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Home My WebLink About3645-z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. CERTIFICATE DF OOCUPANOY No. Z 301~ Date April 3 19..6.8. THIS CERTIFIES that the building located ata./.~....R..~.~,h...R.q.a.~. ............. Street xx .... Map No..Y~. ........ :. Block No ............. Lot .............. conforms substantially to the Applicati,on for Building Permit heretofore filed in this office dated .......... Se. pt .... ~[ .... 196~.. pursuant to which Building Permit No. ~..6.~.~...~.. dated .......... ~.eg~ .... .2.6. .... 19.I~7.,' was issued, and conforms to all of the require- mants ,of the .applicable provisions of the law. The ,occupancy for which this certificate is issued is ,...P.I~..i.v.a.,t;.0.· 0~.$. ~.$1g~[],y..d~e~,lilag ........................................ The certificate is issued to Michael Gabriel Owner (owner, lessee or tenant) of the afore.said building. '.Suffolk County Department of Health Approval .I~I~.?.2.6. ~. fi..9.6.~. .... l?.~r..R..~..~..i.~.~..a ....... .............'l ........... House ~ 16~ FOl~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS, PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE'WORK AUTHORIZED) N? 36~5 Z PermisSion is hereby granted to: .KlA~am..~.3~e: ...... :.~. ....... , ...................... to :.~t, gL~ ~d~ ;.i~r..:~l~.'~.. ~ ~t.. ~'~L~ .............. :.:.: ............................................................... at premises located at .~..,..~ja~t~..~...~ ............... :......;...,. ......................................................... .. ............................. ..~e,.t.."af~.~,;~:.;;~.,~L....:.:....:.....:.: .................................................................. purs~an~; to application dated ...... ....... , ............. ~4~..,..:...4~ ........, 19.J~.., and approved by the Building Inspector. Building Inspector s-9 SUFFOLK COUNTY DEP~-RTME~T OF HEALTH Date Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at ~/~ ~ ~ /~ ~/o ZS~~ (Give deed location) have been inspected by this department and found to be satisfactory. olstriD~s~he$~gineer FORI~I NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERt¢'S OFFICE SOUTHOLD, N. Y. £xomined .............. · 19. . Approved ........................................ , 19 ........ Permit No ............................. D i s a P P r °ve~~,~...~.~N,~' ~S actor APPLICATION FOR BUILDING PERi~IT .................... i ........ .... I 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 property must be drawn on the diagram which is port 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 lows, ordin~qnces, building code and regulations. · ~ / (Sign6ture of opplicant,~r name, if a corporation) .... (Address of applicant) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ....~...l,:.~..~. ....... ,~, ........... 4,~.~.,.~. ,.~ ................................................... 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.: . ~ ....... . ......... Street and Number ..,~ .................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ ~.8..~ .......................................................................................................... b. Intended use and occupancy ......... ~ ......... ~ ......... : ................................ Na¢lure of work (check which applicable): New Building ...... .~...~ ....... Addition .................. Alteration | Rep)~ir .................. Removal .................. Demolition .................. Other Work (Describe) '. (to be paid on filing this application) 5. If cjwelling, number of dwelling units ......~. ..................... Number of dwelling units on each floor If. arage, number of cars 6. If )usiness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Di~ ~ensions of existing structures, if any: Front ............................ Rear ................................ Depth Hei3ht ........................ Number of Stories Dimensions of same structure with alterations or additions: Front .................................... Rear Dep~th ................................ Height ............................ Number of Stories ................................ 8. Dir~ensions of entire new construction: Front ...... ,~.....~. .................... Rear ...... .~....~.. ............ Depth ..~....~. ...... Heibht ../..~....:. ....... Number of Stories ....... /. 11. Zorje or use district in which premises are situated 12. Does proposed construction violate any goning law, ordinance or regulation? PLOT DIAGRAM I_ocat~e clea.rly and distinctly all buildings, whether existing or proposed, and nd cate a set-back dimensions property lines. Give street and block number or description according to deed, and show street names ond indic whether i'nierior or corner lot. , - STATE OI NEW YORK, ~, c c COU~ZY iOF ................................ ~ j__~,.~.~ ~abu.l~ .~~d~ly sworn, deposes and says that he is the appli, ~h I g pp ..... n ed. ,e ............................. ................................................................... ~ (Contractor, agent, corporate officer, etc.) of said o~ner or owners, and is duly authorized to perform or have performed the said work and to make and this opphqahon; that all statements cent~ined in this application are true to the best of his knowledge and belief; that the w~rk will be performe~in the manner set fo~h in the application filed therewith. Sworn to ~efore me this .,. ~~('~';,.:-.~ ..... ¢,~¢, ,.:~!/~. ....... ~.~...~.: .................. Notary Pu~, 4..~~4~4¢~.o?~nty~-. y ~ __ (S,gnat~e of applicant)