The URL can be used to link to this page

Home My WebLink About4718-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~li!~.~.:J;JOS~J ......................................... Street Map No~.~.Jl~O,,...'~,.ZBiIm:k No...~....~....~../k.c~l~,..-.. ~ .....,,~1 ............ S~l.t,,J~c~,.,1.~....~.M.~. ............. conforms substantially to the ~l:lh~ation~for JB~lilding ~Permil~ heretofore filed in this office dated Al~....~'..j~.....,\19.~..O..~rsuant~ich Building Permit No.....~..~.18~. dated ............................. ' ~' '~ I~'-~ '~'---/~ ~~..~..-~.., l~..~issued, ~,nd conforms toall of fha r~quirements of the applicable provisions o~ha law. 'l'~occupancy for which this certificate is issued is ........ .......... A c~e~a c~-'Jr... ~,&t ~a~,~)~.1~3~ .t~g. ........................................................... ........................ The certificate is issued (owner, lessee or tenant) of the aforesaid building. House ~ 2tt. O Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 718 Z Permission is hereby gmntecl 1o: ........ i~l~.t~. Jr~l~....~...~t...-... · · xSe~Ze~ at premises located at ~t ~ ~a26i~e 2efface .............................................. II:m~t..&lm~ ................ ~ ........... .ll.d~.~ ............................. April 27 19..,.~../~., and approved by the pursuan¢ to application dated ............................................................ , Building Inspector. ~ ' Buildin~ Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupancy No. ~ '37~ .... Date ........... 1~, .... d ....... , 19. ~0 THIS CERTIFIES that the building located at . S~ltC .Road ............. Street Map Nc~&y. SSde. ~el~]~8~ No ........... Lot No. 30 ..... 8~uthold ............... conforms substantially to the Application for Building Permit heretofore filed in ti Lis office dated ............ ApI~.I.. 27 19.70. pursuant to which Building Pemit No. ~18. Z dated .......... 'Api'~ ' ' 2~" 19.. T0 was issued, and confoms to all of the ,~luire- ments of the applicable provisions of the law. The occupancy for which this certi~ icate is issued is .... private' accessory' building .............................. I ...... The certificate is issued to .Preston..i~ear.Mco~. ,-te,nnant.,. :G~. ttieh~l, es. ov~er..of llmd (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... 'lq iR~ ...................... I ..... Building Inspector[ ..... ~ NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING PERMIT ~ Date O~ ............ ............. ......... ..Z ...... ,,'7o 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, relatianship to adjoining prem sas or public streets or areas, and giving a detailed description of layout 0f 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 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 sh~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 MADE to the Building Department for the issuance of a Building Perm t 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 here n descr bed. The applicant agrees to comply with all applicable laws, ordinances,~ilding code, housing code, and regulations. .................... (Signature of applicant, or name, if a corporation) .... ....... ............ (Address of applicant) State whether apalicant is owner, lessee, agent~rchitect, engineer, general contractor, electrician, plumber or builder. 'ame of owner of remise ....~....~ r~ p s .................................................................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) in In Locat'o ora d on which proposed wo,_rk will be done. MapNo.~....~ot No.: ............. Straet and Number .... ~....~.~ .......... ~...~...i .................. i.iiiii ..... /~/ 2 Y/-) ~' ~ ~.,.,.,..,,~ ~ Municipalih/ ..... a. Existing u~e and occupancy ..... ,.~.....~....'m~......'~..~...~..m.....l ..................................................................................... 3. Nature of work (check which applicable): New Building ...... ...~. .... Addition .................. Alteration .................. Repair .................. R,~,rnoval .................. Demolition ................... Other Work (Describe) ........................................ 4. Est mated 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 ................................................................................................................ ,.~ ................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ~1, ....... 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 enti~';' new construction: Front ................ ~ ............... Rear ...... ~ ................ Depth ...../'.....O. ............. Height .................... Number of Stories ................ ~ ................................................................................ 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 ............ ~...~. ............................ ,...~. ............................................ 12. Does proposed construction violg,te any zoning, law, ordinance or regulation~ - ..~.......~.. 13. Name of Owner of premises ...~.~..~'...~.......~...~ .......Address ..~..~.. ............... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or prol: property lines. Give street and block number or description accordin whether interior or corner lot. Phone No ..................... Phone No ..................... ;md indicate all set-back dimensions from d, and shew street names and indicate STATE OF NEW"~i~R~t ~ e * z ........................................................................... : ........... being duly sworn, deposes ond says thot he is the opplicont (Name of I~dividual signin~g application) e ~ above named. He is the ........ ~...~.....~....~ ........ .i ................................................................. ~/ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to rnoke 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. Swam to before me this _ · ^ __ ~ .Aay of , 4, ) _. -,., ........ .............. ...... Notary Publ,~~.~'/.Jg.J/.~. County~l~.~__~ (Signature of applicant) u I~LIZABETH ANN P/EVILLE // "' NOTARY PUBLIC, State of New York No. 52-8125850, Suffolk Count'/ ~'erm Expires March 30, 19~s~