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Home My WebLink About4832-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.Z.~.20c) ....... Date ............ .&.]~ .r~,;],.... ;2.2..., 19..7.! THIS CERTIFIES that the building located at ...~m~th. D~.o. ~txth ....... Street Map No. Geese. Nack Block No ........... Lot No...11 ~. &. pt..1.11~...$~uthold ..... confoms substantially to the Application for Building Permit heretofore filed in this office dated ......... Jtme...11..., 19.70 pursuant to which Building Pemit No..~8~. dated ............ J~...1.1.., 19.50, 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 .. Privy-re. G~.ag®... (ac~e s sony..Bldg). ............................... The certificate is issued to .. Charles .Iio3~aes .... ~. 0~ner. ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .14.o&o .............................. House ....... ......... Building Inspector ~0~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o ~1832 Z Permission is hereby granted to: · .~Z, oZ~,s~t....,~h/g.....~..~.,..~l,me ..... at premises located at ...... ~l~i..~l~...t~.~..~..~.~....~iI, Jl~.,~l~..~ll~lt~l~ .................. .......................................... ~t,Mr~..It~e..,~e~ .............. ~ ...... lleZ. .......................... pursucm¢ to application dated ............................... ~1~13~'"'~ .......... , 19..~0, and approved by the Building Inspector. .Fee $...~.0~ ........... NO. I 'TOWN OF soUTHOLD BUILDING DEPARTMENT TOWN C:LERK'S OFFICE .~ SOUTHOL.D, N. Y. Examined ....... ~...., 19.?..?.. Approved .....(~.. ........ ~ ........... .~... ...... , 19..~. ..... Permit No......~....~...~......~........Z~-. Disapproved a/c ..................................................... ~~tor) INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und 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 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 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 pureuant 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 oil applicable laws, ordinances, building code, housing code, and regulations. (~a,~, or name, if a corporation) (Address of opplica~t) State whetherapplicant is owner,~ngineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) 1.Street and NumberL°Cati°n of land on Which~proposed work w~done.~ap No.: ........................................ ~~-L°t No.: ........................ ............................................................... ...................................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: u ' Existing se and occupa cy ........................ ~ ....................................... ~ ............................................................... ntend~-~ use and occur~an~,r -- r .......................... ~' ................. y ..................... ~. ....... ~/ ........................ 3. Nature of wink (check whict~ applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ............ ~2..~,.,,~ .................................... tee .......................................................................................... (to be paid on fi!lng this application) s. if dwe,,ng, number of dwe,ing o' un,t o" If garage, number of cars .......................................... ~...~....~ ..................................................................................... 6. If business, commercial or mixed ~cupancy~ specify nature and extent of each ~pe of u~ ............................ 7. Dimensions of existing s~ructures, if any: Front ............................ Rear ................................Depth .................... Height Number of Stori~ Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front .................. j...~ ..........Rear .......Z..~ ..............D~th ...~.~ ............ Height .................... Numbe~ of Stories ............. ~ ................... ~.~ ................................................................ ~ ~ ...... ~.J.~.~. .............. Depth ........ ~.O.~.~...~ ....... 9. Size of lot: Front ....... ~....~ ........ Rear 10. Date of Purchase ........................................................Nome of Former ~ner ........................................................ 11. Zone or use district in which premises are situated ................... ~ ........... ~ ...................... 12. Does proposed construction violate any ~?2~.~a? ordinance o~egu~tio,~ ........ ~ ......~..~ .................................. 13. Name of Owner of premises ............... ~..~.....Address ~...~..~_].....,~.~.. ~hone No ..................... Name of Architect ..... .~....j.:[. ........ ~ ................ A~ress ........~:~[;~.y.~ ............ Phone No Name of Contractor ...~.~...~.~¥~.~'~.~ .................... A~ress ............................................ ~ '~ r Phone No PLOT DIAG~M Locale clearly and distinctly oil buildings, whether existing or proposed, and indicate all set~k dimensions from prope~ lines. Give street and bilk number or description according to deed, and show street nam~ and indicate whether interior or corner Jot. 'A STATE COUNTY Of ...~.....~..£.~.....: ....... ~'"., / ~ . ............................... ~..~...~ ........... being duly sworn d~oses and says t~t he is the applicant (Name of i~vidual signing appl~ation) above n~med. He is the .......................... ~ ............................. ~[ .......................................... (Contractor, ag~t, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfo~ed the said work and to ~ke and file this application; teat all statements contained in this application are true to the best of his knowledge and belief; and that the work wiJJ be performed in the manner set fodh Jn the application filed therewith. Swam to before me this ~ ....... .................. Notam/Publi~~Z~ ..... Coun~~'~~~,~~ ........ '