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Home My WebLink About4593-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. gt~3~0 Date. THIS CERTIFIES that the building located at Map No. :IX Block No. Xx Lot No. ~eDt. ~[3 ,19 71 Harbor Lane Street X~x Cutchogue conforms substantially to the Application for Building Permit heretofore filed in this office dated De~ 18 , 19 (59 pursuant to which Building Permit No. 1+~9~ dated Dec ~9 , 19 $9' 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 ~e The certificate is issued to of the aforesaid building. family' dwell~g Ohester OI'lo~Ski Suffolk County Department of Health Approval House ~600 " er" b~./ ld " Sept. 3~.~971 by R.. Villa Building Inspecto~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,, N. Y. N.o BUILDING PERMIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ............... ~.~:~..~.~.~ ........... .~..~.~!.~..s..5 i to ......... ~..,..,.~..(...z.. ......... ~..~..~ ...... .~.~:.~. ...... ~.~.:..~.~: ...... .~.~..~:..~.~.L~..~ ............... at. premises located Ot ................. ,-~,--.~.~.?. .................. -,~--,,~-.-,~-,-.-~,--~-.-,~. ...... .-~,-.-~--..~.-.,-/~.~,~-. ........................ ......................................................................... ~.~.~..~..~.~....~.~..~ .......................................... pursua~ to application dated t ~:~ ~)~'- 19....~..~ and approved by'the Building Inspector. ~. ,L..../..~.~ Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date ~U TO WHOM IT MAY CONCERN: at .~~ilities for a structure located (Give deed locat-fon)~ have been inspected by this department and found to be satisfactory. S£P ~ 1~71 Chief of General ~ngineering Services Approved ................ ..?...~.....,~.....~...: 19....~..Permit~'~a No. / ................................................. . , ............. . .,,~/..~.....,,~.. _W.,..,~~t' , .. ./~ (Building Inspector) -, APFLICATION 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 o detailed description of layout of property must be drown on the diagram which is part of this applica- tion. 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 th& worl~ e. No building shall be occupied or used in whole or in pa rt 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, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordina~es/and regulation~s. ,~ (Sig~ture of applicant, or name, if ~ corporation) ............/ ~ .~,~.(Add h~ss o f a,.p~ii~,),~ .r;~.)~:' ....................... Stye whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... .o ... - .................................. If applicant is o corporate, signature of duly authorized officer. (Name and tiHe of corporate officer) 1. Location of land on which proposed work will be done. Map No.:~..~...~,,~.,~ ................. ~ .... Street and Number .../~.....~.~<~'~::~,~, ................... ='"'~;i'i'~ ..... '~" ................................ 2. State existing use and occupancy of premises a~(,~nten~d use and occupancy of proposed construction. a. Existing use and occupancy ...~.....~.........'~'-. .............................................. ~. ............................... b. ,n,ended use and occupanc ........ ................ 3. Nature of work (check which applicable): New Building ...i...~. ........... 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, speci~ 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 ........ ~...~.. .............. Depth ....~.....~... ................ Height ........ L..'~. ............... Number of Stories ..... ~ ...... 9. S ze of at Front ~....6~..~. Rear Zr''-~ Denth / (-/r2 -- 10. Date of Purchdse ........ ~.....~ ...... ~..~...~....~. ............ Nome of Former OwnerZ'~ .~....(/~,~ ~ , 11. Zone or use district n wh ch prem ses are situ'ated ~.~ ~7 ¥, ~,'~. ,~ '-'""~, '~-~7~,~ .................. 12. Does proposed construction vib~la,~e any zoni~g,~aw ordinance or reau et on;) ~ 13. Nome of Owner of premisesC~ ~~ddress ('~.'-~-~ ~'"~"i~"~'~i' ....... ['~"~"~'~"~"] ....... '-~- ......--~ ......... ~ .... ~,~ .......... ~:. ~'none No./...o..~w.c..~.~ Name of Architect ] ~' Address ~ / '-- -. ~ ............................. ~ .................................................. Prlone No ................... Name of Contractor ..................... ~ .... Address Phone No PLOT DIAGRAM Locke clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. , ........ ~'~'~"-~: ................................. be'ng duly sworn, deposes and says that he is the applicant (Name of ,n~ ~i,gnin,~g ap~.~icat~k~) ,,~ _ - above named. He is the ...... ~ ...... i..~...~ ......................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform o~ have performed the said work and to make and file this application; that all st~rtements contained in this oppl cation are true to the best of his knowledge and belief; and ~hwactrnthfeoWbOerfkoreWilml eb~h~;rformed in the manner set forth in the opp cation filed therewith. Notary Public ............................................................ County (Signature of applicant)