The URL can be used to link to this page

Home My WebLink About2228-z~0~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTiFiES that the building located at ..... ~t,,~,.ola,$ola..R~l...i...]~a~w~L.n...p~ ....... Street Map No. ,,,~.X,,.X, ............ Block No ....... ~:~ ........ Lot No...:KZFJ; ....... .~..~. ,~..q..h_qg.~..e. .............................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................................. 0e.t, obe~...2C)lg.6.~., pursuant to which Building Permit No....2;~2~;~ dated ......................... .0o.tob. e~'.....2~ ..... 19..~3., 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 ........ ................ P. ~i.v.a ~e .. one..~'a~$1.~ ..d.~el.1 i.ng. ................................................................................ The certificate is issued to ..... (L,...]JJ~,...~O,~$ .................... 0~e~'. ................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspec~r FOlt~ NO, 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, BUILDING i~RMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2228 Z Permission is hereby granted to: Ge~,..~l~....J~.¢..~..~r~..~o~z ..... ................ .~lt~ahog',.~ ......................................... t o ...... ]B~A,I~1... ~.. ~t.~,t, io~.. ea.. e~.. ~A. ~ .~it'~ *- ~ett~L~ll~ .................................................... at premises located at ...... ~.~,~'~J).,~O~..]B.~ItC%..~t,W~tl, l'~...J~t,~ ........................................................ ...................................................... ~ut;eho~u~ .................................................................................. pursuant to application dated .................... ....0~J~e~.....,~9. ........... 19.~,.~.., and approved by the Building Inspector s-,°° Fee $...~,.~ ................... FOI~M NO,. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Ex,amined ,.~.,.....~.., .,~..,~., 19 .(.'? '~' Approved ........................................ , 19 ........ Permit No ................................. Disapproved a/c '~~~Z""~~,~- t ~ ......... APPLICATION FOR BUILDING PERMIT Pate ................... ~...,~,...e~ ...............19..,,~..,~. ........ 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 buildir~s 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 p~'ogress of the w0r.k. e. No building shall be occupied or used in whole orin pa rt fo~ 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 ~ermit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Coqnty, New York, and lather applicabl~ Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for reFnovbl or demolition, as herein described. The applicant agrees to cgmply with all applicable laws, oFdinances and regulatib~s.' 6,J:~g~l}~aht or name, ifa corporation) · State whether applicant is owlaer, iesse~e, age/~orchitect, engin'~er, gen~rol contractor, electric'ian~, plumber or builder. .......................................................... ............. i ........ ; ................................... ...................................................................... Name of owner of prem,ses ............... ~. .................... i ............................. !!!..;.;'i'. .............. ........................ If apphcant ~s a corporate, s~gnature of duly authorized officer. ~.?. ¢," (Name and t t e of corporate off cer) ' 1. Location of land on which proposec~work will be don~. Map No:~ . .................. ~....~.' ~'?~L~..:..,.::.. Lot No' . ..... 2. State existing use and occupancy of premises and intended use and occup~:~ of proposed construction: a. Existing use ond occupancy ................................... 5'.u:~. - · ......... b. Intended use ond occupancy ........................................ u' .......................... ':{"~';'::"" .............. 3. Noti~re of work (check which applicable): New Building .................. Addition .................. Alteration .............. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4~ Estimated Cost ........................ ~.~.~ ~..D:~... .......................... Fee ...................................................................................... (to be paid on filing this application) 5. If dwelliag, number of dwelling units ..........1.5. ............... 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 .......... 4..O. ........... Rear ......... .~...q ............ Depth ...~..~. .................. Height ............ ./'.~ ............ Number of Stories .............. ~,~..~- ..................................................................................... Dimensions of same structure with alterations or additions: Front ............ ~.~.~. ............. Rear ........ ~.~.. .............. Depth ........... :~..2: ........... Height ................ ./.'.~ ........... Number of Stories / 8. Dimensions of entire new construction: Front .............. .~.~-, ............. Rear .......... ~.~ ............ Depth ....~..~. .............. Height ............... /...~ ......... Number of Stories .......... ~..~.. ................ 9. Size' of lot: Front ............. ~...~..~ .......... Rear ............................ Depth ....... ./..~..~Z ...................... 10. Date of Purchase ........................................................ Name of Former Owner .................................................... 11. Zone or use district in which premises are situated ............................................................................................. 12. Does proposed construction violate any zoning law, ordinance orX~gu]ation? ....... ~!..¢~. ................................. 13. Name of Owner of premises -- '~ .~.~....~....~... ...................... Address ..~:.).~..~.'..'~.~.~....~~o.].~...~....'.2-..~.} Narhe of Architect ................................ ,n .................... Address . Phone No ................. Name of Contractor ..i .................... Address .......... Phone No./o~ ,~, PLOT DIAGRAM Locate 61early and d~stinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fn property lines. Give street and block numbers or descriptjion according to deed, and show street names and, q~_indic~ whether interior or corner lot. t~O,5'(-C~ STATE OF NEW YCi~K,z' COUN-r¥ OF ................. i ............. .~"~"~'~:~ ............................. being dul)~ sworn, ~l~poses and says that he is the applice (~N.ame of indiv~ual signing application)~~' ._~ ~..,,~.. above named. He is the ....................................................................................................................................... (Co6tractor, agent, corporate officer, etc.) of said owner or owners and is duly authorized to perform or hbve 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 bel and that the work will be performed in the.manner ~. l~f~,,},~'liri, t~4~,pplication filed therewith. Sworn to before me th~s .......... '"'~' 4 ....... a/a~o'r.....,:., z.. ·,. ~,..~...'%~.,:.?,T,),,~-~,,~. · ·.., )~.....~.' ., , ~. ,_/z.. ~-"-~V'~ ~ ~, ~~ ~/!,M.~ fy .................. : .......... (signotul~ofa) "'" "-~ ':~'-'"4' -- ' ' - p p I i ca nt'~''~"'~-'''' ......... r .............. Notary Public,i FORM NO. TOWN OF SOUTHOLD BUILDING DEPART~vtENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ ~ 19 ...... ~.Permit ~o ................................. Disapproved a/c .................. ............................................ (Buildino I~spoctor) APPLICATION FOR BUILDING PERMIT Date ~(~ -~/~ )'' "( 19....(-?.. ~ ....... 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 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 po 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. ............ .................................................... (Signatu~'e of applicant, or name, if a corporation) f~ddress of applicant) State whether applicant is owner, lessee, agen, t,^architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ............... : ........... ~.'.'¢~.~:'~ ......... .~.J) ....................................................................... :;:.i!:~' If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which propo~e~,work will be done. Map No: ......................... ~ ................. Lot No: .................... Street and Number ...........'.~..~.~.--~ ............................................. .L.~/. ........................................... Municipality ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building .................. Addition. ........... u,'""...... Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ ,/.fx].ftTJ:O-- .......................... Fee (to be paid on filing this application) 4. Estimated Cost 5. f dwelling, number of dwelling units ............ ,~. .............. Number of dwelling units on each floor ...~...~.!.~.../..¢t:~ 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 .......... &O. .......... Rear .......... ~.,,..~ ........... Depth ..~..~. Height ............ /..¢.1 ............ Number of Stories Dirhensions of same structure with alterations or additions: Front ............ .~Z~ ............. Rear ..... Del~th ............ .~...~. .......... Height ................. ./..~ ........... Number of Stories ................. ./..Z~. ............... 8. Dimensions of entire new construction: Front .............. ~. ............. Rear .......... .~..~ ............ Depth ....~..X~ ............. Height ............... ?.~ ......... Number of Stories .......... ~ ................ 9. Size of lot: Front ............. ~...Z....~. ......... Rear ............................ Depth ........ /.~.,~..~. ...................... 10. Date of Purchase ............' ............................................ Name of Former Owner 11. Zone or use district in which premises are situated. 12. Does proposed construction violate a:ny zoning law, ordinance or~gulotion? ........ ..4:.:¢~ .... 13. Name of Owner of premises .'~/~...~ ...................... Address ..¢.). .~'*'~.~..'L.. ...~.,,,i ............. ' ..................... Address ................. ~ .............. ~ ........ Phone No. Name of ArchiteCtName of Contractor .......... ........ ;-'"~i:~ ~ ................. Address ..~'~.,,~.~_ ~.~.?.~i 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 indic whether interior or corner lot. U~/~]LC~ STATE O1~ NEW YORK, /) S S COUNTY OF .... ~.-~,Zz~'x~'~) ''~ (Name of indiv~ual signing application) above named. He is the (Contractor, agent, corporate officer, etc.) of said ow;net or owners, and is duly authorized to perform or have performed the said work and to make and this opplicbtion; that all statements contained in this application are true to the best of his knowledge and and that the work will be performed in the manner.,,s~ iJ~fE tn ~application filed therewith. Sworn to before me this · ~',o b2.0$q¢~f~3tat~, o,~ ~ew Yorl¢ .......... :.X~..,~ ..... d?yof ............... ~ 19.,...~ , Notary Public, ::/~'"'~'/,~/.. (Sig of applicant) duly sworn, deposes and says that he is the