The URL can be used to link to this page

Home My WebLink About4247-zFO~ NO. 4 TOW~N OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, BI. Y. Certificate Of Occupancy No...Z..3.4..9.7 .... Date ......... May... 28, ........ ,19.69. THIS CERTIFIES that the building located at Parkway..Dr;L.v.e ........... Street Map No.S.o.u.~..~.o~..d... Block No ........... Lot No.. $. ~.o.v~fLo.],~i,. ~.~...Y.o.~ ....... conforms substantially to the Application for Building Permit heretofore filed in thi.~ office dated ..... .~p.r.~.1. .... 1.Q, ...., 19.6.9.. pursuant to which Building Permit No..42.4,7. .Z. dated ..... .~p.r.~.1. .... 1..6, ..... , 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 .... pri.v, ate. one. ~,~mil~..d~eL1Anq .................................... The certificate is issued to . ...~..d~..a.r.d...T.a~..~n. ...................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval /~J ' ~' ........... ....... ")" / House # 600 Parkway Drive FOR3I NO, ~ 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) 4247 Z Permission is hereby granted to: to ........ Btti.l,t.. eh...ad~ i~ei ot¥. on...a ~e gis't. '~ g- · .d'~e.!-tii~' ................................................. at premises located at ........... ,~Ot...~ ....... ~O~t]a3/~O~ ....................................................................... ..................... It!...~KIO..... ~.az'k~ralr ....... .~oathol~....li,~., ................................................................ pursuon~ to application dated ............................... Apr.~,l. ....... $0.-.., 19.,.69, and approved by the Building Inspector. Fee $.~...0~ ............. Building Inspector ~FORM ,NO. I TOWN OF SOUTHOLD BUILDING DI~PARTM~NT TOWN CLTaBI['S OFFIC~ SOu-~-ltOLD, N. Y. Application No..~. ~ .~..~. .... App, ved .... rermit No. Disapproved a/c ..................... APPLICATIO~ FOR BUILDING P~-RMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot ~)lan showing location of lot and of buildings o n premises, relatiuaship to adjoining premises or public streets or areas, .and giving a detailed description of lay out of property must be drawn on the diagram which is part 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 In spector 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 ox~ in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS 1-1J~.~Y MADE to the Building Department for the issuance of a Building Permit pursuant ~o the Building Zone Ordinance of the Town of Soathold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction ci build ings, additions or alterations, or for removal or demo- lition, as herein described. The applicant agrees to corn ply with all applicable laws, ordinances, budding code, h.~using 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 ...... ~..~ ~./-~. ~.. - -~'.~ ........................................................................ Name .of owner of premises . .~'Z..--~?..~..<~. ~.-1~...~. ~J~. ZfY2..//~.. ~0....~.. ~ .................................. H applicant is a corporate, signature of duly authorize d officer. (Name and title of corporate officer) 1. Location ~)f land on which proposed work will be done. Map4XI~.°..°.T..~..°~..a..a~.. · Lot No..~ .......... k'". .............. 2. State existing use and occupancy of premises an d inlended use and occupancy of lyrOposed oonstruction. a. Existing use and occupancy .................................................................... b. Intended use and occupancy ../ ...... .~../. .... t~..~.~..~. Y..~.· .~. ................ 3. Nature of work (check which applicable): New Building ........ Add.i'~ion . ..~..... Alteration ........ Repair ......... Removal ........ Demolition .... ,... Other Work (Describe) ...................... 4. Estimated C~st .... ~'..~t~.... ................... Fee ................................................. (to be paid on filing this application) 5. If ,dwelling, number of dwelling units .../. ...... Nnmber of dwelling units on each floor .............. If garage, number of cars ............ ?'...~...~..~.. r .................................................. 6. If business, commercial or mixed occupancy, spec ify nature and extent of each type of use .............. 7. Dimensions of existing structures, if any: Fr<mt ...~...Zr. ..... Rear . .~..~-.. ...... Depth .~. ?. ......... Height .. J. ~., ......... Number of Stories Dimensions of same structure with alterations or additions: Front .... .F../. ...... Rear .F.../ ........... Depth . .~..~. ......... Height .. ~'..?. ......... Number of Stories .... /. ................ 8. Dimensions of entire new construction: Front ................. Rear .............. Depth ............ Height ............ Number of Stories ............................................................. 9. Size of Lot: Front ... Z~...'~.. .... Rear [~- Depth . ./-~ ~ ' 10. Date of Purchase ..... /~.s~...4~.. ............... Name of Former Owner 11. Zone or use district in which premises are situated...~ .~..~/.?...~?'..~...~..~. ~ .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........................... 13. Name of Owner,of premises .~..~ff.~. ~°~.. 7~Op./.~ .~ddress . .~.0..q .'~..ff. p..~..~...0~ Phone No ............ Name of Architect ............................. ,~ddress ...................... Phone No ............ Name of Contractor~.D..~'.~..~...~. ~. ?.~..~..~..~ .~.~..~..~. Address . .~'~..~. ~....~..~..~..~....~ Phone No.7~...~.. ~..~. PLOT DIAG~ Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give sweet and block number or description according to deed, and show street names and ',!,~ndicate whether interior or corner lot. STATE OF NEW YORK, )S.S. COUNTY OF .............. ) ...... ~-.~..~../..~/...'~../..~../< .ff./.~...~..~'..-Z'. ................ being duly sworn, deposes and says that he is the ~ppli- . (Name of individual signing application) cant above named. He is the .... ,~.~.~./..A.. ~..~.../~. ...................................................... (Gontractor, agent, oorporate officer, etc.) of said owner or owners, and is duly authorized to perform or have per~rmed the said work and to make and file this application; that all statemerrts oontained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set fort~ in the application filed therewith. Sworn to before me this .......... dayof ................ No. 52.8125850, Suffol~ Cou/l~ Term Expires March 30,