The URL can be used to link to this page

Home My WebLink About1479-zFOR~ KO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ....... ..Z.....~,,2. ~.~. ....... Dote .................... THIS CERTIFIES that the building located at ~4, ~o l/and Map No ........................ Block Ix~c~.~../J.e.~...2 ...... Lot No ............... ]88 ................................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. ..~....],.~.....~. ....................................... 19...~..~... pursuant to which Building Permit No.Z...,1L47.9.. doted ...~...~..~.~....]'...~. ................................. , 19....~.,~, 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 .......... ............ ~,,~'~.&l'~...01~,. FJ~IX/~¥.. l~/fl~,~ ~.1~ ................................... : .............................................. This certificate is issued to ...~..?..~...~....~...,.....~..~...~..~...~..~.1~.~.~.~..~....~.~...~. ................................................... (owner, lessee or tenant) of the aforesaid building. 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.° 1479 Z Dote .............................. ~ ...... ,~ ...... 19..6'1 Permission is hereby granted to: ......... Na~z.tt.t,~at%.....l[~ Z., ................................. to .... Bu~, id...ne~., one.. ~i-t~., duet t iq ............................................................................ : ..... at premises located at ...~(~..~t.....~o~l~dt..~..~ ............................................................... S~t Ltw~te~. .............. ~..&vo ...... Cuteho~ue ...................................................................... pursuant to application dated ..................................... ~: .t~'......6 .......... 19~],..., and approved by the Building Inspector ]~OT]~I ~ls permit is to replace ~1t~8 whioh il vi~1 al of this date. Fee $..~..~;.:lO....for Zl~8 Building Inspector FOR~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~am~ned........~...I~... ...... ~.~.f.. Approved ........................................ '19.....~..Permit Disapproved a/c ................... ./A-...~..-._._~. ...................................... r (Budding rnspector) ',/ APPLICATION FOR BUILDING PERMIT Application No..Z...Lj(..~...~. .......... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and sut)mitted 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 a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuanoe of a Building Permit pursuant to fha Building Zone Ordinance of the Town of Southotd, 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 all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) (Ad'dress of applicant) -- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ................................................................................................................................................. ~/,~...If ap~h'ccnt is~.._._~,~7~.~.a corporate, signature of duly~?authorized officer. //~,~, ~ ~ ~/ ~ ~ ......... .............. ~n;m;'~o~"; '"" ~ .......... 1. Location of land on which proposed work will be done. Map No: ..... ~ ...................... Lot No: ...~ .......... Street and Number ..~~~.....~-, ..................... ~.~~ ......................... Mun~ipoli~ 2. Stoto existinO uso ond occuponcg o{ ~emises ond intended uso ond occuponcy of proposed construction: ~. [~,~ ~, o~ o~ ............. ~d.~,~ ........................................................................................... ~. ~t,~os ~ ~ o~po~v ....... ~j~.~ .................................. ~. .............................................. 3. Natgre of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Remova~ .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ................... /~".O~.v...~.... ............... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........~.~.~.. .......... Number of dwelling units on each floor ............................ If gbrage, 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 ........ ~.~..~.' .......Rear ........ ~.~.; f~. .... Depth ....,~.~:).f',,. .......... '. ...... Height ........ /~..~... ......... Number of Stories ............... Siz~ of ot: ront ....... .... Rear ...... '/'YX'":"' ....... Depth ........ 10. Date of Purchase ....... ~...'..~.~.r.....-~..,.. ...................... Name of Former Owner .................. 11. Zoae or use district in which premises are situated ................................................ ~ ........................................ 12'. Does proposed constmction'~,i, olate any zoning law, ordinance or regulation? ...~...~..~ ....................................... 13. Na~ne of Owner of premises..~...¢..'¢~....~..~.K/~.~/~.~C'~ess~.'~'~'.../.~....~~.Phone Nome of Architect ........... ~...~ .............. ;,..-~ ...... ~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 lot. STATE QF NEW ~ORK, ) S S. COU NT-~: OF ............................ iWo r!depose~/~':~i !ppi icant being d~ above named. Heisthe ' . ................... :.. ........................................ ...................... (Contractor, ogen , ~ ' , . of said owner or owners, and is 4uly authorized to perform or have performed the said work and to make and file th s applicat on; that all statements contained in thi~¢¢~lication ore true to the best of his knowledge and belief; and that'the work will be performed in the manner sit ~¢r~ ~v~he application filed therewith. ,Sworn toibefore me this __ ~,, ica? s'.ie . ~, _ ~ , ~ ~ ~ . Nota~ Public, ~,~.-~~ .............. County ,~ss~ ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFI,CE SOUTHOLD, N. y.r~ Examined ...... Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c .................... ~/- .~,...Z ...;~< ............... ~. ............. : ..................... (Buildings,inspector) Application No....L..Lt ........ 'l. ........ APPLICATION FOR BUILDING PERMIT -, ; Date....~.~ ....... 6. ........................ ] 9~Z... 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 Bu.i]ding Inspector will issue a Building Permit to the applicant. Such ~ermit shall be kept on the premises ;available f~r inspection throughout t~e progress of the work. e. No building shall be occupied or used in whole or in part for any purpose wl~at~ver until a Certificate of Occupancy s~all have been granted by the Building 'Inspector. 'APPLICATION IS H[~REBY MADE t'~) the Buildipg Department .for the issuanc,e of a Building Permit pursuant to the Building Zon~ Ordinance of the Town of Southold, Suffolk County, New Ysrk, and other applicbble Laws, Ordinances or Regulations, for the construction of buildings, additions ora Iterations, or for removal or demolition, as herein described. The.applicant agrees to comply with oil applicable laws, pr~.inan~es and regulations. ........ (Signature of app icont, or name, i a co~'po~ation) State whether applicant is owner, lessee, agent, architect, engineer, general c~ntractor, electrician, plumber' or builder. Name of owner of premises.........~..~'.,~,~.....: .~..~..-.i~~'~'~¢~'''';z / -- ~/ ~' / ............................................. If ap~icant isa corporate,. :~. signature, of duly authorized officer. A)~ /~ ~. ~,,~ ~e~, Z ,. o, on ,o,osed wo, ,o: ................. .......... 2. Store existin~ uso ond occupancy of p~emises ond intonded ~se ~nd occupancy of proposod construction: ~. [~ ~, o~ o~o~v ........... ~~ .............................................................................................. b. Intended use ond occuponcy ...... ~.~ ........................... ~ ....................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Otl~er Work (Describe) .................... ' 4. Estimated Cost ................... Z/~...~.~..~. ....................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, ~umber of dwelHng 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 ............................. ..Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ~..~. ...... Rear ......... ~.~..~... Depth ..... ~.~ ......... Height ......... --~'~.~... Number of Stories ........ 9. Size of lot: Front ........--~.~.~<_. Rear ....... ----Z~.~ ...... Depth ......... 10. Date of Purchase ........ ~c..~.~...~Z ...................... Name of Former Owner ...~...~.~ ................. 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.~*~.~Z~'~ess~.Z~.Z.~~hone Name of Architect ........................................................ Address ................ ; ........................... Phone NO ..................... Name of Contractor~~..~~dress .~.~..~...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 interi.~r or corner lot. ~t~ STATE OF NEW YORK, ) S S. COUNTY:/,/..//,,,,.),~)OF ............................ ) Z '(Name of ii4dividual signing application) above named. He is the ............................................................ ..'~...~...~..~..~'.~....~....~f:~'... .................................................................. (Contractor, agent, corlSorate officer, etc.) of said ewner or owners, and .is duly authorized to perform or have performed the said work and to make and file this appli]cation; 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 applicat~n filed therewi~.~ Sworn to before; me this Notow Public, .~.~ ............... ~ounry