The URL can be used to link to this page

Home My WebLink About5080-zFO~tM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. ~1~2~.1 ...... Date ............... l~a~... 2J~ ...., 19 7.1. THIS CERTIFIES that the building located at .... ltavy, l~t ............... Street Map No....xX. ........ Block No .... ~ .... Lot No....:~. .... 0..r.:[.e.l~.~.. ~,¥, ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... l~e~'. '30 .... , 19. ?0 pursuant to which Building Permit No. ~080~ .. dated ........... ]~v .... '30" 19. 'Z0' was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is P~,$va te · e~e. · f. aml. l.y - (lye :k l lr~g ........................................ The certificate is issued to ... I3]~. G~,3aaa~ .Stew&rt. & .~/.i.f.e ...... .~e3's ........... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Play.. ~ .. 19-7.1..-By .R,..V. ill& ..... Building Instiector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CI"HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL .COMPLETION OF THE WORK AUTHORIZED) 5080 Z Permission is hereby granted to: ..~......~..y.. A,"~,~ ~ L U,,,/ ..................................................................................... ~..t.,~,~.~....:~ ......... .~....y.. ..................... pursuarff to application dated ........................................ ...~..~.~.......~..~.,..~, 19Z.~..., and approved by the Building Inspector. ~:,,, ~...]..~ ..... Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Dar e'~~ TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located (Give' de~cat ion) have been inspected by this department and found to be satisfactory. M~¥ ~ 4 1~q71 Chief of General Engineering Services Examined _~ i~ ,/~ '70 Approved .................... .~...(....~ 19Zt. Permit No........~....~...~....~ ........ ................. (Building InSp~t:br) ~N ~ SOUTH~D BUILDING DEffA~TMENT T~N CLERK'S OFFICE APPLICATIOHFOK BUILDING PERMIT %0 ............................. INSTRUCTIONS '~ a. This application must be completely filled in by typewriter or in ink and submitted in dUplicate to the Buildin 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 Ir~pector will issue a Building Permit to the applicant. Such permi~L shall be kept on thee premises available for inspaction~ ~r0Lf~0ut_the J:~gr-ess ~f the ~ .... ~, "4 e. No building shall be occupied o~u. secl in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been g~anted by the Building .J~spector..~ APPLICATION IS HEREBY MADEto the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tow~ of Southold, Suffolk C. ounty, New Y, ork, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or tar removm or demolition, as,~herein described. The applicant agrees to comply witl~ all applicable laws, ordinances, building code end regulations. - .... : -Z: ........................ <(Signature of applicant, or name, if a corporation) , ............ ........ ........................... (Address of applicaaf) State whetl~er applicant is owner, lessee, agent, architect, engineer, general controctor~, electrician, plumber or builder. Name of owner of premises ..... J~..dlc...(...c~.....~......~...:-...-~.-.~..--. .~-...~ ...................... 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.; ........................................ Lot No.: ........................ Street and Number ...~..~-~.-. ...................................... ~~ ................. ~': ........................ Municipality 2. State existing use and occupancy of premises and intended bse and occupancy of proposed construction: Existing use and occupancy ................................................................................................................................... Intended use and occupancy 3. Nature of work (check which applicable): New Building ......../~.. ........ Addition .................. Alteration .................. Repair .............. ~ Removal .................. Demolition ......... ~ ........ Other Work (Describe) ........................................ 4. Est mated Cost ...'~.,.~...~.../...O....O....~.. ................................. 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 some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction Front .~...~..~.~.~.. :~ Rear ....~....~..'~" D~ntl~ 3~ t~ ,, Height ~ / ° Number of Stories ....... ./..~7~... .............................. : 9. Size of lot: Front ...... /...~..o../. ............ Rear......./z~ ................... O ~ .... ...... Depth ../.~...~'.,...~...~... ........ 10. Date of Purchase .....~r~..../.~..~...~.. ..................... Name of Former Owner ..~.~....~ .............. 11. Zone or use district in which premises are situated ...... .,l~.?. ....... . .... 12. Does proposed construction violate any zoning law, ordinance or regu,J,atio,n? ....~ ............................. 13. NameofOwnerofpremses..~.~..:~..~..,~Address~ ~ PhoneNo/~ ~7~- NameName olaf ContractorArchitect ...................... "/",,~'~ '~,~ ~ .............. Address ................... ...~...~'~ ....................... Phone No ...... ~ ............ ~...-...~... z~ ...~..~m...~...~. ;....'~.. ............ Address ..... ................. Phone N o.~.....?..~....3'/.... 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 i,nterior or corner lot. STATE OF NEW_YORK, . ~ ~ e COUNTY OF .J.~...~..~..~.....~. ......... ~ .................. ..~..~.../~'....?.. ...... ~..~./~/~r,~.~.~.....~..:,. .......................... being duly sworn, d,,~eposes and says that he is the applicant (Name of individual signing application) ' · above named. He is the . ?..~../L~/'~ (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 applicatioh filed therewith. Swom to before me this ~"~.~ ~~ · ~..~..~ day of ............. ../~/...~...~.... .... , 19 7~ FLOYD F ...................... ' ............................ ~'"'?"~ ............ ~ Notary Public, . ......... .~r0TA~y.vffn...~H.,.I...N..~.~/J~. ........... County "~"""~' /)' (Signature of applican~'i No. 52.72r,67800 Suffolk Countl? Term Expire~ March 30, 19~ CEDA,~ 11.13 RES/DENT/AL RES/DENT/AL 11.8 VACANT~ . / RESIDENTIAL ~ E. MARION 5oo' se0' 33 o ZONING DISTRICT ), O - DWELLING B - BUSINESS C- COTTAGE ?.0. = POST OFFICE 0 = OUT BUILDING MAP OF PROPERTIES SHOWING LAND USES A T EAST MARION TO WN OF SOUTHOLD SLIFFOLK COUNTY, N Y. 1000 - 31- 03- 11.31 Scale: I"= 100' March, 15, 2010 APRIL 5, 2010 (revisions) i, APR 28 2010 (631) 765 P. O. BO~ I,~30 TRAVELER SOU THOLD, N. Y. S TREE 4961B 763 - 1797 02-251 P /~ o p o~,.~'.D /r'CE'.~ f c3 5-/Vc/: moa ,q-t- /V/r vy .ST-. 3 ~Z ~ h~A%T~I~.H -y = FT. C ~/ L Af,,ff /V ~RICM To C'E-IL /" I FT, ¥ - N