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HomeMy WebLinkAbout4953-zFOI~ NO. 4 TOWIN OF SOUTHOLI~ BUILDING DEPARTMEI~T Town Clerk's Office Southold, IN. Y. Certificate Of Occupancy No. ~;hd90 ...... Date ........... &pr. Il.. !.9 ...... , 19. ~. THIS CERTIFIES that the building located at . ~est. Lake. ~ .......... Street Map No. GedT.,..Beh .~ock No .......... Lot No....1,~) ....... aeuth~l~ .......... confor=,s substantially to the Application for Building Per'it heretofore filed in this office dated .......... 'Sept .... 9' ' ~9 .?~. pursuant to which Building Permit No.. dated ......... ~ept...]~.. , ~9 70, 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 .. Pr&rate..~ae..i~a~y · awel[i~g ......... : ............................. The certificate is issued to . 'Jeseph' B~rbat~ ....... 0~ne~ ..............,', ......... (oWner, lessee or renan;) of the aforesaid building. Suffolk County Department of Health Approval .... ~.,~, .......................... House ~ 200 ~J~ * ~ ~ Building Inspector FORM NO. 2 TOWN OF SOUTHOLD i BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. N? BUILDING pERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ........... ~.et.~p;~. J~e~l~la..~..~.~,t'.e! ................. ............... .b.,~.~.... ~a~..~ ,~:~ .......... :, ................ to ...... ~ ..a~ ..~4A1~Xom..~m..~...~w~ ........................................................ pursuon¢ to application dated ............................. ~;~}~'"'":'"~J~'"'i'"", 19.~[~., and approved by the Building Inspector. Building Inspeclr Examined .....~ I~ ................... ,19 .... Application No....'~.....~'...~...~.. ........... 'ti 'tt 19..!.~.... Permit No. '/''/ ~'~'~ 7-.- Approved ........................................ , ............................ Disapproved ale ................................... ,~_. ....................................... " ./e~ _r,L~'~{/ ( u'lding Inspector) · ./ ~ ~'~- ................ ......................... , ....... a. ~nis app,c~t:on must b. completely fill~ in by ~ewrifer or in i~k und submitted in ~plic~e to the Building~ In~r. b, Plot plan showing I~ation of lot ~ of buildings on premiss, r, lotionship to adjolni~ pmmi,s or public .t~ts or~ ar~s, and gIvi~ a d~ailed de~ri~l~ of I~t of p~ must ~ drown on th. diatom which it ~ of thl~ ~pplicati~.~f c. ~e ~rk c~er~ by t~is applicati~ may not be commenc~ b~ore issua~, of Building Permit. d. Upon ~pr~l of this applicati~, t~e Building Ins~ctor will issue ~ Buildi~ Permit to the applicant. Such ~rmit~ sh~ll be kept on the premises available for i~sp.ction t~mug~out th~ pr~ss of the work. · e. No building s~ll be occupied or u~d i~ whole or i~ p~rt for any pu~ose whitest until a Ge~ificate sh~ll ha~ been gmnt~ by the Building Insp~tor. ~PPLI~TION I$ HEREBY ~DE to the Building De~rtment for th. issuance of ~ Building P~rmlt pu~uont to the Building Zone O~inance of t~e To~ of ~ut~old, Suffolk County, N~ York, ~nd other ~plicable ~a~, O~i~es or~ ~ulations, for t~e construction of buildings, additions or olterotions or for rem~al or demolition, os ~ln ~ri~.~ The ~pplica~t ogrees to comply with all applicable laws, ordinances, building c~., housing c~e, and ..................... ~--(S~ure cf applicant, or name, If a co~mtl~) 4~Z ~o~ Ave~e, ~e~ ~o~b~o~, ~.~. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. o1~ez~ Name of owner of ,~....~l... Joseph A. Barbara and wilde If applicant is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) 9..0 ...... I. Location of land on which proposed work wilt be done, Map No.: ................................. Lot No.: .............. S ..... s/s West Lake R~e~l, Southold, N.Y. - State existing u~ a~d ~cu~ncy of promises and intended use and ~cupancy o[ pmpm~ co~tmctl~: Existing use and occupancy P:i~r~%e one ~p~.../l~ d~.eliin~ Intended use and occupant, Private one ~amil.y...d..w.~.I...1..i..n.$. with breezeway and attaehea garage. 3. Nature of work (check which applicable): New Building ~ ................. Addition .....~ ........Alteration ............... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... 4. Estimated Cost .A.~.~roxo $750.0G ~:~j $5.00 (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 ........ .~..~..~. ............................................................................................................................. · If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ...~.~...*.~'. .............. Rear 35.3' Depth 28t ' Height ........................ Number of Stories ..... .o.?:..e. ..................................................................................................... Dimensions of same structure with alterations or additions: Front ....~.~:.~..'. ..................... i' Rear 6]~,3' Depth E8' Height ............................ Number of Stories one 8. Dimensions of entire new construction: Front 26' Rear 26' Depth ...2..~..~ Height .................... Number of Stories .....o...~.?.......~:..;; ....................................... ~'. ..................................... i ................ 9. Size of lot: Front ...... ~.0...0..~. ............. Rear ..... ...............................Z00' Depth .....~...2.~.~. ................... 10. Date of Purchase .....M....a~..~.......Z.~..6..~.. ........................... Nome of Former Owner ..i.~...e..~...~.....~..m..i..~.~. ........................... ! 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .............. .~...O. ......................................... 13. Name of Owner of premises Jose~.l~ Barbato Address4,.Z,~ ~th Ave .... AN6'3527 ....................................... ~. ~6.~;~.~%,~;..E;.T.~none mo ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ 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 comer lot. ~~ ......................... being duly sworn, deposes and says that he is the applicant ~ ~ame of individual s't~l~pfication) above named. He is the .......... ~.~ .................................................... '~ ........................................................ (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 k~:owleclge and belief; and tha~ the work will be performed in the manner set forth in the a~plication filed therewith. Swam to be~ore me this ...................... ....... Nato Publ' 9-"~.~.~... ~'~ Court ............. i"~'""" ............... " ..................................... ry ~ ........ -~ ...... ~ ....... ~~. ....... i~i~';ature of apphcant) .* a~_Zb74400, Su~foJk County term cxpire~ ~arch 30, 197£