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Home My WebLink About3441-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE I-IF OCCUPANCY THIS CERTIFIES that the building located at .Bl'ig81~¢6.t~O. D.?, ........... Street Harbor Light~, see I Map No .......... i. Block No ............. Lot No.. 36, ..... ~0U~h~ld. I~I.~Y, ....... con£orms substantially to the Application for Building Permit heretofore filed in this office dated ....... Alarii .... 19.. , 19.6.~. pursuant to which Building Permit No.. 3.~.~.1. dated .......... &p.:~¢il...1~..., 19.5.~., was issued, and conforms to all of the require- ments of the ~ppticable provisions of the taw. The occupancy for which this certificate is (owner, lessee or tenant) of the aforesaid?uilding. Suffolk County;,?epartment of Health Approval .. FOR,~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S' OFFIGE SOUTHOLD, Iq. Y. BUILDING PERbAIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE woRK AUTHORIZED) Permission is hereby granted to: .... ......................... · ........ ;. _~. ~,, · .,~£ea,,~o~a: .~ta. ........... to at premises located pursuan,t to application dat6d .......................;; .......... . ~'""ti'~.;'"', 19~..., and approved by the Buildina Insoector. HI TZPAT RI SCHD SUFFOLK COUNTY DEPARtmENT OF HEALTH Date Building Permit TO ~H@~ IT MAY CONCERN: The sewage disposal facilities for a structure located at E/S Brigantine_Drive. aooro~. 640, S/O H__arbor Li~hts. Estates (Give deed location) $outhold~ New.~ork have been inspected by this Department and found to be satisfactory. Dis%rio% Engineer District Engineer FO~,M NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ..... Approved ................... ~....~ ................. , 19 ........ Permit No ................................. Disapp roved ,~~~..~. ...... (Buil~ Inspector) Application No...~..~!...~....~ ............. APPLICATION FOR BUILDING PERMIT Date ............... ~9,~.c,h...3..~/ ......................... , i 9...~.~ ..... INSTRUCTIONS o. 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 a detailed description of layout of propertymust 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 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 and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is .~w~r~..~see~-~-ozc. b~t~t~.e, agi~e.r,.~.r~e~a~~~ builder. .......... fBuAl~%em. ....................................................................................................................................... Name of owner of premises .... ~P.~..~.....~Z~.~ick .................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No:~D..~...~g.~..~.~ot No: ..... ~ .......... Stre~ and Number ...~.~D~..D~&.~.~.,.S.a~a~.~ ..................................................................................... Municipality 2. State existing Use and occupancy of premises and intended use and occupancy of proposed construction'. a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ............ ~.~.~.,.~.e.8~.~B~. .................................................................... 3. Nature of work (check which applicable): New Building ...~ ............ Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ....... ~l~..,.C~.0..,.0.f} ............................. 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 ................................ 7. Dimensions of existing structures, if any: Front .......................... Rear .......................... Depth ............................ Height ............................ Number of Stories ............................................................................................................... Dimensions of same structure with alterations or add'lions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ t .......... .~.~. ............. Depth 8. Dimensions of entire new construction: Front ........ .~.~ ............... Rear t ........ ~.~.! .............. Height ......... .~..~ .............. Number of Stories ...... ~ .................... 9. Size of lot: Front ..... 10.2.~).2 ........ Rear ...... 1.0. .?. .* .8. . ~ ....... Depth ....~.4.~8.7. ............. l l. Zone or use district in which premises are situated ...... ~.~$~d.e~.~.lf~ ................................................................ 12. Does proposed construction ~iol~et~ny zoning Iow, ordinance ~r ~gu~.ion?~ii~...~.°.i...~ ........ ~.~:.~.~, Name of Architect ...................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Loc~=te clearly and distinctly ali 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. / STATE OF NEW YORK, / S.S. ~ 'J COUNTY OF ...... ~uf. folk ......... ........................... .~...O.~'1...~.~...]~.9.]~t~.~. ................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ....................... ~t~c%a~. ......................................................................................................... (Contractor, of said owner or owners, and is duly authorized to perform or ~ave performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; ~dor~?to