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HomeMy WebLinkAbout1595-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLER[('S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ...... ~ ,..~.~ ~.~. ........ Date ..................... ,~une...~ .................... , 19....~ THIS CERTIFIES that the building located at ...~.~..~i~...~,~.O.~'~...JP~,~,.~...l~JID~:~.~treet Pecon:~c Bay Map No ...................... ~ Block No .......?..e.?.. ......... Lot No ..... '~.'/. ................................. r ......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................. ~.~.J?..~..G..~...~..~..~...~.~. ......... 19...~.~. pursuant to which Building Permit No. dated .................. l~l~.~b~....2~ .......... , 19..6~., 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 .......... ............................................................ This certificate is issued to .....~.?.....~.~......J~...~..~..~.~.....O~.~..~.. ......................................... : ........................... (owner, lessee or t~nonti of the o,foresaid building. Building Inspecto~ k FORM NO. ~ 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.° 1595 z Date ..................... 0~;:I ~; D.b~......~;~. .......... 19....~.~ Permission is hereby granted to: Wm.,...W~,tm~r~,..~.C......3~. 3~,..~ang. ................... .......... ~l~.eenpor.t ................................................ to ·. ~i. 1~ .- add.£ t.i~r~ · .o~ .. an.. ~x.£ s t ~n~ .. ~lwe .1.1.1r~ .............................................................. ..... (~a~.ian~e...g rant e~..by.., l~d/~!~pl~ ) ............................................................................ ut premises Ioceted at ..~o~....~f~¥.....p~eot~.~e..~ay..F.s.t.a~es ....................................................... ........................................ Sayshor. e..Road? ....... G~.eent~or.t ......................................................... pursuant to application doted .......................... ~e~;erebe~. ....... ~.~....19..61., and approved by the Building Inspector Fee $..~,..00 ............. Building Inspector -'I · Town OF SOUT.OLD ~ TOWN CLERK S OFFICE SOUTHOLD, N. Y. Examined ................. ~..~A..:. ~ ....... , /y ........ .................. ........ Disapproved a/c ......................................... ;.;6L~'~~ ............ ~uilding Inspector) APPLICATION FOR BUILDING PERMIT Dote ................... ~Z(_. ~/.~'.~., .~... 19. ........... 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 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 applicant agrees to comply with all applicable taws, ordinances and regulations. ...... ....................................... (Signature of applicant, or name, if a corporation) ~' (Address of ~¢~)licant) / ~' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner alr premises ..........W-.~/..×///'. ......... .................................. If applicant is a corporate, signature///~¢duly authorized officer. (Name and title of corporate officer) ~//¢_3¢¢/z./~/~j~?.~ 1. Looation of land on which proposed work will be done. Map No~~/~? No: ..~ ....... , Street and Number ~..~.~~~~~~ 2. State existing use and occupancy oF p~ises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~¢..~~...~/~.....~ ............................................... b. Intenaea use ana occupancy ....................................................................... ~_.m....Mc?.%~::.~ ......................... 3. Nature of work (check which applicable): New Building .................. Addition ..... ~..~.. ..... Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .~2. y..~...~..G:'., ................ Fee ....q.~...~ ............................................................................... (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 cars .............. ~ ........................................................ 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 .................... ...., ....... Nu,rnber of Stories ........ ~.> ........................... 8. Dimensions of entire new construct on Front..'~.. :.~ r: //. ~ :'. Rear ././ .:..~. ......... Depth ....../.~'.. ............. Height ............................ Number of Stories ......... ./. ....................... Size of lot: Front ................................ Rear ~ '~' Depth j/v/~- 10. Date of Purchase ........ .,~.~.~.q.~..~....~..?..../...~/..~....~. .............. Name of F~mer Owner ;~Z-r_~.~..~..~.~:~....~.~.. ......... ...... - ., ,~. %~/~-~. -~--'~ ./j 1t. Zone or use d,str,ct ,n wh,ch prem,ses ere s'tuated...'~..."./~..~.....~C/.~.~...~...~:~..~..~(;.~.K~.//...~.~..: 12. Does proposed construction viola?~/any. Z. oning~./~./~ -_, __ ~/~///"~7~law' ordinance or regulation? ..... ~_~ t3. Name of Owner of premises ..~.:2~..~.~.:.~.....Address/.../..¢-.~C~.-~.~..~ ~hone'~' No ...... ? ~' (7 ..~.~..~.,,¢: ~ ................ Name of Architect .............., .................... ., ................... Address ........... ~: .~... ...... Phone No ..................... Name of Contractor ... ~.~//.~.~...~....~...Address _~.~.~.~.:-~_....~n~ ~0~...~? ............. 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 YC~K~,/./}~ (Nome of individual signing application) obove He is the ¢Controctor, 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 the man~ the application filed therewith. Sworn to befo~ me this ......... ........ -: :/~ _// .::-~. /~ ~ d,~,.:/~,y4:._/...~......:z~.r~././..r::~....~r~./z-z<.. .~</.. ............................ TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING PERMIT D. Se~e~l~er 26 19.6.~. ........... ate ........................................................ INSTRUCTIONS ": ~i 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 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 applicant agrees to comply with all applicable laws, ordinances and regulations. William Wetmore (Signature of applicant, or name, if a corporation) Bay Shore Road, Green~oort (A~shamomaque) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Name of owner of premises ..~.~....~.~......~...~..~..~. ........................................................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Jtm~ended Ml~p Il 1. Location of land on which proposed work will be done. Map No~.~..~.~...~.~.~. Lot No: Street and Number ..~.~...~.~...~..~L.~.~P~.L...f~.~~.} ......................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: occu anc O~e ~m~ a. Existing use and p y ............................................... ~ .................................................................................. b. Intended use and occupancy " " " ~/~JO~ 3. Nature of work (check which applicable): New Building .................. Addition .., .3~.. .......... Alteration .................. Repair Removal .................... Demolition .................... Other Work (Describe) ........................ ~.3,000,00 ~ e .~5,00 4. EstJmoted Cost ........................................................... ~-e ........................ ................................................................. (to be paid on filing this application) 5. If dwelHng, number of dwelling units ...... !. ...................... Number of dwelling units on each floor ............................ If garage, number of cars ......................... ..~..O.~.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 ........... i....,,~ ............. Nqmber of Stories ........................................ 8. Dimensions of ant,re new construction: Front.~ ............ .**..iL Rear ...... , ...... ,~.,1~...~ .... Depth ** ........... Height ............................ Number of Stories ........ .1. ........................ 9. Size of lot: Front ........ ..~J ................... Rear ........ ~3. ............... Depth ........... ,],'/.J~ ..................... 10. Date of Purchase 1959 O~ 1960 ........................................................ Name of Former Owner .......J~/..9'..e....=~..?~..~..=',. ........................... 11. Zone or use district in which premises are s tuated ......... !!.A.~'...~,e..l.~...c~..~.,~..t.~,Z..-..A.~_..~.t...q~,l..~.~...~..a..1.. .................... 12. Does proposed construction violate any zoning law, ordinance or regulation? yel . , 13. Name of Owner of premises ..~.,...~.,..[r~....a.~g .................. Address .~..~-.I~A~.~.I~i~L~.~.,.,.~..,.... Phone No Name of Architect ........................... ~ ....................... Address ...... ...................................... Phone No ..................... William We~mo2:e ... O3:eenpo2:t: (A3:shamomaque), Name of Contractor .................................................... *xaaress ............................................ t'none i've ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and black numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE.OF NE~V ~fOP~, ) .......... ?. .................. .w.,,~..1...1..~....a~......W.e....t,~....°..E..e. .............................. being duly sworn, deposes and says that he is the applicant (Nome of individual signing application) , (Contractor, agent, corporate officer, etc.) of saird owner or owners, and is duly authorized to perform or have performed the said work and to make and file this~p' plicetian; that. all statements contained in this application are true to the best of his knowledge and belief; ,dnd t~hot the work will be performed in the rru~e~.s~'~(~f~)rth in the application filed therewith. · Note y Public ,~ Swarth to before me this ,, , State of New York ~ /) -- i~m 52-0344963, Su fOIla~P~U~tty /.~ ·