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HomeMy WebLinkAbout2154-zFOI~iVf NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at -'Mat~i.~O~..~,~..~..~.t/h-.]~d ............. Street Map No..:y,,,~ ........... Block No ...... ~ ....... Lot No..~ ............ (~?~]~.))(~,~'~J.~.~......N~,-~- ......... conforms substantially to the Application for Building Permit heretofore filed in this office doted .................................... [~Igl~ ............... , lC)..(~,,~, pursuant to which Building Permit No. ~.]~.~2[ .... dated ............................. ~.tt~.Ul~.~ ....... ~'9, 19.6..~.., was issued, and conforms to all of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ........ ....... · P~'I",,r~t ~"' t¥'/l~" Tm~.t~y' "d'f.,'~ ~L~ ~r~,~ ......................................................................................... The certificate is issued to '7"Jo}i~"&"~l:~'~"~].'~',~';~'~' ...................... :~H.~,~.$ .......................... ~owner, essee or tenant) of the aforesaid building. H.D. Approval November ].963 by R. Villa ....... ............................ .............. Building Inspector ~ FOI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING pERMIT (THIS F~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) 2154 Z Date ....................... Al~2~.t*....~. .......... 19..~. ~... Permission is hereby granted to: New F~g~and -.F,o~s.-...~/~.-... J~ -hn..-Za~ews~i. ....... ~ .......... S~":~ ................................................ to ~U~'l~' · 'n'e~ "or~e · · ~a~ ~y' · d~t'l~ug ..................................................................................... at premises located at ..... N.a.R~ad...&,.l~,~to~..~t~.....(~oz~'t.~,Y...aP;P.~O.~.a~..~.~.~..~.~.).. ................................................ ~ertpo~,~-..~.~-~ ............................................................................. pursuant to application dated ......................... ~la~'~ ....... '~'~ ............. 19..(~]., and approved by the Building Inspector Fee $..'i.0.,.00 .......... Building Inspector TOWN I]F SDUTH[]LD BFFIBE OF BUILDING INBPE~TnR TOWN CLERK'S []FFIOE SOUTHQLD, N. Y. Mr. C o ~I~n~ s~'r~o~u b I i c Works Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 23C2K of the General Municipal Law of the consolidated Laws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ...................................... l~e~..~t~.~:~ .. ~o~.~.....'£t~.,..... ~/.¢.....~ .. ~. ..................... ha~ applied to the Town of Southold for a permit to construct a building on .~/~...~.~..~i~...(~,~t ~ ~.~)..~..~¢~..~.~..... ~;.~o~, as shown on the attached plat plan, submitted in triplicate, ~ed ................ ~......~.~...~.~..... and titled .....~..Q~...]~?~..~...~ We shall withhold fu~her action on this application for ten days or as otherwise provided in the a~orementJoned Section 239K. Ve~ truly yours, Building Inspector Town of Southold, N. Y. TOWN ElF' SDUTHDLD DFFICE DF BUILDINB INSPEDTDR TDWN CLERK'S OFFICE OOUTHDLD, N. ¥. RECEIVED SUr:r'r~, ¥ Suffolk County Yaphank Ave., Yaphank, N. Y. No~th Road CR 27A Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ...................................... has applied to the Town of Southold for a permit to construct a building os shown on the attached plot plan, submitted in triplicate, do.ted ................ A'~a¢~.....t6~.-.i~] ...... and titled ....Ma~..e¢..~c+~.e.~.~;~..ff.c~...;rtD=a ftatewskt We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. 8/27/63 App~'oved to the Town of Southold p~su~t to Sec. 2~9K oF the Gen'l M~icipal Daw. S~FOLK C0~ DEPT P~LIC WORKS H. F. Bishop, Co~~]'~ wiii[~ So Mats~a~e~'~; Chief Enginee, ~ ~ Building Inspector Town of Southold, N. Y. s-9 SUFFOLK COUNTY DEPARTMENT OF HEALTH Date . NoV,~b,~r Building Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at ..,~/WCg~n,~r of North Rd. & Madison St.~ near Greenport, town of Southold ' (Give deed location) have been inspected by this Department and found to be satisfactory. NORTH .S. 7¢ O,',, 40 tN, ~, 14.o, O MAP OF $ Ll RVI:YY ~t ~OPINZALE!tqSKI N~AF~ FOBH NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ - TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............... ~t~Lf ......... ~ ........ , Application No...~...!......E...~.. ...... Approved ......... ..~.'..L.~;~,......¢~.....~[. i19 ¢¢Per'mit No Z9~/%~ (Buildin~ InspectOr) ~ ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o._ ~Fhis 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 odioining premises or public streets or areas, and giving a detailed description of layout of property must be drown on the dia§rom which is port 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' o Bui!ding Permit to the applicant. Such permit shall be kept on the premises available for inspection throu§hout the progress of the work. e. No building shall be occupied or used in whole or in pa rt for any purpose whatever until o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of a Building Permit pursuant to the Budding 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. New England HomeG thc. (Signature of applicant, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general cohtractor, electrician, plumber or builder, ........................................................................... ..~..~,e.~ .............................................................................................. Name of owner of premises ..... ~.o..~.~..~.~.~.~.~.~ ..................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Map No: ..~1~ .................................. Lot No: ....~.. ............. Street and Number ..~...~.~...f~..]~.~.~b~..~.~A..~.c1.~J~&~..$.~.°.~..~e~..~e.~`. ................................... Municipality 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy .................................................... ............................................................................... b~ Intended use and occupancy ............ .o.~..~.$~L~t~]-~ .............................................................................. 3. Nature of work (check which applicable): New Building ..... ~.~1~ ....... Addition .................. Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ....... .~..~.~..0..0.0.~. ...................................... 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. 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 Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front......~...O.! ..................... Rear ........ .~..0..! .............. Depth .~.0..! Height .......... ,l~.! ............ Number of Stories...C~n~ ......................... 9. Size of lot: Front :l.~0! Rear ..... :]~.0..]~ ......... Depth ...... :~l,fl ............................ 10. Date of Purchase ...]~.~Z~..~ ............................... Name of Former Owner ..... ~.q~f~,$tO.~....~..b~,i~ .......... 1 1. Zone or use district in which premises are s~tuated. 12. Does proposed construction violate any zoning law, ordinance or regulation? 13. Name of Owner of premises .~.~..~,~1~$ ............. Address .~.2(~.~.±~at,..~t,.~G~'~en~).Ozl~none No. Name of Architect ...................................................... Address ............................................ Phone No. Name of Contractor ...~..~:~,~,~..[f.~.~.*.....Address ....~;Lr~f~..~l~,~.,~br~Phone No. PLOT DIAGRAM Locate clearly and distinctly i~li-B~L~]l-~[~gs, wheth~F-i~×isting or proposed, and indicate all set-back dimensions f property lines. Give street and block numbers or description according to deed, and show street names and whether interior or corner lot. ~/~. ;F-/1/ 1'~,¢~ ~ ........ __ STATE OF~ NEV~F~R~,<,~ ~ ~ ) COUNTY~IOF _~ S.S. ................................... .~.~.MD..e.~..~.o..o.~ ...... ~ ........................... being duly ~worn, delSoses and soys that he is the (.Name of individual signing application) above named. 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 contained in this application are true to the best of his knowledge and bell and that the work will be performed in the manner set forth in the application filed therewith. Sworn-~e before me this /-/ ~ ' ................ : ....... y, . .............. ~. ·..~..~'¢,, ~¢ ~ ? .~' · Notary Pubhc, ......~~!sm.~y" (Signature of apphcant) , . ~ 't~t' ~ GoUt ...................... . .......................... : ..................................... N,7g°t~-'%'?O"E'. ~ F! GU ARAN'~'~ CO, AS $ bi F~"',J [-y F.. D ALIG, ~Igg~ ~/?;' 2~:~,~.. ,,z,,:,x .....