The URL can be used to link to this page

Home My WebLink About3734-ZF~RM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE; OF OCCUPANCY No. Z....~.2..~.~. .............. Date ............... ~119~1~t..31~, ................. , 19.68- THIS CERTIFIES that the building located at JJ/.-~..l~,t~..~JO&~ .....................................Street Map No ....................... Block No ....................... Lot No..,f~Jlll~l~J.t,..~Jl~l...YO~']~ ...................... conform~ substantially to the Application for Building Permit heretofore filed in this office dated .............................. ?.?..~..~.~..~....4..~. ......... , 19...6..7... pursuant to which Building Permit N~'L.~.4..~-...&., 2935 dated ................... ..D..~..~-..IJI~]~.~..-~ ........ , 19...~.~., 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 ........ .......... .............................................................................. The certificate is issued to .........~.~'~..II1L..~.~'.~JIII$.~I$ ................................................................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT ~'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 373 1 Z Permission is hereby granted to: ..................................... ~ .......... £ ~.~..q~.). ............... ........... ~,~L~..~'~.~ .............................................. .............. ~' ~.~r~ ~...~.~¥.~ ............................. to ~...e3,~.e~.~.t~,.~...~...6~,~.t,~,.~...~.~..~1,~.~.. ~ ~..~~ ................ at premises located at .~/.~....J,~,~Z~..~....~A,~g~I~,~B.~ ................................................... ..................................... ~Z',' e~o~t~...~L ,~Z.~ ...................................................................................... pursuant to application dated .............................. ~,,~l~..J&....., 19~...., and approved by the Building Inspector. Fee $ ........................ KlloWll as ( erfifirale of omplianre WITH THE PROVISIONS OF CHAPTER 405, LAWS OF 1922, AND THE ~late ~tani~ari~ Buili~ing (golPe THIS IS TO CERTIFY THAT THE PLACE OF ASSEMBLY DRoss o.g Loua/6 g' OCCUPANCY (Allowed Capacity) Auditorium .~'~ g- Balcony___~ Standees ~-'0 Total~ (Number of p~r~ons) (Number of l~x~ons) (N.~h~r oJ l~rsons) (Number of Is in compliance with the requirements of Artlcle 17 of the I,abor Law. This certificate may be revoked unless the premises are maintained according to the provisions of the Labor Law applicable thereto, and Bules adopted thereunder. /,/ / y/~ s,.,,.,_ o,..,,,o.~,,,~ THIS CERTIFICATE TO BE CONSPICUOUSLY POSTED AT ENTRANCE SEVEN FEET ABOVE ~FLOOR ISS-234 (6-55} TOWN OF $OUTHOLD BUILDING D£PARTMENT TOWN CLERK'S OFFI¢£ SOUTHOLD, N. ¥. (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3849 Z Permission is hereby granted to: ............... ~.~l~..~,...£~l~mI~U~ ....... .................. g~e.e~er.t ........................................ to .~?.?.~..~.~.~.~.~?...~.~.~.?.~.~.~.~s.~.....e.~.~...z..~?~. ................. at premises located at J~.JJ.....J~.'J~..~.l:~.~.,.J~.~lilo~a4j.~l.),....G~.eJ~..~Je~. ............. pursuance to application dated ................... Aj;)t-;J~J. ....... 2.¢). ................ , 19.6~.., and approved by the Building Inspector. Fee $..~.. ~ t~..,..~. I~1~1~. FORM NO. I 'I'OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Approved ........................................ , ..... Disapproved a/c .............................................................................................. APPLICATION FOR BUILDING PERMIT Date ........................... . .D..e...~..e...~..~..e. ?. ....... ~ .... 19...6..~. ..... 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 shah 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, housing 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. of c~z'~ote~' Name premises ........ JJ~Ok..J~O. SlJG. S ............................................................................................................... If applicanf 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.: ........ ~ ..........................Lot No.: ....... ~ ............ Street and Number ................................ ~unici~li~ 2. State existing use and occupancy of premises and intended use and occupancy of propos~ construction: a. Existing use and occupancy ..~a.~a~ ........................................................................................................ b. Intended use and occupancy ....... ~..~.~..~.~..~&~&~ ........................................................ 3. Nature of work (check which applicable): New Building .................. Addition ..s~. ........ Alteration ...... ~I~ ....... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ....]~.~)0~.'~ .................................... Fee ..... .~#00 ........................................................................... (to be paid on filing this application) 5, If dwelling, number of dwelling units l~Ol~ ...................Number of dwelling units on each floor ............................ If ~oarage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use '"'~1~1~1~Ie~'111 ..... 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... 3.~ ........................ Rear .......... 3'2 ............. Depth ..~)..4, ............ Height .................... Number of Stories ..... Ol1~ ......................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..l~.l~.....(~.~a~. ............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? '"'TO' .................................................. 13. Name of Owner of premises .~T~)l~"~'Ot~O~ ............ Address .....~e,~. ................ Phone No ..................... Name of Architect ...(~..~.l.e.:~ ............................. Address ...... ~'~ll~t~ ................ Phone No ..................... Name of Contractor '"{~'~'"~t~II~Z' ............................. Address '-.~O~,[~O'1~ ..................... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF .~1l~'~'~i1~ .............. ................................ ~O~.~Z~.~IO~ ................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above ngmed. He is the ............. &~l~t[i..O~..,~m_l~l~.t, ..................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have 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; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................. ~.... day of ................ ~--~,~ . ~_ ~-~ ~-, ...Z~,¢C~'.,~..~~. ...... ~..?..~....:'~ ............................................ Notary -// S,gnoture of app',cent) APPROVED NOTIFY BlglLDING DE 765-2660 9A&~, '1o 4PM FOP, REQUIR. 1. BEFORE ~AC~:F:LLING 2. FRAMI~jG 3. BEFORE COV/R~SG 4. FINAL WHEN JO] COMPLETED NOT RESPoNSIbLE ~.~,~ F~, DEE~GN OR CONSTrUCTIoN 5. AEL CONSTRUCTIo~I REQUIREMEHT~