The URL can be used to link to this page

Home My WebLink About2030-zFOH~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N.Y. ,/" ~ :' of;the aforesaid building. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ~Zll,!,ei:..L~r~e~...G,'c~eri~ .................. Street Map~,'~iO ......... .-..-...-..-...-.~ Block No. -...-~,..-..-..~..-,.-...-.. Lot No ............... -..-..'~...-..-...--..-.~..-..-. ................................ c~/~forms substantially to the Application for Building Permit heretofore filed in this office dated · ~. ....... ,. ....... il~p~',~'l .......... '1'2 .................... 19.tt,3.. pursuant to which Building Permit No. dated ...... ,-~par. t..1...t.2, .............................. , 19..~e3., was issued, and conforms to all of the requirements pf l~he applicable provisions of the law. The occupancy for which this certificate is issued is ........ :"'"! ............................. ~ne..~f~a~i;~.~..~al.t.t,n~ ................................................................................ The certificate is issued to ............... ~ttt~r/~,,etl,l~e...~lt~3~t~..,i[.~. ............................................................... ~ ~owner, lessee or tenant) / FORM 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) N.° 2o3o z Dote .................... ll,~.. ....... .~ .............. 19..~3· Permission is hereby granted to: La,~l,~ne~ ·..~l:u$,h.~.l:l ........................................... .......... ~l~r~ ............................................... to ...... Bu~ 1~ .. ~ew ·. ~ne...ff. a~.Iy...dwe.l.t $~ ................................................................................ ot premises Iocoted of ...... ~.ll.l.e~,...le~le..e]~tell.~}.o]l ....................................................................... ................................................... G~por. t ~.....N,Y., ....................................................................... pursuant to application dated ........................... ~p:~..J~. .......... ~ .......... 19..~,,~., and approved by the Building Inspector Fee $....~.O.~OO ........ ' ' Building InspectOr NO. 1 TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×om ned ........... Approved ........................................ , 19 ........ Permh No .............................. Disapproved a/c .................................................................. (Building Ins~ector) Application No. i~ ~ '~ 0 APPLICATION FOR BUILDING PERMIT Date ................. .A. [~ .J....]. ............ .3...~ ....... 19 65 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 o detained 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 o 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 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. Lawr enc e'P"._ t~thi3.1 (Signature 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. ........ .q.~.~.¢.~. ............................................................................... Name of owner of premises ....Z~.-~.z'..e.~.e,~,...~J~l~bJ,.,J, ......................................................................................................... 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.: ...:~.Z,,;:~X ...........................Lot No.: ..~.~..~. .............. Street and Number ~;tO~,~...~.O,T~.O...O..~..~.~.~.$..o..n. ~ ...... ~.~.;0~..o..z'..~ ..... . ....... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy ........ ~.~..~t.~...~.Q.~ .............................................................. b. Intended use and occupancy ........ ft.~.ffJ.~;L~.... ~./....~.Qfl.,;,~.O.:F. 2'. ]9.~.J~C ~g .............................................. 3. Nature of work (check which applicable): New Building ..~;f~ .......... Add,ition .................. Alteration .................. Repair .................. Remove! .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ..... ~3.~.0..~)..0. .......................................... Fee ....... ..3:..0..? .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .C~ig, e~ ................... Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature ~nd 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 .......bc.~ .................... Height .............................. Number of Stories ..ozze ..................... 9. Size of lot: Front ...... 2.QO. ................ Rear ............ 2.C).Q .............. Depth ....... ,~,~..0. ............... 10. Date of Purchase ......... ~L96.0 ....................................... Na'me of Former Owner .......... ~.~.~T.b.~,..~!,...~.o.~.g ............... 11. Zone or use district in which premises are situated ......... !!A!!...di.a~ ......................................................................... 12. Does proposed construction via]ate any zoning !aw, ordinance or regulation? .................. ..~..o. ....................................... 13. Name of Owner of premises ...~gMP~.¢~t~¢.ff...~.t2,~;.$.~,ddress .............G~'.~.].q!.UD..o.~.t,.. ............. Phone No ................... Name of Architect ....... ~,~,~..2~,.!;.f~;~.;q ....................... Address ................................................ Phone No ................... Name of Contractor ...~'..o..n.~..~i.O.?.~:'L.!.;..~. .................. Address .................. .O.~,.Jz..e..?.~ ................ Phone No .................. PLOT DIAGRAM Locate clearly and distinctly et[ buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street end block numbers or description .according to deed, and show street names and indicate whether interior or corner lot. v STATE OF NEW YORICk[ ) COUNTY OF ..~'.g~.CM-.~¢ ......... ) S.S. ........................... ~f~.~.:R.~,tz~t;;.~,L....~.~Zt~}..~L.~.,} ............................ being duly sworn, deposes and says that he is the applicant (Name of individua! signing application) above named. He is the .................. .O34~r&q~' ............................................................................................................................ (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 application; that ali statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............. day of ...................... , Notary Pub'~c ,~,~Z...: ........ (Signature of applicant) 4t~~ .? ~ATH ,/'/ALL _~IN/NG '0 L4L.,.¢' / ~' / / 0 /o:/~' FOR REVERSAL of the h~use design~ th~se plans are reprinted (in reverse) on lhe back of each page· To facilitate qse af the revi~rse plan, take the main dlmenlions from the front · ~ .o~ sl~eet. - UTI£ I T'Y a-'o" ~L~ A/ DRAWN BY ~ APPROVED BY ~ RE(31STERED ARCHITECT design number s no. ~0-04 ~eldl STREET, dAMAICA 3=,N.¥ ~ ~, ~ .~ '1 ZZ5~~ ~ 073~Ar L3/IS£M£1V7- C~4kVL --I U/V£>LCA VA r£~ \ I?=-D~IN'DA Tl O A~ APPROVED BY SCALE I~4' = 1~.O' (OR AIEi NOTED) idesign number [ she~ no. ££ £ FA ~T ! I Idesign number [she . t no, $£C Ttc~A/ TH~U ~AP~GE -7-7I& 7-'1' A~I~ ETC. F,~O N Z- I FDUh(DA TI 0~ FILL _ /.,'#£;~Cl~ V,~ T£p , / -I DRAWN BY ~ APPROVED BY ~ design number I shee~ no, ]1 ,?. , ./ { L__J[ Ii t, ----~/££?LAC'£ DY T//L '.~/e oz,-- z~' DRAWN BY, ~" APPROVED BY design number [,h~ no, :4~ FPAMING' D£7-~/£ AT J4OT NOU~E ~c~/~ ~/~"./-'o° _ ~45~-AI£41T T/OA/ TYpIC4 L DRAWN BY, "~ APPROVED BY /~ /e/17'~'t-/~)v L)TI ~ ITy J~l.q co/, I I FA M / Z ,V' /<'/7'~',~./£.,V 7-£/2 ~ttz H ~r~ IDRAWN BY /~ '1 APPROVED BY CESSPOOL DETAIL I~_T~I L O~ OPTIONAL 5LI DI /qG NA,/i NI DO V~ IN FI2,~.ME WALL, NOTE: E~TF_FZlOI?. MATEFZI,NL5 MAV VAF2V. 2 EDLLL ~ OPTI O 1,4 EXTE R E NTE~.NC E DEl-Al 5NOWLNC OPT] ON ~T,z~ I [25, 6ASEM E NT T~ WINDOW~ I~ ~LI D Ih4~ Z.~ VOOD STUD5 WINDOW DRAWN BY APPROVED BY CAU LI4 HE~.D I NSTA L LA-IlO N DETAI 1_5 GILL ~VOOD JAMI~ RUDOLPH A. MATERN A.I.A. REGISTERED ARCHITECT