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Home My WebLink About4314-zFOR,M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Offiee Southold, N. Y. Certificate Of Occupancy No..Z. 35.25 .... Date ...... . July. ..... J.:L, ..... 19 ~9 THIS CERTIFIES that the building located at Nor.~ .Re.lily. Avenue .... Street Map No ............. Block No ........... Lot No. ~gt~1.tuck.r .New..York. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... nay.... 2.~. ...... , 19. Gg. pursuant to which Building Permit No..4~ .~.4..2. dated ...... ~a~... 2.9., ......., 19..6.9, 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 ...... pr£~zatze, s3ne..fiamil.y..d~elJ, lug ..... ............................. The certificate is issued to ,.. F~c~ren.c.e .~on~,on .................................... (owner lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... Building Inspector House S 35 North Retlly Avenue FORM[ NO. 2, TOWN OF $OUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? ~31~ Z Permission is hereby granted to: IL, R,Reeve & ~n.s,....I..~.e... ~/..C.... ,F.~.~.~enee Col!lola ......... ~.$.t,l.~.~.ck .................................................. ................ ~,~. ...................................................... to Build ~n ad~i%ion & ~ke alte~ti.O...n.S 9.~.. a~ e.~.~t.~.~ ct~ug at premises located at ........................... ~,.....~..st..~j~, [1..~ ,{~..., ~ .............................................. .................................. ~.t..i..t.~.c~; ~..~f,. pursuant to application dated ........................... ..~.~.,~. ....... ~.~. ............. , 19..1~.., and approved by the Building Inspector. ~ee *..~..:.~ ............ Building Inspector J J'N~J . leelle *leeeeee · eel ·, ee~.e;~, ee ·eee · eeee leeeaeeeete e eel.eeeee.eee~{e~ e~elleeee el~e lelleee.eeeeelee eec '~" AFIN-ICATION FOR BU'ILDIICG .. INSTRUCTIONS ': a. This application must be completely filled in by typeWriter or in ink and submitted i.n 'duplicate to the Building b. PI_or plan showing location of lot and of buildings on premises, relationship to adjoini.r~l premiees or public streets or areas, and. giving a detailed description of layout ot property' must be drawn on. the diagram which is'part of this' application. 'c.. The work covered by th.is application may not be commenced before issuam~, of Bulkling Permit. d. UPon .'approval of this applicati~, the Building Inspector. will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the pragrms of the work. e.. No building shall be occ6piecl-0r used in whole or in part for any purpoee whatever until a Certificate of Occupancy sholl have been granted by the Building Inspector. B APPLICATION IS HEREBY MADE to the Building Department for the isauance of a Building' Permit pursuant to the uilding Zone Ordi~e of the Town of Southold, Suffolk Count, New York, and other applicable Laws, Ordinances or. Regu~, fOr the construction of buildings, additions or alterations, or for removal or demolition, as herein described~ The applicant agrees to comply with ali applicable laws, ordinances, building code, housing Code, regulations. (Signature of applicant, or name, if a corporation) (Address of applicanl') State whether applicant is owner, lessee, agent, architect,, engineer, general contractor, electrician, plumber or buiJder.-" ....... ...... ...................................................... ., ..................................... Name of owner of premises...~...~l~j?/~l~~ ........ ~~/~~. ................................................. 'J' . ...... ....... - -=-::=, , _--,-- -,-~, -, ~.-..~-~-~-~..~.~,~,..~-~ ' ~~.'J'9~ ~') I.,~J.~ Street and INumDer ¢,~'.¢ql~Cr_....irmm;,~.~.~_;¢'., ~.~-.~ ~.,~,,,r., ~,~. :..~,, .~...~, ? .. ~', ,.,'.~...~.~'.~.~.~~ ..... State exi~ ~ ~cu~ of p~mi.S' ~ int~ ~ ~ ~cu~y of p~ con~mcti~: a. ...... ................. b. ~-~ u~ ~ ~~ ..... ~~..~ ........................................... .~ .................. ~ .............. ... If aDD~ is a corggGzte,.~gr~ture of duly authorized officer. ....... (Name and tit · o corporaf~ officer) o 3. Nature of work (check which applicable): Ne~; Buitd~g . ................. Addition ....... ~........ Alteration .................. Repair .................. Removal .................. De~elitio~ .................. Other Work (Describe) ........................................ 4. Estimated Cost ............................. ~,~I~ ...... Fee ' (to be paid on filing this application) 5. If dwelling, number of ~elling units ............................ Number of dwelling units on each floor ............................ · If garage, n~r of ~rs ......................................................................................................................................... ;..~ 6. If business, commercial or mix~ occu~ncy, specify nature and extent of each ~ of use .......................... 7. Di~nsions of existing structures, if any: Front ........... ~.~ ......... Rear ............. .~ .......... D~th ..~~.~ Height ......... ~ ......... Number of S~ri~ .......................... ~ ....................................................................... Dimensions of same structure with alterati~s or additions: Front ................ ~.~ ............ Rear ..... ~pth ................. ~ ...... Height ........... ~ .......... Number of Stories .................. ~. ......... 8. Dimensions of entire new construction: Front .................................... Rear ............................ D~th .......................~ Height .................... Number of Stories .................................................................................................................. 9. Size of lot: F~nt ............ ~ ......... Rear ..............~.J .............. Depth ................................ Date of Purcha, .... ~.~.__.~ ........... ~e of F~ ~ner ~ . ]0. Zoneor usedstr t' ' '~ ..... ~" ''~~'" 1 I. c m wmcn pr~ses are s~ruarea ...~..~,~.~.~ ........................ ~ ............ [2.. ~s pr~o~ ~e~tm~tion violate ~y ~oni~..~aw, ordinance or regulation? ....~ ............................................. 13. Na~ner of premises~~.~r.s .~.~.,.~.~~~~ Name of Architect ...................................................... A~ ~;~'~Z'~~'~~-~-- - r No ..................... Na~ of ~ntractor~z~..~~~ddress .~.~/~ .............. ~ ~.....~ p~ h~s. ~ve ~t ~ bilk number ~r d~cr~phon ~ccordmg to ~, and ~ ~ ~ ~r interior or co~r ~t. ~ . / ,/ ~/~ _ ... _ ,,,,,, , .. . STATE OF NEVi YX)RK. y t, ~ COUNTY OF ...~2~..~,.~..~a'~' .......... ~.-..~ ........ ,:,t..,. .~..~) ....... ~ ....... ~..; ......~.~ ....... ,~, .. ,~IM ~ ~ hcant ..... ' 0~0~ (~tor, ~t, ~, ~c.) ODOVe ~. ~ is toe .............................................. .~: ............. .~ ................... , ....................... ,... .......... , ........................ m~s ~lI¢Ot~; ~at a~l st~ts c~toi~ in this appllcat~n are ~.t~-~~ ~ ~lief; and that ~ ~:~J~,~d in ~ ~nner set fo~h in the ~,~ - - S~m ~ ~ this ~_ ' / ' ' ~ :' lc, ~..