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HomeMy WebLinkAbout2046-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY ............................ ,~,-Tl~ll~CERTIFIE.~that'the building located et .......................... MapNo ....................... Block No. k Lot No./....7. ~~ conforms substantially to the Application for Building I~ermit heretofore filed in this office dated dated ............... ........... ~" '" /~"~'~/'~ ,, ,, ' J .......................... .............. , ' 19'~'"~'"~3 wasPUrsuant t° which Building Permit N° '~"~'"'0'"'/"//°requirements ~/~.?c.....~...: 19..-.~...., issued, and conforms to oil of the of the app]icabl_e provisions of the law. The occupancy for which this certificate is issued is ........ ................... ....................... ~./~/] z,~/ . ~~// ~ , . ~ ~, '" (ownS, lessee or tenant) of the aforesa.id building. Building Inspe~or FOP~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPA~.Tb~ENT 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? 204§ Z Date ..................... k~.~.~,... ,~6 ............... 19.63- Permission is hereby granted to: 0 e aZ' g e' ",~]k ~' ~" '-' ~',/¢" · -'l~a~'~ e~'" ~o~ ~ .......... .............. Cu~ce,ho~ue ........................................... to ..... t~u.i.l, el ...ne.~.. erie..ff. ~m.i.]:~..d~e.l.?-. &.n~ ................................................................................. at premises located at ..... ]:0.~;..,~7.~ ........ ~Cl'}12f~'"~,e~'~' ................................................................ .......................................................... G~.~¢~..~ ...: ............................................................................ pursuant to c~pplication doted ................................ ~;~......~ ........... 19..(}~., and approved by the Building Inspector Fee $']LO¥C)0 ........... Building Inspector/ W.T. Honings Gull Pond Lane Oreenport, N.Y. 11944 l~ir. Howard Tercy Buildings Dept., ~upervisor ])aer ~[r. Terry: In i965, Georte Ahlers built my house on Gull Pond Lane in Gree~port, co~pleting it about O~ly I963. Im i969, he built an addition, which was completed about October. We used the house as a summer residence until august I9?I, when i was retired° At the time o£ our moving from our previous home to Greenport as our permanent residemce I lost a ~rea-t many of my papers relative to this home, which have ne~er been found. Among these pa~ers was my Certificate off Occupancy. I would appreciate it if you would forward it to to ~e. ~ John Geidema~, from the Greemport Sumla~ s Department, my neighbor, advised me 'to write to you for the copy. If t~ere is any cha~ge fpr issuing the copy, I send you a c~eck upon receipt of the co~y . Thank you for your assistance. ~',77-I947 YouF s,. Truly, walter t. Honings TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~×amined .....................................(~ ~L ~' , 19~, ........ [~' 19.....'./..Permit No. ~ & D t4 ¢ Apprqved Disapproved a/c ....... ~~~~ ................................. ................................. Application No. ~LO ~ (~ APPLICATION FOR BUILDING PERMIT Date ' Z ~ , ..... ................................ ........ 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 adioining premises or public streets or areas, and giving a detailed description of layout of property must bedrawn on thediagram 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 gr.anted 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 lows, ordinances and regulations. .......... ......... · Name of ' · ......................................................... ~ ........................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~/~_, land on which proposed work will be done. Map No' .~......~77........~..~... Lot No: ..~...~.. 1. Location of Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ................................. [-i-..-~.~ .............................................................................. b. Intended use and occupancy .............................~.:...~:~...~. .................................................................................. Locate clearly and distinctly all buildinc property lines. Give street and block numbe whether interior or corner lot. 3. NotiJre of work (check which applicable): New Building .................. Addition .................. Alteration .............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ..... /?..~.~..~..O. ......................................... 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 5usiness, 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 ........................................ / Dim'ensions of entire new construction: Front ......... .~..~.. ............... Rear .......... .,~..,~..~. ......... Depth ........ ~..~. .......... Height ........... ~/ ................ Number of Stories ...... ! ........................... O, Sizeoflot: Front ................................ Rear ............................ Depth ...................................... 10. Path of Purchase ............... ./.~.~...~.. .................. Name of Former Owner ..... ~. - ....... ]l, Zone or use district in which premises are situated ............................................................................................. 12. Does proposed construction v o ate any Ton ng law, ordinance or regulation? ...... 13. Nar;ne of Owner of premises ...~.....~.~ ............... Address ..~..4..~._.,~i~~2 ~i '.~.~.'.".~.'.i~i Nar~e of Architect ..................................................... Address .................................. Phone No ................. Name of Cant ractor ..,~.......~..~. ..................... Address ...~.......~...~ Phone No. , ,~.~..?.~.~. ~, PLOT DIAGRAM s, whether existing or proposed, and indicate all set-back dimensions fr( , or description according to deed, and show street names and indic STATE OF NEW Y~)RK, ,~ ) _ ~ COUNTY'J'IOF ..~~........).,.,.[_ ~( J ~'~' ', ............. ..~.;~ ....... ~...: .......................................... being d~ly sworn, depsses and says that he is the applicc (,Nar~ of individual signing application) above named. He is the ................................................ :n.:.¥.:..'~,:c~..z ................................................................................ (Contractor, agent, ~orporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements contg~gC~fi ~9 ~agp,~ication are true to the best of his knowledge and bet and t~at the work wi be performed ~r, tF~bti~ .c~t~,~ 9! ~{o~"th in the app cat on f ed therew th Sworn to Idefore me th~s ~ ~z 0s~4~., .... ...........day of ................. ............ Notary Pu!lic, .z~.,~.~..,..~ .......... ~ ~K"C~f~'-~(Signature of applicant) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E om'ned ....... , Approved ........................................ , 19 ........ Permit No ................................. Disapproved a/c .................... ~.~,. ............. ~ ........... ~.... ~~--- (Buildin~ Insp~tor) Application No..~.~..:..'.O....~......('Z. ........ 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 bedrown on thediagram which is part of this application, c. The work covered by fhis 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, ordinances and regulations. (Sig~tu~re o ~pplicant, or name, if a.~ corporation) ............. ~'~' '¥ :~"ap;Jicont)~' ' ................ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................................................... · ............................................................................................................ Name of owner of premises ................. :~" '~'~'/~X .............. ,Z'..~.~.¥:~.,,.,~ ....................................................................... 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: ..~ :'~ ,~...k~b<~k'.;~. Lot No: .../..t~. ........... Street and Number ........ ~. ~ .~."....: .~..~-,~ .~, :, ~ '/'~' unicipolity .......... ~ ................... ' '/'~?;k:'~'~ ?~; '':'~''' ............................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ............................. ., ..................... >~ .............................................................................. b. Intended use ond occuponcy .......................... .~,.~,,~ .......................................................................... Locate clearly and distinctly all bui[dir property lines. Give street and block numbe whether interior or corner lot. 3. Nature of work (check which applicable): New Building..................v Addition .................. Alteration ............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ....d/./.0.~.~. ......................................... 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. Jf 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. D~menslons of entire new construction: Front ........ ~/.~'.. ................ Rear .............~. ............ Depth ........ .~...~.. .......... Height ........... I..~..~. .......... Number of Stories ...... J. .......................... 10. Date of Purchase ............... J..('./~.~.,~ ............................... Name of Former Owner ......... ~...~.~.<~ ...... 11. Zone or use district in which premises are 12. Does proposed construction violate any zoning law, ordinance or regulation? ~J Name of Architect ...................................................... Address ............. ; ............................. Phone No. PLOT DIAGRAM ~s, whether existing or proposed, and indicate all set-back dimensions fr 's or description according to deed, and show street names and indic STATE OF NEW Y~l?,lf, ,,~ ) COUNTY iOF:~ -- .,~/,~,.......)~ ~.b. .............. ~'~ ....... ~..~.. .............................................. being duly sworn, deposes and says that he is the applic, (NarfiJ~ of individual signing application) , ~ /, above nar~ed. He is the ............................................... ..(?:~...~...~/'. .............................................................................. (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 application; that all statements ~ilt~i~po~0j~this application are true to the best of his knowledge and bel and that the work will be perfor~e~ ~t~h~h~t,~mot~r Y~t forth in the application filed therewith. Swor ~ to before me th s .... .......... ~..-r.... day of ..................~,~.~L,,Z .............. , 1 ~'~. ,~ ....C4 ~' LJ[,~ ,,x I Notary Pubhc, .(,~'c~'~/~....~..,.,~.~..~J.~. oun y (S,gnature of apphcant)