Loading...
HomeMy WebLinkAbout3349-zFOI~I~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No Z 2702 Date Ap:[':Il 24 196.7. THIS CERTIFIES that the building located or .... Jl~;[13,..J~Q~.~,..~13~lJ~Jjg.~. ......... Street Map No ....... ~ ....... Block No ....... .~.~.. Lot No ...3~I~ ........................ ..G..~.~...I~ .]~.....~..~.~ .~...Yo conforms substantially to the Applicahon for Building Permit heretofore fded in this office dated ............................ ...J~..~..~ ~..? ..... , 19..~..~.... pursuant to which Bu,id,ng Permit No ..3..~...~..,Z.. dated ................ ..~. l~..IJ~.~.J¢ ..~.~ . , 19..(~.~., was msued, and conforms to all of the requirements of the applicable prows~ons of the law. The occupancy for whmh th~s cerhflcate is issued is ........ ............... ..=~....e.~.~..e.~,...=. ~..e .~.z..~ .................................................................. The certificate is ~ssued to ........ ..~..,...~.~,g.~. ......................................................................................... (owner, lessee or tenant) of the aforesaid building FORM NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3349 Z Permission is hereby granted to: Paul Corroszin~ .................. ~.~..e..~.~r..o.r.~. ........................................ ....( ~..d....~..f.....S.~ .e. ). ............................................................................................................................ at premises located at .JJ/t-~..,..J~;J~K~...~.JJ.l~.~ ....... ~..~.~.O..~..$..q,~...~. ................................................... ............................. .(I r. eenp~z~;.~ .. ~. · L. .............................................................................................. pursua:n¢ to application dated .............................. D~t~ .......... ~. ........ , 19~...., and approved by the Building Inspector. Fee $..~..0..:..0..0.. ......... ................ ~iidi~g Inspector / TOWN OF SOUTHOLD BUI. LDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ...... ..... Approved ........................................ , ]9 ........ Permit No ................................. D~sapproved~ ........... ................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. Th~s application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin, Inspector. b. Plot plon showing location of lot and of buddings on premises, relationship to adjoining premises or public streets o areas, and gwmg 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 thru application, the Budding Inspector will issue a Budding Permit to the applicant. Sucl 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 m pa rt for any purpose whatever until a Certificate of Occupanc; shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Budding 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 apphcant agrees to comply w~th all apphcable laws, ordinances, building code and regulations. -~@ T..-~.~-~..~,~ Paul Corrozzini (Signature of opplicont, or name, if a corporation) Greenport ~ N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Tennant - builder Name of owner of premises ..l/~.,...~.a~,e~ ................................................................................................................................. 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 ....... ~...z~.. ........................... Lot No' .....~....~f:.. ........ Street and Number .... ~.....~.J,~..~c~ncl.~...Ar. sb.ai~Qtz~q.~e.~ ..... .GraezZpoz~:.~...N...Z. ................................... Municipality 2. State existing use and occupancy of prem,ses and intended use and occupancy of proposed construction: a Existing use and occupancy ...,.l~$.J.~s.a..p.~o.p~.t~ .................................................................................... b. Intended use and occupancy . ..~q~,~.~.~..~.i~D.2Rf~f]...b%].i~j.~[[ ............................................................. 3 NQture of work (check which applicable). New Building .... ~ ...... Addition .................. Alteration .............. Repair ................... ~l~emq.vql, .................... Demolmon .................... Other Work (Describe) ................................... 4. Estimated Cost ~..~./~ ................................... Fee ..'ID.,O.Q ......................................................................... (to be paid on fihng this apphcahon) 5 If dwelhng, number of dwelhng units ...... i3,01'ke ............. 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 .... .~.I&,~f~,S.,~ ..... 7. D~mens~ons of exmtmg structures, if any. Front .......................... Rear .......................... Depth ......................... Height ........................... Number of Stones ............................................................................................................ D~mens~ons of same structure with alterations or additions: Front ................................ Rear ............................. Depth .............................. Height ............................. Number of Stories ........................................ 8. D~mens~ons of entire new construchon' Front .... 2.6. ...... .,~iL.' ..... Rear ........ ~ .... 2.6 ..... Depth ...... 60. .............. Height ............................ Number of Storms .~,t~ ................... 9. S~ze of lot: Front ............................ Rear ........................... Depth ................................ 10 Date of Purchase ........................................................ Name of Former Owner ..................................................... 11 Zone or use d~strmt Jn which premises are s~tuated ....... ?J~!!...z~t%e. .................................................................... 12. Does proposed construction wolate any zoning law, ordinance or regulation? ......... ,1~,O ..................................... 13. Name of Owner of premises ...~.,~a.~,e ....................... Address .....Gr~.ezzpo.z~J~. ................. Phone No ................. Name of Architect ...................................................... Address ............................................ Phone No ................ Builder P. Corrozzini Name of ¢__~;~or .................................................... Address ...C}.~.f~.~,~0.Ct~.~ .................... Phone No ................. PLOT DIAGRAM Locate clearly and dmhnctly all buildings, whether ex~shng or proposed, and indicate all set-back dimensions fr,_ property hnes. G~ve street and block numbers or description according to deed, and show street names and indic: whether interior or corner lot. COUNTY OF / S.S. ............ ~9,..u~ .(~.Q,~.zr:.¢,~ZJ~% ................................... being duly sworn, deposes and says that he is the appl (Name of indwiduat sigmng apphcation) above named. He is the ......... [¢~:L-qazq..t:;......-....~tt;L].d~.:~ ............................................................................................. (Contractor, agent, corporate officer, otc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make an, this apphcation; that all statements contained in this applicahon are true to the best of his knowledge and and that the work wdl be performed in the manner set forth in the apphcat~on filed therewith. Sworn to before me th~s ................ .2~.... day of .............. .Qe~,~embe~. ......... , 1 .~6.. ............ ............................ I~o 52 32~.J. LJ Term Expires ~arcir 33 lO