The URL can be used to link to this page

Home My WebLink About3829-zFOF.~I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOL~ N.Y. C£RTIFICATE: OF OCCUPANCY THIS CERTIFIES that the building located at ...... .~(~t;~..~Oe, d...(.~'.~.~.) ....................... Street Map No...~,~ ............... Block No ........ ~ ......... Lot No..::~ ....... }~.¢.t,:[.C.~.~;.....~.t..~..~. ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................. ,~.:[~,..8 .................... , 19~.~... pursuant to which Building Permit No...~.~.~,0..~.. dated ........................... ~$~i......8 ........... 19.6.~.., was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ .......... · P~,~.te...o~e...£~il~'..~t-~lli~ ...................................................................................... The certificate is issued to ..~t,~.'t~...~.~..~I.~.~. .......... .0.~..~...e..?. .............................................................. (owner, lessee or ten,fit) of the aforesaid building. }louse # 1100 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3829 Z Permission is hereby granted to: .... ~.~k~..~,,~.~. .................. :.~ ..................... ............. .~.tA.t~l~..., ....... , ........................ , ........ ..................................... .....~.~J~:..~*~ ......................... ..~ ............ :. ......... ;..,..~ ......... ... .............. pursuantr to oppJicotion d~ted .................. ~...~.....Jt,~....~;.,~ ........ , 19,.~J., and approved by the Building Inspector. £ee '$,~..; ........... TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Ex=mined ..................................... 19 ........ Approved .................................... , 19 ........ Permit No ................. Disapproved a/c .......................................................................... Application No ..................................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST GAMP. Date ../.'~.~.'?.~../...~.....~. ......... , 19..~...~. Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. 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 and proposed location of trailer must be drawn on the diagram which is part.of this application. c. Upon approval of this application, the Town Board will issue a trailer permit to the applicant. Such permit shall be kept on the premises available for inspection. d. No trailer shall be occupied or used in whole or in part for any purpose whatever other than specified in permit· Application is hereby made to the Town Board for the issuance of a Trailer Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and (Signature of applicant) ........................... (Address) State whether applicant is owner, lessee or agent ;.-,~·~ .................................................................................... · ,., Name of Owner of premises ...................... {: ............................. '/(' ................................................................. If applicant is corporate, signature of duly outhorized officer (Name and title of corporate officer) 1 Location of land on which proposed tra,iler wilt be located ..~..?...~...~..'Q..~..~.~..~....~......~...!.~.........~'~.~..~'..~.'~:~C/C~ ' Street and number ....L ...~... ~.t~.. !......~.....~ ...... :~ .{../...~...G! ................................................................ 2. State existing use and Occupancy of premises and intended use and o~cupancy of proposed trailer: a. Existing use and occupancy ...................................................................................................... ~/~ ........ ............... , ..................... c. period of time trailer is to be located on premises .......................................................................... Fee ~' (To be paid on filing application) Dimensions of trailer, length ....... ..~..0'. ............ width ............ ~.~ .................... height .......................... Registration Number ............................................ Serial Number ............................................................ 5, Size of lot: Front .............................................. Kear .................................... Depth .... 6. Date of purchase or lease of t0nd ........................................................................................................... 7. Zone o, use district in which premises ares tuated ....... ~ ....... .~....~...~.'....L.. ........................................... 8. Does pr~osed use violate any zoning law, ordinance or regulation.> '~ 9. ~. ~ ~ S~ ~ .............................................. { .............................................................. ~. s~:~ ~ Wm~ ~ ................ ~.~.M~..!.L_~Z.6 ........ ~..%.k~. .......................................... :. ...................... .......................................................... PLOT DIAGRAM Loc0te clearly and distinctly all buildings, whether existing or proposed, and indicate a. II set-back dimen- sions from property lines. Give street and block numbers or description acc,ording to deed, and show street names and indicate whether interior or corner lot'. Indicate clearly location of proposed trai. ler on prem- ises, showing distances from all buildings and property lines. ,, STATE OF NEW YORK COUNTY OF SUFFOLK~ ~.~' ......................................................................................................... being d~ly sworn, deposes and says thor'~ he is the opplicant homed above. He is the ........................................ ~ ........ ~ ....................... i ........................... (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this application; and that all statements contained Jn this oppUcotion are true to the best of his knowledge andbelief; and that the tra~Jer be located in the manner set forth in the application filed herewith. Sworn to before me this .................................... day of '~ ///~7/ J (Notary Public) TOWN OF SOUTHOLD, TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined .................................... , 19 ........ Application No ..................................... Approved .................................... , 19 ........ Permit No ................. Disapproved a/c .......................................................................... Supervisor APPLICATION FOR LOCATION OF SINGLE AUTOMOBILE TRAILER OR HOUSE CAR, OUTSIDE OF TOURIST CAMP. Date .................................... , 19.. · Instructions a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Town Clerk. 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 layoat of property and proposed location of trailer must be drawn on the diagram which is part of this application. c. Upon approval of this application, the Town Board will issue a trailer permit to the applicant. Such permit shall be kept on the premises available for inspection. d. No trailer shall be occupied or used in whole or in part for any purpose whatever other than specified in permit, Application is hereby made to the Town Board for the issuance of a Trailer Permit pursuant to the Building Zone Ordinance of the Town of So6thold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations. The applicant agrees to comply with all applicable laws, ordinances and (Signature of appl~icant) ~_~_~, /~ (Address) State whether applicant is owner, lessee or agent ~. ........................................................................................... Name of Owner of premises .................. ..'.'.'.'.'.'.'.'.z~.~.'.~.D~.~4..~../.,...../.,~'~..;~.~,...~..,:, .......................................................... if applicant is corporate, signature of duly authorized officer (Name and title of corporate officer) 2. State existing use and occupancy of premises and intended use and occupancy of proposed trailer: Existing use and occupancy ............................................................................................................. b. Intended use and occupancy ..................................................... ,, .......... ,~,,...~, ............................ ~' ......~ , ,~, c. Period of time trailer is to be ,oca.ted on premises .//x~.~ .~-~?~......~......"~....~.J.'....~..'...~....~..X);..~./.~...~.~..~..~.. Fee ~-~ (To be paid on filing application) ' J Dimensions of trailer, length ........ ..~..~ ............... width ............ .~.....?.~.K ......... height .......................... Registration Number ............................................ Serial Number ............................................................ .............................................. ...................................... 5. S,ze of lot: Front I ~-' ~ ,~- '/* ~ ~ Depth .......... I,~**** ........... 6. Date of purchase or lease of land .~. ~ ~ ~ 7, Zone or use district in which premises ore situated ............ ~ ........ ,-~**.,(, ....... [. ............................................. 8. Does proposed use violate any zoning Iow, ordinance or regulation? 9. o. Method of Sewerage disposal .......... ...~...~...(~..........~.....~5.~.~.~'....(~..0...9.../=....~.. ............................................. b. Source of Water Supply ................ ..,~..)~,.~.....,~.~[..~,..~ ....... ...(~......~....L~...,I~,. .......................................... c. Source of Electricity ....................... A,t......~....~,.~.....:..,....~,..~.., ......................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate o,II set-back dimen- sions from property lines. Give street and block numbers or description according to deed and show street names and indicate whether interior or corner :lot. Indicate cleanly location of proposed trailer on prem- ises, showing distances from all buildings and property lines. STATE OF NEW YORK COUNTY OF SUFFOLK)~ss' ~{J~ ~ being duly sworn, deposes and says that he is the applicant named above. He isthe ......... ~..~. ...................................................... (owner or lessee or agent) of said owner or owners, and is duly authorized to make and file this application; and that oil statements contained in this application ore true to the best of his knowledge and belief; and.that the*trailer will be located in the manner set forth in the application filed herewith. Sworn to before me this ............... ~... ............... day of , ~, /~/'~ ~ J ~ , ...................... ......... ....... ........ ........... t/ (Signature) (Notary Public) TOWN OF SOUTHOLD/e~,/ ,J~,~,~t~, ~/~, . ~,~ Examined ............... , ]9 ........ Approved ................ , 19.'.~ ..... Permit No. D,sapproved a/c .................. ~ .... ............ : .......(Building I.r~cto '"'""'"'"'"""'"'":;i ................. Application No......'~.....~...."~..1~. ......... APPLICATION FOR BUILDING PERMIT 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 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 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. ordinances, building code, housing code, and regulations. The applicant agrees to comply with all applicable laws, ~' ~'~'~i~~;~' ......... ' ' ' i';~i ......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C)~me3? Name of owner of premises ....~.$~lR13,~.....~&~.~ .............................................................................................................. 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. Mop No.: .......... ~ ....................... Lot No.: .3L~; ................ Street and Number ...S.../.~.....~..o..~..1:;...o..~.....~...o.~..(....]~....t;..). .......... .~...a:.~.~.~(;...~.~..~. .............................................................. //0 0 Mu. c p ,ty 2.State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .~0hc)~L&.I;;~r.~.-~I.D~..~..¥~,I.-~D...~.].C~; .............................................................. b. Intended use and occupancy ...... ~L~IL~...~.$.'I;h..&~I, fil,i~iD~..~..~.CITL~.~'.&~,.OZL..~D...~g ................... /L 3. Nature of work (check which applicable): New Building .................. Addition ....~ ........ Alteration ...~;Z. ......... Repair .................. Removal ..................Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ...... .1.0.~.0OO......~. ............................... Fee ..... ~.~..0...0. ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... .o...~..e. ........... ~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. Dimensions of existing structures, if any: Front .....~.0 ................... Rear ............. .l~0. ............. Depth .......~ ........ Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .......... ;; ........................ Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...1..~........~,..2.. ................. Rear ..J.~);,.~.....2:. .......... Depth ..2~......~..1...~. ..... Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ...... .1.(~. .............. Rear ............ .1.~0. ................ Depth ...2.00.../....~..~8 ....... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....~,~..~J.~.~; .............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ................ 13.O ....................................... 13. Name of Owner of premises ..~..J....~..~.~,...~..~...Jt..s..e..?. ........ Address .....?..~..~..~.~...~..1~..~.~ ................. Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..s...a~.~ .......................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-b~ck 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, l, ~ COUNTY OF ..... ~i~;['~Q 3~; .......... $~'~' ................................... .W-~-3-~;~..,Ka.;Ls~ .............................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .......................... 0',¢'~3.e~. ..... ~lll.~l,~e~'. .......................................................................................... (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 to before me this ................ ,. ...... ..................... .......... Notary Public, . ........................................................... County (Signature of applicant}