HomeMy WebLinkAbout1736-zNO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No .~..~L~9 ............. Date ........................ ..... , ]9_.6.2.
THIS CERTIFIES that the building located at .-~ea.Y"~eW..~c.-{)al~od...~l~ .............. Street
ed Bee Par
Mop ~o ........~ ......... l~lock No ........~ ........ Lot No...p~..O.f....~O,/ ..... EtOt~t,~l~1,~...~[,:~, ........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
................................. J~.~ ......... .~ .............. , 19...~2 pursuant to which Building Permit No..Z'I ~.~.6...
daCed ....................... ~a.~ ....... [0 .......... , 19..~,~,., was issued, and conforms to all of the requirements
of the apphcable prows~ons of the law. The occupancy for which this cerhficate is issued is ........
..... ~.i~. &t,e...arze.. ~.am53~... dLwe.13J,~ .........................................................................................
The certificate is issued to ..... ;r4)l~p~,,~lyltq~)rj...J~' ................. ~)~3e~', .......................................
(owner~ lessee or tenant)
of the aforesaid building.
H.D. ~?proval ~ov 2,
FO]~I~ ~0. 2
TOWN O~ SO~THOLD
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)
1736 Z
Permission is hereby granted to:
.... ~o~a~l~.....]~, ]~ ~. .............................
to .......... lJ~]:~et- ~tew..o~e ..~A~4.]:y. ~we.~a-~r.~ ...................................................................
/
at premises l~ated at . ~. ~...~...~ ...... ~e~ '~' -~ ............... ~ ....................
.............. , ........................... ~e ~.-~..~.. ~.. 0~_~..~ ................................... ~ ...................
............................................... ~o~A4 v .... ~,. ................................................. ,.. .................
pursuant~to application dated .................................. ~....~ ............. 19..~, and appr~?d by the
Budd,ng Inspector
Fee $..t~ ................
~o~ NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
E×amined ........ ............
Approved ........................................ 19 ........ Permit No ...............................
Disapproved a/c ..........................
......... '~-"'""'"": (Building ,nt/~p;i~";;i .................................
Application No.../...?...~....~. .........
APPLICATION FOR BUILDING PERMIT
Date .......................................... ~/..~. ............ 19......~,~.. ....
INSTRUCTIONS
a. _ This application must be comp.!etely filled in by type. writer.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 adioining 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 pu?pose 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 a Iterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulatio~s;n
2'/8
..........................................................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
· Toseph B. Otm~Leons ~Tro
Name of owner of premises .....................................................................................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer) ~ of
1. Location of land on which proposed work will be done.--,-~hN-°':~-~""c~" .............................. ~. Lot No: ..~..o......~? .......
_~. B/S Clear View l~emd,/Corner Oak~od D~ ~ '
Street and N .................................................................................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....................................................................................................................................
b. Intended use and occupancy ................................................................................................................................
3. Nature of work (check which applicable): New Building ........... .Z. ....... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition ................... .Other Work (Describe) ....................
4. Estimated Cost ......... .~.¥,l.¥.u. 2.?...u~......~ ............... Fee ..................................................................
~Jq'[ ~ ox~0 ~-L ~ ~s (to be paid on filing this application)
5. If dwelling, number of ' ' ~
dwelhng umts ................................ Number of dwelling units on each floor ............................
If garage, number of cars no
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 33'6e Depth 2~
Height .......... ~ .............. Number of Stories ......... i..~.2.. ............
] ]. Zone or use district in which premises ore situated ................................................................................................
]2. Does propose(] construction violate any zoning law, ordinance or regulation? -. .......... ~ .....................................
13. Nome of Owner of nr~,mi<~< ~l'oBeph ]~. (}tll3n:L~en,~HHr~<~ ~ 1~e 239 St,.zl~z'eaz Phone NO.
Name of Architect ........C...]~..T.~:~ft~...w..O....O~ ........................ Address ....... .~{~{:l~13g..~.v..~h~ ............ 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 nymbers~or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW YORK, ) S S.
COUNTY OF ..,,~l;t,','~e,]~ ............ )
................ ~.O..~.~..h....B..e....O....'~....~..e...°~..s...J'.?.~ ........................... ~ ....... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. Ne is the ................................................. ~ ..................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work or~d 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.m~nner set forth in the application filed therewith.
Sworn to before me this
213¢l 'a of Ja~r NORA Ci0~WANS?.~_ v,..~ ~'i n t~ "~ a .e. nt'
........................ a y ...............................
~ N . 52-92,589
Notory,Public, ..L.......~.. .......................
PLAN NO. ~9~ SCALE u ,,
~4 = I;0" SHEET No,
PLAN NO. ¢~'9'-~' SCALE }~" =
SHE~
NO.
THIS PLAN iS THE PROPER~ Of THE ARCHITECT AND
724. ~
I
, ~}~ PLAN NO. *Z,gs ~CALE F," ""
.... ,~ ~HE~T NO.
WOOD, R.A.
R 0 A D
R. N ~ W Y O R K ~ ~ TIns PLAN ~S TH~ PROPerTY OF THE ARCHIT~CT AND
W A 9 - A 5 1 0 ~~ SHALL NOT BB DUPLICATED WITHOUT HIS P~RMISSION
P~N NO. ~i~ SCALE ~/4" =
SHALL NOT BE DUPLICATED WITHOUT HIS
~ '~'-~" ~ ' ; ......... T~' ~I]'- ~--- ~_.~
~-* -~ ' -F i~ ......... ~ m'r~,-~ :~~ _ _-- __,,
i,
¢¢~?," -* PLAN NO. 'z~9~ SCALE ~$" = l'-o' SHEET NO.
f ~' O MI T H E O F F I C E
CHARLES A. WOOD, A. '-"
A R c H i T ~ c T /4~' / ?~,, ,.
W A D I N G R I V E R, N E W Y O R K