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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) '