The URL can be used to link to this page

Home My WebLink About2581-zFORa~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No .~.. 208~. ............ Date ........................... April....6. ......... , 19...6~. THIS CERT[FIES that the building located at ...8/~ ...J~0hoo.~...8.t; ................................. Street Map No ...XX. .............. Block No.:ICXX .............. Lot No ~ .......... CLl~C;hOgtt~.~...~,Y'e ............... conforms substanhally to the Application for Braiding Permit heretofore filed in this office dated ................................... Nolrelli3eJ,.....¥..., 19.~.. pursuant to which Building Permit No..2.~81..Z dated .................... JJo~ir ........ lJ'f, ............ ] 9..(~J~., was issued, and conforms to a[[ of the reqmrements of the app[icab[e provisions of the law. The occupancy for which this cerhficate is issued is ........ ...... l~il~ate...one..£e_~il,lr..dwell~n~ ..................................................................................... The certificate is issued to J4~h~..G[~vaanel.l.[..&..W~E~e ............................................................ (owner, lessee or tenant) of the aforesaid build,ng. H.D. Approval March 31, 196~ ~y R. Villa ....... ...... .......................... FO]~lVI 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? 2581 Z Permission is hereby granted to: HaroZd..Z~u~r.....AZ.~....Jol~..Ci~o~a~,e.~.Z.t..&..~,e ......... 3 28~.....~.e.ter~__ _~..~ .......................... .............. Ro,l~,onk. ome_ y ..... ]i~.~-& ......................... to ...... ~4ba.....ne~,. ene.. ~e~.~.. d~e~. ~ ~a~ .............................................................................. ct premises locoted at -.-~]D~]I~.~..~,~ ................................................................................................. ........................................................... (t~t~-,~ho~e~ ..... 1~.~.~ .............................................................. pursuant to application dated ............................ ~]3eXe....~k ...... 19.~:)~,., and approved by the Building Inspector Fee $..10.00 .......... Building Inspector / S-9 SCHD SUFFOLK COUntY ~JEP.%~[%I~ OF HEALTH TO ~OM IT ~Y CONCEPJ~: Building Permit No. ~.~z'~/ ~_. The sewage disposal facilities for a structure located at (Give deed location)' have been inspected by this Department and found to be satisfactory. District Engineer MAR 3 1 1965 FOEI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........ ......... , Approved ........................................ , 19 ........ Permit No ................................ Disapp roved a/c ....~~~ .......... ~~ .... '- ................... ......... ..................................... (Building Inspector) Application No ......................... APPLICATION FOR BUILDING PERMIT t NSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin, Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o areas, and giving a detailed description of layout of propertymust be drawn on the diagram which is part of this applicatior 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 wdl issue a Building Permit to the applicant. Suc 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 port For any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE lo the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances , Regulahons, for the construction of bu.ldings, additions or alterations, or for removal or demolition, as herein describer The apphcant agrees to comply with all aeoplicable laws, ordinances, building code and regulations. ............ (Address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ..... .................................................................................................................................. Name of owner of premises ...................................................................................................................................... If applicant ~s a corporate, signature of duly authorfzed officer. (Nome and t~tle of corporate officer) 1. Location of land on w,hich proposed work will be done. Map No ,. ........................................... Lot No: ................. Street and Number , Municipahty 2. State ex,sting use and occupancy of premises and intended use and occupancy of proposed construction: a, Exist,ng use and occupancy ...... ~~ .................................................................................................. b. Intended use and occupancy . ..J....~ ~r / 3. Nature of work (check which applicable): New Budding .................. Addition .................. Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................................... 4. Estimated Cost ........~./~..~..0...0...0..~ ................................. Fee ......................................................................................... ,,, (to be paid on filing this application) 5. If dwelhng, number of dwelling units ...... ..~....~...~.. .......... ~?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. D~mensions 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 ......................................... * . ~9/- ~- ~ L~v 8. D~mensions of entire new construction. Front ........................... Rear ............................ Depth .......................... Height ....... J.?. ................ Number of Stories ...~..~.~.?. ............... 9. S,ze of lot: Front .... t...O....O_. ........... ., .... Rear ..... j...O...O.. .............. Depth ....L~.2 ...................... 10. Date of Purchase ........ ]~.7.~.,.~.....~'.. ............................... Nome of Former Owner .3.~.~..~.......~...!.~...J,.~,.~.~.~.....~. ............. 11. Zone or use distnct m which premises are s~tuoted ............................................................................................... 12 Does proposed construction violate any zonma Iow, ordinance or regulation? .................................................... 13. Name of Owner of premises~.!...~.~:...~,.J.9. ............. .,~...JAddress .J~..~..~:..M.....~.r{..~'..°'..~!. Phone No.~..aJ..T..~..7.( Name of Architect ...................................................... Address ................................... .~, ..... Phone No ................... Name of Contractor ./(J?t(~.¥..J.J~....~. ~.. ........................... AddressV..~.~...:J~...~..;...J~.?..I/!J.O...d.J.(~.~.~/Jphone Nc~J..0.:.~.?...!~.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro, property hnes. Give street and block numbers or description according to deed, and show street names and ind/coJ whether ~nterior or corner lot. ,6" -r'o STATE OF NEW YORK, ~ S.S. COUNTY OF ................................ ........................ .0. ........................................................... being duly sworn, deposes and says that he is the applio (Name of individual signing application) above named. He is the ..... .~.l~.l~-.{].~....~....({'. .............................................................................................................. \ (Contractor, agent, corporate officer, etc,) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and th~s application, that all statements contained in this application are tree to the best of his knowledge and bel and that the work will be per~ormed in the manner set forth ]0 the app~qation filed therewJth. Sworn~t° before meda this / } . ~ot~ Publ,c~(Stnt~ o~w Y~rk~ ~ ................ I'"~ ......... ~ ....... ~ ................... ~ .......................... Nota~ Pubh~.~l~t~.~....~.. County f (S~gnature of appli~t)