HomeMy WebLinkAbout1450-zFOP~ NO. 4
TOWN OF SOUTHOLD
BUll. DING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. Z../i~.~. ............. Dote .............. (~.0..~.0.~¢/~.....1.~. ............... , 19.6]...
THIS CERTIFIES that the building located at ....W/~.....]~t~O.~t~..~DZ'~I.~t ......................... Street
Map No.~f,,~,~ ........ Block No...~,~¢. ......... Lot No...,,~:Z,....~l~t, OhOl~.~te ...............................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
...................... ~l~f~.....,'[,~. ......................... , 19~1... pursuant to which Building Permit No....~....~..~..~'..0.
doted ................~1~3.~.....],.'7. ................. , 19..~o1., wos issued, ond 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 .~.O.~]0,..~.~D.~ ..................... ~l%~Jle~ ...........................................................
(owner, lessee or tenont)
oF the oforesoid building.
Building Inspector
'TOW~ OF sou~"oLo ~
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, ~. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 145o Z
Permission is hereby granted to:
........ 3'c~rt..... Re e.'be ..............................................
............. .'.'Bee-'L~ .. ~L:;Z'iV e .........................................
................ C.u.t~hag~za ...........................................
to ..... ~lld...~-e.,add. i ~;£o~.,o,n.. an...e~t~J.ting...d>ae l~ling ....................................................
at premises located at ~/~......~e~.be...Di%~l.v.e ......................................................................................
..................................................... ~tt.'cehog~e .....................................................................................
pursuant to application dated ................................ ~t.~,te.....l~. ............. 19..~.~., and approved by the
Building Inspector
Fee $..~,.QO .............
Building Inspector
APPLICATION FOR OEBTIFIOATE OF Info,om
A. ~ ~pli~flon mu~ ~ fill~ In w~rlter OR ink, ~ ~bml~ ~ ~ m ~e Building
mr wl~ ~, following; for n~ ~itdin~ ~ ~ um:
1. Final ~wey of pro~ wi~ ~rate I~ation of ~11 ~lldlngs, pm~ lines, ~--~,
~ral or top~ph~ fea~ m~
2. F&~I ~proval of Health D~t. of water ~pply a~ ~er~e dl~o~l (S-9 form or ~ual).
3. A~r~al of el~trl~l m~allaflon from Board of ~lre Unde~rite~
4. ~merc al.~ildin~, Ink,rial ~ildlnp, Multiple ~eside~es ~ slmltar ~itdtnp
tlons,.a ce~ ficate of C~e ~mpltan~ from ~e Arch~t~t ~ Eng~n~r ~ns,ble for ~e ~lldlng.
6. ~tt Planning Board appr~al of complet~ ~te plan r~uiremen~ where a~ljcable.
B. F~ ex~ing ~ld~ngs. (prior to April 19571. Non~onfo~ing u~s. ~ ~lldln~ and "p~i~ing"
~ u~s:
1. A~rate ~ey of p~e~ ~owlng all prope~ lines, ~reets, buildin~ a~ unu~al na~ral or
~gra~ fea~ ....
2. S~rn s~tement ~f owner or pr~ious owne[ as t~ ~=~upa~ a~ cond,t~_~[~n,_rm
3. Date of any h~s~ng ~e or ~fe~ inaction o~ ~ttO1~DS Of prem~s, ~ Diner
tlon rquked to p~p~e a cenificats.
C. Fe.:
1. Certificate of occupancy $5.00
' ' occu anc on pre-existing d,w~elling
· Certificate of P Y
3. Copy of certificate of occupancy
4.Vacant. Land C.O. $5.00
$15.00
September 4, 1986
Date ..........................
Erected approximately 1959-60
New Building Old ifl~-~:ex~uilding .. ~./. ....... Vacant Lend .............
west .s.i.d.e. of Be~be Drtve~ Cutcho~ue.
Location of Property .......................... Street
House No.
Owner or Ownera of Property JOHN T. BEEBE
County Tax MaD_No. 1000 Section . ~ {),3 ........... Block ...Q3 .......... Lot. · .....5 .........
Lot No
Subdivision approximately ....................
.............................. Filed Map No .....
Permit No. j.~..fl~.d.~.. Date of Permit 1.9.-~ c~ ;-.6.0...Applicant..-~Q~q..~,. ]3F-~F~B]~ .................
C_d, Z /1~¢
Approval Labor Dept. Approvel ........................
Health Dept .........................
Underwriters Approval Planning Board Approval ......................
Request for Temporary Certificate Final Certificate ....X ..................
Fee ~ubmltted $ ........... !P...9 9 .............
Construction on above describ~d building end permit meets ell eppliceble codes and regulatlonm
Applicant....~q/q T. BE~'.]3E
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. Y.
APPLICATION FOR BUILDING PERMIT
Application No ....... ./...C.t...~.?.J. .......
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 ond 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 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 Certifical~e of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department far the issuanae 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.
(S~gnature of appl'cant, or name, if o corporation)
.............. Be~,/~e...Eoa&~.....C=tcho. g~ ............................
(Address of applicant)
State whether applicant is owner, Iessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...................................... O ~e~... ~,...b .~ .~1,~ ~. .......................................................................................................................
Name of owner of premises ...... ~.O,~?&'L.~¢,~*)~. ......................................................................................................................
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: ....~DD¢~..O.~.G ............... Lot No: ...~ ...........
Street and Number ........ ~/~....~e~b~..~¥G.~ ....... .~O~e't ......................................................................
~unicipauty
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and Occupancy ....... ~.~f~,~L~ ..........................................................................................................
b. Intended use and occupancy ........... ~ ............ .~$.~}~..~..~.~0~ ............................... ~ ................... . .............
3. Nature of work (check which applicable): New Building .................... Addition ~ ............ Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost ........ ]..,.000-~./~ ................................ Fee ....... ~' .................................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units.....Ontl~ ................... 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 .............................. Number of Stories ................................
8. Dimensions of entire new construction: Front.k ........... ~.~. .......... Rear ............ ~ ........... Depth ...~b¢ .....................
Height ..' .......................... Number of Sto~ies .O~ ....................
9. Size of lot: Front ............................ Rear ............................ Depth ............................
]0. Date of Purchase ........................................................ Name of Former Owner ........................................................
11. Zone or use district in which premises are situated ........ 11~1~ .................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? .............. ~',tO .................................
13. Name of Owner of premises..~O~..~e~'i:)~ ............. Address ............................................ Phone NO .....................
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor .................................................... Address ............................................ 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 lat.
SS.
STATE OF NEW YORK, )
COUNTY OF ...l~?,~'.t:O,~~ ........ )
..................................... ~.QJ~..~.C~l~f] .................................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
abow.~ named. He is the ........................ O'-.,al.~:~ ..... ~ti' '~J~.(je~TM........................................................ ; ........................................
I ' (~ontractor, 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 t~e best of his knowledge and belief;
and that the werk will be performed in the manner set..~rth in the apRl~atio~ filed ther~th.
fore this ~uulTH T, BOKEN /) .~ ~
5 44963, uffolk C~ (Signature'S;' of apphcant)~ ' ~-
................. ...................... ......
Nota~ pu bi ic, ~~: .~..;.~'~?~...: .... · ~unty