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HomeMy WebLinkAbout2137-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...Z..[L~J~,[ ........... Date ....................... [~r. ch....6. ............. , 19.~.~.. THIS CERTIFIES that the building located at ....EZS.....I~f-t..~W...~;ZS..B:LV.d ............. Street Map No.Y-~e:~.obzLe.l~. Block No ....................... Lot No ............. ,[~al~.e[~.....~,.~., ................. conforms substantially to the Application for Building Permit heretofore flied in this office dated ......................................... ~'].y'"'"29"'", 19..(~,~. pursuant to which Building Permit No...~..~,-~3.~ dated ............................... A1A~.I~&.t,....-~:~., 19...6.~, was is§ued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ............ [~.i.v.a.~e...one .. £.am& 3~.... clw~l~Lin~ .................................................................................... The certificate is issued to ......~e..[C~e:Ll~atla~,t;~t ............................. O/~le~ ................................. (owner, lessee or tenant) of the aforesaid building. H. D. Approval ~areh 6, 196~ by R, Villa ....... ~J"c~"R ......... ; '1 .................... ouilaing ~nspecro~ ~ FORM 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.° 2137' Z Date ................... August*'"'23 ............... 19.63_ Permission is hereby granted to: Gene.*t~te~rts~ch ........................................... .......... Lem, el.t--..t~,.Y.~ ......................................... to ...B~s.te%..ne~..ore...~.1.y..~wet.14.ng ................................................................................... at premises located at .....ii~,.i;..~.~.O;~.;.~......8;/~...~.i~U~FiT~..~..~j.,~.d, ........................................ ................ · pe~t.-.of...Lot~..~...&..~.i...l~esz~b/an.. ~ub; ............................................................... ........................................... L~u~e.l.v.....I=,.t, ....................................................................................... pursuant to application dated .......................... ~T, tl~y.....~9 ................... 19.~3.., and approved by the Building Inspector& Exception granted by B/At Aug 22, '63 Fee $"'101; .............. Building Inspector ./ ~A'Y' ~u'_~ LJ L E VAP. D l\/ / 'MAP OF SCHD SUFFOLK COU~,YPY DEP.~.~T]~E[[f OF HEALTH Date March 6, 1962 Building Permit No. TO ,~tOM IT MAY CO~CER~: The sawage disposal facilities for a structure located at Private Road, approx. 25~' south Pc conic Bay BU_vd, Laur~ .... (GiYe deed location) have been inspected by this Department and found to be satisfactory. District Engineer TITLE INSURANCE COMPANY PO BOX 419. 22~ W. MAIN STfiEET. NIVENHEAD. NEW YONK 11001 October 25, 1983 TOWN OF Southold BUILDING DEPARTMENT Re: Title No. R-949 976-S Premises: Mesrobian Drive Laurel Built Approx: 1981 Orig. Owner: Arthur D. Marchesi PreSent Owner: Same as above Gentlemen: We have enclosed a check in the amount of $ 1.00 for Certification as to whether a Certificate of Occupancy and/or Building Per. it is available for the above captioned premises. If so, the date ~hereof and limitations of occupancy. Very truly yours, cOMMONWEALTH LAND TITLE INSURANCE CO~,~ANY ANDREA RIVE 'Br~ch.Man~ger AR:rl encls. District 1000 Section 145.00 Block 04.00 Lot OD3 fliNN FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ........................................... 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 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 avqilable for inspection throughodt-the progress of the work. e. No building shall be occupied or used in whole or in part 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 issuanee of o Building Permit pursuant to the Building Zone Ordinance of the Town of SouthoJd, Suffolk County, New York, and other applicable k(~ws, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant ag tees to comply wi th all appli cable I a~ regulations. 'iSJgno rati;;i ......... ~ (Address of applicant) ~" State wheth.er 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) P~-bg.Z'.s ~ 1. Location of land on which proposed work will be'done. Map N~: ..../._ff..~.?. ............................. Lot No: .~...~..~..7 ....... --Municipality 2. State exi§ting use and occupancy of p~emises and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building....~ ............ Addition .................... Alteration ................ Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ....... .~...I.~).~....O. ................................... Fee (to be paid on filing this application) 5. If d~elling, number of dwelling units ............ /~'.. ............. i..,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 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 ............................ Depjh .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... ~,~,,~',.,.,~. .......... Rear .....~,.~. ................. Depth ....................... Height ...Z~.../. ................ Number of Stories ........ ./. ................. 9. Size of lot: Front ....~.~....: ............... Rear .~ ~4,/'~/z ......................... Depth../~/.~...'~......./'~..~ ~" 10. Datd of Purchase .l.~,.~..../..~..~.~.. ...................... Name of Former Owner ~..~'.~...7-~../.~...~.,.~..~.,~,,~..x'f 11. Zone or use district in which premises are situated,.. 5'.,~.OxC./~'..~./..~..~.. ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulati, gn_~ .:.~.[,/..~...~ ................................. 13. Name of Owner of prem.ses~..~.~.~..-~./.~'~,'4~f'///l.?Zc..Address .~.E.~;~.~..L.~/~.~.~.~.V.~..: ...... Phone NO. Name of Architect.~.~/~.~.~;~. ,~.~.~'/~.~'.,P..~..,.Address .~,&~.~.~/.j~..~..~..~.,(/~ ........... Phone N Name of Contractor...,,-~'--:-.-z:~,'.~.:~.~.r ....... ~.~.~..~C:.....Address ............................................ Phone NO. ~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property li~es. Give street and block numbers or description according to deed, and show street names and indict whether i n ter ia r ~o r~,ozcm, c-J~ STATF OF S S. ~,~/ ~-J-6~ ~fl COUNTY OF , ........................................................................................... g duly sworn, deposes an~ that he is the (Name of individual signing application) above named. He is the....~,u-~J~'~-- (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to I~,~rfo[r~ or have performed the said work and to make and fi this a3plic6tion; that all statements containe~d~ip ~llfl~k~l~cation are true to tjX. best of his knowledge and beli~ and that the work will be performed in t~h~,~ §~ forth ~[n the applicatioj;~filed therewith~,.,~ Sworn to before me this ~ ~r~e°~S~o~'~ ~"~ ~ f'~. ~ .~ [z.4c~,~,.,.,.,.,.,.,.,.,~~-~' ~.~, ,~SO~a,~,, .-- r,,~-(Sia~-StuYb~-~,,Jaoolicant) Notary Public, ..../~..~ ............. ..~..~. ..............