The URL can be used to link to this page

Home My WebLink About3956-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ~...~ .............. Date ........... .:,.8~-~,~i~11:~:~.,.6., .............. , 19&1~ .... THIS CERTIFIES that the building located at .~.~J...~,~.J~J~g~l...~.~.~a ................................. Street Map No ....................... Block No ....................... Lot No..8.¢~t.~cl[.~¢..JJ~l...~Q~'~ .......................... conform¢ substantially to the Application for Building Permit heretofore filed in this office dated ........................ ~....~...q~.....~...~.~.~.. .......... , 19.~..8..... pursuant to Which Building Permit No. ~..~.~..~.....~... dated ............. .~..,~,.~.~.....~..5.,~ ...................... , 19..~..., was issued, a¼d conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ~..:. ~..v..a...t..e....~n...e....~.a. ~.!.~.Z. ~...~...~J,~,~L~.~ ..................................................................... The certificate is issued to .....P.X'.~..cl,...g.~...~.O~.e. ................................................................................... (owner, lessee or tenant) of the aforesaid building. '" Building ~nspector '"/ .............. l~O~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN C:LERK~$ OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3956 Z Permission Is hereby granted to: GQ~..~..~..~eG~,....&/¢..LP.z~ ~ at premises located at ...... ,~-....C, dli~../n~i~--~¢14~ ................................................................... ............................................. ~o.~s~¢l ....... I.~.. ............................................................................... pursuan¢ to application dated ............................ ,~.!~ ....... t.~. .......... , 19..~., and approved by the Building Inspector. Building Inspector ,r 'TOWN OF SOUTHOLD BUILDING DEPARTMENT ~: YOwl1 C,L,ERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ............................................................~ ~ ..~.................. .... APPLICATION FOR BUILDING PERMIT ~te ................................... I NSTRU~IONS Application No....~....?......~.../..~ b: This bpplication must *be ~ompletely filled in by typewr,te~o~ 'i~-~nk~hd'~h~,tt~,~T~h 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 drawn on the diagram which is port 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 for any purpose whatever until a Certificate of Occupancy sh~ll hove been granted by the ~uilding inspector. ., -. APPLICATION IS HEREBY MADE to the Building Department' for ~h~'i~iJ~hEe~o~'-a Building Permit pursuant to the Building Zone Ordinance of th~ Town of Southold, Suffolk County,. I~pw York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alteratl~n~,'o~ r for removal or demolition, as herein deSCribed. The applicant agrees to comply with all applicable laws, ordinances? building code, housing code, and regulations. "~0 -" ..,. ~. .' .... %. .. I~ :~ ......... (S~naSul'~ of clpplicant~.au' nPme4 if a c?rporatian) ..................... ................................. F(~~ ~i (Address of applicant, State whether applicant is owner, lessee, agent, arc act, engineer, general contractor, electrician, plumber or builder. .... .............................................................................................................................................. Name o~ o~ner a~ premises ..... .... .: ............................................................. -~ ................................ If applicant is o corporate, signature of duly authorized officer. ......................... · ~7" (Nome and title of corporate officer) . 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ........................ Street and Number ...... .~,/.~. ............. ~',~. .......... .~.~..t~.~...,...:..:~.~.~ ................ Municipality 2. State existing use and occupancy of premises and intended ~ ~lnc] ~c~upancy of j~rOP0sed construction: a. Existing use and occupancy .....~..~.~.~,¢~..~.-~.. ......................................................................................... b. Intended use and occupancy ............. .~...~./v~'.. ......................... i ..................................................................... 3. Nature of work (check Which applicable): New Building .................. Addition .................. Alteration .................. Repair'. ................. Removal .................. Demolition'. ................. Other Work (Describe) ........................................ (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 ............................. I. .............................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. ex,sting structures, any: ......... ...... ...... ~.~..,~x. ............. Depth ............. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ Height ...../.~.. ......... Number of Storms ..... ./...~..~ ...................................................................................................... 10. Date of Purchase ...... ~ ............................................. Nome of Former Owner ..... ~ ............................................... 12. Does proposed ConStruction violate any zoning law, ordinance or regulation? ..,d~. .................................................. Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ! c c COUNTY OF ................................ · ..~.Z.~.~..~I:~::[L..~.....~.~'...~..l.Z~i.a....J~ ............. .k;;.....:,:b~ing duly sworK, d~oses and says that he is the applicant (Name of individual signing application) above named. He is the ..~, ........ ~.~.~ ......................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform ~r have Performed the said work and to ~ke and file this application; that all statements contained Jn this opplicatioo are true to the best of his knowledge and belief; and that the work will ~ performed in the manner set forth in the~tl~' fil~ ~erewith. Sworn to ~ me this ~ _ , mom~ ~umm~ '. ................................ ~r'~a~OUC~r~'" Coun~ ~ ($i~noture or oppHcont) ~ ~175 Suffork Coun~ ~ ~ M~h 3O,