The URL can be used to link to this page

Home My WebLink About2143-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDIt~G DEPARTMEt,4T TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No .~. :]j~.~J ............ Date ..................... I~3L...26 ................ , 19f~L.. THIS CERTIFIES that the budding located at ...~'Jt,..~,O,W~ .OJ'.~...~/j]...~l~r...~..~..~/;~l~ Map No...,,'IZ~ ............ Block No ~ ........... Lot No ..~ ......... ~O~t;hO~;L/...N,.~, ............. conforms substantially to the Application for Budding Permit heretofore filed in th~s office dated ...................... A~iiJ ....... .~[(~'~$~d), 19 63.. pursuant to wh,ch Bu,ldmg Permit No ...~823~ dated ................~L~.B~......¢). ........ , 19 6~., was issued, and conforms to all of the requirements of the applicable prows~ons of the law The occupancy for which this certificate ~s ~ssued ~s ...... ....... ~,v~t~..o~...f. _~.~.. ~ .1.1 ~.r~ ............................................................................... The certiflcat,e is issued to ....... {~O~.~,.E~:~I~ ......................... ~l~e~. ............................... (owner, lessee or tenant) of the aforesaid building. ~.D. Approval Nay 196¥ by R.Vil!a Buddin~ Inspector FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING D. EPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2143 Z Permission is hereby granted to: Iieo,z,~e...~e,_ z~ten .................................................. ..... ~e .~. Hei~t~a~..-~,.E., ......................... to .... r~ ..l;~l~t- ..Z~:~ ....................................................................................................... at premises located at .~i~,~.~l~,.~....]~/~.,~c~ts~,c...I~e.j o~,..~,,,/~. ~'¥1'ezr"R~ad ............... ............. ~ ................................. Bo~tJ~t,~L ............................................................................................ pursucnt'to cpphc~hon d~ted ......................... ~l~t~;"'"~ ............. 19~..., ond approved by the Budding ,inspector S-9 SCHD SUFFOLK COUI,FfY DmP.~ ~r_~ OF HEALTH Date 5/25/64 Building Permit No. 1823Z TO ~'~OM IT ~Y CONCEPJ~: The sewage disposal facilities for a structure located at e/s Sunset Lane off off ~/~ Ba.vview Rd.. Southol~ (Give deed locati°n) have been inspected by this Department and found to be satisfactory. District E'ngin~f FORM NO. 1 TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ~ ~ 19 .......Permit No .................. ................... (Buddm~ lnspector) APPLICATION FOR BUILDING PERMIT Date. . .A...~.~.u...S.t .......~ ........, 19~.~. INSTRUCTIONS a. This opphcotmn must be completely filled m by typewriter or m ink ond submitted ~n duplicate to the Buildin Inspector. b. Plot plon showing tocot~on of lot ond of buddings on premises, relahonship to odjoming premises or pubhc streets areas, ond giwng o detoded descnphon of Ioyout of property must be drown on thed~ogrom which ~s part of th~s opplicat~o, c The work covered by th~s opphcotion moy not be commenced before ~ssuonce of Budding Permit d Upon approval of thts opplicotton, the Building Inspector will msue o Building Permit to the applicant Suc permit shall be kept on the premises avadable for inspection throughout the progress of the work e No budding shall be occupied or used m whole or m pa rt for any purpose whatever untd a Certificate of Occupan- shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the msuance of a Budding Permit pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Lows, Ordinances Regulations, for the construction of buddings, additions or o Iterations, or for removal or demolition, as here~n describe, The apphcant agrees to comply w~th all apphcable laws, ordinances and regulations g e~r g.~...~ophen.. ...................................... (Signature of apphcant, or name, if a corporation) (Address of apphcant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrioan, plumber or budde Owner Name of owner of premises .... If opphcont ~s a corporate, s~gnature of duly authorized officer (Name and t~tle of corporate officer) 1 Location of land on which proposed work w. II be done Map No ..~ ................. Lot No .~..~.~. ...... Street and Number ~./...0../'~L' ~....O> .~] .~,./~ .... z'.~in. ~.~r .V~..e>.(.~.o~..d..~ ..(..~..~g...~e...~.. ?.~..e..-..~.~.¢... road ) Municipality 2 State existing use and occupancy of premises and ~ntended use and occupancy of proposed consfruchon: a Existing use and occupancy ~'aoa~t ].o~ b Intended use and occupancy . ~.q ..r.~n~.~.. bu.i!d.ia~, pe...r.m, it ~1~23 ......... 3. Nature of work (check which apphcable) New Budding .... .~...~.~.._~C.. Addition ............. Alteratton .......... Repair .................. Removal .................. Demoht~on ............ Other Work (Describe) ................ · ~ .~.. ~'....~.0....(..Z.e..~.~.~a~. ) .............................. 4 Eshmated Cost ....... .~.2.~.~.~.0 ................................... Fee . . (to be pa~d on filing this apphcat~on) 5 If dwelhng, number of dwethng umts . 0~.~ ............. Number of dwelhng units on each floor .. If garage, number of cars ....... tWc~ ..................... 6 If business, commercial or m,xed occupancy, specify nature and extent of each type of use ........................ 7 D,mensions of exist,ng structures, ~f any Front .............. Rear .................. Depth Height ...................... Number of Stones ............. Dimensions of same structure with alterations or additions Front ............. Rear ..................... Depth .......................... Height ............................. Number of Stones .................................... 8 D~mensions of entire new construction Front .~.0.. Rear ....... .~0 ......... Depth ......................... Height ....................... Number of Stones... otle ........ 9 S,ze of lot' Front ...... ~..0.Q ..............Rear . . ~00.. Depth . . ]..~'.Q ..................... 10 Date of Purchase .~{Q.~.....~k~.~. .............. Name of Former Owner . . ~c].~.,f., [~.L~.].~,~ ................. 11 Zone or use district ~n which premises ore s~tuated ...... u.&, ctJ.~t, .............................................. 12 Does proposed construction v,olate any zoning law, ordinance or regulahon~ .... ~Q ........................... 13 Name of Owner of premises .Qf~.Q.....J;~.O~l~e.~ . . . Address .... ~QS~-~.:~..~eJ.~,~8.. Phone No ~v~._..~'~.c). Name of Architect ..................... ~' ............ Address ........................ Phone No ................ Name of Contractor ............ ~ .Address Phone No PLOT DIAGRAM Locate clearly and d~st~nctly all buildings, whether existing or proposed, and ~nd~cote ail set-back d~mens~ons fron property hnes Give street and block numbers or descr~phon according to deed, and show street names and md~cat~ whether mter~or or corner lot r STATE OF NEW YORK, COUNTY OF ...~.L~..~.OI~ . .) S S Geoz'~e 3:ophen ...being'duly sworn, deposes and says that he is the applican (Name of ,nd,v,dual s,gning apphcat,on) above named He ~s the ....... 0.~.~ ......................................................................................... (Contractor, agent, corporate officer, etc ) of sa,d owner or owners, and ~s duly author,zed to perform or have performed the said work and to make and fi[ this apphcat,on, that all statements conta,ned ,n th,s apphcat,on are true to the best of h,s knowledge and behe and that the work w,II I~,.-D~.r~o~m.~d..£n,,,the manner set forth ~n the applicat,on filed therewith Sworn to..~,efo.~e~_m~Ntoli~[y p~'~at' e~o~'N~. Yo~ ~ ~, .. - ~.;-- ................. FOI~M NO. 2 TOWN OF SOUTHOLD 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) 1823' Z Perrpission is hereby granted tot Date ..................... ~T~,Tt, ...'1.6. 0teo~'ee...~pben. ................................................. pursuant!to application dated ................................. ~:I~ ...... ~t' ......... 196,9..., and approved by the Building Inspector Fee $'"1'0U00 .......... ~ , v Building inspector