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Home My WebLink About3265-zFO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No Z-2~/~ .............. Date ..........................~t:l~/...~. ......... , 19.~.. THIS CERTIFIES that the building located at ~/.l~..~1'e~..~l~L ................................ Street MO~J~...I?....~.~... Block No ................... Lot No ;~Ji .... J~l;t~J)ldj"JJ,~', ...................... conforms substantially to the Apphcahon for Building Permit heretofore filed in this office dated ............................ ~ ..... ..~ ........ , 19~ .... pursuant to wh,ch Bu,lding Perm,t No .~..Z.. dated ...................... J~t' ...... ~ ........ , 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 ~s ~ssued ~s ........ · . P~,.:t. va. te .ez~e...f.e~.~.~..4wel~ ............................................................................... The certificate is issued to ~~L..&..~e ...... Ot~e~.ll ....................................................... (owner, lessee or tenant) of the aforesaid building H.D,,Appx*ova~ by R.T:tlla U lng Inspector FOF~ 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? 3265 Z Permission is hereby granted to: ...... A.~J~t~I,],;I~...& ..I~.o~ .. I~tm..... &/.¢....R,W~11 .................. ...~. :t..~..~.~ ........................................ at premises located at ..... .~...Q.t,....,~.~......~l~;t.~.~.,~,~ ..JJ~J,],],ll .................................................................. ............................. K..~.....J~8~..I~.~ ................ aou1~ho~ ................................................... pursuant to application dated .................... ?~%~.1~.~......~,~. ...... , 19.(~.., and approved by the Building Inspector. Fee $.~.0..?..0.?. .......... ' /] .... /..~...:'~ ...... ..~ ....... ~..,~.;':.:; ........ :/ ................... Building Inspector ( $-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. TO WHOM IT MAY CONCERN: at The sawage disposal facilities for a structure located ' ~f (Give deed ocati~n) have been inspected by this department and found to be satisfactory. District Engineer District Engineer FOI~M NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........ ...... Approved ........................................ , ~ ........ Permff ~o ................................. (Bui INSTRUCTIONS a. Th~s apphcation must be completely filled in by typewriter or ~n mk and submitted m duplicate to the Buildm Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and g~wng a detailed description of layout of propertymust be drawn on the d~agram which is part of this applicatio~ c. The work covered by thru application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Budding Inspector will issue a Budding Permit to the applicant. Suc permit shall be kept on the premises available for inspection throughout the progress of the work. e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE ia the Budding Department for the issuance of a Budding Permit pursuant to t~ Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other opphcable Laws, Ordinances , Regulations, for the construction of buildings, addmons or alterahons, or for removal or demolition, as herein describe, The applicant agrees to comply with all apphcable laws, ordinances, building code and regulations. A.Reilly & Son Inc (S~gnature of applicant, or name, if a corporation) .................... ~a.C.t i.tuck ..................................................... (Address of apphcant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buJldC Contractor Name of owner of premises ....R.~E.~W.a.I.1...&..WiFe ......................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and t~tle of corporate officer) 1. Location of land on which proposed work will be done. Map No .0..a..k...r..i...d..~.e.....H...i..1...1..s. ........... Lot No: ..~. .............. Street and Number ...... ~./.f$ ..... ~T.~DZ!,J, ELES..~o.a~ ................. ~.o~l.~h.o. ll:l.....[ .................................................... Municipality 2. State ex,sting use and occupancy of premises and ,ntended use and occupancy of proposed construction: a Existing use and occupancy ..... .v...$..c..~.~.'g...~:p~. ............................................................................................... b Intended use and occupancy .............. .qAqfl...~.$~,i~],y...~.~z. fJ,~]LJ,~g ................................................................. 3. Nature of work (check which applicable): New Building ..... ~ ...... Addihon ................. Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................................... 4 Eshmated Cost ....~..2~B.~.0D.Q ..................................... Fee ..'IQ,.Q0 .......................................................................... (to be pa~d on filing this apphcation) 5. If dwelhng, number of dwelling units ..Qbe, ...................Number of dwelling units on each floor .......................... If garage, number of cars .......... t;~.Q ......................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. D~mens~ons of ex~stmg structures, if any: Front ..........................Rear .......................... Depth .......................... Height ............................ Number of Stories ............................................................................................................. D~mens~ons of same structure w~th alterations or additions' Front ................................ Rear .............................. Depth .............................. Height ............................. Number of Stones ........................................ 8. D~mensions of ent,re new construction' Front ....... 7"3.'--~ ........ Rear ....7...B....-.~. ............ Depth ...~.-..~..../...3.{~. Height ............................ Number of Stories ...... .QD.e ............... 9 S~ze of lot. Front ........... 'l,~'. ......... Rear ............................ Depth ......'1..~1~ .................... 10. Date of Purchase ......... .1.c~6.~{ ..................................... Name of Former Owner .... ~a~.;BJ_rt..~c..~C~z"le~ ............. 11 Zone or use d~stnct ~n which premises are s~tuated ......... !]~,!!...¢t,,1.8.~ ................................................................... 12 Does proposed construction wolate any zoning law, ordinance or regulation? ............ l~ ................................... 13. Name of Owner of premises ....~..t...~.~.~], .................... Address ............................................ Phone No ................... Name of Architect ...................................................... Address ............................................ Phone No ................... Name of Contractor ...AC,.~e.zl::l.~..&..~O~s...Z. Zt~...Address .... .i~a.~cj:¢lzc, tc ................. Phone No ................... PLOT DIAGRAM Locate clearly and d~stmctly ali buildings, whether ex~stmg or proposed, and ~ndlcate all set-back dimensions fro, property hnes. Give street and block numbers or description according to deed, end show street names and mdlcaJ whether interior or corner lot. STATE OF NEW, YORK. · ........ COUNTY OF .... .~I,~'~.Q ~... S.S ................................ ~o~ilza.~.i~e.:;I,:I,3,~ ................................. being duly sworn, deposes and says that he is the applic- (Name of ,nd~vidual signing application) above named He ~s the .......................D. oIz~,Z'~,¢.~oz'. ..................................................................................................... (Contractor, agent, corporate officer, otc ) of said owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and f th~s application, that all statements contained m this application are true to the best of his knowledge and beh and that the work w~ll be performed in the manner set forth in the apphcation filed therewith. Sworn to before me this .................... .................. ......... , Notary Pubhc, ~..~~ount~ 't~tgnature of appl,ca~M