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HomeMy WebLinkAbout1885-zTOWN OF $OUTHOI. D BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OIJTHOLD, N. Y. CERTIFICATE OF OCCUPANCY TH~S CER'I'IF~£S that the building located at ...}J/J~.....~.~,.,~. ..................................... Street Mop No. ~ Block No .......... ~.~.. ....... ~Lot No. :~/:X ~eW 8~l..ffolk N,Y, conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................... ~.~.D.~....~. ........... , 19~..3 .... pursuant to which Building Permit No....~.~..8.~'... doted ....................... ~¢~..~.....~.?,. ....... , ] 9.6.,~..., was issued, and conforms to all of the requirements of the appi{icable provisions of the law. The occupancy for which this certificate is issued is ........ The .certificate is issued toNO.~.t.~. ~..o~k 8hi~.~'..~..Z'..c]. ~..~.¢ ...................... ..O.~..e.~.~ ..... (owner, lessee or tenant) of the aforesa.id building. H.D. ap~roval t~r 10, 1963 by R. Villa FOI~M NO. 2 TOWN OF SOUTHOLD BUJLDING 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? 1885, Z Date ............................ ~eptem~......l.T19.~.. Permission is hereby granted to: ............ New"SuX'f~M~ ......................................... to .. To'luwe'"an"exX'sting'"r~s~au~sr~' 'l~t~ T~ ~.t~l'"t.o"'~', :Xo'e'al:X~ ..................... at premises located at '"'~'/~'"'"J~.'~"~t,'~'"~['fi'"~i~Jg"~"~ ......................................................... ....................................................... IV~"*S~ffI"*6Ti~ ............................................................................... pursuant to application dated ............................ ~1~.~iii~....1_7....19.i~.~..., and approved by the Building Inspector Fee $'],:0~;00 ........... Sb~FFOLK COUNTY DEPARTMENT OF HEA~TH Riverhead, New York TYPE OR PRINT LEQIBLY ,IN IN~ ~uilding Permit No... ~ Health Department Plan No. Appli~c~t_ion for Ap~?V~. of Commercial Sewage Disposal Syst~ ~o, T~,~,~ol~Oount~Dep~t~en'~o~ea~t~ ~ate Applm~at~on for approval of co~erci~ se~ge disposal system is hereby requested. (~me ~ud side 6f ~tree~ aud ~a~e a~d dis'~nc~ t6 ~e~est ~te~secting ~street) ~ ~ ~. ~ ~ ~'~, ~,y ~ ~. ....... Village I hereby cert~y that this commerc~l sewage disposal system has been con- structed in accordance w~thDlans approved by the S~folk County Department of H~alth on (date)~2~Y ~ /~ and with all the requirements of the latest bullet,s omse~ge d~sposal of the ~folk County Department of Health. -' (Builder - ~er)~ Ready for inspectio~ Inst~tion.~ati~factorY Yes ~ .$ No~ .. ~sed on "~e i~o~ation stated hereon by the app~c~t"and ether i~o~ation - made ava~able~ it is the epinion of this Department that this system with proper maiuteuauce cau be expected to fuuction satisfactorily and is not like~ to cause a nuisance, provided des~ned s~wage flow is not exceeded. St~t~al feat~es are uot included. SCHD - 8-13 6/5~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,O,D, N. Examined ........,~....~.....~.....Z...Z....., 19.~..~.~. Approved ......................... !...~ ........... , 19..]....Permit No. ~ ....................... (Building Inspecto~ APPLICATION FOR BUILDING PERMIT I NSTRUCTI ONS o. 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 Jot 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 applica- tion. 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 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 o Certlficote 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, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. Elizabeth O1 $.e.~ .... Jk/.C...N.o.r..t,h.. Zork.. ~ hipy.~r.d .....Inc ................. (Signature of oppJicant, or nome, if o, corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... ~g.e..n..~...o.~ ,.q~.u.e.~, ................................................................................................ Nome of owner of premises ........ .~.°.~.~...~..O.~.]f:....~..~.~Y.~,~.~...~g~ ...................................... If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ...~ ............................ Lot No.: .:f~.z..~., ............ Street and Number ...~L~.~x....~:LZl..~,.t.~.....~e~..~.u:L:'£o~ ..................................................................................... Municipality 2. State existing use and occupancy of prem,ises and intended use and occupancy of proposed construction. o. Existing use and occupancy ...V.~.g. ft..~.t,...1~.~L~.~e~.s...laz~d .............................................................................. b. Intended use and occupancy .......... .~.e..~.t.,.a,.gZ'.9,~t...'DLt,C.].~.~P~ ......................................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................. Alteration .................. Repair .................. Remova! .................. Demolition .................. Other Work (Describe) ._.~l~g...~o 4. Estimated Cost Fee Dk~, .0..0.. ........... . ....... (to be paid on filing this application) 5. if dwelling, number of dwelling units ................................ NuFnber 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 ....... '(q..Ll. SJ,.,rl.f~.~ .......... 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 .............................. Depth .............................. Height .............................. Number of Stories .............................. 9. s~e of ~ot: Front ......... .~.~.0. ............. Rear ........ ~..0..0., .................. Depth ....?.~,,0. ................... 10. Date of Purchase .......................................................... Na,me of Former Owner ..... ~r.O.].CtB~.T,.D...~c...~LT~t~.~,~ ..... 11. Zone or use district in which premises are situated. "~B" CtDL8't; 12. Does proposed construction violate any zoning law, ordinance or regulation? ................ ..Zl..O. ......................................... 13. Name of Owner of premises .~...~.,.~D,&IDY.~...[~... Address .......... ~?.,..W....~.~...f..o..~.k:. ........ Phone No ................... Name of Architect .................................................... Address ....................................Phone No ................... Name of Contractor ....~.o..~.~.o...D......h..o.~§?.....rp:..o..v.?...k,]... Address ...... .kC...a.?..h...a..n...k. ......................... Phone No .................. PLOT DIAGRAM Locate clearly and distinctly ali 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 YORK, ) COUNTY OF ~'.Ll~.~'o],tC ...........) S.S. ............................ l]l.'l :L2,a.~e.¢,~..~la.~z!. ............................... being duly swornl deposes and says that he is the applicant (Name of individual si~Dnin~D application) above named. He is the ........... J~g.f:I'.LJ~...O.~....0.9/D.P,~ ............................................................................................................. (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 manner set forth in the applic~ation filed therewith. Sworn to before me this // ................... ............... ....... . ,-.,, Notary Public ...~¢~,..~..~.,....~i~ y ~'~i4~'t't]'"" ........... ;;'~ .............................