The URL can be used to link to this page

Home My WebLink About4515-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy No.~.~,229 ....... Date ............... A~ .... 27-. ·., 19.7"1 THIS CERTIFIES that the building located at . ~ ./~.. ~11~..~. ~. Street Map No... ~ ....... Block No...~ ...... Lot No .... = ....~ttStu~k .. N,~. ...... confo~ subst~tially to the Application for B~ld~g Permit heretofore f~ed in this office dated .........OCt ..... ~2.., 19-69- p~su~t to w~ch B~ld~g Pe~it No..~ .~. dated ...........0et. · .2~ .... , 19.6~., was issued, ~d co~orms to ~1 of the req~ ments of the applicable pro~sions of the law. The occup~cy for w~ch ~is cert~icate ~ ...... ~..~. issu~ is '~ate 'gara'g~' ' '(~ccess.ry' ~115~g) ............................ The ce~ificate is ~sued to ... J~ok. LSttl~ · · · ~e~ .............................. (owner, lessee or ten,t) of ~e afores~d.b~ld~g. Suffolk Cowry Dep~ment of He~th Approv~ .. N.*.R, ............................. H.us. ' 1100 /4~ i~~ B~ld~g ~nspector I TOWN OF SOUTHOLD 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) N9 4515 Z Dote ................... JJ~t~e~ ............ ~ ......... , 19.~.. Permission is hereby granted to: pursuc~¢ to appU,c, gfion.~ated ................... ~.~. .......... ~ ................... , 19.....~,.., and approved by the Building Inspector, · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWH CLERK'S OFFICE ~' SOUTHOLD, N. Y. Disapproved a/c .............................................................................................. (Building Inspector) APPLICATION FOR BUILDING PERMrI' %' mt, ....................... .o.~.~.o.~.e.r ....... R2. , I~...6.9. ..... ~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plat plan showing location of lot and of buildings on premises, relationship to adjo n ng premises or pub c st?e. ts or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this appli~atior~ c. The work covered by this application may not be commenced before issuance of Building Permit. ' , d,.,, U,pon approval of this application, the Building Inspector will issue a Building Perm t to the applicant4.~uch snail De Kept on the premises available for inspection throughout the progress of the work e. No building shall be occupied or used Jn whole or n part for any purpose whatever until a Certificate ~ (~cupancy~. 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 demo t on, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· ............................................ ~ ....... Ag.e~n.~. oJf. o.~r~e.~ Name of owner of premises Jack Little If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No.: ............. ~ ...................... Lot No.: .......z~.. ............... Street and Number ............ ,l~&;[3.~,e..~e~c,,~..~oa~ ............ ~t;L.tt~,ll; ........................................ State exi~ing u~ and ~cu~ of pmmi~ and intended use and ~cu~ncy of prm~ constmcti~: a. ~l~ing ~ and ~cu~n~ ....~...~.~[~..~ ............................. · b. Inte~ u~ and ~cupan~ ~ ~. ~.~ ~ ~ .~ra~e ~ccesso ) bldg 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ...... ~06).._~ .......................................... Fee . ~'~ OD. ................................. (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 ...... ~rae. ............................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, Jf 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 12 ~ 12 26 .................................... meor ............................ Depth ........................ Height .................... Number of Stories ..~]]~ ............................................................................................................ 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ............... .~L:[~.I; ................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~ .............................................. 13. Name of Owner of premises ........................................ Hattitu¢lr Phone No ................ ..... Jack Little Address ............................................ Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ........... ~f~ ................................ Address ............................................ Phone No ..................... PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from :pj.operty lines. Give street and block number or description according to deed, and show street names and indicate Wne~er interior or corner lot. STATE OF NEW YORK, tee COUNTY OF ....~Uf. fO~i~ .......... ~'~' ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ......................... Ag~t..o~..~r~,e~. ............................................................................................. (Contractor, agent, corporate officer, eta.) 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 tha~ the work will be performed in the manner set forth in the application filecLtherewith. Swam to before me this , /,/ ~ 22 da` of Oct '9 69 ~. ~J//~ _ // ~ ~ ~ · .................... ;' ....... ........ . .......... C. ..... Natal/Public,~.L<(/ltV~..I../~Coun~~"~-'"iSi~'noture of oppl,ca;~t) ................. ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of New York No. 52-8125850, Suffolk County Term Expires March 30, 19,~_.~