The URL can be used to link to this page

Home My WebLink About1418-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CL~EEK'S OFFICE $OUTHOLD, N. Y, CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..W../8.......P.~.o...rj.~q...]~0 ................. Street Map No..~ .............. Block No. ~..~... ................ Lot bro...~ ........... .~...e..?.o.g~.~...!~...~..,. ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................... ............. ~9...6J,. pursuant to which Building Permit No.....~.~.~..t..8. .... dated ....................... ..M..a.~. ........ ¢.6. ....... 19....6...~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ..P_'g.~.%[...a.~.e. ~!.e....£,a..m.i..1.y....d.W.~.l..1.~r~g ................................................................................... This certificate is issued to ~7ohll Mal~[ll~tlska~ ~: (owner, lessee or tenant) of the aforesaid building. FORM 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.o1~18r Z Dote .......................... JJ~Jr.....~ ............... 19.6~.. Permission is hereby gronted to: Chef Or lo~...~....t...~/g...~.o....h~.......~...,1. ~ .r~....U~...k..a..s' .................... .............. .Cutchogue ............................................ to $~.. bu~d...~n..~dd~t~..on., an..~s2.~ ~.. ~l~e.~r~ .................................................. at premises located at ..W/.l]...~.~.~O,~ic',.~a~ .................................................................................... ......................................................... · ~.ee.o~:l.¢ ..................................................................................... pursuant to application dated ............................. I~lt~....~O .................. lC;~],,..,, and approved by the Building Inspector Fee $'"~'e'O0 ........... Application No. ! ~ t ~ Dote ........ ~..~.:. ~ :~. ........................................ 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 ~djoining 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 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, ordi~pces and regulations. ........ , ...................... ,(~ignature of applicant, or name, if a corporation) ...!.~.~.P~f:.,:...~..~C~..~x.....>.~c~....c~.z4..~ ........ //:..~.., .......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................................................................................................................................ · - ....................................................................... Name of owner of pram.sas ....... ~U.~.. ~ ...... ~:/~& tf applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~,..~..~.. 1. Location of land on which proposed w?rk will ~ done. Map No: ~.,... ........ .~... ....... Lot No: .................... Street and Number ....~~....,~O~ ................................................ ~... .......................................... Munlcipa lity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... b. Intended use and occuponcy.......~.:O,~.~.......~......~~ ............................................................ 3. Nature of work (check which applicable): New Building .................... Addition ....~ .........Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.....C/.~.~.~C..~.t..~...¢. ................................. Fee .............. ..~...:.Y.~. ................................................................ (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_,,n§tgre and extenti//of each type of use ............................. ._.._?.; 7. Dimensions of existing structures, if any: Front......~../...~... ....... Rear ....~../...~.. ......... Depth ..~..~.....~.. ....... Height ...... /..2..~.~-,~'. ....... ....... ................................................................................................. Dimensions of-arpe structure with alterations, or additions: Front ....... '~.~....-~... ......... Rear ..... .~..:~/..[~ ... ......... Depth .....~D...Z,:...~C.. ......... Height ..../.,4.....z-p::~.. ........ Num,ber of Stories ................ ? .............. Dimensions of entire new construction: Front ....... .~/,'~,,.2~. ...... Rear ...... /,,,..,.:.;~., ..... Depth ..... .~/..~.~: ...... 8. /,,¢~ /, ~, Height ......... ./...~....?~.... Number of Stories ............................ 9. Size of lot: Front ..... [.].....~..~... ...... Rear ..... [./.......~.Q.~.'. ...... Depth ...~...Z.....~.Z .... 10. Date of Purchase ....~...Z~ ....................... Na~ n --°f Former Owner .~l~.~.....~f~Z~ .......... II. Zone or use district in which premises are ~ifuated..~;X~Z/~..m~4.~Y~.~ 12. Does proposed construction vio~te any zoning law, ordinance or regulation? .................................................... Name of Architect ....................................................... Address ...,4 ....................................... Phone NO .................... Name of Coofracto~¢.~,~...~/'/~Z ....... Address ~z~,,..<~....~,.{ ........... Phone 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 NEWyg , _ ) s s COUNTY OF ...~¢~/..¢//~..~;.....) ' ................... ~w.'d~s,, ..~,.' .~/./.6d¢~,,'.(,,:"~.~.~ ............... being duly sworn, deposes and says that he is the applicant (~me of individual signing application) above named. He .s the .............. ~,~'~2~. .......................................................................................................................... (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 a~ fib this application; that all statements contained in this application are true to the best of his knowledge and beli~; and that the work will be performed in the manner set forth in the ap~ation file~erewith. , ' '- fo this IgBITH T. B0J(LFJ ~worn ~o oe re me ', / .~ata~y P~ bl[c, State of New York C'¢¢~ -- z 'f¢//~.'~ 0344963, ~olk~lty ¢ ffi ' (5~noture of applicant) ............. ~z...~. aay aT .............. /Z/¢¢¢~'~trOS '~*tbh TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. t (-j t ~ Disapproved a/c .................. / ............... " ...... ................................. / 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 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 who~e or in part for any purpose whatever until o Certificate of Occupancy shall have 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. The applicant agrees to comply with all applicable laws, ordinances and regulations. ..... ................................... /~' (Signature of applicant, or name, if a corporation) ....... ..... (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. remises ~ ~ J L'~ C Name of owner of p ......................................... ~ ......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer)(~) ~2 ...~... ~L~ot ~o~ 1. Location of land on which proposed work wilJ be done. Map No: ~.,,~..'~....:~.....~V.. : ... Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: o. Existing use and occupancy ..................................................................................................................................... b. Intended use ond occuponcy ....... .Q*.... . ' .......... ' .......................................................... Nature of work (check which applicable): New Building .................... Addition ..... ..~r~...i ....... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... Estimated Cos t....~...~...,~.. ~..~. :....~m.. · ................................... Fee .......... '.....~...i....~... ................................................................ (to be paid on filing this application) If dwelling, number of dwelling units ............ .~..../. .......... Number of dwelling units on each floor ............ .~.....J. ...... If garage, number of cars ........................................................................ ' .................................................................... 6. If business, commercial or mixed occupancy, specify nat,ute and extent of eacJg type of use .............................. 7. Dimensions of existing structures, if any'. Front ....... ~..,(....~.. ....... Rear....~.../...~. ........ Depth.....~..~.'...7~(-~..' ....... Height ......LL...~.. ......Number of Stories ...................................................... ,~/ J/_'~ ..................................................... Dimensions of.san)e, structure with alterations,%r additions: Front ..... :/..~.....~(~:..... ......... Rear ..... Depth .....~.~..~. ........ Height ...... /..2.....,,~.F ro~'t ....... Number. alL of Stories ...:../.. ...................... 8. Dimensions of entire new construction: ....... ./.~..~...,~. ........ Rear ............ Depth ...... Height ....../...~....~..../~.. ...... Number of Stories ....... /.. .................. 9. Size of lot: Front ........ ./../...~.....~...~.,. .... Rear ..... ~..l~....:.~..... Depth ..../.,~.......~L.~'.: .... 10. Date of Purchase ..~..~..~.......~,~.~.....~.. ......................... Nam~ of Former Owner ...~../..~'.-//"f;'/~ /--~)a~/~.. '" ~,.~..~ ..~/. ~_. :. ................................... V .............. 11. Zone or use district in which premises are situated.../I.~..~./.~....~..~.2~.~..4...Z.~'7.~,~.~.~.~..'f...,~...ff.~.~ ............................ 12. Does proposed construction~-'r-~..-- ~;//,/ -- z~,-vi°late any~z~ning law, ordinance/~,/~~r regulation? .................................................... N 0.~..q....~7.~.~.. ~..7.. 13. Name of Owner of premises~./~.....~/..../J~...~..,/-,/-,/-,/-,/-,/~...~./.~..Address ...~...~...~.?...~.~.~...~.'~..~:: ........ Phone Name of Architect .............................................. ~z ~'~ '~"~.' ~',~'"'""Address~'~ u/':'S,/,;,~i , ~//'7":~;'""]~"'w";~' ~. -~'..~, ....... , [...Phone NO ..................... Name of Contractor.~'.~/.¢~../ff.~....'~L~..~../~.~4.~5..(. ....... Address .~.(f.~..~...~..~f,,.~/~..~y~...~,.Phone 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 wheiher interior or corner lot. STATE OF NEW ~YO~l(~,~' , ) S S COLINTY OF ,~...~.....) ' .... 7~'"L-' . ..................... ~...~,.~..~~~ .............. being duly sworn, deposes and says that he is the applicant (J~me of indivic~ual sign~j~g application) above named. He is the .............. ~"~'74/~..z~...~...~... .............................................................................................. (Contractor, agent, corl~orate 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. JUDITN BO~(EN ~' ' - Sworn to before me this "-,r I~,,~,,c T. /'~/, ~ ?,~,7~//~-~ ~ . /J~ Y ' , State of Ne~.-Y~rk - 4963 St Ik t ¢~.~.. day_ of ...............~../~,,4~,~,s~~ (Signature of applicant, Notary Public, ~-~¢~2~'-*~..r-~¢X~'...~-...,CdC-ffftY~ /¢--~-'ff' X/' -'gr~'J~t~