HomeMy WebLinkAbout1978-zFO~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No....Z..:~68k .......... Date .............. ~,ttc.~t~,~.....a3 .................. , ~9..(~.3.
THiS CERTiFiES that the building located at ..~VJ~C~,~gtq..~..t~:[~e,~..t;~ ........................ Street
Map No...~lr.~ .......... Block No ......~,XZ~; ......... Lot No..,~r~; .......(}~..ee~.~o72.t~...L,.lt ................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
......................... ~'a,~t~zt.~ ....... ~L,~. ............ , 19(3,1~... pursuant to which Building Permit No. ~..~0.~/~.
dated ........................... F~B~. e~.~...~...-., 19.~.., 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 ........
..... ~rl~.ate...one..£amily....d~.e~.lin~ ...........................................................................................
The certificate is issued to .....~e[.~oa..~e.~e ............................. ~e~. ..........................................
(owner, lessee or tenant)
of the aforesaid building.
..................Building Inspector~:"~;'";~';( .................... ~'
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
N.o
(THIS DERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
1978 Z
Permission is hereby granted to:
Date .................... ~ ............. 19.6~..
J'oseph..D.~u..~/~.....Nalaon..Bee~e ...............
.... Gx, ee~por t.t....L ~..~.~. .......................................
to .....B~i.t~.. ~e~..o~e...ff.a~,.ly.. ~I~L~,~ .................................................................................
at premises located at .:~.~.~m~l~..A~q~..&..~a~.~.sO~..~t ..............................................................
........................................... 6-~n~o~t~...L~.];, .................................................................................
pursuant to application dated ............................... ~..~,y.....~..~t ......19..~.],., and approved by the
Building Inspector
Fee $""]:O.4~ ........
Building Inspector
TOWN 'O1~
APpLICATiON I~OR ~P]EC~AL EXC~P~N
APPLICA. TION
DATE
TO 'FILE ZONING BOARD OF APPEALS, SOUTHOLD, N. Y.
Name Street and Nuraber
Municipality
~ereby apply to TI-IE ZONIN~ BOARD OF APPEALS for a SPECI~z[, EXCEI~i'TON in ~cc~vdance: w~th the
z. OrN/N~ O~DIN~lXT~ AI%TIOLE ~T~ SECTION 30~
SUBSECTION
THE SPECIAL EXCEPTION IS REQUES~EDBEOAUSE ~ I wish to reduce the easterly side
yard of an ,,undersized" single tot (corner lot) in order to maintain
a full front yard setback on the westerly fron~ yard - on Fmdison Street
side of this lot. This is a single tot hela in single ownership at
the time of the adoration of the zoning ordinance and maintaine~ as Such
since that time.
The reduction of tbs easterly side yard will in no way harm or X~t~w~
interfere with the orderly development of the neighborhood.
Suffo
k
COUNTY
OF
)
S~om tO 9his 19 day of January 63
F~R~ ZB2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Examined., 19..~....~..
Approved ., 19.~.:Permit No. '~1 ~ 7 ~
D,sopprov a/c
............ ; ......... t ......... ~ .............................................. y""
............. ....................................................
..................... ~'i;~;~i;;~ .........................
Applicotion No. / ? 7 ~
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
(3. 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 applica-
tion.
c. The work covered by this appIication 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 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 Inspector.
APPLICATION IS HEREBY M,~DE 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.
gnotu f opp"cont, or o co orotion)
............................ .............
Stace whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
......................... .C .....................................................................................................
Name of owner of pram ses -~,./.~..~ ~..q..M.. ~. ~ :' ,~-. ~.~.~.: ~': ............................................................................................
If applicant is o 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.: 4,//~ .
Street and Number ............ ~.~.~./...L~.P....A~....iI~./L..?. ............... .~i/~,.~....~..~.~..~(..~.. '.'~...'i..~'.:...~'......~.~ .~....
Municipality
/
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 ......................... ~ .............................................................................................
3. Nature of work (check which applicable): New Building ....{~ ............ Addition .................. Alteration .%...: ..........
Repair .................. Remova! .................. Demolition .................. Other Work (Describe) ..................
4. Estimated Cost .......................... O'/z_,/~" ~.~.
-- .~./__00 '. ........................ Fee ........................................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ........ .O~.../~.....~'.. .......... 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 construction: Front ........ ~...~ ................ Rear .............................. Depth ..............................
Height ....... ../...~....~.'.( .......... Number of Stories ...... .4~....~'.....~:.. .......... ^/
9. Size of lot: Front ...../....~..~.1.~. ......... Rear ...~.~..P,,~.B..'~ .~. .......... Depth'...~:~,...Z...~...;...'.~."~I,p°9/"'-- ' - __
10. Date of Purchase ........ ,I'~..o. iE....I.:]j...../..~...b...~.. .......... Na,n~ of Eormer Owner
...... - , ...........
11. Zone or use d~strlct in which premises are s~tuated. ..................................................... .tr.:.... ................
12. Does proposed construction violate any zoning law, ordinance or regulation? ..............................................................
13. Name of Owner of promises ..~.~,/,,,EO/~...~..'.L~f'~..o.~..e. Address ....~i/.[....~./,b![P...~..~'..~'~p~..4~/~ ..... Phone No. ~...q.O..~'.'.6...~...
Name of Architect .................................................... Address ................................................ Phone No ...................
Name of Contractor ...... ~:.~..~'./P.~./~..v..J~./.'Z~.~, ..... Address ....~..~....~.2'~..~..~..~[.~g...~j~ Phone No..~..C]..~..O..7....
PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block numbers or description according to dee__d~d~and show street names and indicate
~h'~erior or corner lot. '
STATE OF NE~ ~R~.~~) _. ~
COUN~ OF ..~.) ~'~'
........ : .................................. bem~ duly sworn, depases ~nd says thor he is the opplicont
// (Na~e of individual sig~ application)
ob~ named. He s the ......... ~.4c~.~.~{~ .....................................................................................................................
(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
~plication; that all statements contained in this application are true to the best of his knowl~ge'and belief; and
that the work will be performed in the manner set fo~h Jn the application filed therewith.
Sworn to befor~ me this m
,
............. ':~. ~ :f ..........:~...., 19~ o"' ~ "