The URL can be used to link to this page

Home My WebLink About3623-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTBOLD, N. Y. CERTIFICATE OF OCCUPANCY No....~...~..2..f~.~. ........... Date ..................... /Xtlg. BS.~..~.7., ........... , 19..61~.. THIS CERTIFIES that the building located ot ......... Sla;I.~.h..D~.v.e...S~g~,~ .................... Street Map No...~3.138~ ........ Block No ....................... Lot No. ~o.uthol de..N~...Yo~r.2¢ .......................... Neck EetateB conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................... .~.~.~.~'...~.,. ........ , 19...~.. pursuant to which Building Permit No. 3.~...~.. dated ................ ~l.e~.~eltt]cte~..,1,~, ....... , t9.6.?..., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ................ ~: £v.a.t,e...one.. ~u~ty... cl~e~l,tng ............................................................................... The certificate is issued to ................ ~.;g..~lt~;...~l,L~f~,l~.~...6r...~k~f~ ..................................................... (owner, lessee or tenant) of the aforesaid building. FORi~ 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) 3623 Z Permission is hereby granted to: .......... Zouth~ld .................................................. to ... ~..~..d......E~......~.,d.~,~..~. ~..o..~.....0..D......a~..... ,e. Y~...~ .~.... ,~1:~1~....~..~'...~. ~..~...J~.. ~ .................................................... at premises located at ....,~.0...~...~ .............. ,,l~,.O...~..e....~,~.,~..~.~...~. ........................................................... .......................... liJ:Lth. D~...&~uthael~ ........... ~outl~l~....~;.o~'~ ............................................. pursuont to application dated ..............~...~..~. ..................... , 19..~..?..., and approved by the Building Inspector. FO~M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ~O~.. Approved ..............................., 19 ........ Permit No ...... ~...~.~ ........ ~...~--~ Appli~4ation ~r*2 ~ No ....... 2..~ ....... ¢~ ........ APPLICATION 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 a detailed description of layout 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 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 hove 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 oil applicable laws, ordinances, building code and regulations. Robert Hyatt (Signature of applicant, or nome, if a corporation) ......... ~u.th~X.d ..................................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engi'neer, general contractor, electrician, plumber or builder. ¢ontraetor Name of owner of premises ~'~al:l~ lf, tllpe, l~..~ .~ .l~;L~.o ................................................... / If applicant is a corporate~ signature of duly authorized officer. (Name and title of corporate officer) 1. Location of lan~ on which proposed work will be done, Map No.~ol:lSt~..,N~tQk,.]~.~,~;~.~L.ot No.: ........................ Street and Number ...~lJ/t~J~...~,~.:~.0...~.O..~..~.~ ........... .~9.uthold~ , ... Municinality~,_ 2. State exJstinO use and occupancy of premises and intended use and occupancy of pr 0sod construction: a. Existing ,Use and occupancy .....O. Jrg0....f..0~.:~....~.~.~.].~.:[.B.~ '('. ~..' ............... 9. 11. 12. 13. Na~ I_ocat property I whether in Nolure of work (check which applicable): New Building .................. Addition .... :ll~:....iAitemtion ^ ........... Roi: air .................. Removal ..................Demolition .................. Other Work (Describe) Esti ~qated Cost ...... .~t~0 .......................................... Fee ..... (to be paid on filing this' application) If d. welling, number of dwelling units ...... .0,TI,~ ............... Number of dwelling units On eaol~ floor ....................... If g.Jarage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use Dimensions of existing structures, if any: Front ............................ Rear ....................... i ........ Depth Iq ht ........................ Number of Stories Dil.e, nsions of some structure with alterations or additions: Front .....................; .............. ~ Rear Del~th ................................ Height ............................ Number of Stories ................................ Dimensions of entire new construction: Front ............. J)4. .................. Rear ......... ~..i ........... Depth ...... 26 ........ lqel~ht .................... Number of Stories ....... Siz~/ of lot: Front ............................ Rear .................................... Depth ...................... i" ........ of Purchase ........................................................ Name of Former Owner ......... ¢~i ...... Zor~e or use district in which premises are situated ...... ll~lL,..t~.:J.,Jj~. .......................... ~i ...... Doejs proposed co~struction violate any zoning law, ordinance or regulation? ............... Nar~e of Architect ...................................................... Address ......................................... ',.. Phone No. COUNTY .............................. PLOT DIAGRAM clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions nes. Give street and block number or description according to deed, and show street names and indic :erior or corner lot. I i (Name of individual signing application) j (Contractor, agent, corporate officer, etc.) of said o 'her or owners, and is duly authorized to perform or have performed the said work and to make a.nd this appl)i~ation; that all statements conta,ined in this application are true to the best of his knowledge and belief; that the .~iork Will be performed in the manner set forth in the application therewith. Sworn to I~efore me this