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HomeMy WebLinkAbout2232-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .~}',/.~ ..... ~.e.~..,~.,q.c],.,...~.~,.~.~,,.~. ................... Street MapS~..~.ff..O..O...d...~.~.~.'..e?Block No ......... XX:~ ...... Lot No ..... 26.~ ........ ~ll.thoJLd.~...~[...~.o ................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................................... .0c.t,.ob.~r.....28.., 19.63... pursuant to which Building Permit No...2..47~..2..~... doted .............................. ~¢Ob~,~..~,., 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.v.a.te...~n~ ..~'a~il~..d.~e.!l&n~ .......................................................................................... The certificate is issued to ..~,~..~&~.~8..~¢¢.~12.~[1..i~O~],$~ .................... O1~'~.~ ......................... (owner, lessee or tenant) of the aforSsaid building. H.g,Ap~rova~ ~rch 2~ 196~ b~ R. Villa ......................... ....... ............. FOIg~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT~ (THIS PERMIT MUST BE KI:PT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 2232 Z Rte .............. ~.~.....e~ ................... , ~9.6:~.. Permission is hereby granted to: F~'sme~ a...[, · &. · ~s e~ ..~ .~... ~-:~&.ns ............... ........... ~ot~c~l~l ..................... , ............................ to ....~.u:t~d..ne.~..~r~e..f~t~.,.d,~e~;t~. .................................................................................. at premises located at .~LO~.,~.....-~e~...A~e-~ ...... [ ............................. r ................................. .......................................... ~e~o~l,..E~t ............ So~the~.~t ............................................................. pursuant to application doted .............~O~el~ ......... ~[~[ ................ 19.~,~.., and approved by the Building Inspector Fee $.IQe, O0 .......... Building Inspector NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .W,/~3...Sea',coo~]...D~.;[~e ............... ............. Street Seawood Acres Map No ....................... Block No .......~ ........ Lot No....26.,~ ........ S.o[tthold ............................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................................... .0.q,..'~O.~,~,..~...., 1~,~ .... pursuant to which Building Permit No. 22..~2~ ..... dated ............................ O.~,t~b~......2~t., 1963..., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ..... ,~...~.e..t..e....~.ne... f. ami!~:...aw~ll~ ............................................................................... The certificote is issued to ~.ft~C~.B..~:..~.lZ,~e~I...C.Gll;[~S ........................ ~¢t~eZ'.S ...................... (owner, lessee or tenant) of the aforesaid building. H.D. ,~pproval March 196~ by R. Villa Building Inspector \ SCHD SUFFOLK COUNTY DEPI]~TI~ENT OF HEALTH Date March 2~$, 196h Building Permit No. 23~ TO ~,~OM IT ~tY CONCERN: The sewage disposal facilities £or a structure located at Lot 26~ .Seav~ood Acres Seq., 1- Baw~ew. ~q~+.h~l~ (~l~n~) (Give aeed location) ~ " have been inspected by this Department and found to be satisfactory. District Engineer TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved t~ 19 ........ Permit No. Disapproved a/c .... .._.~~..,.~ (Building Ir~pector) APPLICATiOH FOR BUILDING PERMIT INSTRUCTIONS a. _This application must b~e c~omp[ptely 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 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 port for any purpose whatever until a Certificate of Occupancy shall hove been granted by th~ 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, os herein, described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ........ ~%~ ~....~......9: ................ ¢~ .~.....C...~.~ .,,~.. ............... (Sign.ature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ O.~)'~R ....... Name of owner of premises ....... .~.;¢.~.~. 0.:l~...~.,....~.~,..~,.9,;~.~Jl..(}.,...~J.O..-~],.~.~..~ .................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which propgsed work wffl be done. Map No:S..e..~.,.~....~.A~?...~..9.~: ........ Lot No' ;~.2..~.. .... Street and Number .~~ .~..~.,, ...... ~~...~...:.~..L.....'i ............. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ..................... ~}~,z,..~d ................................................ b. Intended use and occupancy .Cot~H:b:~ua.tJ~oJo..o.i 1~I~. }1¢~1~ ,~o~. pOc~D~t~O~ 3. Nature of work (check which applicable): New Building ...... ,~. .......... Addition .................. Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost .....~..,~.~,t..0.0...0.~..O..©. ................................ Fee (to be paid on filing this application) 5. Jf dwelling, number of dwelling units ..... .0.~?:.e. .................. Number of dwelling units on each floor One 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 61~h.l.~ .................. Depth 2J3..I ........ Height ............................ Number of Stories..(~ ......................... 9. Size of lot: Front ,Tk0D..I ....................... Rear ..q CIC).! ................. Depth 10. Date of Purchase ........................................................ Name of Former Owner .~.~.&~'.q.o.cl...~.C~.r~.~...]]~P,,.~ ..... 11. Zone or use district in which premises are situated 12. Does proposed construct~ioJ ~;iolate any zoning law, ordinance or regulation? ....]~P ...................... 13, Name of Owner of premisest?'~.~,~,~..,~,.,.~..o.%,'L~D/tddress .~.(a~p.o.r,1..,Dz~.i~. ........... Phone No.~D.., Name of Architect ..9.~.0~.~.....~-.~.~;% ................. AddressW'Ad:L~.g..!Rz.~;e.~...~.o~,.. Phone No. Name of Contractor ...................................... l~z~ez'~zcLe } o~es ~. ............ A~r~14 ~,~}~,z'c.~.~...~.~.~ , ......... iff .,~.. .......... Phone PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions fr, property lines. Give street and block numbers or description according to deed, and show street names and indic, whether interior or corner lot, f STATE OF NE~ ) COUNTY ~OF ~.....) S.S. .................. '..~.~'~'q~g.,'~.8...~,~...g..g~],),,,q~ .................................. being duly sworn, deposes and says that he is the applicc (Name of individual signing application) above named. He is the ................... (Contractor, agent, corporate officer, etc.) of said owper or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements contain~q/~bi§q~[Clplj,cgtion are true to the best of his knowledge and and that t,he work will be performed i~ ~5,~t~! '~l'~J~[~yJn the application filed therewith. Sworn to before me this Comlmssio. Expires March 30, 1~~ ~...~."....~/.. day of .. ...~...~ ....... , 9~ J,/', ~,~_.~) ,_~ ~,,' Notary Pu!lic .~,~,¢~r~.,......~g..:.~~ ~~_., (Signature of applicant) Examined ...................................... , 19 ........ TOWN OF SOUTHOLD BUILDING DEPARTME~4T TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No ............................. Approved ........................................ , 19 ........ Permit No ................................. Disapproved a/c .... ................................. ................................ APPLICATION FOR BUILDING PERMIT Date...OO,l~Ob~l.:F,...~8~ ........................... , 19.6'~ .......... INSTRUCTIONS a. This application must be cpmpletely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing Iocotion of lot and of build,ngs 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 applicgtion. 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 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 ~ssuance 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. (Signature of applicant, or name, if a corporation) (A~Jdress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................................... OWNER ................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1 Map of Beawood Aec'eS Loc.orion of land on which proposed work will be done. Map No:$.eO.~t:~..]~e..y.~ti~w ........... Lot No: .~.6 ............ Street and Number .............................................................................................................. : ........................................ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................... 'Vt~.~"'~ ............................................ ~ ....................................... b. Intended use and occupancy .................. (]erld.~g,~.ol~,...o.~...~e~...~ttle...~....~o~p~ ............ : ...... 3. Nature of work (check which applicable): New Building ..... ..~.. ......... Addition .................. Alteration Repair .................... . Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost it1712'~000.00 , Fee : (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .0...~.~. ................. 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 construcHon: Front.~.~,.~.~.~, .................... Rear 6~1,.l.~..". ................ Depth ~t~..I, ................ Height ............................ Number of Stories..0~ .......................... 11. Zone or use district in which premises are situated 12. Doe"s proposed construction violate any zoning law, ordinance or regubtion? ....~.~. ........... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr, property Ii.nas. Give street and block numbers or description according to deed, and show street names and indic~ STATE OF NE ~Vv' yO~,19 ~ ~ ) COUNTY OF .~..) S.S. (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 app~icgtion; that all statements contained in this application are true to the best of his knowledge and the work w be performed n the manner,~s~t¥~.~/~tot~,~l~l)~gation filed therewith. and Sworn to bbfore me this , ,, u?. '3: t9g3, sufl01k County II ,~'-fZ C..)IJ 'T' E. 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