The URL can be used to link to this page

Home My WebLink About1673-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No, .,;..]k~7~ ........... Date ................................ .d-~rs~...22 ...... , 19....62 THIS CERTIFIES that the building located at..]~...~..~.....~..~..~....O...~..~.....~..e...~...O~...~..~.~'...~.~V~J~reet Laud:e3. Map No ~~ .... Block N~.~.$.~...~... Lot No ......... ~.t.~ ..................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... ~t~..~..;~.~ ................... 1962_. pursuant to wh,ch Build,ng Permit No ..... dated ................ ~I.~.~}I...2.~: ............ , ] 9.~o2.., was ,ssued, and conforms to all of the requirements of the opphcable provisions of the law. The occupancy for which this certificate is issued ~s .......... (owner, lessee or tenant) of the aforesaid budding. FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 1673, z Date ....................... [qll--"~ll.... ~.,~ ............. 19.(~... Permission is hereby granted to: lialsey Goldsmith.... A/.~.... ~de~.$~k.. C~.~r .......... ......... ~att ~tuck~.....~.Y., ................................ to ....Bn~ ~ d...an..acld~tXon..o~.. ~n.. ~x~ s$,~g.. 41~ 1.1.~ ..................................................... at premises located at ...~t...~.t.....Edge~,~.,P4~k~ ........ Laur$1 .............................................. ................................... FJ~...l~c..[qo~..~ff...~/G..~eon~.c...Bay..l~t~d.~...Lm~rel ................. pursuant to application dated .............................. ~9,:FP..~L..2~. ............ 19.6,~.., and approved by the Building Inspector Fee $..~.,... ~[Id...c~h FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............ Approved Disapproved a/c .............. ~-""" ~- ~'-~"~'-J'"'"'"'~'"'"'""~'""'"'"'"'z~ .... APPLICATION FOR BUILDING PERMIT ]9 ................ 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 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 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 pa rt 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, as herein described. The applicant agrees to comply with oil applicable laws, ordinances and regulations. . . L',/ .z. . . . . . .,: . z & .......... '. . . . ................... (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................... ............................ . ... Name of owner of premises ..... ~~.~ ...... ..~...: ....... '~"~'~1 ............................................................................... If applicant is a corporate, signature of duly authorized officer. J (Name and title of corporate officer) 1. Locotion of Iond on which proposed work will be done. /Mop No: ............. ?~. ................... ~.(.. lot No: .................... Street and Number ...~....~'....~..~.0,...~.....[~,......~ ~~c~i~.~ Z ....... ~ ................................... :. ,o,e occ a c o re ,n,en o, a. Existing use and occupancy ...~¢~¢..-.z....z.m.z.....:~ ..................................... . ........................... ct 6~,.r/~ ._~ ..................................................... b. Intended use and occupancy .......... ,....,. .........~. ... 3. Nature of work (check which applicable): New Building .................. Addition ..~ ........ Alteration .................. Repair .................... Removal ..: ................. Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ....... .~. .................................................. Fee · ...~...'......l~.- ......................................................................... (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 ........................................ 8. Dimensions of entire new construction: Front ........ /.. ..................... Rear ...n..~.." .............. Depth Height ............................ Number o¥ Stories.....~..... ..... 9. Size of lot: Front ................................ Rear ............................ Depth ........................................ 10. Date of Purchase .......................... f ............................. Name of Former Owner ........................................................ 74" .,F, ,. J 1 1. Zone or use district in which premises are situated .............. ~ ......................................................................... 12. Does proposed construction v.i~late any zoni~a law, ordinance or~:egulation? ....~ .......................................... 13. Name of Owner of premises~-' XT/.~....~...,~.]...~......(..~iTAdd~e,~s~ ~~ ........................ Ph~n~e No ......... : Name of Architect .......................................... t/'n ,,', ~'!Z'''~'''~ZAddi'es~ ............................................ ~,, -~/'~Z._~ _~_ Phone No Name of Contractor/~(,:~...~~..~......Address .~...~.....~.~..~':.7.C~":.: ........ 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. COUNTY OF .... ~:;h~-~...~fZ... ~.... '' ............................. ~~ ....... ~.~ ....... being duly sworn, deposes and says that he is the applicant (Name of ink, dual sigNi~ applic~n~ ..... above named. He is the .................~~.~.~ ................................................ L ................................................ (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 .belie~; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this ~d f ........................ ...... ..... 7 o, ............................