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~