The URL can be used to link to this page

Home My WebLink About4495-zNO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE: OF OCCUPANCY 7~1.y 22 ]9 ?0 No. Z3890 Date ........................................................ , THIS CERTIFIES that the building located at ....B~:Ll~e...l,41310 ........................................ Street ..................... ~. P'C 112 & 113 Cuteho&n2o Map No Nas. Pte Block No ....................... Lot No ............................................................... ~ ..... conforms substontiolly to the Applicotion for Building Permit heretofore filed in this office dated ............................. .O...c..~...o..b..e.?....~.. ............... , 19...6..~.. pursuant to which Building Permit No..h..~.~..~... .... dated ................... .~.g.~.Qb.e.]~ ....... .~. .......... , 19....~.~, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate Js issued is ........ d ....... .~.~l,.v..a..t ~...~ne...~.~m~ ~....,w.~., :1.~ ......................................................................................... /J~ Geo=~e l~ohe The certificate is issued ,v ....r~.,_..._~.~ ....................... ~'~'~'r'~'J~'~;'~;~"'~i .............................. of the aforesaid building. ........ : ' ' Buildi~ 'l~Sl~'~;~" ....................... FORM 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 O1:: THE WORK AUTHORIZED) 4495 Z Permission is hereby granted to: ..... 1~J~.J~,~e....~,~tC:.....~o.. ~la~ ................. to .............. -~ma~t~ .. ~.. ~ ~.t,-~¢~.- e~-.-~l~ .-e~.~ a-l~.. ~J~e~ ...... ~ ................................. at premises located at ................... ~.~..~.. ........ i..~.~II,.--I~)~-,..~Zl)j~ ........................................ ................................... ~...;I~ .......... ~..~.e.~..~ ...... ~....~"~t~ ....................... : ................ pursuc~n¢ to application dated ............................ .~J~.'~. ....... '~. .............. , 19..J~., and approved by the Building Inspector. Fee $... ~(~ ........... Building Inspector TOWN OF SOUTHOLD /oZ./. ~/~/~^., ,, e o I~. ~m BUtLDING DEPARTMENT 7:)'1~7'~ ~.~'~ ~,~ b,*/~ TOWN CLERK'S OFFICE ~&,~lr~ ~ ~a,c ~ a.'/~ ~ SOUTHOLD, N.Y. . Examined ......~ .....~......., 19.~..~.. . , . ..$.. Approved ........................................ , 19 ........ Permit No ...... Disapproved a/c .............................................................................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. 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 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 irmpectJon throughout the progress of the work. e. No building shall be occupied or used Jn 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 Buildi.ng Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable 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, housing code, and regulations. Wm, Beebe (Signature of applicant, or name, if (3 corporation) f~ (Address of applicant) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C: ........................................................... .~o=~r~c.tor. ............................................................................................................. ~', Name of owner of premises ..... .~.t~..~T.O~3.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.: ...~.~..s...s..~.~.....l~.. ............... Lot No.: ........................ ~'// /.~.~z'"' N s B ]~ Cutcho e Street and Numbe~ .................... $,T..~,.~g.~...~,J~ ....... ~.~....~ ......................... ~.. .................................................... Municipality 2. State existi~ng use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ~9/~.!3.131g .................................................................................................... b. Intended use and ~'~unnn~ same with an addition 3. Nature of work (check which applicable): New ,Building ...~ ............... Addition .....~- ........ Alteration .,]~. ........... Repair .................. Removal ................... Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ............ ~.~...~..0...0~)... .............. ~ .......... ~ ....... Fee ...... ~.~..0..0.. .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....°..~...e.~i..~ ....... ![".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 ............................ 7. Dimensions of existing structures, if any: Front ....... ,.,..~.....~....... Rear ~ ............................... 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 ............. '~.~. .................. Rear ...... ~.LI... ................. Depth ..~3. ................ Height ................. L. Number of Stories ....;;D~e ......................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ............ ?.~,~...~.'I,S.~. ..................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... t~O ................................................ 13. Name of Owner of premises ..~.e.O.....~.o~e ................. Address ........... ~.~.~.~O.D.i~l,l,~, ........... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .....~...~.....~..e...e..~..e.. ............................ Address ........ ..~.:.o:..~.~..~..o.~....e. .............. Phone No ..................... 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 NLm, A/YORK, tS.S COUNTY OF ..~3~. ............. )' · .............................. W~....-~e~ ............................................. being duly sworn, deposes ond s~ys t~t he is the opplicant (Neme of individual signing Q~lication) ~bove n~med. He is the .......... .~P~.~.~9.~ ................................. ... ................................................................................... (Contractor, ogent, co,rote officer, etc.) of sDid owner or owners, ohd is duly Quthorized to peHorm or hove perfo~ed the sold work ond to ~:ke ~nd file this Qpplication; thQt ~11 statements contained in this Qpplication ore t~e to the be~ of his ~owledge end belief; end thQ~ the work will be performed in the menner set fo~h in the Qpplicati~ filed therewith. Sworn to before me this of ~9..~.. .................. .......... ............... , Nota~ Pub 'c~...~..:L~. Coun~'~'~~~'~';~;~';~';;;ii'~¥~/~ ............................ ELIZABETH A~fl ~EVlLLE NOTARY PUBLIC, State of New Yor~ ~o. 52-8~25850, Suffolk ~erm kpires March 30, lg~