The URL can be used to link to this page

Home My WebLink About1499-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..~]AI.~.~.~. .............. ,. Date ................. D. eJ~.e~b, ei~'...~.~ ........... ,, 196,1,... THIS CERTIFIES that the building located at ?...~..~..e....,~...e..~..~.....~...~..'...t....~..°..~.,,.~t.-..°..~.,.¢t: ............ Street Map No ..... ..~,.~..~.. ........... Block No ...... ..~.?...~. ......... Lot No ....... ..e..~..e.. ...................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................. ..~..~..c~...~...~.......2. ................ 19....~...~. pursuant to which Building Permit No..~.~..~..... dated ................... .~.,.~.~..~..~...~....~.. .............. , 19..,...~..,1was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... .............. ~ ~.~...q~.. ~'A~L.~.. D.~.~ ................................................................................ This certificate is issued to~..~..]:'..~..~.~...~.....~..~...~..~..*..,..O.' '~",.e..~.. ................................................... · ................... (owner, lessee or tenant) of the a,foresaid building. Health geL~a~tmen~: Approval c%a~ed 12/29/61. /~/ Robe~ A. V~Llla Building Inspector FOl~l~ 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? 1499 Z Date ......................... Permission is hereby granted to: O.WoSmith & Sons Ina A/~ WLlliam Park Southo!a Build new one famil~ dwelling at premises located at ....~.~...~.e...~.,k...]~p.8,f] ................................................................................... 8outh.o.~d pursuant to application dated ................................... J,~g ....... 2 ........... 19~.~,...., and approved by the Building Inspector 10. O0 Fee $ ........................ FORNI NO. 1 TOWN OF SOUTHOLD ~:,//,~,,$ .~ 7 BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... .~._.Y~f~.(~ .~.~.,,, 19 .~ .~,. Approved ....... .C~.... 19.., :'.~.,.Per mit No ............................. Disapproved o/c .........~! ....... ~ ................................. ...... ................. (Builaing I nspecror/j~'~r-.c~' Application No .........~.. ~.~...~...~.. .... APPLICATION FOR BUILDING PERMIT .............................. ...... I N'STRUCTIONS 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 a 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 a Iterations, or for removal o~demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinanceS, and regulations.// ~ ~ (Si~,,~re of applicant, or name, if a corporation) .... .............................. (Address of app'flcant) State whether applicant is owner, lessee, agent, architect; engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~.~...~ ....... ~~ ....................................................................... If applicant is a corporq~, signature.~of duly authorized officer. 1. Location of land on which proposed work will be done. Map No: ............................................Lot No: .................... Street and Number ..,....,...,~...~...~,.~...,*: ............. ~..~=.~..,-.:.'~ ......... -*~,~.~ ..................................... -..~ ...................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy .......... .~......~....~]...':~....~...~.... ............................................................................................ occ anc. e b. Intended use and p y ..... .....r. .......................................................................................................... 3. Nature of work (check which applicable): New Buildlng ....... ~Addition .................... Alteration .................... Repair ....................Removal .................... Demolition ....................Other Work (Describe) .................... 4. Estimated Cost.....,~ ....................................... F e ........... ......................................................................... (to be paid on filing this application) 5. ff 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. Dimensfons of existing structures, if any: Front ............................ Rear ............................ Depth Height ............................Number of Stories ............................................................................................................. Dimensions of some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number o~ Stories ................................ 8. Dimensions of entire new construction: Front ........ ..~....O.. ......... Rear ......-~...~. ..............Depth ...~....~.. ................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ...~..~ ......................................... Name 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 OF NEW ~OR.~ ! ~ .~,~ ) * ~..~ ~ ~ ~' ~ ~ ~ ~- ........... ~duly sworn, deposes ond s~ys that he is tho ~pplicont ~N~ of individual g~omn~ applicotion) obove homed. He is the .................. ~ ..................................................................................................... (Controctor~ o~ent, corporate officer, otc.) of said owner or owners, ond is duly outhorized to porform or hove performod the said work ond to moke ~nd fi~e this oppl[cotion; that ~11 stotements contained in this opplic~tion ~ro truo to the best o{ his knowledoo ond beliof; ond thor the work will be performed in the m.onne[~h ~r~ the ~pp~ic~tlon filed therewith. Sworn to before me this N0m~y Public, State 0f Ne~ York TOWN OF SOUTHOLD BUILDING DEPARTMENT '~" TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×om ned ........... App,,cot,o ......... O,sapproved a/c ~~ (Building Inspector) ¢¢'~/~''~ APPLICATION FOR BUILDING PERMIT ................................ ,¢..,.. ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or ia ink and submitted in duplicate to the Building Inspector. b. Pint 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 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 ,~r demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations.j/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises...~~''../'-~ ....... .~....*'~%~.~ii. ............................................................................... If app~nt isa corpor~,,,, signatu~ of duly authorized officer. (Nafne'~nd title of corporate officer) t. Location of land on whicb,.proposed work will be done... Map No: ............................................ Lot No: ......... ' ........... Street and Number ~'~,,.~.....~, .~,.t~.~.~..'~.....~./.~..~..~. .~.,~.~...~.~...~...~.~..~. ~,..~,..~ ~.~.r. Municipality 2. State existing use and occupancy of pr,cruises and intended use and occupancy of proposed construction: a. Existing useandoccupency .......... ]"/"..,~....~...~...P~......~...~ ............................................................................................ b. intended use and occupancy ...... ~...i~P...,,~i.~..~..G.;.g~..~i.~ ............................................................................. property lihes. Give street and block numbers or description according to deed, whether interior or corner lot. ~"~" Addition 3. Nature of work (check which applicable): New Building ........................................ Alteration .................... · Repair .............. ,.,,ii~emoval ........ ~ ......... Demolition ................... Other ~qVork (Describe) .................. "~ ,~,~',~ ~ ~ ~. ~ " . 4. Estimated Cost .............................................................. Fee ................................................................................... ' ....... (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 .............. 8. Dimensions/~~ e~tire new construchon: Front ........ ~... .............. Rear Depth ............................ Height ..C..~. ............... Number of Stories ....~..~ ......... 9. Size of lot: Front ..... ~'~.~ ..................... ~ Rea~ ............................ Depth .............. :-.~ ...... ~ ~ ~ ,~ ]I. Zone or use district in which premises are situated.....~.~..~.ZZ.'Y..t.~..Z,Z ...................................................... 12. Doeb proposed construction v. iolate q~y z~ning law, ordinance ~o~ regulation? ...~.~ .......................................... 13. Name of Owner om premises ........................................ ~aaress ............................................ mane ~u ..................... Name of Architect....~4 ............. ' ........................ ~. ......... Address ............................................ Phone NO ..................... Name of Contract~ ................................................... Address ............................................ Phone NO~9..~ ........ PLOT DIAGRAM Locate clearly ~nd distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from and show street names and indicate COUNTY OF obow ,omed. s *h* ......................... ...................... .: ................... .......... :...; ........................................ (Contractor, agent, corporate o** cer, etc.J of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this oppl cation; that oil statements contained in this application ore true to the best of his know/edge and belief; and that the work will be performed in the mon~{T~e~, f~,~ in the application filed therewith. Sworn to before me this ~lotar~ Public. Stat~ al New Yor~ ' t ~ I ' ?'fl ¢4496 S oIk County ~' ture of a cant' I