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Home My WebLink About2251-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, ~1. Y. CERTIFICATE OF OCCUPANCY No..ZlS~.O ............... Date: .................. 'A~;~"l"....~.2 ............... , 19..~+. THIS CERTIFIES that the building located at ..... ~./~..f]t~]..l~.~;~l~..~/~. ..................... Street Map F~o~'.S..~..~.~ ....... Block No ....................... Lot No. ~6.t~.j.b~. ....... ~t~hO~tte'j'"}f~'~:i .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................... ~.V.~I~. ....... ~.8 ............ , 19~]... pursuant to which Building Permit No..~.~.~.~... dated ...................... .~o~em.~eI~.....~:¢}...., 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 ........ ........ Pr. tv~te..en~..~. ~i.ty...d.~e~:t~.~ ......................................................................................... The certificate is issued to ......~.~.i.~..~l~.lrt.~.e~ .......................... (~/lr~p ...................................... (owner, lessee or tenant) of the aforesaid building. H.D.Approval April ?, 1~6~ by Robt Villa. ......... .............. Building Inspector' FORM NO. ~ TOWN OF $OUTHOLD BUiLDIHG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOU), FI. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: pursuant to application dated ................. i ....... ~t)e~.t...t~;;..,., !9...~ ~n~ appr<~ved, by-the Building Inspector ~0~ ~he ee'~1~ae~ ~houl~ l~e ~tn~ ,,',the aYe~'j~e~£ the S-9 SGt{D SUFFOLK COU~fY lJEPi!~T~ENT OF HEALTH Date April 7; 196h Building Permit No. TO ~,~{OM IT MAY CONCERN: The sewage disposal £acilities £or a structure located at n/s Stillwater Avenue, Cutchogu% (Hohnken) (Give deed 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. Examined ........ 2...., Approved ........................................ , 19 ........ Permit No .............................. Disapproved a/c Application No. ;.~.. ........ .~..../. ....... APPLICATION FOR BUILDING PERMIT Date November 18~ 19 6~ 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 drown on the diagram which is part of this applica- tion. 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 o 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 Regulalions for the construction of buildings, additions, 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) Montauk High.Cay, H~.tmpton Bays, N.Y, (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, p]Lumber or builder. Builder Martin Nome of owner of premises .................................................................................................................................................... If appl~c~n~corpo,~O~ ,,~gnoture of duly authorized officer. (~and title oF corporate officer) ........................................ 1. Location of land on which proposed work will be done. Map No.: 1~0 Lot ~o.: ...................... Street and ~'umber ~ $~tllwate~ Avenue~ CutohoEue~ New York . Municipality 2. State existing use oud occupancy of premises and iutended use and occupancy of proposed consSruc[ion. o. Existing use and occupancy ................................................................................................................................ b. Intended use and occupancy Hesi~en~.e .......... 3. Nature of work (check which applicable): New Building .................... Addition. ................. Alteration ............. Repair .................. Removal .................. Demolition ............. ,... Other Work (Describe) .................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ................................ Nd~nber of dwelling units on each floBr ....................... If garage, number of cars ..................................................... .: ......................................................... : ........................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of usS' :;.,....: ....................... 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 .......... .,~.a ........ ; ...... Rear ...... .~.~ ................... Depth ~..~.1~1 .................. Height ......... ~.~.. ................ Number af Stories ...........~ ...... i .......... 9. Size iof lot: Front ........ ~,,~.t. ............. Rear ........ .]...~.~, .................. Depth .............................. 11. Zone or use district in which premises are situated. '"A'"~.'"Relll&~.~,l~'J.'e,t ......................................................... 12. Does proposed construction violate any zoning ]aw, ordinance or regulation? ..... ~ ............................................... Nome of Architect .... Address Phone No. PLOT DIAGRAM Loca~e clearly and distinctly ali buildings, whether existing or proposed, and indicate all~ sehback dimensions fr property lines. Give strest and block numbers or description .according to deed, and show street names and indic whether interior or corner lot. STATE OF NEW ~'~,~t, ) COUN Y ~OF ............ . ................ ) Gene ,T ................ , ................................................................................ being duly sworn, deposes and says that he is the opplic< (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 a~d to make and file th~ application; that all statements contained in this application are true to the best of h~ knowledge a,nd belief; that the work will be performed in the manner set forth in the application filed the~/ Sworn to Before me this . . ~.~OR /~ ."/ // TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ....... ..... Appraved ........................................ , 19 ........ Perm t No .............................. Disapproved o/c · ';" .............. ........................................... ......................... ......................... Application No. *~)J ~- / APPLICATION PaR 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 applica- tion. 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 applica:nt. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No buiJdlng 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. Parliament Homes, Inc. (Signature of applicant, or no, me, if ~ corporation) Montauk Highway, Hampton Bays, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder Name of owner of premises ............................. .~..~.~..~.;I,.~,...~...q.h~}f..e.~. ..................................................................................... If appl' ~ c p, re, signature of duly authorized officer. .... ;....~..(....' .............. ~ ................... ~lName and title aT corporate officer) ........................................ ,. 46, 1. Location of land on which proposed work will be done. Map No.: 1~80 Lot ~XlO.: ...................... Street and Number ~/.~. Still~.~De~ ~y.~q¢, C.w..t. ch0.g.~.~, ~¢.W ~..O~.}f. ' ' Municipglity 2. 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 ~sld~n~e .......... 3. Nature of work (check which applicable): New Building .................... Addition .................. Alteration Repair .................. Remova! .................. Demolition .................. Other Work (Describe) .................. 4. Estim~ated Cost .......~.]...~.~.~.~,~..,..0...0. ............................... Fee ..~.10, O0 (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 b6siness, 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 ................................ 20 8. Dimensions of entire new construction: Front .......... 5.8. ............... Rear ...... 5..8. ................... Depth 28 Height ........ .~.L? ................. Number of Stories ...........~ ................. 9. Size of lot: Front ....... .[L~..~. ............. Rear ........ ~.~.~.'. ................ Depth ....... .]:.~..2..~. .............. 10. Date of Purchase ...... ~/...]:.2.../~...9. ................................... Nam~ of Former Owner J'/[. S. Ha:ncl 11. Zone or use district in which premises are situated.....A.....-....B....e..s..~.d...e..n..t;..~.a...]:. .............................................. .......... 12. Does proposed construction violate any zoning ]aw, ordinance or regulation? NO 13. Name of Owner of premise~ ..~,9.r..t.i~..El~hz'zk~zl.. Address ]5.'1 [L...Taf...t;...~,.V..e..,.~...n..t..a.~;l'Phone No. Name of Architect ....................... .V..-..T..-. ................... Address ................................................ Phone No. Na me of Cant ractor ~.2 ~.1~ J..9,;?.~ il J2.. t:I.0. ~.~. ~.....Z.~..~..~ Address }.]. ~.~ p...t..O..n.....B...a,y..s.. ~.....N..: .Y_ .: ..... Phone No. P,A 8 - 0L PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing 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 indic whether ir{terior or corner lot. / I L~-I STATF OFi NEW YORK, ) COUN~T.Y ,O ~F ...... S.u£.f. oJ.k.....) S.S. ............. O...e..n..e....~..~...~.q.a...v.~.zt. ....................... being duly sworn, deposes and says that he is the applica (Name of individua! signing application) above named. He is the Coz'poz'ate Offioev (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 file applicationJ that ali statements contained, in this application are true to the best of his knowledge and belieF; ar that the work will be performed in the manner set forth in the application filed therewith.~,-'"') Sworn to b~fore me this I~qC r~ / / //// .......... 1. h.... d, gy/of ....Ng.'z.~mb.~.r ............... ~'~'Ij~IC'STATEOYN'~e-- ~,~ '.. .................... ...... , // ~New York C~. ( ,let k's ~ Rag's. Otflc~