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HomeMy WebLinkAbout1491-zFOR3~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..~1.201 ............... Z,~ Date ........................... J~......~. .............. , 1962... THIS CERTIFIES that the building located at ~/J~..-Rel~t.'.]~O~.~...~} ................... Street Map No...~.~ ............ Block No ....... ~ ......... Lot No ..... ~ ....... Ea~¢'"~l,~'[~'j'""~;"~;'" conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................... ,.~'t~' ....... 2~'. ...................... 19.6~.. pursuant to which Building Permit No..~...~l~. dated ............................. ~1~. .......2~'.., 19...6],, was issued, and conforms to all of the requirements of the applicable provisions of the I~w. The occupancy for which this certificate is issued is .......... · . P~. i.~a.t e...o~e ...~.am~i:~.. et.w~];t~n~ ............................................................................................ This certificate is issued to ...... ~tO~O.....~..t,~ ................... ~/~¢~91~ ........ , .................................... (owner, lessee or tenant) of the a.foresaid building. H.D. approval by MaJkowskl Building Inspector FOl~l~I 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.° 1491, z Dot~ ............................. j~.....~ ......... ~..(~1.. Permission is hereby granted to: ........ ~.a~e...Xar~.on ............................................. to ....ju~.14..new. ~ne..'.f.a~.t.y.. ~wel. t..~ .................................................................................. at premises located at '"EJ~'""Roek~"Po~:n4~"Rosd'"~..~ound...Ave.).....~ast..Nar~on ........ pursuant to application dated ................................ ~'1~'"'25 .............19..6't., and approved by the Building Inspector Fee · ' Building Inspector I FORM NO. 1 Examined .. /,..../.- Approved .................................... , . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 19 ........ Permit No ................................. APPLICATION FOR BUILDING PERMIT Dote ..................... 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 port 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 o Building Permit to the applicant. Such permit shall be kept on the premises available for insl~ection throughout the progress of the wore. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall hove been granted by the Buildin/~ Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuo.nce 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 f~.r removal or demolition, os herein described. The applicant agrees to comply with all applicable lows, ordinances and/~.~,~'juIohons. ....... .... (Signature of alSplicont, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of ownor of premises ............... ~.9.9.~.Kg..~.:~.~¥..~..q~ ....................................................................................................... If applicant is o corporate, signature of duly authorized ofiicer. (Name and title of corporate officer) Location of End on which propo~d work will be done. Map No: ......................... ....... ,, ........... Lot No: .................... Street and Number ....~..~:..~......~.~...~....~.~.. .........~...~..c~ ~ ~~ ~ "' Municipolity ........................................................................... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy {//'t"3~'-~'~ -- b. Intended use and occupancy ...... .R..e.?..i..8..~.n..o.?. ......................................................................................................... 3. Nature of work (check which applicable): New Building .,,..~ .............. Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ,,~ 14sO00 ~ ~10.00 (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 ................................ Number of Stories ................................ ............................ o , 48' 8. Dimensions of entire new construction: Front 2~ Rear .......... ~;. ................ Depth ............................ Height ....;],.5 .................... Number of Stones.....O~,~ ..................... 9. Size of lot: Front ...... %QQ.! .............. Rear ........ 1D.O .............. Depth. ~ ~.T,! ................... 10. Dare of Purchase ..~.U~...2.7.,.~..9.,~.~ .............................. Name of Former Owner ...~.9.~.e.~..,~.:.~cl.~?.~. ........................... 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...ez..e..°.~g.e...~;~.°.~..~.. ........ Address ~.a. fl~..!4.~AJ:..°~...~.'.Y..". .......... Phone NOg~7...CQ,~./k~. .... Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor ......... ~.9.~l,.~,~..J~Clg~,~¢.~. .............. Address ..~..~.+~.f¢.~,~.~..o~.~.~.~ ......... Phone NO~..7.....0,~.8..~.. ..... PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street ond block numbers or description according to deed, ond show street names and indicate whether interior or corner lot. .o/ '-"c, / / STATE OF NEW Y~R~(/ ¢/~ ) COUNTY OF .~...-~t. S.S. .................................... ¢}.e.¢~g.e..H.,~.o~.'.'6.o;9 ............................... being duly sworn, deposes and says that he is the applicont (Name of individual signing application) above named. He is the ....... .9]~.~ ........................................................................................................................................ (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 and file this application; that all statements contain~ in this application are t~ue 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. ~bt~u Public, Sbb of New y Sworn to before ~ th~s . No 52'0:]44963 ¢ - ark ~/~ FOBM ~0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK~ OFFICE SOUTHOLD, N.Y. Exomined ...... .~...~ ......................... , 19. . . Approved ('"/ " 19.'. ...... Permit No. Icl ~ I Disapproved a/c .......... ~.~ ............. ............... (Building Ibspector) Application No...../...t!...~....( ............. 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 Iocatiog. c. The work covered by this application may not be commenced before issuance of BuildingRermlt. d. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant. Such permit shall be kept on the premises ava.liable 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, ~r for removal or demolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinances/~(:l regulatlons. ...................... (Signatu~ of applicant, or name, if a corporation) E~t Marzon,Ne York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. i~me of owner of premises ....... ff.e.P.~'~e..,t~.el~,.9,T.C.qP ................................................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate, offi~r) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... , , , ...................................... ....... "'" ............. ........................................ ' ........................................ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy b. Intended use and occupancy ............... ..R.,e.~.~..a..e~.9.,e. ............................................................................................... 3. Nature of work (check which applicable): New Buildln; ..... .3.. ............ Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ~ ~14,000 ;,~ 310,00 (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. tf business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, f any Front ........ ~'~ ................ Rear ...... .~! ................ Depth ..... ...~:.. ...................... Height .....g~.~. ............... 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 ~6t Rear 26~ Depth Height .....~,~ ................... Number of Stories C~ 9. Size of lot: Front .....~-.0.0.! ................ Rear ...1..Q.0.~ .................. Depth ...~.8..~.~. ................. 10. Date of Purchase ....~.[~.~..?,.7. s~9.~ ............................ Name of Former Owner .~.?~.e.~....R.:...~.cl.ffA~ ............................. 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... ~..0.: ............................................. 13. Name of Owner of premises....~.e..o.~.g.e...~{,...t.~.P.;~.~.o, tl....Address ....~9,~.~.~.~.~/:%.q~.~,.~ ....... Phone NO. ~3.?...0.~,.?..~... Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor p..o.p.g~..~.o, gp.~ ........................ Address ..~.¢....~y..~..o~..,.~..:~. ........ Phone NO.fl.R.7....O.~.8...~.. .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set*back dimensions from prbperty lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. ............................... .~.~.gr.g~..~. f~'.+~.q~ ................................... being duly sworn, deposes and says that he Js the applicant (Name of individual signing application) above named. He is the .................... .~.'~$~, ........................................................................................................................... (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 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 r~,~/~le~. s~,~f,qrth Jn the application filed therewith. ' ~,~344963 Suf olk Cou / , Sworn to before me this , ~& ..... nty ~//' t Cdo of .................. ...... Z