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Home My WebLink About2433-zFOB. M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N; Y. CERTIFICATE OF O~UPANCY THIS CERTIFIES that the building located at .~lll~t.~.~ ~ ~.~ ~.~ ..... ....~:~ Street O~ ~r~ ~lV k ot o~ Map ~ ....................... ~k~ ...................... L N conforms substantially to the Application for Building Per,it heretofore filed in this office~ted ......................................... ....... ...... , pursue t nt ~ ~ 19..~.. ~o which Building Permit No..~..~ doted ............................... ~.....~......, 19...~, was issued, ~nd c~nforms to ali of the requirements of the applicable provisions of the law. The occupancy for w~jch this certificate is issued is ........ ..~e...e~e..~..~.~ ...................................... ~ ....................................................... The certificate is issued to ~IZIIAI]..~II .................. i......0¥1~eF. ....... ~ ................................... (owner, lessee or tenant) of the aforesaid building. ll.D.Appz, ov~ e~te 22, 196~ FOEM NO. ~ 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? 2433 z Permission is hereby granted to: ...... W.,,.. m4,,~h~ /{~ ................................................. ........... R&vel~head y. · .g.~ ..~ ................................. to ...lhfl,&d...new..ene..~e~.t~..d~e-~.t~..n~ .................................................................................... at premises located at ..... ~o:l~..3,6..&....~g...(J~.e~'lJJ~'.t,..J~JJ..~l~..~k ................................. ........................... ~r~e.~t..~:t..&.Je~enth..~t, ....... Gr~enpo~.~ ............................................... pursuant to application dated ................................ ~'lllJ~.....,~ ............. 190Ji,.., and approved by the Building Inspector Fee $-~.0.~00 ........... Building Inspector S-9 SC~D SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit TO WHOM IT MAY OONCERN: The ~ewage disposal facilities for a structure located at /~ ~ , ('Giv® deed locati~o~ _~ .~ ,, .~,Y ........ " Distric% Engineer FOE~I NO. 1 TOWbl OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOuTHOLD, N. Y. Approved ........................................ , 19...]!..Permit No ............................ Disapproved o/c (Building Inspectf Application No. r~/'~/ 3~ APPLICATION FOP~ BUILDING PERMIT Riverside Homes Ino W. Main 8t Riverhead, N.Y. ~ 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 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 application 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 part 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 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. (Signature at' 9'l~litant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Own. e r Herman Reynolds Name of owner of premises .................................................................................................................................................... If applicant is o. corporate, signature of duly authorized officer. (Name and title of corporate officer) t. Location of land on which proposed work will be done. Map No.: ...~.~.cj .............................. Lot No.:~..6....~...~..8. ...... Street and Number ...~[.]./..~.~../..~....T~...i'.n...n..e..~..~.~..e...e.~..~.a~.n..d.....~.~.h.~..~.~.~.~ ............................................................... 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 ~,~]~ .y...~.?~' ~.O. w0.d 3. Not(Jre of work (check which applicable): New Building ..... ~ ............ Addition .................. Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. 4. Fsfimated Cost ..... ./...'~...~ .................................... .. Fee (to be paid on filing this application) 5. If d~,elling, number of dwelling units ..... C)~e .................... Number of dwelling units on each floor If g~rage, number of cars ..............0.~.~ ........................ 6. If bus~ness, commeraal 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. Dim~ensions of entire new construction: Front ..... ~.]. .................... Rear ....... ~.?. .................. Depth ..:~.~..~...~..~,~.!. Height l~t Number of Stories'....C)~e ................... Sizeiof lot: Front ....... c)..0..~ ................. Rear ....... ~..0..! ..................... Depth ......],...0.,0..! ................ Doth of Purchase .......................................................... No,ms of Former Owner ..g.o...~.0.(~. ft~ ......... Zone or use district in which premises are situated ....... Does proposed construction violate any zoning ~aw, ordinance or regalotion? ...... Z~O ....................... Name of Architect .................................................... Address ................................................ Phone No. PLOT DIAGRAM kocafe clearly and distinctly ail .buildings, whether existing or proposed, end .indicate all set-back dimensions f~om property lines. Give street and block numbers or description according to deed, and show street-names and indidate whether ihterior or corner lot. 10. 11. 12. .13, STATE OFi NEW Y,/'ORI~,,~ ,,/~) ,, COUNTY bF .,,~(~.....~..~D'D' ..................... ; ....... being duly sworn, deposes 'and says that he is the applic¢ ' (Name' of individua! signirig applicatiokl) above named. He is the .............. ~.~ : ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file application; that all statement,s contained in this application are true to the best of his knowledgegnd belief; that the work will be performed in the manner set forth Jn the app~tion filed therewith. Sworn to ~efor~e this . , -~ d 'i o t 24- '7 CO~ilO£E,~E BUIED A~ c z~r E