HomeMy WebLinkAbout3205-zFO~i~ NO. A
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATe OF OCCUPANCY
THIS CERTIFIES that the building located at . I~ .E..~e$.~:..~:O~..R~.,.~l$~aLt..~.t, oStreet
Map No..,}~:;~ .......... Block No:IQQ~,~ ..... Lot No ~ ............. .~J"z~l.lc~er..~o.~'...
conforms substantially to the Apphcat~on for Budding Permit heretofore filed in this office dated
....... ~IAg~l.~i.~. :~,], ....................... , 19l~ pursuant to which Building Permit No ...~;~QS~.
dated ..~..~.~..~.~ .................. 19...~, was ~ssued, and conforms to all of the requirements
of the applicable prows~ons of the law. The occupancy for which th~s certificate is issued ~s ........
........... i~,d~,t~,Q:~...?,~, o~...£~m~JL~r..d~llim~ ..............................................................
The certificate is issued to ................ ~'f~:~]2..~., ..E~,r~l:Ol't~. ...........................................................
(owner, lessee or tenant)
of the aforesaid building
FORlVI 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? 3205 z
Date ............................. ,~L~gllll.~ .. 3~1. ........ , 19.....~.~
Permission is hereby granted to:
.~..~..~~a .....................................
.~..~..N~..~a.~ ..............................
· ..¢~~r..~..tte~ ..............................
to ........... .t~'t. an.. aad&t.,ttm...~.~..~. ~ms,ML~..,~e3,X,tn,i~ ..........................................
ct premises located at ...~..Z:II~..~..~'L.n~L~I:t~..~I~III~...~tl]~4~L~t.ILIL~O~ ......................
................... .~...~:.....,..,..,..~....c.~..~...~.,.~..~,....c..~..o~...~ ...............................
pursuant to application doted .................................... ~..~.., 19..t~.~...., and approved by the
Building Inspector
Fee $ ...... }t*.~l.O. ........
TOWN OF SOUTHOLD
OFFICE OF BUILDING LNSPECTOR
TOWN HALL
SOUTHOLD, N. Y. 11971
TEL. 765-1802
December 4, 1978
Gary Flanner Olsen
Counsellor At Law
P.O. Box 38
Main Road
Mattituck, New York
11952
Re: Letter, December 1, 1978
Johnstone to Voigt
File ~ 2470
Dear Mr. Olsen,
The Building Permit 3610Z dated September 7, 1967 was
issued to J.J. Johnstone to add to his one family dwelling°
On May 17, 1971 this permit was admended to include the garage
addition section. On April 4, 1968 the Certificate of Occupancy
#3043 for the work done under the permit 361OZ was issued.
Yes, the Certificate of Occupancy covers the garage which
was built under the building permit 5610Z and the occupancy
for the building is a one f~mily dwelling.
GEORGE H. FISHER
Sr. Building Inspector
FOKM NO, I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. Y.
Approved .................. .....
APPLICATION FOR BUILDING PERMIT
Date ..................... ..~....~...~.'~ ........... .~.~ ../..~. ........ , 19.~..~ .....
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 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 o 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 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 of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, buildings, '~,.t:c°de old, re~ulotions.~
(Signaturelot al:~pl~c~a e, if a corporatio )
................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.......... .O..~.~..c..~. ......................................................................................................................................................................
Name of owner of premises ...................... : ...............................................................................
If applicant is o corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No:
Street and Number ............. : ................................................................................................... ~....~ ..........................
Municipali~
2. State existing use and ~cupancy of premises and intended use and ~cupancy of pr~osed const~ction:
a. Existing use and ~cupancy ...... ~.~.~.JR~ ~.g.~ ...................................................................................
b. Intended use and occupancy .......................................................................................................
3. Nature of work (check which applicable): New Building .................
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, if any: Front .......... .~'.~..~. ........ Rear ......... .~..~...i ......... Depth ~ /
Height ........... ~... ............. Number of Stories ~r~ ¢
Dimensions of same structure with alterations or additions: Front g'~ '
Depth '~ ~ Height .............................. Number of Stories ..
8. Dimensions of entire new construction: Front ~o Rear Depth jd
Height ............................ Number of Stories ............................
9. Size of lot: Front f -~ , ~ ~ ........... ?..~ ................
............ ~. ............. Rear ............................ Depth
10. Date of Purchase ....................................................... Nome of Former Owner ...... ../'..~.~..,'.z....~.- .... .e..~. .........
11. Zone or use district in which premises are s tuated ................................
· . ~
~2. Does proposed constructian violate any zoning law, ordinance or regulation
13. Name of Owner of premises ........................................ ^aaress ~ .7. ...................... :~hone No
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor .................................................... Address ............................................ Phone No ....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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.
STATE OF NEW/~YORI~, ~
COUNTY OF~f~/~../.C-...../ ~'~'
du y sworn, deposes a says th t he
above ~ ..........
(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 filed therewith.
Sworn t~before me this
Notary Public, ~~ Cqu~ty'~"~ [ ~~licont) '