The URL can be used to link to this page

Home My WebLink About1976-zFOEM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..Z..t6.'71~ ............ Date ...................... AUg. u~t ....... 19 ....... , 19...6.~ THIS CERTIFIES that the building located at ...t]./j~.....O~.d...~roz.¢.h..~oe,~ ..................... Street Map No ...... ~ ......... Block No .......... ~ ...... Lot No. y,,.,¢~ ....... ~O~Ch.o.,l~ .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................... ~t~1¢1.8,~ ...... '~6", ]9.~.~.. pursuant to which Building Permit No, dated ............................ ~r~ .~8,.~.~...,.[[(~., 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 ........ ......... P~.iva.te..One..F~,l.~..d.We.ll .~ ~,lg ........................................................................................ The certificate is issued to ....~el~.....~.ev~ ........... .,0~1~; ....................................................... towner, lessee or tenant) of the aforesaid building. H.D.Approval August 19, 1963 by R. Villa BuiJding Jnspec~or FOI~I ~0. ~ 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) N.° 1976 Z Dote ........... ~'~L~',AI'~......~I .................... 19.6.~.. Permission is hereby gronted to: New..F~lamd...Home$...Iaa.....A~.~..A~.end..~iaver s .............. ~t...?a~aes...L.;[.. .................................. to ....... Bu.~-td...ne~..on~..gam£1y..d.w~ll&.ng ............................................................................... ot premises Iocoted ot ....~/S..Old...Nor. th..Road...f, op~..l~t....~e~..Ay~) .......................... ......................................................... Bo~tl~o:~l ................................................................................... pursuont to opplicotion doted ............................. ,l'aFt~.....~;6 .........19.~.~.., end opproved by the Building Inspector Fee $']:0i ................. Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ? E×om ned ...... ; ..... ...... , 19....~..~'~ ?.~.~. ~ 19.~..~..Permit No.z ............................. Approved .....~ .... ~....Z~..m., ~ Z ~ ~ Disapproved a/c ..................................... z ...................... :z .............................. (Building, Ipspector)cf ,~j//% APPLICATION FOR 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 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 appliconi-. 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 )nspector. APPLICATION IS HEREBY MADE to the Building Departmeni, 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. Ng%; ENGLAND HOMES, INCa (Signature of applicant, or name, if o corporation) .J~t~.HO...TUPJ/P. IX~,...ST,,..JJ%Y~,..~ .............. (Address of applicant) State whether applicant is owner, {essee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~,V.~.~i,...H.~..~.:k~F.C~.~. .................................................................................................................. 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: ..................... : ...................... Lot No: .................... Street and Number ............... ~auth..~fcde..~£..N~r~h..~a~..&~zt.e~.~¢.~.~.~e.u~h..~v.~n~e~...~u~hc[d .......... 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 ...... ~}Le...l:..1..i.~g ........................................................................................................... 3. Nature of work (check which applicable): New Building ...... ~ .........Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ....... ~.]r.?.~.~.0..0..'. ..................................... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .o.~..e. .................. Number of dwelling units on each floor ............................ If garage, number of cars ...... .o~¢. ................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature.and extent of each type of use ......... ? ...................... 7. Dimensions of existing structures, Jf any: Front .......................... Rear " Depth Height - Number of Stories Dimensions of same structure with alterbtions or additions: Front .................. ~ ............. Rear ...'. ............................ Depth ................-. ........... Height ........................... '.....Number of Stories ........................................ 8. Dimensions of entire new construction: Front ........ .6..~..! .................. Rear 6)41 Depth 291 Height '16t Number of Stories ......... i....0.~.~ ................ '1' I ! ' 9. Size of lot: Front ........... 3.~. ................ Rear ...... .2..8..0,....~?.~.e.j~, Depth .[l~..~,~.(~.l....~./.~....-....~.~..~....e/s 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 or regulation? ...... /).o. ............................................ 13. Name of Owner of premises ...A.~.e..g.8....S..~...e.¥.e...z'.s. ............ Address 25~4 ~,~,rtco],~. 3.'L~'cle Phone No..g.A...-.~.-.~.~..0~.. ......................... Nome of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ...~..~F...~.~..~.~.~.ct...~{.9..~.9..~.]~.~9.~......Address~..e.~.j:.~..b~..~...?~.~..~.~t~ Phone No. PLOT DIAGRA,M Locate clearly and distinctly ail buildings, whether existing or proposed, and indicate oH set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW ¥OPd(, "~- ) S - CO~UNTY.~__,. /'~ . C/ ~ 9F .~-,~.-,:k::~..~..Z~.) .5. ,.~/..~.. ~..r..k...........*.............,... .................... being duly sworn, deposes and says that he is the applicant ~' (Name of individuqJ signing application) /q above named. He .s the ..~..~.,..~/,,f ........ 2~ ........... ~ ............. .~.. ..................................................................................... (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 this o)plicotion; that ali statements co~t~i~ecll i,n~,,t, his application ore true to the best of his knowledge and belief; and that the work will be performlJ~J~, ~p~t[~S~0r[orth in the application f led therewith. Sworn to before me this No 52 ,~4,f983, Suffolk County, ..,. .................. Notary Ii . r