The URL can be used to link to this page

Home My WebLink About2412-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMEN'r TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .: ......................... IJ,..~.~.~.~J~..~.~Y~ ...... Street Map No. ,~a,y~e ......... Block No .......~ ........ Lot No ..... ~o~t, hoZI,dt....//.Z. ........................... conforms sub~antialiy to the Application for Building Permit heretofore filed in this office dated ......................... f ............ J~' ......... .~ijJ ...... , 19.(j~.. pursuant to which Building Permit No....~..l~[2.Z dated ............... i' ................ J~'""~'~ ...... , 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 ........ ...... /~l.V~e..o~e...$~mi 1.y.. 4wel.lAr~ .......................................................................................... The certificate is issued to ..... J//ll~.l~r~.~..J~a~ ................. ~1~ ...................................................... (owner, lessee or tenant) of the aforesaid building. H.D. Approval Au~. 10 1961t by R. Villa FOR~I NO. 2 TOWN OF $OUTHOLD 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? 2412 Z Date .......................... ~ .......39 .............. , 19.~.. Permission is hereby granted to: G.W. Smi.t~.- &-. ~eas...A/g .. Nta,~,ay-- ~eese ................ ............ ~matho~.4 ................................................ to .. :blS. Id...new.-eae...E. am~..3~.. &weZ..3.. -~t~ ..................................................................................... ct premises located at ..JJ/~.....j~joj.~h...j)~.~.j~..~lj,~,~,e, .................................................................... ........................................................ ~o~t~m3J~ ~..... 1I. ~.. ....................................................................... pursuant to application dated ................................. ~ ......... ~ ...... 19..(~., and approved by the Building Inspector Fee $~0.0(~ ........... FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No...~.. .......................... Application No..~.....~.~.!....~.... ......... Disapproved a/c .~]~~ ........................... i'l~';'i'l'~'i'~' .............................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. 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 property must be drown 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 cpplicont. 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 port for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of o 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. /7 (~Ygnat,~re of applicant, or nome, if a corporation) (Address of opplican~ State whether appl)~cont is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.. If opplicaBt is o corpora_re, si~ure of dul~. authorized officer. (Name and title of corporate officer) 1. Lo cation of land on which proposed work will be done. Map ¢,~: ~.~..~..~ ....... Lot No: ~ ............... Street and Number .~~.~...~~.....~~......~....'...~.,. ............................... Municipality ,/ 2. State existing use and occupancy of premises and intended use end occupancy of proposed construction: a. Existing use and occupancy ...... ~~.~'~ ........... b. Intended use and occupancy ~~.¢..~.c7~ri ................................ 3. Nature of work (check which applicable): New Building ....S~...... ...... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ..::.~..,,~'...~'...~..f? ....................................... Fee ...~...Z: .......................................................................... (to be paid on filing this application) 5. ]f dwelling, number of dwelling units ..... ~ ............. Number of dwelling units on each floor ............................ ~f garage, number of cars 6. If business, com~rcial 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 ...... Z...~ ........... Number of Stories ......~ ................ 9. Size of lot: Front ...... ~..~..~ ............. Rear ..... ~..F?..P ............ Depth ..~.~ .......................... 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? .~ ............................................... 13~ Name of Owner of p em ses .......... ~...~.~ ................ Address ~...~.:... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Contractor~.~..~.~.~..~Address ..... ~.~..~E.~....~.. Phone No ..................... Name of PLOT DIAG~M Locate clearly and distinctly ~1t buildings, whether existing or proposed, and indicate all 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. ' ss cou mv ...................... ................ ~~~ .............. b~ing duly sworn, deposes and says that he is the applicant (Name of individual signing application)~~ above named. He is the ............................. ~~~ ........................ : .................................................................. (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 all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in ~~t forth in the application filed therewith. ~'~'~ ' ~ ~i ~'~ ~~~Sworn to,before me this ~,~::~ ss 0n NOT?.~yr~0. s2-~v~:~l ~.~ ~"'"'"'~;'~ ~'~IS' ~: ~ st~. ~;~ ~'~' ;:c.'., ' ~ ............... --~,-., ......... ~.:.~ (Signature of applicant) ALEXANDER R, HAMILTON WALLACE B. LIVERANCE, dR BURKE 8( BURKE 5:~9 FIFTH AVENUE NEW YORK, NEW YORK 10017 COUNSEL FLORIDA OFF~CE 350 ROYAL PALM WAY PALM BEACH, FLORIDA 33480 (305) 655-0400 October 22, 1981 Mr. Edward F. Hindermann Office of Building Inspector P. O. Box 728 Town Hall Southotd, New York 11971 Re: T1281 - 2971, County Tax Map ~1000-71-1-7 Viola C. Perrin, N/S North Parish Drive Dear Mr. Hindermann: We are the attorneys for Viola C. Perrin who is the owner of the above premises. In accordance with our telephone conversation, this is to request a copy of the Certificate of Occupancy which was issued in May, 1964 to Mary Pease on the above prem- ises. A check in the amount of $1.00 is enclosed in payment of your fee. Thank you for your assistance in this matter. Very truly yours, Marcie Balint MB/amt Enclosure '9 i MAP OF LAND dOHN .T PED~IN AT' "SA'YVI E~V * TOWN OF' [OU'f'HOLD, IL~.( S-9 SUFFOLK COUNTY DEPARTF~T OF HEALTH Date 8/10/6~ Building Permit No. 2~12Z TO ~OM IT MkY CONCERN: The sewage disposal facilities for a structure located at North Parish~Drive, $outhold, (Pease) (Give deed loc~tion) have been inspected by this Department and found to be satisfactory~ District Engineer