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Home My WebLink About1462-zF01~I~I NO. 4 TOWN OF SOUTI'IOLD BUILDING DEPARTMEbIT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..Z..13~0. ........... Date ........................... ~a~......~ .............. , 1962... THIS CERTIFIES that the buifding located at -..~/~t~;el~..~,~OW~' ............................... Street ~ap~er-7oo~..~.?..~.. ~,ock No..:X~Z .......... ~ot ~o....~,.....~o~tt~:~a.,....~,~., ...................... conforms substantially to the ~ppucanon yet Building Permit heretofore filed in this office doted ............... ~ ................ ~Z~.:l,~I. ....... 1,1~. ......... , 19.~.. pursuant to which Building Permit No. dated ...':~ ...........................~e~e..~'I 19.6~.., 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 .......... ............ i~Z~,tV~t e...o~e...f.a~ ~ l,~r.. 4[~e 1lt n~ ...... ;. .......................................................................... This certificate is issued to .....F~J2~,.~..,~.~J ................... 0~. ................................................... (owner, lessee or tenant) of the aforesaid building. ..................................... : ....... ~,,.~,..::::. ............. Building Inspector ~" FOI~M 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.° 1462 Z Date ........................ AP~.;~, .....],.~. ........... 19~,... Permission is hereby granted to: ...]~r~e. ~.t~.. 3.e. 3,~ ~. ............................................... ... 16.~... gl e.~'~ e. ru~,..Av.e ...................................... ...... · Roek.v$.~.;Le..e, en.ter. ................................... to .:Ba~.l~l..an...ad~l.s.t.~en..en...e~..e~.e~&.ng..~we]:..~.~.z~ ........................................................ at premises located at ...~.~...~...~.......~..e...~..~.~....~...a.~.e...~..8. ....................................................................... ....................................... ?e,.t;..e.r. ~...~.~ g.e...YLa:g.t.....~.o~tt,~ ~.],~1 ........................................................... pursuont to opplicotion dated .......... ~_~q~p~f~....Ap:~t'l....'l~ ........ 196'P..., ond opproved by the Building Inspector Fee ~.,..~......]:3t~ ...... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ ~.~.....(..~ ......... 19..(/... Approved ........................................ 19 ........ Permit No......~.../...c.~.~.~. Disapproved a/c ............. ~,~. ....................................... ~. .......................... (Building Inspecto~-I Application No....J.'.~/...~.2..~. ........... APPLICATION FOR BUILDING PERMIT 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 whole 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 Deportment for the issuanoe 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinances and regulations. .......................... E' nes. ....,Belfi ...................................... (Signature of applicant, or name, if a corporation) L~aoress or applicanT) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................... ....-... hul!d.e . .......................................................................................................................... Name of owner of premises ........ ,~l.~J~.~..~t~$,,~ ............................................................................................................... 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: ..T~..~a.~e~..~.2~.OlLot No: ....~ .............. Street and Number ...8%B.....~a.~.s...~dg.e..~a~,v~e~.~b~d. .......................................................................... } ~umc~paHw 2.S~ate existing use and occupancy of pr, emJses and intended use and occupancy of proposed construction: a. Existing use and occupancy.....~ ............................................................................................................. b. Intended use and occupancy......~TK(~...~f&~..~..~O~ .............................................................. 3. Nature of work (check which applicable): New Building .................... Addition ....,~f,,,lf;~,~.....Alteratlon .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cast .............................................................. Fee ...~...~'~(to~Ol~..e..~.i.~..~..i.i.l.i.~.~..i~i~..~.~.~.li.~i~i ................... 5. If dwelling, number of dwelling units..O~lO ...................... 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 ...................... ,,~*'~'~* Hu~?er· - . of Stories ................................ 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front ........100 ............. Rear ......... ~00' ........... Depth ......... ~'~0 ........... ]0. Date of Purchase .......... .~l.r~J .................................... Name of Former Owner ........ ~.O~3~t,.~ ............................... 11. Zone or use district in which premises are situated ....... #.~,...(]~;~ ..................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 13. Name of Owner of premises..]3~lle. El~....]3,-~.~.~. ......... 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 oil 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 YORK COUNTY OF I~I]1~O~ ........... ) SS. .......................... ~,~.O1~$ ..... ;~,~r ']~ ............ ':'"",' ............... being duly sworn, deposes and says that he is the applicant (Name o~ indiviaua~ s gmng oppticadon~ abow; named. He is the ....................... ~vm~.~t~.l~.:...~.: .............. , ......... . ....... . ...... ~.;.. ......... :...: ........................................ t~,on~racror, agent, corporate mncer, etc.~ of said owner or bwners, 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. Sworn to before m~ this - ,--~'~'~'~ ............. ~y of ....~~ ........... .~ 19.~..~ ~ ~~f ?plicant) ' ~ ~/ ~ ~ ~,~,~ ~. ~u~¢, State at New Nota~ Public .......... ~~~~...~~"~', ~4fee~, FOI~M NO. 1 TOWN OF SOUTHOLD B~JILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. AJ d~ENDED Examined ............. ~,,pr. il.....Z~......, 19..6.2. Application No.._]r.4..~.2. ................ Approved It ~1 1,9...~!....Permit No...Zt 1462 Disapproved a/c ................. ................ ...... _ _ ................................. (Building I nsPt~ctor/ AMMENDED Fee ~ 5.00 paid - Rea'pt 1~1~+ APPLICATION FOR BUILDING PERMIT Dated June 10, 1961 April 14, 1962 Date ........................................................ , 19 ................ INSTRUCTIONS o. 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 wiJ[ issue o Building Permit to the ?ppJicont. 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. Ernest Belfi (Signature of applicant, or name, if a corporation) 165 Cle~land Ave, Rockville Center (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner Name of owner of premises ....E~.n~s.t..B~l~i .................................................................................................................... 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: .T..e...r..r.~....W...a.t..e.z~.s. ................ Lot No: 5 Street and Number ...S/~q..Wa~rsedge~ay,......Sou.~h~.l. cTt ............................................................................... Municipolity Store existing use ond occuponcy of premises ond intended use ond occuponcy of proposed construction: dwelling a. Existing use and occupancy ............. ,~, ............... ~'£t["~H*"~'~'$'fE6~ ............................................................... b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building .................. Addition .....~ ..... Alteration .................. Repair .................... Removal ....................Demolition ........... ~Q.ther Work (Describe) ........................ Z~) 0 0 ~ Fee 4. Estimated Cost ............................................................. $ ...................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...~n~ ................... Number of dwelling units on each floor ............................ one If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature~and extent of each type of use ................................ Front ....... ~....2 ....... Rear ....................Depth ...3D ....................... 7. Dimensions of existing structures, if any: ' " .A4' Height Number of Stories one Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ............................ Height ................................ Number of Stories ........................................ 30 . 30 8. Dimensions of entire new construction: Front ................................ Rear ............................ Depth 22 Height ............................ Number of Stories.._...°..~..e. ...................... 100 100 2].0 9. Size of lot: Front ............. .~ .................. Rear ............................ Depth ........................................ 1958 Cochran 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ "A" dist ]]. Zone or use district in which premises are situated ]2. Does proposed construction violate .any zoning law, ordinance or regulation? ....... · E. Belfi · .. Rockville Cdnter Phone No. 13. Name of Owner of premises ........................................ ^aaress ................................................................ 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 acqording to deed, and show street names and indicate whether interior or corner lot. t STATE OF NEWsYt~4olk ) cc ~ttc ~3~¢- r~,~-,t COUNTY OF .....~. ...................... ) '~"~' Ernest Belfi ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) owner above named. He is the ......................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, end 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. Sworn to before me this N0t. r,~/uUDITFI t. 80K/~N ........................ oa o, ..................... MAp OF ,'-LOT 5 . .SHOW~ ON "jV'j AID © F, TE ~ P-.Y WATE 'TOWN OF' ;SOUTHO~D SUFFOLK COUNTY, N.Y."