The URL can be used to link to this page

Home My WebLink About3087-zTOWN OF SOUTHOLD BUILDING DEPAI~TMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. r.£1~TIFll]ATE OF rll]r, uF'ANI]Y No.. Z. 2~80. · · Date ............ ~u~y...29 ........ 19.66 THIS C~RTIFIES that the building located at .~/~... ~O~c~ '~e'~eh' '~V~" Street ~~. ~$~$~lock No.. ~X ........ Lot No.~2.~. ~:). ~.. ~itucki 'NvM, conforms substantially ~o the Applicati~on for Building Permit hereto~o.re filed in this office dated ........... ~ .... ~2 .... 1966.. pursuant to which Building Permit No. SOS~ .Z.. dated ........... ~" ~2 ..... , 19~6., was issued, and conforms to all of the require- ments .of the applicable provisions of the law. The .occupancy ~or which this ce~ificate is issued is .P~'va~a · o~e' ~am~y 'd~l~ ........................................... The certificate is issued to ...p,. 'Po~o~' "0~'~;~ ...........................lessee br tenant) of the Moresaid building. .Suffolk County Department of Health Approval ....N~R~ ................................ TOWN OF $OUTHOLD BUiLDiNG D~PAR"FMEN'T TOWN CLER~('S OFFICE $OUTHOLD, No Y. BUiLDiNG P£P. MIT (THIS PERMIT MUST DE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3087 Z Date ......................... ~4~. ....... 13 ............... , 1966... Permission is hereby granted to: Geco Baue~ ~ ?o .... ~..o..~........s...o. :.z..t. h .o..z...d. .......................................... to ........ ~u&ld..an..add. t.~om..c~n..an...~x.i~.tin~..~.~ll&ng. ................................................. at premises located at ..x.~...~.*...~.3.~...~r.~ ........ ~.~ft~.~..~d~..};~.~. .................................................. ................................ ~..o.~d..~.~.~.k..~Z'.~,~.e .............. ~.~.l~.t,~ok .................................................... pursuant to application dated ............... ; ............ ~-~..........~L~ ............ 19,~(~.., and approved by the Building Inspector Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. y. Approved ........................................ , 19 ........ Permit No ..... APPLICATION FOR BUILDING PERMIT Dote May 12 66 INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and sub~nitted 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 property must be drown 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 fsr 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, building code and regulations. (Signature of applicant, or name, if a corporation) S'outhold ~ N. ~Z. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engi'neer, general contractor, electrician, plumber or builder. ...................... .O..qk~ .t,~ ~ ~ t, 0~. .................................................... Name of owner of premises i~ ~..Q.1;,~.O.S. ................................................................................ If applicant is a 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.: ..Qg, p..t....~. $.d..(~,.....D~..t. ..... Lot No.: ..p..~...~.~...~.,~.:.~l+ Street and Number ...~.Q~t.d....~.~.~,~lq..,Q..:riY. D ...................... ~ft.~Jz, J,.~l~.C,k ............................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....~t,1~/.e.~,l~,D~ ........................................................................................................... b. Intended use and occupancy ........ $.fl~e,...~.$.~h...a:0,..s.ddJ,.~J,.QD. ...................................................................... F Hei 9. Siz~ 10. Dot 11. Zor 12. Doe 13. kocat~ property Ii whether inJ Na[ure of work (check which applicable): New Building .................. Addition .....~ ..... Alteration ....: ......... Repj~ir.................. Removal .................. Demolition .................. Other Work (Describe) ................................... (to be paid on filing this application) ............................ Number of dwelling units on each floor ...................... If c~welling, number of dwelling units ode If gjnrage, number of cars ....................................................................................................................................... If I~usiness, commercial or mixed occupancy, specify nature and extent of each type of use ....................... Din.ensJons of existing structures, Jf any: Front ............................ Rear ................................ Depth ................... Hei iht ........................ Number of Stories ................................................................................................... ......... Dir~ ensions of same structure with alterations or additions: Front .................................... Rear ....................... DaF th ................................ Height ............................ Number of Stories ................................ Din'ensions of entire new construction: Front ..... .Lj:~. ......................... : Rear .....Lj:.~. .................... Depth ....];..9..?...~..2... ht .................... Number of Stories ........... DRI~ .............................................................................................. of lot: Front .................. I~.Q... Rear .................................... Depth ....... 2..~ .................. of Purchase ........................................................ Name of Former Owner .................................................. , or use district in which premises ore situated nA'~ dist proposed construction violate any zoning law, ordinance or regulation? .......... ~.0 ......................................... Nar ~e of Owner of premises ..~.,....~..O..g,~.O.~ ................ Address ....... .~..8.~..J...g.g~. .................. Phone No ................ Na~e of Architect ...................................................... Address ............................................ Phone No ................ PLOT DIAGRAM , clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimens bns ft ~es. Give street and block number or description according to deed, and show street names and indic erior or corner lot. L. \, u STATF OFJNEw YORK, COUNTY OF ...... of said ow~ this that the Sworn to ................. ; ................ Ge.o..,~B~g.e,z' ............................. being duly sworn, deposes end says that he is the applicc Name of individual signing application) (Contractor, agent, corporate officer, etc.) ' or owners, and is duty authorized to perform or have ] the said work and to make and ~tion; that all statements contained in this application are to the best of his knowledge and belief; rk will be performed in the manner set forth in the applicat therewith. Notary Pul: of nature Of applicant)