The URL can be used to link to this page

Home My WebLink About4529-zFOI~M ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z 1+191~, .. Date THIS CERTIFIES that the building located at Map No. ~ Block No. . ~;X Lot No. April 20 ,19 71 Ma!n~ RosSI Street Seuthol~ H. Y, conforms substantially to the Application for Building Permit heretofore filed in this office dated .0¢~; 28 . 19 69 pursuant to which Building Permit No. dated 0~; 29. , 19 69 , was issued, and conforms to M1 of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is ~s~es~..bui~ing .(Boat, storage) ............... The certificate is issued to A,W, Albert~o~. ~r .... Own~ (owner, lessee or ten,t) of the aforesmd building. Suffolk Cowry Dep~tment of Health Approval . ~ .R, ........... ... . Building In;pefor TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 4529 Z Permission is hereby gronted to: ~. A.t,~.,d~u~'.tm~.. ~. ....................................... pursuan¢ to application dated ............ J ................. ~ ....... ...~... .......... , 19....~...., and approved by the Building Inspector. TOWN CLERK'S OFFICE , SOUTHOLD, N. Y. 19 ........ Permit No ....... '. Di.~pproved a/c .............................................................................................. TOWN OF SOUTHOLD BUILDING DEPARTMENT / Application No ............................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or Jn ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoin ng prem ses or public street.~s or areas, and giving a detailed description of layout of pmparty must be drawn on the diagram which is port of this apl~ieat~bn. c. The work cevered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Bud ng Permit to the applicant. Such permit shall be kept on the premises available for ir~pectian throughout the progress of the w°rk. 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 Southo d, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remova or demo t ap, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buil~ji~g code, hou, sin,,q/code~/and regulations. on) (Address of applicant)" ' ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly a (Name and title of corporate officer) 1. Location of land an which proposed work will be done. JVkap No.:,+ ..........................: .......... LotN .. ...................... Street and "umbe- ~...~. ~ ./....~... '- '~--/~'"' //~' '~7"4 ~) Municipality a. ~i~ing ~ and ~cu~n~ .............. ~~ .................. -" x ' ............................ b Intend~ u~ a~ ~cupancy ~/~--~ ...... ~ ....................................... 3. Nature of work (check which applicable): New Building .................. Addition ....~... .......... Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ............................................................ Fee .......................................................................................... (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 ..................................................................................................................................... ........ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..... ...~....~....~..~,e.-- 7. Dimensions of existing structures, if any: Front ..........:...4 ............ 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 ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... 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 ....................................... . ........... ~ ........................................... 12. Does proposed construction~,~ ~ ,~---; ~e - ,r/vi°kite any zioniri~L.l~w, ordinance or reguJatio~ ....... ./,~..~ .......................................... 13. Na me of owner of Premise¥~'~.~/.....J.....Add ress/_~l~l~.,~.~/~.r. ..................... P hone N o. ~..0...~...~..~..~...~. Name of Architect ....................... ./..~__ ~../-- --Address ............. ~ ............................. Phone No ..... ~ ............ Name of Contractor ........................................ ~ ........... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from [nes. Give street and block number or description according to deed, and show street names and indicate ~ or corner lot. STATE Of NE'V~FJ:I]]~j_ ~.ee .......... .~.~-~,.~.~,¥.,~..-.~.,~f..~. ............................................ being duly sworn, deposes and says that * ' -(NonCe of individu/~l signing application) above named. He is the ............................... ~ ............................................................................................. (Contractor, agent, corporate office~etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and J6/make and file this applicatior~; that all statements contained in this application are true to the best of his knowleltfSle' and belief; and that the work will be performed in the manner set forth in the applicatior~'i~ed therewith.~ / J Swam to before me this J ~,! ............. o, .............. .......... . .o,o. ......... ............................. No. 52-8125850, Suffolk County ~erm Expires March 30, 19~ is the applicant