The URL can be used to link to this page

Home My WebLink About1514-zI~OP~N~ ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CL£1~K'S OFFICE SOUTHOLD, N. Y, CERTIFICATE OF OCCUPANCY No .... ZlI,~i2 ....... Date ..................... 0e.tebot~.... 2~+ .......... 19.6.1. TH~S CERTIFIES that the building located at .~/S....~o~n~e~s..41~th .............. Street ,. Fq~ders Estat~ .... ~viap ,~o ........................ oc~ No....~ ............. Lot ~ro, .~ ,h~.~,...-.$outho-ld. ............................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ................... ABgzls.t...~ ........19-61. pursuant to which Building Permit No. ~1~1~ ....... dated .................... ABg~sg..ll ....... 19...61, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ssued is ,Br, ivate,.,one,.g~2Ly.,,d~,lllng ................................................................................ This certificate is issued to .... ~tho~7.-....L$o$2a ....................... 0~e~ ................................ (owner, lessee or tenant) of the aforesaid building. Building ~' 'I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 151 , Z Date ......................... J~;t~.t ~ ~ ........ ~, ...... 19,~... Permission is hereby granted to: ................ ~ e~ho.~<~ ~...~..,:~, .............................. to ..B. uild...~ ..~dd f~ ~.o.n...o.~...~ n.. ~s~.~.~.$.~¢.. ~.~..e...~..z..~. ....................................................... at premises located at ..Le.t..~'.~...Fe~j~.8.?.Ds...~.z¢ete. z ................................................................. ............................................... ~'o~&er~" ~a~ y..$c~ue.}~Z'd .......................................................... pursuant to application dated ............................ ~}g.~......]...~ ............ 19.(~.]:..., and approved by the Building Inspector , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .............. ......(.~ ................. '19.~ ....... Approved ........................................ 19 ........ Perm,t No../~./-.'w:'C'.-'L' ....... Disapproved a/c ................. · ....... ~ .................... :..~ .............................................. ........................ i§'Ji';~'i'~' ' i ~ ~'~;~/~ ;i ................................. Application No. ;- c APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and su/omitted 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 o detailed description of layout of property must be drown on the dio§rom which is port of this location. c. The work coYered 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 inspection throughout the progress of the w~rk. e. No building shall be occupied or used in whole or in port for any purpose w¼otever 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 Soutbold, 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. Donald ~ederiek (Signature of applicant, or name, if a corporation) (~ddress of oj:)plicant) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, e[e(~tricion, plumber or builder. Name of owner of premises......j~2,~Z~O~...~,~,ol~.t~ ............................................................................................................. If applicant is a corporate, signature of duly outhorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ......... ~.O~,~.~D...~8.~l~t No: .................... Municipality ' 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: o. Existing use and occuponcy.....~..~.~L~,:~ .............................................................. i .............................................. 3. N~ture of work (check which applicable): New Building .................... Addition ..~ .......... AIt~ratkm .................... Rej~air .................... Removal .................... Demolition ....................Other Work (Describe) .d~ba,~tb,e~ [~e~a,~e 2[. Estimated Cost..~,d~l~ ....... $(~g~J~/J~ .........................Fee ...~. ..................................................................................... (to be paid on filing this applicotion) 5. If dwelling, number of dwelling units.....~l,~e .................... 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 construchon: Front......6 ................... Rear ..... 6 .................... Depth ...~L~' .................... Height ............................ Number of Stories ...~)J~ ................. 9. Size of lot: Front .-.~0,~ ............... Rear ..... .~.~'. ................. Depth ,~.~(~ ........... 10. Date of Purc~h~e ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated...]~.,,~,;[,IS11;. .................................... '..~ .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... I~O .......................................... 13. Name of Owner of premises.....&,r..,J,,'JO~,.t,a.....'. ........ Address ............................................ Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor.....]),...~,~'eC~e~,~][ .................. Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate alt set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior ar corner [at. STATE OF NEW YORK, ) S S. COUNTY OF .... M1~f~'~J~ ...... ) .......................... DII~'~ .;..~ec}e,'t'~' :'"'.':'"',' ............... being duly sworn, deposes and sgys that he is the applicant (Name OT ~nalvlaual s~gnlng application) 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 ali 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 ', ..................... .'Llday of .............. ~1,~ ........... 19....~.~... (Signatur,~. of apphcant)l~} Notary Public,. ............................ ~ .............................. County