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HomeMy WebLinkAbout2226-zNO. 4 TOWN O1: SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No....~...~.~ .......... Dote ............................. ~Tttne....19 ........ , 19..6~. THIS CERTIFIES that the building located at ..~./l~...~y..:~£e~..JLv. e ................... Street M§pi~oe~..?.~.e.~ ..... Block No ....................... Lot No...il/i~ .............. .~,e,e~l~or,~.,...~.,.~., .... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................................... 0.Q~D.~b~..22, 19.~... pursuant to which Building Permit No ...... .~.2.~.~..~ dated .............................. 0~.t,o.l:)f~...2'~.., 19..63.., was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ l~J.~zat;a..one...family. .d.w.e]_ling ................................. The certificate is issued to ....~.g.~.~.~.$...~l~.~.~.~ ...................... ~..e.?. ............................ (owner, lessee or tenant) of the aforesaid building. ~. g. Approval June 12, FOF~M NO. ~ TOWN OF $OUTHOLD 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? 2226 Z Oe~obe~ ~% 63 Date ............................................................ ~ 19 ........ Permission is hereby granted to: Oeorge Ab/ers A/O Mar~re~ Bale~ Oo~ehogue Build new one family dwellln~ Lots 11 - 1~ s%ummerhaven at premises located at .............................................................................................................................. ~a¥ view Ave~ Greenport, N.~. pursuOnt to application doted ............................................................. 19. .., and approved by the Building Inspector 10,00 (:k Fee $ ........................ FOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPAR'I'MENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at '"~/~'""}~y..'V"~W..'A~'~ .......................... Street Map ~o~. ?.?.?.....~..?..V.?..~. Block No ....... ~X, ........ Lot No ..... .1~1..../...1~ ....... conforms substantially to the Application for Building Permit heretofore filed in this office doted ................................. 0e.t,O~e:~..,...22 ....... , 19.6.~... pursuant to which Building Permit No ....... dated ......................... O~;~bel,.....p,~l....., 19..6.~.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ............. .Pr. i.va.~e...one...$.ami l.:p.. ~wel.l.~.ng ................................................................................... The certificate is issued to ]~lwg~x~$...~&:~.~;~.i. ......................................... O~rt~. ......................... (owner, lessee or tenant) of the aforesaid building. Dui a g inspector SUFFOLK COUNTY DEPARTmeNT OF HEALTH Date 6/l?/6kt Building Permit No. TO ~OM IT MAY CONCERN: The sewage disposal facilities for a structure located at ,,Bayview Road, 8Quthold , (Give deed location) '22262 have been inspected by this Department and found to be satisfactory~ District Engineer FOI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOW. CLERK'S OFFICE SOUTHOLD, ,. Y. Examined ...................... ../.?.~..~....~...., 19...~....~, Approved ....................... ../.d~....c~......~'.., lg...~Z~.Permit No.......~......~....o~....,~.....~.. ...... Disapproved o/c .................. ~. ......... -~ ....................................................... (Building II,Sector) 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 tot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o detailed description of layout of property must be drown on the diagram 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 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 o Certificate of Occupancy shall hove 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 Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to COmrply with all applicable laws, ordinances and regulations. ^ ~ (S'gnoture , . ~,,, or name, if a corporation) If applicant is a corporate, signature of duly authorized officer. I Locato~of and on which proposed work willbe done Mop N~ .~. ..... ~1.~.~.. ..... Lot No.// /~ Street and Number ...... ...~..,.~.~,.....:~. ...... ~..~ ................. ~.,: ....... ::::::::.::: ............. :::::::::::::::::::::: 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 ................. ...~..:~ ........................................................................................ 3. Natare of work (check which applicable): New Building .................. Addition .................. Alteration ............... Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .............. ~.~.~....0-~ ................................ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ..........~..~t~ ............. 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 ................................ Rear ............................ Depth ......................... Height ............ ./...~. ........... Number of Stories....../. ........................... 10. Dote of Purchase ........................................................ Name of Former Owner .................................................... 11. Zone or use district in which premises are situated ............................................................................................. 12. Does proposed construction violate .an,/, zoning Ic~w, ordinance or reaulation? .......... ~ ................................ Name of Architect .................. ~) ................................ Address ............................ ~..~,~... Phone No ................. Name of Contractor ....-~....". .......................................... Address ..................................... Phone F, Io../~?..?..~i~'.o.~.: PLOT DIAGRAM L~ocate 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 indic~ whether interior or corner lot. Z3o ....................... ~ ........... .~...'.~ .......... .................. ~eJng dui(/ sworn, deposes and says that he is the applice above narfied. He is the ................................... :~..~c. .............. ~ ........................................................................................... (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 f this application; that all statements contained injtl~[~[s apolicgtion are true to the best of his knowledge and bell, and that the work wili be performed in thetf~t~r~e~t~'t~c~{~ir~tbe._~_ ,- ,~or~ application filed therewith. Swora to before n~e this ,.~ . ~l~,~szi~'IE4xgp~3r~$S~ff0l~l-~]!rl~l~-_ ~ Notary P . I~ii~'~'~'i ......................... . FORM ]gO. 1 TOWN O,F SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................... ~/~-~....~..., Disapproved a/c '"~]""~~"':~:ZL Application No. APPLICATION FOR BUILDING PERMIT Dote ...................... ............... , ,9 ................ 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. .......... i~]~'i~g"of o gdi 4;'Zgame, ...... ......... ....................... ......... ....... ....... ~ (Address of applicant) ~ S~ate whether applicant is owner, lessee, agent, architec¥.engineer, general contractor, electrician, plumber or builder. Name of owner of premises ............. a...¢<[, ~} ............ ~.. ~ ................................................................................ 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: ......... ~tJ.,3~ ......................... Lot No://...-./..~. ........ Street and Number ...... ..C-~D.,~, ..f/.-~.~, ............. ,Z~:ee~,cJ~.. ........................................................................... ~.J Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ................ .~..,~.~. ....................................................... i ............................... 3. NaCure of work (check which applicable): New Building ......~... ......... Addition .................. Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost /..3.~/.0~J'~ ................................ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ ~.,~',~ .............. Number of dwelling units on each floor ....~.ffa~. ........... 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 .............. .~ ............ Rear ......... ..~.~. ............ Depth .......&.~,. ............ Height ........... /.,~ ............ Number of Stories..../ ............................ 9. Size of lot: Front ........... l.c,~ .............. Rear ........... ~.O'r,~ .......... Depth ....... .,Z..,3.O. ...................... 10. Date of Purchase ........................................................ Name of Former Owner 11. Zone or use district in which premises are 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~ ................................. 13. Name of Owner of premises ...~,~;~'~,~...,~',~(6~....Address/z)z,2..'~'~¢· ....... ~./r¢~k: ........ Phone No~... Name of Architect ................. ;.;~ .................................. Address ............................................ Phone No. NaMe of Contractor ?f,~~..~/,ff~ ............................. Address ~,,~,j..,~....~'~.~,..... Phone PLOT DIAGRA,M -- Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fn property Iines~ Give street and block numbers or description according to deed, and show street names and whether interior or corner lot. z3o STATE OF NEW YQRK., ""¢ , S S COUNTY OF ....................... !.~ .......................................being duly sworn, deposes and soys that he is the opplic~ (Name of individual signing opplicatian) 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 tills app_lication are true to the best of his knowledge and bel and that the work will be performed n the n, application filed therewith. Sworn to Before me this ,,,, ,,:).;,I'i,P~G3, suffolk County ~ /.7.*/~ /~"'~ .~,,~._.4~,r~rnrl ,3(11 LXPif('S iv~rch 30, .............. ~.~./..Zahy of ................. (..L.d...,,_~,~[,~,. ........ ,19.~.~.~ Notary Public .l~../.,e..~/~,,~v......~Z...~:~.~r.~-~'4','.,.~.,/C~;a)upt)/ (Signature of applicant)