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HomeMy WebLinkAbout5501-zt NO. 4 TOWN OF $OUTHOLD BUH,DING DEPARTMENT Town Clerk's O~ice Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at 30~. l~a~haime~ .Av~ ... Street Map No...T.1..07.~.... Block No..~. ....... Lot No. ~ .......~..e..~.~...~.t..~...~.: ...... conforms substantiaily to the Application for Building Permit heretofore filed in this office dated ..........~$p.t~..91.., 19.7]. pursuant to which Building Permit No, dated ..........~.t.p.~.~..gt .... , 19. ~.~., 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. l~lvat~..aue. £~.&mlXt~ ....................................... The certificate is issued to .. 010~g~l. ]~l~ll ....................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... UNDERWRITERS CERTIFICATE No..~ ................................... HOUSE NUMBER . .30~ ....... Street J~e~.t..A~e,.t.. 9~ .,t~].~. ............................................. .G~'eeapee ts. .~I.:Z. ................ ..... ........ Building Inspector / TOWH~o~ i~S (~THOLD SOUTHOLD, H. BUILDIHG PER/rUT (THIS PERMIT MUST BE KEPT ON THE PREMISES~U~TIL COMPLETION OF THE WORK ^UTHORIZED) 5501 Z FULL Permission is hereby granted to: .................... ~~.~..&..~~.~ to .... ~ .~. ,..~...~...~.....~... ,~..~.~...~.. ,~...W..~~ .......................................................... pursuant to application dated .................................. ~lltt~....~ ........ , 19.~J1.., and approved by the Building Inspector. AprLl 12, 1973 ~r~George De~ls 31 32 81 street Jackson Heigth! ,l~ueens, N,Y. 11370 Dear An ~spection of your premises at Angler Road & M~hanset Aue~ Greenport, N.Y. today we find that you Have ere~te~ some pos~s in the public highway at the enterance to your ariveway. These posts will have to be removed immediately. The paving of your driveway connection is subject ~o the app~,ovai of '~he Suprentend~nt of Highways, we find no such approval in his file, The posts to be removed can be set inside of you~ property line if you wish, Yours truly Building Inspec tot, C .O. Supt Highways , Applicotion No....~....-~....0../ ................. APPLICATION FOR BUILDING PERMIT - ,1~ Dote · INSTRUCTIONS ~ This opplication must be completely filled in by typewriter or in ink ond submitted in duplicate to the Building~ Inspector. b. Plot pion showing location of lot ond of buildings On premises, relationship to adjoining premises or public streets or oreos, ond giving o detoiled description of Ioyout ofproperty must be drawn on the diogram which is poh of this opplication. c. The work covered by this opplication moy not be commenced before issuonce of Building Permit. d. Upon opprovol of this opplicotion, the Building Inspector will issue a Building Permit to the opplicont. 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 InslJector. APPLICATION IS HEREBY MADE to the I~uilding Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold/" Suffolk County, t~ew York, and otheK applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or ~terations, or ;for removal or demolition, as herein described. The applicant agrees to comply with all appJ;jcable laws, ordinances, building code, housir~Lcode, and regulations. (Signature of ¢ll~licant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber pr builder .. . Nome of owner of premises ........................ ~ ...............................~ ......................................................................... ~ 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.~ ......... .~a.~'~...'~.~:.....~..:.~...~. Lot No ......................... Street and Number ~...~R.~.~.~e~..~..~....~;q......~..e~.~.~,.~..~. ................................................. ..~ 0 ~,~ ~ ~ ~ ~unici~li~ State existing use and ~cu~ncy of premi~ ~ intended use and ~cu~ncy of p~os~ c~mction: a. ~isiting use a~ ~c~ancy ......... ~.~.~.~. ...... ~ ........................................... b. Intended use and ~c~n~ ........ ,,. ~.~..~ .................................................................. :~ ................ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alt tion ............... Repa:r ~ ~Z"./~'.i Removal .iiiiiiiiiiiiiiiiii Dem°Ji. ti°n~" Other Work (DeScribe) .... [....j. ....... (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 bus ness, commercial or mixed occupancy, specify nature and extent of each type of use ...(~. ..................... 7. Dimensions of existing structures, if any: Front ....... ~.~...:..~ .... Rear ......... J..~,.......Jc......uC... Depth ......~..........~L.... Height ........................ Number of Stories Dimensions of same structure with alterations or additions: Front ...... J.~.....~:.......~. .......Rear ..~....~.~.....~ ' !.... Depth ....... ,-~..0......~..~, ....... Height ............................Number of Stories ....... ,]. ....................... 8. Dimensions of entire new construction: Front ....... .J.~x.;.~...~. ....... .~..f..~. Rear ....... ~,~...~..~..~.~. Depth .....~...~.... ,~.~..: .... Height .................... Number of Stories ......... .[. ........................................................................................................... 9. Size of lot: Front ......... ..~..O. ........... Rear ......... ..C[..0.....~..~ .......... Depth ........... [..~.~. ............ , ]0. Date of Purchase ........ ..~.~p'~. ...... l...~.~..~.'~.J ................. Nome of Fo"mar Owner ....~.'~.~.....~.~.J..~.[~,~ ........................... 1 1. Zone or use district in which premises are situated ........... ~.~c..~.~..~...~.g...~.....~...[~J.:. ............................................... law, ordinance or regulation? ......... ~.tQ ............................................ 12. Does proposed construction violat,~any zon~j~g~ 13. Name of Owner of premises ...... ~.~...........~O..~,...Address ~....O:~'....~lk~'t,,~Phone No.~.~.'.L~.~.~..p~:... ,, ,¢ ~J ;T ~.,~ ,., ..~J.....~..; ....~. ,...~'.. j~ haneda' -,.~/-~ ......... Name of Architect ...................................................... Address Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Eoc~ ·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 i~terlo~ or.omar lac. LoT. /.,p x ~TATE OF NEW,~O!~d~,.,, t S S '=' ' COUNTY OF ..J,':~III~JK...~ ....... :,f ' ~ ......................... orn, (Na~e of indiJdual signing applicotion~ z" , ,, ~ ~ above n~ed~ He i~ the .......................... ~ ............................................................................................................ (Contractor, agar, corpora~ officer, etc.) of sai~ ~ner or ~ners, and is duly authorized to perform or have performed the said work and:to ~ke and file t~lication; that all statements Contained in this application are true to the best of his knowledge and belief; end ~ the ~rk will.~ performed in the manner set fo~h in the application filed ther~ith. z_ ........................................ No. 52-81258~. Suffolk Coa~t~ '~ Term Expires March 30, [9~