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Home My WebLink About4794-zFORM NO. 4 TOWN OF SOUTHOL~ BUILDING DEPARTMENT Town Clerk's Office Sonthold, N. Y. Certificate Of Occupancy No..Z~0.26 ..... Date ........... M.a. p0h .... 7 ..... , 19. ~3 THIS CERTIFIES that the building located at . .W/~. Ai~WaY..Drive ...... Street Map No.. y.x ........ Block No...XX ..... Lot No.. ~.. ~tttl.t;ttOk~. lq,Y, ......... conforms substantially to the Application for Building Permit herefofore filed in this office dated ...August... 8 ..., 19,2 pursuant to which Building Permit No..60~0Z. F~ay 28 .~.0, dated ..... Aug ....... 8 ...... , 19. 2 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 . B~sine.s s. bxlilding.. (Airport;)... rep.air~..office. ~..Storage. e~.c. The certificate is issued to .. J.,..Pa~ker. Wickhaln .... i. 0wlael' ...................... (o~¢ner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .~.,..1~, ............................ UNDt',RWR II:RS (t',RIIFICATE No .................................................. ItOUSll NUMBI.]R...~10 ....... Street... Ai~a3t DriFe.. Building Inspector FOF~ NO. 2 TOWN OF $OUT~OL~ BUILDING DEPARTMEN'I~ TOWN CLERK'S OFFICE~ SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4794 Z Permission is hereby granted to: ..~.$..t.~..~..~k..A;t.~... ~.~.e..]~.e......(~.,~,,.~,~ ) .............. ~.~.~.~,~c..~ ......................... : .................. to ~......~..a.~,~..~....a..a.~.~.o..~ .~....e.~..m..~ ~....~....~...~.e..~....~..~.~...~ .............. pursuan¢ to application dated ................................ ~ ..........~J~....., 19..~.0., and approved by the Building Inspector. Or SOre',OLD ~UJLDINa DEPARTMEN~ TO~ C~ERK'~ OFRCE SOUTHOLD, N. Y. D APPLICATION FOR BUILDING Date 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 t,o adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram w~'Jich is part of this application, c, The work covered by this application may not be commenced befoJ'e JssuQrlce of Building J~errtlit. d. Upon approval of this application the Building Inspector will issu~ o Building Permit to the applicant. Such permit shal be kept on the premises avai ab e for inspection throughout th~ progress of the work. e. No building shall be occupied or used in whole or in port for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS H.EREBY MADE to the Building Department for the issuance o~ a ~ullding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New ~o.k ~nd 0the, applicable Lows Ordinances or Regulations, for the construct on of but d ngs, odd t OhS or a tarot OhS, or'for removal or demo ition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, hous!ng code, and regulations. (Signature cf applicant, or name, if o corporation) ~ (AddFess of applrc~nt) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of C~ ~ Wi !~ c~m premises ...................... ~....~ ....... ~.~.~t ........................................................................................................... (Nome and title'of corporate officer) 1. Location of land on which proposed work will be done. Map No.: tN e of ,,?. ......... .V~,tl~,,~ ............ Lot No.: ........................ ptcosent sh~p buildinpj~ ',';est si. lo or Street cnd Number ...................................................................... ~a~a~.,i)mixar,.~>~t~.t~zc)a~,,~,~,6,~ .................. 'Municl~Jt~ State existing use and occupancy of premises and intended use and occupancy of propos~ construction: a. Existing use and ~cuponcy ...................... [;;~n~.~'e~,~l ......................................... b. Intended use and occuponc~ , ........ C3og_~,f~R',,~¢]..~t~:ge.~,~?;.;%~.~nf.~ n3r..~.f~q.%e...[ ............... 3. Nature of wo~k (check whici~ applicable): New Building .................. Addition .....~ .......... Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ...................... &4¥.(~.g¥00 ................... Fee .......................................................................................... (to be paid on fi!lng 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 .~,Fe~..,~,D~,4~ .... 7. Dimensions of existing structures, Jf any: Front. ..........12.(1 ........... ,Rear ..... J.~Q ..................... Depth .....7...Q ........... Height .......... 1.g .......... Number of Stories ........... $ .................................................................................................... Dimensions of same structure with alterations or additions: Front ..... '~it~.....1.-%) ........... Rear ...... .~.:SyJx....~.,~0 .... Depih .....b.4 ....................... He ght ......... .~.Q .............. Number of Stories ....1 ............................ 8. Dimensions of entire new construction: Front ............ g,O ................... Rear ...... .?.Q ................. Depth ....... .14 ............. Height ....... ~.O ......... Nurnber 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 violate any zoning law, ordinance or regulation? ........... ~..q ............................................ '13. Name of Owner of premises ...... .~.,.t.!.,..}?.Lq.l.c.~.~.gJ.~.~. ...... Address ....:..L(ti.t,.u. ek..'. ,¥. Phone No. ,,2..9..8.~8...3..)..7... Name of Architect ................ ?..o..~.~:?. ............................ Address ............................................ Phone No ..................... Name of Contractor ..............'~"~'r~ ............ ~ ................ 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 corner Jot. STATE OF NEW Y~OP.~--/~. g~ }.,... COUI~TY.~ / /Z~:::~,~'~.~'~ .C~ .... ~.~N..../.~...//l)/~/~' ' / , (Name of individual signing~__~. ~ ~ ._~aPplicati°n) above named. He is the .......... ~'.~,Z(.~]~. ....... ~.~.<I.~ .............. : ........................................................ (Contractor, agent, corporate officer, etc.) af said owner or owners, and is duly authorized ta perform or have performed the said work and to ~ke 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 applicati~ed therewith. Sworn to be~re me this / ~ day of ~ ~ ~ ~ , 19 .......................... ..................... ...... ........ ....................... { / ....................... ~ ~ ' Commssion Exp' es ~ .