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Home My WebLink About2648-zl~Ol~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE: OF OCCUPANCY THIS CERTIFIES that the build,rig located at . .N~....]~'..~.[ew.-Ro~t] ........................ Street Map No ~ ............ Block No..~l:;l~ ...........Lot No...~ ......... ~O~h-O'l~ ..... ~,.~'~ ........... conforms substaohally to the Apphcation for Budding Permit heretofore filed in this office dated ....................... ~", ............ j1~1~...~6 ....... 19 6.~.. pursuant to which Bu,ld,ng Permit No. dated ............................. jj~etO... ~ ......... 19..(~., was ~ssued, and conforms to oil of tee requirements of the apphcable prows~ons of the Iow. The occupancy for which th~s cerhficate ~s ~ssued ~s ........ ...... · l~'.i.'v'a.~ e- '..omc · ...~am~ t2'. · c~wet t']:ng- ...................................................................................... The certificate ~s ~ssued to C~eo~.§e..~.,...~t~t~L&l~a. ......................... ~e~ ..............: ................... (owner, lessee or tenant) of the aforesaid building ~.D.Approval ~uly 13, 1965 by R. Villa ....... ........ ............ .i:, .......... ' ............ Building Inspecto.,rI FOI~,M 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? 26 18 Z Date ....................... ]j~]:~lZ,~4r.....l~ ........ , 19..6~. Permismon is hereby granted to: · It~o~s..3~he~.....A/¢..aee..Do~l~sj ........ ........... l~t,~,.~a~ ............................................... to]~L~..id-"~r" e~" ~: ly" ~l' 1~ ....................................................................................... at premises located at ...~/]][~.....l~ll~$1~..~..¥~.~e '1~1~ ............................................................... ........................................................ ~atl~et~ ..... N~'~ .................................................................... pursuant to application dated .............................. 1~1~'..'~ ............... 19...&~, and approved by the Building Inspector Fee $'"'~'0~e .............. S-9 SUFFOLK COUNTY DEPARTMENT OF HEALTH ~te JU[ ~ 3 1965 Bldg. Permit 1~o~ The sewage disposal fac/lit/es for a structure~located at · ' ' ~) -(Give~ de~d l°ca~ion) have been inspected by this Department and found to be satisfactory. District Engineer FOR~ 1VO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No .......................... Approved ......................................... 19..C~..Permit No ................................. APPLICATION FOR BUILDING PERMIT Date ,~,,,~.....~;.,,.,./, ~..~,, ~ ............. 19 .......... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin, Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o 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. Sud 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 Occupanc: 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 th: Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and. other applicable Laws, Ordinances o~ Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply with oil applicable laws, ordinances, budding code and regulations. (Signature of apl~F-rf, ant, or name, if a corporation) .... ......................................... "7""' ....... (Address o~a'l~'~l,cant) State whether applicant is owner,.lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nome of owner of premises ~... ~--~.~Z~? ~, If applicant is a corporate, signature of duly authorized officer (N<~me and t~tle of corporate officer) 1. Location of land on which proposed work will be done. Map No ............................................ Lot No: .................. Street and Number ~X ~"~. Municipality State existing use and occupancy of premises and mfended use and ~cupancy of proposed construction: a. Existing use and occupancy .................. ~ ................................................................................................... ,. .............. ...... .......................................................... 3. Nature of work (check which applicable): New Building J Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................................... 4. Estimated Cost ............ ~ ............................................ 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, Jf any: Front ..........................Rear .......................... Depth .......................... Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ Height ............................ Number of Stories ....... ~,./.. ................ 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? ........ .../~....O. .................................... Name of Architect ............................ ..~: ..................... Address ............................................ Phone No ................... PLOT DIAGRAM Locate clearly and d~stinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro~ property lines. Give street and block numbers or description according to deed, and show street names and indica whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................................ ~ ~'~-' ~ ..... r. ........................... being duly sworn~ deposes and says that he is the applio above framed. He is the ................................................................................................................... (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and this apphcation, that all statements contained in this appli.cation ~re true to the best of his knowledge and bel and that the work wdl be performed in the manner set forth in the application filed therewith. Sworn ~to before me th~s ....... ...~..../, .......... day (~f . .......,~. ~J".~.'.~, .% ~.~./. ...... , 19. ~../... ~,.~J~ _ ~ , : ....... ...... ............ Notary Fublic, ...~..,~. ~4~f~,.~..c~.~-Count¥ ~4:_. ~/~ (S~gnatu)~l/of applicant)