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HomeMy WebLinkAbout1587-zFOR~ NO. 4 TOWN OF SOUTHOI-D BUILDING DEPARTMENT TOWN CLERK'S OFF~CE SOUTHOL~, H. Y. CERYIFICATe OF OCCUPANCY No...ZZ..3.~.~ ............. Date ........................ '~prit'""~3 .......... ' ~96~"' THIS CERTIFIES that the building located atW./~...N.,...(h!tk~oo~..~rJ.,V,e, ................... Street ~L~al~rel Park p ,'~o ....................... Block No ....................... Lot No. "2~'"&"a9 ....... E~et' ........................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................ 0e~obe.~....~, ........ 196~:.. pursuant to which Building Permit No. ,~1.~.~.... dated .................................. 0~:~:"-'1'6""', 196:~"', was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... .............. P~i~at~ .. ~ne ..£.a~'~ l~'"d~e.~ila~ ................................................................................. This certificate is issued to ....])~..~T~O~i~p[t..ltl~l[d~ I1 ............ '0~'~ ................. .":'"~ ................ ~olwner, lessee or tenant) of the aforesaid building. ~.D. approval ap~. aO 1962 by R. Villa .......................... ..................... FOI~I NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS DERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1587, Z Date ................... 0e. to.be~......16 ............. 19.6~.. Permission is hereby granted to: .......... }~ jJ,~'.e r~ e ~,~d ~... Z,...Z .................................... to ..... ~i~,d...n~e~;...one../:ami ,'q,¥.. d.~xe.1 l£ng. ................................................................................ at premises located at ..... t~f;,e, ~-L) ~ [?-.~...,.[-S~.~.t"%"~'~e~ .......................................................... ................................................... ¥~/g.....~('-~...Oa!~d...c]~?~:ve ........................................................... pursuant to applicatian dated ........................... O~'bO~O~.....~ ...........19_63.. and approved by the Buitding Inspector Fee $, 3,0.o.Of~.....'. .... TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y. Exam,ned ........... Approved .............................. I.., ........ , 9...:....Perm t No......~...../....~...~)../. ....... Disapproved a/c .................. ......................... ........ ...; ...................... (Building InspectOr) APPLICATION FOR BUILDING PERMIT Application No..../...~.~4/ ............. INSTRUCTIONS ;~ . a. This appli,cation must be completely filled in by typewriter or in ink and submitted (n'~d~plicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining prem ,ses or public streets or areas, and g v ng a detailed description of layout of property must bedrawn on thediogram wh ch'~.s p\art of th s application. c. The work covered by this application may not be commenced before .ssuonce of Bu~k%ngI Peri, it. d. Upon approval of this application, the Building Inspecfror will issue a Building Per~it to ~th~, 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 unt a Certi~fico~ of Occupancy shall have been granted by the Bulld~ng Inspector. / APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Per,it pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other a~pli¢~able L(~dws/Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or ¢lbmoht(~on, ds hereto described. The applicant agrees to comoly with all applicable laws, ordinances and regulations. / ~ ~ (Sign,ature of applicant, or,r~gme, Jr a corporation) (Address ~f .bpplicont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, ~l~ctricia0, plumbeF,~ ,or builder. .................................. ~. o~t~ac¢.or .......................................................................................... ~r .............. 'v ............ ? ............ Name of owner of premises ..................................... D~.J. oseph-....We~.de~man. / 7 If applicant is a corporate, signature of duly authorized officer. " 1. Location of land on which proposed work will be done. Map No.[a~l~.f~..P~ltk .................... Lot N0! 2~..&.-2.9 .... Street and ~ / ' 'Munic~pahty ~ ./' ' 2. State existing use and occupancy of premises and intended use and occupancy o? proposed construction: a. Existing use and occupancy .....V~:b..l~tq~. ............................................... fi ......................................... . .......... b. Intended use and occupancy ..O~f~...~ai/li y....~l~.e2~l, il~g ........................ x ........... : ............................................ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ..... ~'f{)(~)-~/l~ ................................ Fee.loi. O0 ............................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling unffs ...... ~l~ ................. Number of dwelling units on each floor ............................ tf garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature.and extent of each type df use ................................ 7. Dimensions of existing structures, if any: Front .................... ~ ...... Rear ...... ~; .................. ~Depth Height ............................ Number of Stories ................................................. ; ........................................................... Dimensions of same structure with alterations or additions: Front ............... ................': ~ear ................................ Depth ............................ Height ................................ Number of Stories ...................... '~ ................. 8. Dimensions of entire new construction: Front ....... 6 ...................... Rear Height Number of 9. Size of [at: Front '"'I~0 ..................... Rear ........ Ia0 ............ . Depth ....... IiO"P/I~I 10. Date of Purchase ................... 1961' ........................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated""ti'~'tt ................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? 13. Name of Owner of premises "'~";'"~.~'ll~"l~litl ........ Address ............................................ Phone No ..................... Name of Architect ...................................................... Address .......................................... '.. PhOne No ..................... PLOT DIAGRAM ., Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all §et-back dimensions from property lines. Give street and block numbers or description according to deed, and show Street n~cmes and indicate whether interior or corner lot. STATE OF NEW YORK, ) S.S. COUNTY OF 'S'ii~fi~t.~ .......... ) ., ........................................................................................... being duly sworn, deposes and says that he is the applicant (Name o~d~signing application) ,. above named. He is the ......... O'OQ~a~ ........................................................................... '" ........................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed .the said 'work aad to make and file this application; that oll statements contained in this application are true to the best Of his knowledge and belief; and that the work will be performed in t~l~e~t forth in the application filed therewith: Sworn to before me this ~tg~ Pg~ll~, State of New York ~ ~ ~ ~ ,, ~. ~:~44~3, Suffolk County .~ / ~ ] ~ ~ ~/~ ~// ~ , , ......... ....................... . ....................... :.....