tio~? ....~ ....................................... Name of Architect ...... ~ ............... ~ ........................... Address ....... ~ ................................ Phono No ..................... ..................... ~OT DIAG~M buildings, whothor existino or proposed, ond indicote oll set-b~ck d~mens[ons from numbors or description occordin~ to deed, *nd show street n~m~s ond indicate ........................ ............................... (Name of individual signing app~ati~ ~o~e ,,med. ~e i, ,~, ........... m~¢~ ............................................................................................................... (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 th~forth in the application filed therewith. Sworn to before me this ........................ ....... . :r?: ' z ~/~ j ...:~:~...~:~ .................... Notary Public .::~:~.~.:~-~~:: ~~ , ~g~ture of applicant) FORM NO: 1 Examined .........C~.7.'::.~.!..V7;..'....!. ~......, 19..q.!.. Approved ........................................ , 19 ........ ~ermit ~o....:. ........................... Disapproved a/c ...~n:~.,¢~c¢~.~ .......... ~ ...... ~,~?.~':f~ ..... f¢'*,..~ ...... ,~-~-~'' ~ .............................. ~ ..... ~.%~ ................................. ~ '(Building Inspectod Application No...~...,~:.?....~ ........ APPLICATION FOR BUILDING PERMIT October 3 D' 19,..~. ........ ate ........................................................ , 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 o detailed description of layout of property must be drawn on the diagram which is part of this application. ~. fi.he 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 per~'i~t 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 o Certificate of Occupancy shall hbve been g~anted 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or c~lterotions, or for removal or demolition, os herein described. .The applidant agrees to comply with all applicable laws, ordinances and regulations· Rene Gendron (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. ..... 'i ...... · ................ C on. t***~:actq ,r. ....................... Name of owner of premises Charl~ Offeo..h..e...i.~.e..~ .......................................................................................... If applicant is o corporate, signature of duly authorized officer. 1. Location of land ~n which proposed work will be done. Map No:.,R°bert...['~/'att*.......Dev*...., Lot No: .............. ',, Street and Number prtva~,e road off Sound View Road, Bout.hold Municipality 2. State ~isting u~e',and occupancy of premises and intended use and occupancy of proposed construdtion: a. Existing use and occupancy V&¢ant lo~ b. Intended use and occupancy ...one .~¢~t~2'._.d~e.~.~.&.~g ........... 4. 5. 6. 7. 12. 13. Nature of work (check which opplical~le): New Building ..~ ........... Addition .................. Alteration .................. Repair .................... Removal ~ Demolition .................... Other Work (Describe) Estimated Cost .~l~.~t.~..~..e..O...0. .................................. Fee ..f..~.0..e...?..0. ......................................................................... (to be paid on filing this application) If dwelling, number of dwelling units ...... ..[. ..................... Number of dwelling units on each floor ............................ If garage, number of cars ~I~I~,~Z If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 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 ........................................ Dimensions of entire new construction: Front '/2 Rear 72 Depth Height ............................ Number of Stories ........... ~ ..................... Size of lot: Fro~t .....~Q~e.~l.~. ............. Rear ...... .~..~..~..*t.~.. ....... Depth...~...~..0../...~.. ..................... Date of Purchase ..............~.~ .................................. Name of Former Owner ............ ~..~.~. ............................... 'A" Zone or use district i~ which premises ore situated ................................................................................................. Does proposed con'struction violate a~y zoning Iow, ordinance or regulation? .......... ~ ....................................... Nome of Owner of premises .~..~..~...~.?....?.~..~?...~ress ....~...?~..~..Z..~.. ..................... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Nam~ of Contractor .~1~.~...~ ...................... Address ....~..~.~..~...~...~. ................... Phone No ..................... PLOT DIAGRAM Locate clearly an~. distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from .property lines~ Give stl[eet and block numbers or description according to deed, and show street names and indicate Whluther interior i carrier lot. 4 COUNTY OF ............................................................................................ being duly sworn, deposes ond soys that he is the applicant (Nome of inSividua! signing application) above named. He is the~ ............... ..~...~....~....1~..~.~.. ................................................................................................................. (Contractor, agent, corporate officer, etc.) of said ow0er or.ownersA an~d is duly authorized to perform or have performed the said work and to make onc file this application; that oll~stdt~ments contained in this application are true to the best of his knowledge and belief; and that the w~rk will b~ pe~ormed Jn th~ manner set forth in the application filed therewith. Sworn to haVre's-this JUDITH ?, ~KEN ~ot~ Pub~ ~te of ~York .............. 7. ........