The URL can be used to link to this page

Home My WebLink About2767-zFOI~ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CI~RTIFICATE~ OF OCCUPANCY No...~..~2.?.1 ............ Date , OC~Ob~ ~1,1 ................ , 19.~... T~/Is CERTIFIES that the building located at -8~..~..~.C,...g~'.~,..~U~O~Street Map No ...... ~ ......... Block No .......~ ....... . Lot No ....................... ~ ...................................... ~onf s substantially to the AppJi tion for Building Permit heretofore filed in this office dated ...... /,. ...................... ~...~ ............. ./ ....... , 1~5 .... pursuant to which Building Permit No. dated ..................... ~..~...~ ................ Z'"'" t9~.~..., was issued, and conforms to all of the requirements of the applicable provisions of th~'~aw. The occupancy for which this certificate is issued is / , a~dSt~on to su~er of the aforesaid building. Building Inspector FOI~M 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? 2767 z Date ~ 2~' 19 6~ Permission is hereby granted to: Goldsmith Building & Construction .......... .................................................. A/C D~ght Petttt to Build an adddition on an existing dwelling at premises located at lot, 99t Cedarbeaeh Park S/S Cedar Pt Drive F~st, 5outhold, N.Y. pursuant to application dated .................................. ...~..~. ....... .~. .......... 19..6..~..., and approved by the Building Inspector Fee $...~..e. _ ,(~ ............. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~,,~. ~ .......... ~, ............ ~.---~ ........ ~.~..... ........................ . ............................................. .. .. .. . ................ Application No ............................. APPLICATION FOR BUILDING PERMIT 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 a 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 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 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 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 9f buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. ...~.,~,~;:.~..,.~.~.,~./..: -" .,~..~..~..,~ ~'...d;.,~.~.;. ...................... · (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. .... ~.~.,.~,.~.,.~, ................................ i ................................................................................................................................... Name of owner of premises ..>~.~).~,&.4.~..,~... ....... Z.'~.!'~.,~,,,/,~.., ......................................................................................... 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: ............................................ Lot No: .................... Street and Number .,.~x,.~.~,,t...,,~"/.~; .............. .~,..~5':,..D.,~.....~....,~. ....... ../~.1.~.. ........... .¢~ ¢,./;,/,/~,.~.~., ......... Munzcipality ...... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occuponcV ...,~/~.~.,~/.~ .......... ,~%~.1./.~ ~f~,,,,~/.~,~.. ............................................................... b. Intended use and occupancy ........... ~,~,.~. .................................................................................................... 3. Nat;~re of work (check which applicable): New Building .................. Addition................// .. Alteration Repgir .................... Removal .................... Demolition .................... Other Work (Describe) 4. Estimated Cost ............... .~..~./~?~:...~. ........................ Fee ....~...~...:...~.... (to be paid on filing this application) 5. If d~elling, number of dwelling units ....... l ................. Number of dwelling units on each floor If g(~rage, number of cars ............ 6. If b~usiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dim&nsions of existing structures, if any: Front ........ ~J.~. ........... Re(ir ......... 5~J..~ ......... Depth ..;~' Height ......... ~ ,~.. ,2J~, ....... Number of Stories Dim~ensions of same structure with alterations or additions: Front ..... ~,,.~',.,~ .................. Rear ,,.{/'~'.,~, ................ Depih ....... ,~'.~,,,,~ ............... Height ......~,.~,,,,~,,/,¢ ........... Number of Stories ..... J, ................................. 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth Hei~iht ............................ Number of Stories ............................ 9. Sizelof lot: Front ....... '~.~ ............ Rear ......... /47~. ............. Depth ...,,~'.~..~. .................... 10. Date of Purchase~'.~(..~ ...... /.~.;Z~.. ....................... Name of Former Owner ..~.~/~/. 11. Zone or use district in which premises are situated ...... :~2. Doei proposed construction violate,any zoning law, ordinance or regulation? .../~..., Nar~e of Architect ...................................................... Address ............................................ Phone No. PLOT DIAGRAM L.ocat~ clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property li6es. Give street and block numbers or description according to deed, and show street names and indic whether inierior or corner lot. STATE afl NEW YORK, ~ S.S. COUNTY iOF ................................ ....... ................................ being duly sworn, deposes and soys that he the '(N"~o of indiv dual s gn ng application) ob0v, e' ~an~ed. He is the ..,~.~.T~'~/~./l~.~,~. (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 this application; that all statements contained in this application are true to the best of his knowledge and be and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this