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Home My WebLink About4601-zNO. 4 TOWN OF SOUTHOLD BUH,IH~G DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. "Z~3~ .... Date .............~Ugt:~t .?! .... , 19~.~. THIS CERTIFIES that the building located at 6l.?~0- 6/S. libra, t~oat[ ..... Street Map No.. 'X~ ....... Block No.. 'XX ...... Lot No.. ~ ........ ~toutl~oj~t. ~,~, .... conforms substantially to the Application for Building Permit heretofore fried in this office dated .............Ja~e 'gy, 19.?0. pursuant to which Building Permit No ....I+601Z dated .............ja~ .~t.., 19.~0, was issued, and conforms to all of the reqaire- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is.. Bue~me~s · Bu~ZcLt.~-Sa~L~s · &. Repair .9hep ......................... The certificate is issued to .l~chae].. 14Orrttt ...................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... UNDERWRITERS CERTIFICATE No. PmaS.4m~ .................................... HOUSE NUMBER ..... 5'~7~O ' ' Street .... M~.XX 'ROmti .......................... ...................................................... · ou?~].c~s' · N:~ ......... ............ '" FORI~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPART&lENT Town GLERK'S OFFICE ~SOUTHOLD, N. Y, BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES, UNTIL FULL ~COMPLETION OF THE WORK AU~THORIZED) N? 4601 Z Permission is hereby granted to: .................. ,.~...~ ..... Ls..~.~.t~.~..~.~ sta, ~t,,~ ~t~) to ...... ;~l~;IA..lm..~~__..e~..~.m~..l~~..tm~ ........................... .......... , ..................... .(.~.~..~..~..~) ............................................................................ at premises Iocote~d ,at ............................................................................................................................ ................................. ~. ........................ ~le~t!m~ ........ .i~,~, .................... : ....... ~ .................................. pursucmt to application dated .................................. ~t&ll~..~ ............. , 19.~1~., and approved by the Building I nspe~9~?r. Fee $ .... ~. ............. Build. lng Inspector TOWN OF SOUTHOLD TOWN CLERK'S OFFICE ,~)UTHOLD, N. Y. v ,, , ,, ,, of Z..-- Approved ........................................ , 19 ........ Permit No.....~.. ..................... Disapproved a/c ............................... ~.. J / lpg/7 ..................... ............................. (Bui ding Inspectc~) Application No.....~..~...~...!. ............ APPLICATION FOR BUILDING pERMrI' 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 thie 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 laws, ordinances, building code, housing code, and regulations. Michael Morris (Signature of applicant, or name, if a corporation) (Address of applicant) ~'-~' ~'~- ~-~ ~' ~ ~contractor, electrician, plumber builder. State whether applicant is owner, lessee, agent, architect, engineer, or Owner-builder 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 .................~/~.....~,,~"L.~D.~, ......... ~.~.g,t~.~.9.~.~.....~....~..... ......................................................... ~'/ - ~/~.~O ,,~,~7~,e~--~-~-~ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing Use and occupancy ........ ~.~...]~.~j,1,],~,~ ................................................................................. b. Intended use and occupancy .............. ~L~.~.~...~.~.1;~...l~...~.~...~.;~.~.~,.9..~. ................................................................ 10. 11. 12. 13. Nature of work (check which applicable): New Building .................. Addition ......~ .... Alt t n ................ Repai~' .................. Removal .................. Demolition .................. Other Work (Describe) ............ J~...~r ..................... Estimated Cost .........~.~.0.(~ .+.. Fee ~0 'k_)' (to be paid on filing this application) If dwelling, number of dwelling units ........... .~...o..~..e.. ....... Number of dwelling units on each floor ............................ If garage, number of cars ...................................................................... {.~ ............ '.: ....................... !:.tt ........... : ........... If; business, commercial or mixed occupancy, specify nat.ure and extent of each type of use ..... .1~.~...8..g..~..~.~.~.... Dimensions of existing structures, if any: Front ............................ Rear ..................... ~ .......... Depth .................... Heig'ht ........................ Number of Stories .................................................................................. ............................... Dimensions of same structure with olteratians or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ Dimensions of entire new construction: Front ....... ~l+. ........................ Rear .......... 21~ ............. Depth ...... .~.3 ............. Height .................... Number of Stories ..... ol~el] .......... ~ ............................................................................................. Size of lot: Front ............................ Rear .................................... Depth ................................ Date of Purchase ........................................................ Name of Former Owner ........................................................ Zone or use district in which premises are situated ...... ~..~!...J~.~ .............................................................................. Does proposed construction violate any zoning law, ordinance or regulation.;> ..... ~..~ .............................................. Name of Owner of premises ~k~.~r...J//~.~'~ ............. Address ...~D.~.~O.,1,0, ...................... Phone No ..................... Name of Architect .......... ~...~...e. ................................... Address ................... i .......... .............. Phone No ..................... Name of Contractor ...~T.~...]~,~QI3,~g ......................... Address .....,,~.D.g.l~j:l,q~(1, ................... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from ~erty lines. Give street and block number or description according to deed, and show street names and indicate ~her interior or corner lot. STATE OF NEW YORK, J S S COUNTY OF ...~.~'ol1~ ........... J' · · ........................ ; ........... ~l~.:L~h&g.'l...J~)~..~. .......................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ............... ol~,e~e...b~l.:L]~l.e~ ........................................................................................................ /. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to moke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the appliqation filed therewith. Sworn to before me this '~ ~ ~ . ................... .C~.. day of ................... ~T~g.8~.~ ....... , 19....~.0 /~ ~'~/~ , ~). ~ \ . _ fl_ . -'- .............. Notary ~ublic,k.~/-~/~r~,~..L~')2~.l.~.. County~-,~ /J' (Signature of aj:~o'li~,ant) ~ ~LIZAB~t~ANN NE.VI.~L£ .. k ~ ~" ~' ~ / NOTARY PUBLIC, State et mew '~or {. I No. 52-8125850, SuffoJk County Term Expires March 30,