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Home My WebLink About4516-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy NoZS,70t .... Date .. D.e¢~ .... ~ 6 ...... , THIS CERTIFIES that the building located at E/8 Landing Lane Street Map No-Steriing. Ho~ll~k No. Lot No. 1t+ Greenport N conforms substantially to the Application £or Building Permit heretofore filed in this office dated Oct. 22 , 19 69. pursuant to which Building Permit No. dated OCt; 22 , 19 69 , was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Private. one f~ti.y..dwelling ...................... The certificate is issued to ~.hii~,p ~$¢hawo~l~ .... Owner .... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Nat, 17 t969...by. R..Villa.. · ~ouse ~ 30~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT CfHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 4516 Z Permission is hereby granted to: · ..~lai,~.l,ip..~l'a~'.e~t .................................... to ..... e~,e~..., cae ..~raa~,l.~ ..~'~e-~aS. ..................................................................................... at premises located at ............... ~dJ.t..,.~j& ....... ~[[p,,~.[~J~tj~.~l~lll~ ...................................................... ................................................ B/S....~u~...Lene ......... erMmpo~....l~oZ, ......................... pursuon¢ to opplic,at!on dcr~.ed ......................... ~i~ ......... ~ ............. , ]9.....~.~, and approved by the Building Inspector. Fee $......~ ....... SCED SUFFOLK COUNTY DEPAFd~MENT OF HEALTH TO WHOM IT M~Y CONCERN: The sewage disposal facilities for a structure located at / ........... (Giv~ d~ed location) ...... ~ a/./'/,,,, 7~,,,/ ~f' ~oa/2'0/-.0 ....... have been inspected by this Department and found to be satisfactory. District Engineer ~istrict 'Engineer ' ' ' TOWN OF SOUTHOLD BUILDING DEFARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No ........... .r/...~(..(...~.~.. 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. Plat 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 praperty 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. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. Phillip Schavoni (Signature of applicant, or name, if a corporation) GreenDort (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. og/l~e r Nome of owner of premises ....~.~r~;L,],;l,~...$.C,:n.~'.o~:L ......................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) · ~;~'C/~"-~7 ~te~Z~t~ Home~ Lot 1. L~otion of land ~ ~ich p~ed work will ~ done. Map No.: ........................................ No.: ..~.~ ................. Str~ and Number ............. ~Z~.....~...~ .......... ~.~fi~.~.~ ....... ~.,.~.,. .............................................. 2. State existing u~ and ~cu~n~ of premiss and intended use and ~cu~ncy of p~ con~mction: a. ~i~i~ ~ and ~e-~n~ wac~t b. Intend~ use and ~cu~ncy ...................... ~...~...d~.~ ............................................................. 3. Nature of work (check which applicable): New Building 3l:xz Addition Alteration Repair .................. Removal .................. Demolition ...... ~..:~; ....... Other Work (Describe) ........................................ 4. EStimated Cost ~C).t g. Og. ~1~ ........... Fee . 10~'00 ....................................................... (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 ............................................................................................................................................. 6. If business, commercial or mixed occupancy, spec!fy 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 (~lterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 44 . 44 20 8. Dimensions of entire new construction: Front ........ ~ .......................... Rear ............................ Depth ........................ Height .................... Number of-Stories ....... e~3.e .................................................................................................... 9. Size of lot: Front ...... .1...1..O.. .............. Rear 1 10 Depth. 1 .0 & 10. Date of Purchase ........................................................ Name of Former Owner S. M Others 11. Zone or use district in which premises are situated "A" dist 12. Does proposed construction violate any zoning law, ordinance or ragu at on.;) D,Q ............... P, SCZ'miVoz3i Greenport ................... 13. Name of Owner of premises ........................................ Address ............................................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ........... ~..~.~.e. ................................ Address ........ ; ................................... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctlY all buildings, whether existing or proposed, and indicate all set-beck dimensions from property lines..Give street and~ block number or description according to deed, and show street names and indicate whether i~terior or corner lot ~ I 0 ! ~ q, STATE OF NEW. YQI?~K.. tee COUNTY OF ...~..'~...~..o.'..J:~... ............ ~.~. I Phillio Schaivoni ................................................................................................ oemg duly sworn, deposes and says that he is the applicant (Name of individual.sig, ning application) above named. He is the ................. O~J~l~...-....~.~.,,],~.e..~ ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or h,ave performed the said work and to make and file this application; that all statements contained n 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. Swam to before me this ................. ...... ..o. rfi ...... r~ °ta rY ~'u D'' c)~'~-~c~' '~;;~T~' ~~ COU n tY d~'~.~--~' U- (S,gnature of applicant) NOTARY pUBLIC, State of New Yorl~ No. 52.8t25850, Suff01~ Cou~nt~ Term Expires March 30,