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HomeMy WebLinkAbout2043-zF~P~i~ NO. ~ TOW~q OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY Nassau Point Club Prop, XXX 52~ C~tchogue~ N,Y,. Map No ....................... Block No ....................... Lot No .................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated da.ted A10ril 23 , 6:] issued, and conforms to all of the requirements ...................................................... 19 ......... was of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ Private one family., dwelling (owner, lessee or tenant) of the aforesaid building. H.D.Approval Aug. 1~, 1963 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFF~CE SOUTHOLD, FI. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2043 Z Date ..................... -~-~..1.1. ·.. · ~,,~ ............... 19.~.. Permission is hereby granted to: Che~; Or].o~.~t.... ~. ~...I~ e.~e±s...~....Roehe ............ ....... .Czt~ahogum .................................................. to ]But ........ · ........................... id ne~ on~ ~ami'~y d~l'l~n~ .............................. at premises located at ...],O~-..~'~-....~,~.$&..~..P-o.l.n.~..(~.~.~..-~ ................................................. ........................................... ~a~.~ a.u...P-~i-n~....Rea~- ~- ....... ~. u.~ct~ §.~e ............................................. pursuant to application dated .......................... ~,~'.~,;L....2..~ ................ 19..~., and approved by the BuUding Inspector Fee $.10.00 ........... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×am,ned .......... .... Approved .............................. t ......... , 19.....I...Perm,t No. ~7__~-~ C3 ~ ~ Application No..c~...~.~..~.. ........... APPLICATION FOR BUILDING PERMIT 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 shaft 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 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 thb Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~ 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 ar~z~xregulations. (Signature of applicant, or name, if a corporation) (Address o~ opplicont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~.../:~.~.....-.-~....:..../~..~ ........................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer)~ ,~ ~ __ ~.% .~..?...../~.....~.. ~,~,o,~- 1. Location of land on which proposed work will be done. Map No: ~ . /.... Lot No: ......... ......................................... 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....CZf/;~...~.. .............................................................................................. Intended use and occupancy ..~...~...~... ~....-~... ~.¢~....~...~.....-~ .... 3. NatUre of work (check which.applicable): New Building ....... ~ .......Addition .................. Alteration ............. Rep~bir .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .......__--~",'~"1"~)'~"~ ......................... Fee ........... ./..~.....~...~ ....................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .........../ ................. Number of dweIling units on each floor ...... .~. ............... If garage, number of cars ~ 6. If ~usiness, commercial or mixed occupancy, specify nature.and extent of each type of use ............................ 7. Dim, ensions 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,/°f entire new construction: Front ..........'..~....~... ........... Rear ........ ~.....o~... ....... Depth ...~.....o.. ........... Height .....I...~....'.. ........... Number of Stories ......... ~ ........ 9. Siz~ of lot: Front ...../..0...~. ............... Rear ...... /..(/.~ .......... Depth ..... ,~..~.~...~......~....~...~ - 10. Data of Purchase ....'.~..~.../...~...~...~. ............ Nome of Former Owner ..P,'Mb,~.,..'//Z~.~.....~ I 1. Zoqe or use district in which premises are s~tuated.. 12. Does proposed construction wolate any zoning law, ord.nance or regulation ....... ~........-m ........ , 13. Name of Owner of premises .~.~..~.~'.?-,~.Address ..~..~.~../1..'..c/...:. Phone No.~..~...'~..-...././. Narpe of Architect ...... ~ ........................................ Address Phone No. Na~e of Contracto~... J~-~-,-~,,~.~,~4.'..Address ;~~';;~';;~;; Phone No PLOT DIAGRA,M Locat~ clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr property lines. Give street and block numbers or description according to deed, and show street names and indic. whether interior or corner lot. f 'STATE OF.' NEW ~ORJ(, . ,/ ) S S ........ L....~,.~.~.~...~:~...~... ...... : ............... being duly sworn, deposes and says that he is the (~ame of individual signin~applicotio~ above na~ed. He is the ................ (Contractor, agent, corporate officer, etc.) of said owper or owners, and is duly authorized to .Rerform or have performed the said work and to make and ' this application; that all statements contain~ ~ a~icotion are true to the best of his knowledge and bell and that the work will be performed in the ~$~o[~0}~th i~the application filed therewith. ¢ ................ ............................... TOWN OF SOUTHOLD BUiLDiNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined "'~ ?.. 19.....~ Application No. c~ /J Ct-~ Approved ............................ ~.! ......... , 19...'..~...Permit No. Disapproved a/c ................................ ................................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 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 adjoinin9 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 all applicable laws, ordinanges~on, d ~egulations. (Sign.ature of applicant, or name, if a corporation) (Address o~ppllcant) State whether appli~pt is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................. ............................................................................................................. Name of owner of premises .,. :.~ ...... '. .... ~ ........................ 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: ..~.?.~ ...'. ..... Lot No: ......... Street and Number ~~ p.~.: ipr~J-.~~.;;~.=i~ /.j~T.~./ ..................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~zz:¢: ....... ~, .c:;. · ............................................................................................. b. Intended use and occupancy E.t:z.~ .... i ........... : ............................... 4/'" ...... ~-" '~: ....................................... 3. Nature of work (check which applicable): New Building .............. Addition .................. Alteration ............. Rel:~air .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ........~...~..,..~...~ ......................... Fee ..................................................................................... (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 ~)usiness, commercial or mixed occupancy, specify nature.and extent of each type of use ........................... 7. Dimensions of existing structures, if any: Front .......................... Rear .......................... Depth .......................... Hei~ght ............................ Number of Stories ......................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ............................ Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions ofentirenewconstruction: Front .......... ~/.. '.~..~ .......... Rear ......... .~./....~ ...... Depth ........................ ...... J...~.. .............. Number of ~rones .................................. Hei?ht / ~, . Size of lot: Front ...... /..Gt...~ .............. Rear ....... /.,.~ .........Depth ................ :v"'"-~,cL5 p'_--,.,l/ '/ Date of Purchase ...... .¥~..~,../...7....(~.~k; ......... Name of Farine Owner ................................ , ' .......... Zoee or use d sir ct n wh ch pram sas are s tuated ........................................... :. ...... tot's" ....................................... -- Does proposed construction violate any zoning law, ordinance,or reaulation~ ................................. r, ......... Name of Owner of premises ...~.~.~....~....~...~tt~. ddress .....¥..~..~..~..'.~.'..~...' Phone No. Name of Arch tact ~ ~Address --~ Z.~..~ ?..Y p~,,~,~,~ ~ A.~..2~ Name of Contractor ~ .... 'Address ... .~. ~ .... ' 'Phone No ................ PLOT DIAGRA,M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr property lines. Give street and block numbers or description according to deed, and show street names and indk whether interior or corner lot. 10, 11. 12. ~:: ¢:,~] 3. STATE OF, NEW'¥©RK, / ) S S COUN,_T. /OF ' ' / '" (.,, '¢;~/'/' /t / ,.......L'-~- .'..~_~;i.~;,.~.~2::.L~..'~...~t~....'T .......................... be ng duly sworn, deposes and soys that he is the applio (Name of individual signi~g applicatioa) o~:ove named. He,:is the ............... :.~.'~O;,:.:':.MW~,z!.....~..?;~.: ..................................................................... (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 ' this appliciation;:,f~'t all statements contained in t~is application are true to the best of his knowledge and bali and that the wdr~, will be performed in tb~ma~nee~f forth in the application filed therewith. Sworn to ~efoF~f~'this N'0m/ I'u0hc, State 0f New York ............. ................ oto y ............... ........................