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Home My WebLink About5011-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at . .(~N, .&. Fled. lt.~ ......... Street Map No.. ~ ...... Block No ......X~X.. Lot No ..... ~... ~. $~0~. ......... confo~ substantially to the Application for Building Permit heretofore ffl~ ~ ~ office dated ...........0~ ..~..., 1~.. p~su~t to which B~lding Pe~it No..~].~. dated ..........~0~ ..... ~.., 19. ~, was issued, ~d conforms to ~1 of ~e r~e- ments of ~e applicable provisions of the law. The occup~cy for whi~ t~ ce~ificate is issued is . ~l~ .~e .f~ly. d~ll~ ....................................... The certifica~ is ~su~ to ... J.e~. AI~. ......~ ............................. (o~er, lessee or ten~t) of ~e Mores~d b~l~g. S~olk Co~ty Dep~tment of Health Approv& .. ~mb. · ~, · · t9~.. ~ .~,..~ ·. 6~ ~ Bt ....../~.~. ~:,.(..~ ......... B~d~g Inspector/ FORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. TEHPOR~RY Certificnte Of Occupnncy No. ZI+$66 ...... Date ............ ~areh... 9 .... , 19-71. THIS CERTIFIES that the building located at . .Gee~ge. Rei .&. l~ed. St. · · Street Map No.. ~t ........ Block No...~ ..... Lot No.. '~tx .... llew -a~tf~eXlt' · '1~¥-, .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..........Oct" '12 .... , 19. ?0 pursuant to which Building Permit No... dated ........... Oct ..... t9" 19'70' was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .... P~lva. te. e~e. f~ily. ~we.l.l~n~ .................................... The certificate is issued to .Jelm .Asher ....... O~mer ............................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Feb. '8t"1971' · byR~' 'V~lt~ ........ Building Inspector TOW~ OF s0u'r~o:.Di BUILDING DEPARTMENT TOWN CLERK'S oFFICE' SOUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMIS~ UNTIL EUL[ COMPLETION OF: THE WORK AUTHORIZED) N? 5011 Z D~,...., ....... Permission is hereby granted to: ........... ~t.t~..~ .......... : .......... , ............... et premises located at ......... ..... ~ ~$~ ~ ~i~ ~ · pursuant to application d~ed ............ Building Inspector. · Fee $..-..$0~0~ ....... and clpproyed by the TOWN OF SOUT~OLD IUILDING DIPAItMENT TOWN CLERK'S Ol~lCJ Approved ........................................ , 19 ........ Permit No. .......................... Disapproved o/c .............................................................................................. % ..................... ........ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in cluplicate to the Buildin~ Inspector. . b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pu. blic st?ets or areas, and giving 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 st~ll 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/v~DE to the Building Department for the issuance of a Building Permit pursuant to the ~Build~ng Zone. Ordinance of the Town of Southold, Suffolk County, New York, and otl3er applicabl~Lc~s, Ordinances or r, egu arians, for the construction of buildings, additions or alterations, or for removgJ/o/,demoliti~g' as here n descr bed The applicant ~grees to comply with oil applicable laws, ordinances, building c~, h/~/~c~/~nd regulations. ~ ........ ,Z../...././..*. ............................................... (Signature of applicant, or name, if a corporation) (Address of applicant)' /(/ei.~ ~' ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... ........ ........................................................................................... Name of owner of premises ........ i...! ........... :....~...,~ .............................................................................. If applicant is a corporate, signature of duly authorized officer. .................. :::::::::::::::::::::::::::::::::::: ................... I Locaton of and on(~h ch proposed wor/'~wU bedone. Map No . .... .~. Street and Number ...... ~/..~......~..~ .......... ..~.. ~.../~..~..¢.......~..~.: ...... .¢....~., .~.....~.:..~...~...J.~..../~...y ~ O O ~/ ~ Municipolfty 2. State existing use and occupancy of premises and intended use and occuppncy of proposed construction: a. Existing use and occupancy ~. . b. Intended use and occupancy ../. ............................................... ...................................... . 3. Nature of work (check which applicable): Ne~i:~ikJing ....~... ........... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ....~../.?'.~...?...~..~....'.'~... ................................ 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 ..~..~' . . If business, commercial or mixed occuRancy, specify nature and extent of each type of use ............................ Dimensions of existing structures, Jf a~-ont ............................Rea~ ................................ 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 ....... ,.~....,~...~.~...i~ ........... Rear ...... .~....~.../.?....'~ ...... Depth .....~Z...~.. ............. Height .................... Number of Stories ...... L. ........... ~ ............................................... ; ............................................... 9. Size of lot: Front ........./....~....../. ....... Rear ....... ..,.../....~...,.../. .......... Depth ......... .~....~....O. ............ ]0. Date of Purchase ~..../.~.?...~.:.....~..~.~.. .............................. Name of Former Owner ...,,,~L~...~..&..~.~......~..~.,,.'~...~.~.~ ....... ] ]. Zone or use district in which premises ore situated ................................................ :..j ................ ~. ............................... ]2. Does proposed construction violate on,/zo~ng Iow, ordinance or regulation? ...... ..~...~........~ ........................................ klameof O~,nerof,~remi~es ~'!~/ I'~' JZll'Jfl'~l-. ,,,-~ .... .~. .~..~.llt .~..~.te. /~b. lJc*u J~v~4(.__ _ ,,, 13. ,. -- ~ ~ ......, ................................. nuul~ ............. . ......... ! ................ mane I~O. ,.... .............. Nome of Architect ....~,i.~.~.r...~...~...~...~. ....................... Address .....~,~..'~.?t/~..../~...?~....t~.~....~.~.~.'~,,,./~.... Phone No....?..~...~'..~.../?..~..0. Name of Contractor ...................... Address No. 7. PLOT DIAGRAM Locate clearlY~and,distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from properb/ lines. Gi~/e "$treot. and blo~k number or description according to det~:l~ and show street names and indicate whether interior or corner I°t. /e ~ /eo ' STATE OFNEW YORK, -, )'S S COUN~TY OF ....,~,?.,1~, ......... .f .. '~..',.-.~,..:,~:~...;"::..,~ ......... :...".:~ .............. ;....:.....being duly'sworn, d~oses and says ,~, he is the applicant ~;"~v, (Name of individual signin~ :pplication, name. He is the ................~~.~ ............................................................................................................. ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the s~d work ond~ ~ke and file this application; that all statements conta~ined in this application ar~. tree to the be~of his knowl~e and belief; and that the work will be performed in the manner set fb~h in the aP~licah°n filed therewith// A / ~ Swomto~fore methis . · / // // / Note, Public, ~ Coun~"""~ ...... ~~j;;~;;;;~ ............................. ~ 52-5~345t0 - suffo/x S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date. i ~ Bldg. P~rmit No. TO WHOM IT MAY CONCERN: at (Give deed locaftion) Th~. sewage disposal faci>ities for a structure located have been inspected by this department and fDund to be satisfactory. E-EB 8 1§71 D~str±¢t ~E~aar F--1 [ i RIDGE HOMES ^,,,ow. ~A,~ 1010 R~dDe Pike Conshohacke., Pa, 19428 V, ~. M, 1-1-70 SCALE OWG, NO. AS NOTED SPECIAL ROTE TO CONTRACTOR ESTABLISH THE INDICATED DLMEESION FROM G/L SII~( AND WINDOW TO REFERENCE PARTITION WHEN ERECTING. ROTES: 1. CONSULT WITH LOCAL BUILDING CODE THAT pLAN SIZES & DETAILS CONFORM TO ALL tlEQUIRE~ENTS. 2. O[~NER OR CONTRACTOR SHALL SUPPLY ALL STEEL OR STRUCTURAL MRMBERS~ MASONRY, OR CONCRETE WORK, ETC. % RocKwooD RIDGE HOMES ^''ROVED 1010 Ridge Pike 117n Conshohocken, Pa. 19428 V, D, M, ~-~-.~ SCALE DWG. NO. AS NOTED 3· ALL CONSTRUCTION DETAILS ON SEPARATE DETAIL SHEETS. 4. ALL INTERIOR DIMENSIONS ALL FOR FULL TRICK- NESS ROCK LATH & pLASTER pARTITIONS: 3/4" + 3 5/8 + 3/4" = 5". 5. THE DEALER OR CONTRACTOR SHALL VERIFY ALL DIMENSIONS BEFORE PROCEEDING WITH THE CON- STRUCTION WORK, AND SHALL NOTIFY T~ RIDGE l{Oi~S DESIGN OFFICE OF ANT DISCHEpA~CIES BEFORE WORK IS ~ERFORMED.