The URL can be used to link to this page

Home My WebLink About2217-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMi[NT TOWN CLERK'S OFFICE $OUTHOLD, N, Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...~/.~...~.o...~..~....t~...~...e..1..~....~..~. .......................... Street Mop No. ,...B.~..~...e. ....... Block No. ~ Lot No. X~ ~ot,tthold conforms substantially to the Applicotion for Building Permit heretofore filed in this office dated ................................. O.~..1~P.~ .P,~..,...~. ....... 19.....~.~ pursuant to which Building Permit No......~..~...~.?..~. dated ............................ .0..9.~..O..~.~.*......,~.~..., 19..~., was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ .... .......................................................................................... The certificate is issued to ~I~'. Co~'~o~er OWtrte~ (owner, lessee or tenant) of the aforesaid building. H,D, approv-~] ~p~il 21~ Building Inspector FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMEHT TOWN CLERK'S OFFICE SOUTHOLD, hi. Y. BUILDING PERMIT (THIS ~ERMiT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 2217, Z Dote ................. 0~ t,~Ob~,~' .......... ]L~ ......... ~9..63. Permission is hereby granted to: Kwa~nesk~ ~...P.o.~ell....~J.C.....F~..... ~o~o~. ............. .......... ~o.~.t~oZ¢l .................................................. to ...~.l.¢..r~e.w...~ne....r.~tl~...~llL~ .................................................................................. at premises located at ~O~]I~.I~],Ct...L~11~ ....... ,(...~/.Pamr. ish) .................................................... .............................................. ~uth~ld.~...~, ~ ................................................................................ pursuant to application dated ........................... O~to~e~......l~ ........... 196.~..., and approved by the Building Inspector Fee $. !.0. ~.O..O. .......... '~ ,,00 ,¢ SCHD SUFFOLK COU~ffY O~P~%,~T, ~NT OF HEALTH Date . April 21, 1964 Building Permit No. 2217Z. TO ~,~{OM IT MAY CONCERN: The sewage disposal facilities for a structure located at North Parish Drive. Soul, old, (Connover) (Give deed lo6'ation) have been inspected by this Department and found to be satisfactory. District E n gi~e-~r~' FO]~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit Ne ................................. Application No ............................. 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 p remises, 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 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. Kwasneski & Powell (Signature of applicant, or name, if a corporation) Southold (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Nome 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: ...... .~.a.~..e. ......................... Lot No: .................... Street and Number ..~.~.?...~..h...F..~.~.~...d...~.~.'t.......~..~..~...~.~...~...~:.~..$.~....~.~.~ ................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy Vacal~lt la~d b. Intended use and occupancy one family dwelling 3. Na(ure of work (check which applicable): New Building .... ,,~.~.... Addition .................. Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ......... ~..~..Q0..0...~./.~. .......................... Fee ]_0 (to be paid on filing this application) 5 If dwelling, number of dwelling units ....... Q~'ze ................ Number of dwelling units on each floor If ggrage, number of cars ...................... .O. Tt~ ....... 6. if l~usiness, 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 .............. 6~i'. ............. Rear ....... ~. ................ Depth 26 Height ............................ Number of Stories....~)~f~ ....................... 9. Siz6 of lot: Front ....... ]~QQ. ................. Rear ....lQ0. ................ Depth ........ ~.0...0.....~.,~. .................. 10. Date of Purchase ............... 3~(,~ ............................... Name of Former Owner ..... ~:.~L~:...~.~Z~e 11. Zone or use district in which premises are situated ........ 12. Does proposed construction violate any zoning law, ordinance or regulation? NO 13, Name of Owner of premises .~¢L~..~O.~.e~.C'~'Z' ............Address ............................................ Phone No. Nome of Architect ...................................................... Address ............................................ Phone No. Nafine of Contractor .$¢~q;~.~.~X$.,.~;...~..~.o.).'~?.,&~ ....... Address ...... ~..o.~..b.~.o..~. ................... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fn property lines. Give street and block numbers or description according to deed, and show street names and indi~ whether interior or corner lot. f-- - IO~/.+ STATE OF NEW YORK~ ) COUNTY O~ ...... ~g~.~}~......> S.S. ....................... .~g....5~?]&~?~ ........................................ bein~ duly sworn, deposes ~nd soys that h~ is the opp[ic~ {N~.me o~ individual si~nin~ opplic~tion) obove homed. He is the ................ ~.0, E~g~h':...Q~...gg.r~'.~-g.~&E~ ................................................................................ (Contractor, ~ent, corporme officer, etc.) o~ s~id owner or owners, ~nd is duly outhorized to per~orm or h~ve p~r{ormed the s~id work ~nd to m~ke ~nd this ~ppli~tion; thor ~ll statements contoined in this ~pplic=tion ~re true to the best o~ his knowledge ~nd ~nd lh~t the work will be performed i~u~d ~ ~Jrk~orth in the ~pplic~tion fi[~d therewffh. Sworn to before me this ~olar~, Public, Stare ol ~ew ................ r.~.. d~of ......... ~...o~.,,~, L , ~' ~'~'~" ~' ~''~'~- '- ]~ / ~o,~ ~,> .~, ~ ...:...........~ ~,~- .... ~.~ ~,~ o~ ~aa~a~v~ ............................