The URL can be used to link to this page

Home My WebLink About2953-zI~ORiVl 1~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. CE:RTIFICATE: OF OCCUPANCY THIS CERTIFIES that the building located at Mill..~;. ~. M. ORiqgS. A¥~ ..... Street Map No...:IWW. ...... Block No..~J~ ....... Lot No,EX ..... ~.Oll.t;~O~.d,~..N.,M.,. ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... .D.c..~.e.l~llp.e.l~...~., 19.6~. pu.rsuant to which Building Permit No. ~¢)~ .:~. dated ......... D.¢OC~ll)beZ...~.., 19..6~, was issued, and conforms to all of the require- ments .of the .applicable provisions of the law. The .occupancy f. or which this certificate is issued is . .B~in~ss. J~u~..t~l.~ng .... .(~.~Yl~g~ ~ ~gn~k~). ................................ The certificate is issued ~o ...Soathold. aa~Xng, s ,Bank ........... O~mar. ,, .......... (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Appzoval ...... .~.~]~.* .............................. .../. ~ .~. ....... - ........ :..'.... :/ ......... Building Inspector ~ 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? 2953 z Permission is hereby granted to: Building Inspecto~ Fee $.~..0~ ............. H, R, Roovo.&.Seno...Z~o.....~....Southotd..gtv~nf 8 Bsnk .......................................... (e~v.$r~.s...Ba~...Bui. t~lt nij.) ................................................................. at premises located at ]J,/.~.....JI~:J.~..J~,..&..W~..'J'O'tII~J{J...~V.~ ........................................................ ........................................... 5~ut,~&~....li,~'o .................................................................................. pursuant to application dated ............................... ~J)~uJlJ)oF...6 ..... 196~..., and approved by the ]IOTE! THI~ PIER,IT COl/ERS COI~TRIZITIOg OF II)DITIOII TO BUILDINO ONLXI ALL SIGNS, CURB COT~ ~ TO BE CONSIDERED ~EPEI~TF, LZ, Building Inspector FORNI NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................................ , 19 ........ Approved 19 ........ Permit No. 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 adioining 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 b,/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 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 hove been granted by the Building inspector. APPLICATION IS HEREBY MA.DE 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 o~: buildings, additions, alterations, or for removal or demolition, as herein described. The opp~,icont agrees to comply with ali applicabJe lows, ordinances and regulations. (Signature of applicant, or nome, if o corporation) (Ad'dress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. if applican~is a corporate, signature of duly authorized officer. (Name and titTe of c,~rporate off~__~r~ x- t. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ...................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition ..~, ........ Alteration ..~ .......... Repair .................. Remova! .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ..........~. ....... .~..~...1~..~..~...~}..~...,...~.. .......... Fee ........................................................................................ (to be paid on filing this application) 5. If dwelling, 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. Dimensions of existing structures, if any: Front .....¢~.......~ ............. Rear ....~..~....'...~. .......... Depth ..................... Height ..~.~.'..(~.~. .......... Number of Stories ..................... .~ ..................................... Dimensions of same structure with alterations or additions: Front ..... ~........~ ............... Rear ....~..,~.~...~.~ ............ ._. ,_ Depth~.;~ .......... ..~...I......~..... Height Number of Stories ....~.....~.....!. ............. 8. Dimensions of entire new construction: Front..~...~ ...... .~. ............. Rear ..~.~ ....................... Depth ..~./. ...... .~. ............. Height .....I.~. ................... Number of Stories ...... L..... ................. 9. Size o~ lot: Front ...!~..~t.:...O.O..~. ......... Rear ..... ,/..."?.l......~.'~.j ........... Depth ~ ¢,~2o 10. Date of Purchase .......................................................... Na,m~ of Former Owner .................: ...................................... 11. Zone or use district in which premises ore situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... ~.¢~. ............................................. 13. Name of Owner of premises ~.Z.t-l.~.~.~&.v.,.~!~..~.?..~ddress .I~AI~..~J~D.,~.,~.~.~.~,~B.. Phone Name of Architect .~¢/./~..,....C./~1~...~..iI~,,~N ...... Address ,.~..~,../,,.~.l~.,.~f~.~.~.~.~.L... Phone No.~...|.'..~l..%~.~...~O Name of Contractor ~.I~.\r¢~ulL.~,.~.v.~£,%~.... Address .~-~&IN...~O...~...~. &~.L~.~.¢,IC.. Phone PLOT DIAGRAM kocote clearly and distinctly ail buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers descri rnerlot. '~ K whether interior or STATE OF NE .W/fYO, I~K~ ) e o COUNTY OF ../¢~ ........ ) · ' /~t~.¢~.q,.I~ ...... ~.~...¢.*~ , . . being duly sworn, deposes and says that he is the applicant (Name of individua! signing application) above named. He is the ............... ..~..~.l~1.¢.J~.1,,.......(~.O.~..."~..1¢~..~...~..~'.~ ............................................... (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 the manner set forth in the application fil~ed therew th. Sworn t~o before me this ~, .... .......... of .......... . Notarv Public ~-~¢" ~ ~!ic,~t~f,~ ..... ,,~.,~,,~,~. ~,,,/~F~ / Residing In Su~o~k County Cornrlll~sion Expires March 30, 196