HomeMy WebLinkAbout1949-zNO. 4
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
C:ERTIF~C:ATE OF OC:C:UPANC:Y
THIS CERTIFIES that the building located at .~TF~DIt~..DIf~,~.e .......................................... Street
MGa~el~ .~..°.?..~....~..~...°.~.el~lock No....:~¥~.~ ......... Lot No..~....&..~D~.~.l.,,g~.~,~.q~,~.',-.~.~..~'~ .........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
....................................... ]~f4:ITC.~I~J~G~...2.CI, 1962... pursuant to which Building Permit No. ,...~..~9..~..~..
dated .......................... }J'o~ceititiDe~e.....~, 19.~.., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ........
....... px'.:L.v.a~.~.. ~n~..£'~m~Ll¥...~J.~e:Ll~ur~ ........................................................................................
The certificate is issued to ..3'.~h~..'~.ll.~;~L;LllO ...................... l~lr~l~ .............................................
(owner, lessee or tenant)
of the aforesa,id building.
FOI~M 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.° 1949 Z
Dote .................. ]~l~'g~i~l~.. - .2~ ........... 19~...
Permission is hereby granted to:
to ·. · .~e · .~uA.].d...ar* .. a~.t.t ~n...o~. · ~.. e~.;.t~ ~.~tg. · ~,~e~ ~.~ ..............................................
...................................................... ..............................................................................
at premises located at ...... ~tr.~.-.(t~eu'~]~..~ho~'~,8 ...............................................................
.............................................. · ho~,~..~,oa~! ~"'"Gree~por t' ............................................................
pursuant to application dated ................................ t~O~'~!1~e~....~.0..1962..., and approved by the
Building Inspector
Fee $..~.01~ ............
f ~ '-~ Buildin~3 Inspector /
~E~f NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
........................................ / 7 ?
~ov~ ~ ~ , ~ ........ ~..,,' ~ ..............................
.......... ............................
(Buildino InspeCtor)
Application No ..... ./...?.....C~.....~ ......
APPLICATION FOR BUILDING PERMIT
Date .~..Z..¢.~-~,,~-, ~.. ~ 19..~.,~2_~
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 p remlses, relationship to adjoining premises or public streets or '
areas, and giving o detailed description of layout of property must be drawn on the diagram which is part of thi,~ 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 a Building Permit to the applica.nt. Such
permit shall be kept on the premises available for inspection throughout the progress of the work.
e. No building shah be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy
shah have been granted by the Building inspector.
APPLICATION JS H.EREBY MA:DE 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.
(Signature of applicant, or name, if a corporation)
(Address of applicant)
State whether applicant [s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No.; ./~,.~.~/r,~'~:r~Z~T..,~.~C~l~t No.: ...... ~i'...~. .........
Street and Number .~.~.~-:.Y~.:..~:~z~...~,~..~..r~¢~. ............. :.~,~.~,.~,~..-~. ~_....g...r.~i~ ...... ~-~....~,~,......~ .......
/ Municipality (~A
2. State existing use and occupancy of prem,ises and Jntende~e and occupancy of proposed construction.
a. Existing use and occupancy ....??..~...~...~,~.....~..¢~ft.~...~,e~ .....................................................................
b. Intended use and occupancy .... ~/~.-~.~...~ ........ ~-~,-~...
3. Nature of work (check which applicable): New Building .................... Addition ....~... Alteration ..................
Repair ............... ~ Removal .................. Demolition .. Other Work (Describe)
4. Est mated Cost .~.~...,~....~. ............................................... Fee ............................................. i'.i'.ii'.i'.iiiiiiiii .........................
(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 tyge of use ....................................
7.
Dimensions
of
existing
if
any: Front ...... c~..~.~....; ..... Rear ....~..~..~.: ..... Depth .....~.....~..~_:-- .....
Height ...... ./~,,.~.,~...: ...... Number of Stories ..... .,~'...
Dimensions o~/same structure with alterations or additions: Front ........ .q~....~..~.: ..... Rear . ~-~..~'~
Depth
...... ~..~..,,~...: ......... Height ...... .Z'..~.v~...: .......... Number of Stories ........~ ...................
8. Dimensions of,,_,/~,entire-- new construction: Front-- ......... ./..~.~....:.... Rear ....... .~'..:.~...~....:.... Depth ........ ~:~.~ ......
Height ....... ,~...~.: ....... Number of Stories ..... /. ......................
9. Size of lot: Front ......... .,~...~..~., ........... Rear ......'~....~..~.. ................ Depth ...... /..~.~...~,.i.~.. .......
10. Date of Purchase ....~"~..:..:~/./...../..~...~../. ............ No'm~ of Former Owner .,,~---~~r;..~......7..~
11. Zone or use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, or. dinance or regulation?
13. Name of Owner of premlses,~-r~e~.~~.c,~,~dress~' ~ ..~.'~.~..""~'~...~~o.'~ ~ ................................ ~-.-~-.,.~,..m.~.~.~
Name of Architect .................................................... Address ................................................ Phone No ...................
Name of Contractor .................................................. 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, ~ORI~,., "g/) S S
COUNTY OF .~ff~4,,x) ''
...... ~.~.~r~..~..~..:~..C~.~. ............................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ....... ~.~ ........... i~'~[~'"~'"~'~'~"~"~"i ........ i ...........................................
, g , p a e off'car, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and fife this
application; that ell statements contained in this application are true to the best of his knowledge a,nd belief; and
that the work will be performed in the manner set forth in the application filed therewith.
Sworn to beene me this
........ day of .......
, ..............................
(Signature applica,nt)
Notary Public .~~.~'...~?.:.~,/.~.q~..~. ,County .............. of