The URL can be used to link to this page

Home My WebLink About2305-zNO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~../.~......,K..e.~....]~.~.l~ ................................. Street Kennywood Map No ....................... Block No .....?.~ .......... Lot No. ,..2.~.l~.....~,q.~..[.hg,~,d.~...}[~..~., .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................ }.~..~.g.h.....,.~ , 19..t~.~.. pursuant to which Building Permit No. dated ....................... ~..~...e..h......~. ....... 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 ........ ....... .......................................................................................... The certificate is issued to ....~..~.~.a..~.d.....A..b..~.~.. ............ .O...~..[l...e...~..-...B..l~.~..~.~..e.~ .......................................... (owner, lessee or tenant) of the aforesaid building. H.D.Approval April 1, ].96% by R, Villa ....... ~.~. ~.@.~..~..~... j..--. ~-~.~...~...~....-~.., ............... Building inspector [ FOKM NO. ~ 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? 2305z Permission is hereby granted to: ·.~.,&b,t~,..;A/~....~ee~,,. ......... ....~ta~lc..: ....................... : ...... .~...:..~ ' Building Inspector Fee $~. ........................................ :..,...~em'~..]~a~ r .,.;.~e~t~.. ......... ; ................................ ,..., ............ pursuant to ~pplication dated ,.... ................. -.~e~:::.;,.~., ............ 19,~., and apprOVed by the SCHD SUFFOLK COUNTY DEPARTI~NT OF HEALTH Date ~PR - 1 1985 Bldg. Permit No.~ TO WHOM IT MAY OONCERN: The sewage disposal facilities for a structure located at , i~' ~ ~/ ~" ~ (Give deed location) have been inspected by this Department and found to be satisfactory. District Engineer FOP~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD; N. Y. CERTIFICATE OF OCCUPANCY THIS CI:RTIFIE$ that the building located at .~n~.~...~O.~,..~ .................. Street Map No....K~/a~'l~OD~Jlock No. '....~J~ ........ Lot No....2~. ............................................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................................... Z~,~'~h...9 ...... , 19.,6~.. pursuant to which Building Permit No...~..~..g.~..~.. dated ................................. ~.~.C,J'i...~,....., 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 ........ ..................................................... ~...~am.~.%y...d~el.1 ~g ..................... ~ ........................................ .... The cert,f,cate s ssued to ........ ~.~l.~.~..~..~.,...(~.O.l~.~,~.~.q~t ........ .(._ .......... .....~..i.~ .................. (owner, lessee or tenant) of the aforesaid building. /~, V~ i.t IN ........... .......... ................... Building Inspector [' FOEM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N: Y. E×ami ed ........ ....... Approved ........................................ , ]9 ...... Permit No ...................... ................. ......... .... i'"'"'""" ........................ AppII ICATION FOR BUILDING P£RMIT Application No. ~ ~ O ~ 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 o detailed description of layout of propertymust 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 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 Jn whole or in part for any purpose whatever until a Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the i'ssuance 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. E~w. Abi tz (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. Contractor Name of owner of premises .g.~PZ:g.~ .V. QT~J.~&GS.O.~ .................................................................................. If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ..... ~.e..~r)[.~..~?..o..o..d. .................. Lot No: 26 Street and Number 1J/./.S }£ezz~.~y I~,~.a~:] ~ t/.t~..t.t~..llVtC.k ........................................ ; ..................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... .~..~,~:.~.~...,~.p.,~q3, ................................................... b. Intended use and occupancy .0~' /.'.~v~j~-~: ch,mZr ~ ~g . 3. Nature of work (check which applicable): New Building .... ..~.?P.<.~},.~.. Addition .................. Alteration Rep, lair .................... Removal .................... Demolition .................... Other Work (Describe) 4. Estimated Cost ...... ...~....~...¢~..T~ ............................. Fee 10 (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... f~;0.g; ............ Number of dwelling units on each floor If garage, number of cars 6. If I~usiness, commercial or mixed occupancy, specify nature and extent of each type of use J 7. Dimensions of existing structures, if any: Front .......................... Rear .......................... Depth Heibht ............................ Number of Stories Dirfiensions of same structure with alterations or additions: Front ................................Rear Depth .............................. Height ........................ ...... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ......... .Lk.Lk .............. Rear ........... !f}k ............ Depth ........ Height ............................ Number of Stories ....2. ..................... 9. Siz~ of lot: Front ....~.5. ................... Rear .......... 2.~ ............. Depth .......... ~.~3., ............. 10. Dat,~ of Purchase .............. ~.9.~..~. ................................ Name of Former Owner 11. Zon'e or use district in which premises are situated ....... !]~,l]...C~,~ ..................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............... ~.0. Name of Architect ...~.,...,&~)i~S .............................. Address ........ tvi'-~,e~.{;.J..~Z~,~}~, .............. Phone No. Na+e of Contractor ........... !! ....................................... Address ............... !! ........................... Fhone No. I PLOT DIAGRAM I.ocat~ clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr property lines. Give street and block r~umbers or description according to deed, and show street names and indic whether interior or corner lot. '] STATE OF ,NEW,~OgJ~, ~, COUNTY 9F ........... / s.s. .............. , ............ t..~M...../b~,.~.z ......................................... being duly sworn, deposes and says that he is the opplic¢ ([xlome of individual signing application) above namid. He is the .......... j (Contractor, agent, corporate officer, etc.) of said own, er or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements contained in this appli.cation are true to the best of his knowledge and beli, and that th, e work will be performed in the manner set forth in the applica~g,n filed therewith. Sworn to before me this , . ......... ............... Notary PuBlic, ..~..~~..2j[ou, pt~v ' //~otary Pubkc, State of New York Commlssio. Expires March 30, 19/,~~'' F__. L_FF_ ¢,,:..x Fl C_,k.d F'L) LL. F'-C¢ u~ kJ Dx%'"F! C)LI PLAkJ I i .il j iI' FLc)or-z~ cUo~h-C 44L o~ ¸,4