The URL can be used to link to this page

Home My WebLink About5539-zFOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at . .~.e.s. tvl.e.W .i)rJ, v$ .......... Street Map No....xx ........ Block No. ~ ....... Lot No..XXX... MattJ..tuetr.. l~ .¥, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... .~e.p.~.~.., 19~... pursuant to which Building Permit No. ~'~gZ... dated' . ......... Se. pt.. ~0..., 19.~q., 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 ...Prsgate. or~e. fami~.~ .dve.~.li. ng ..................................... The certificate is issued to . Rober.t .H~lts ....... O~e~ ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Jan...3.~ .19.72.. b~ .R...V$11~ ..... Building Inspeet6r I~OEM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NV 5539 Z Permission is hereby granted to: . .~...~.~.,.-~.~... ,T,r-,.~....~,~g...l~l~.t,.. ~... · ; ....... ~3~ .... ~,.~c~.~e ..~ot, m'~J"l., a~- ................. .................. · ae3./l, ea~ ...... ~-~.I, .............................. ~ to .... ..~.~.~.~.,~..~...~ .e....~.~3,~....~.~,;L~.~ .............................................................................. at premises Jocated at ..... :..~1~..~, II:~,,~'.~v-.,D.~. ............................................................................... .... .'. .............................................. lff~l~.~,~1~ ...... ]I,~[~ ...................................................................... p~rsuc~t to application dated ....................... : ........ ~]~....~ ........ , 19~t~...., and approved by the Building Inspector. Fee $ .J,J e,.,~'O. ........... :~l~uilding Inspecto~"~'"1 $-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date ~ ~ Bldg. Permit No. TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located (Give deed location) have been inspected by this department and found to be satisfactory. ' , ' ,~'~-~--..~.'~~IC-e~ ~ ~:~!.~,.~,., .... , ~ ~.,,, ,. . FO~ NO. 1 ~, : ~ ~,.% ~; - ~ ~-. ~ , ~, c. ,.* , TOWN OF SOUTHOLD . ' ' ( ...TOWN CLERK'S OFFICE . ' ~ , (Building Inspector) '' '": ..... "' ' ' :z. · ' ' . · ' Date ...,.~ .... -...,.~.,---.-..-..,r, 19 ...... ' i. .... INSTRUCTIONS r .' : ' ~ ,a. This application must be. completely filled in by typewriter ar in ink'and s"bmitted in .duplicate t~ the Building lnspectar, 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 ofproperty 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 t.his application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premsses available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purP.°Se whatever until a Certsftcate of Occupancy shall hove beert granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other.appli~:.able Laws, Ordinances o, Regulations, for the construction of buildings, additions or alterations, or for removal o.r demolihon, as herein described. The app cant agrees to comply W th' .all appl cable' laws, ordinances, building code, housing ¢od.e~ and regulations : ..: (Signature of applicant, or nome, if a corporation) - (Addresser apphcont) / (J . t State whether applicant is owner, lessee, agent, architect, engineer, general controctor~ electrician, plumber or buili~e~ .............~ .............. ,', .............. i ........................ ............ .... ......... ,.:.'...Li .................................... ~,. N .~. . . If appJmant ss a corporate, .mgnoture ,of duly office. . , . ' ' ' ~/ ~', ×'z~,,, ,,&,~......~:...( .... - . '"~'~~ ........ "--, , - ' . -7'-~ - / (Name and title at corporate ottscerl Location af land onwh,ch p~pased_work w,, be do_.,o. Map No..?~m~:m.?.~.:~....:.. ~ No. ~ ....................... Street and Num ~1~.~..~....~.)......~.....~.i'~-(t:.~., ........ /~.~"~' ...... 'U"~rtL~' ............................. ' ....................... :'37~/~7:./~,o. ~r/_o~.F4. D.a.. Municipality 2, State existing use and occupancy of premises and intended use and occupancy of prepared construction: ~- a,. Exisiting ,use and occupancy ......... ~,~rd-~,'6,~,.'~,; ........................................................... , ....... ~ ................................ "'-"'~ :'~ ....... ' ' 'Z ...... ~....:,. .... ' ' b. 'intended use ':' .........~:.~'/..~/~"f'~"'"~'~"~'~(,(~'" "'P'"'"'"~'"""""'"'"""t ............ 3. Nature of work (check which applicable): New Building .................. Addition .... ~ ........... .~-~Altemtion .................. Repair .............. :... Removal .................. Demolition ................. Other Work (Describe) ........................................ ~ ~/"/~ ~ ;" ..Fa .- )O o~, ....................................... 4,' Estimated Cost ............. ~.,.~.~..~. ...................... :-.. * ........... i~o'~"l~"~;~"~o~"'~'ii?~"[l~i; application) / 5..~.J.~.~well, i~g,_ number of dwelling units ......../. .................. Number of dwelling units on each floor ........................... '* if garage, number of cars ......... ....... ~.. ............................................................................... ~: .................... ~ ................ 6. if business, commercial or mixed occupar~y, specify nature and extent of each ,type of use ........................... 7. Dimensions of existing structures, if ony: Front ............................. Rear ................................ - De~th ~ ................... Height ........................ Number ~f Stories ................................................................................................... .~ ........... Dimensions of same structure with alterations or additions: Front .~ ...... ~.,..~ ...................... P~ar ........................... Depth ................................ Height ............................ Number of Stories ........................ ~ ....... 8. Dimensions of entire new construction: Front ...... ,~.,.~ ..................... Rear ....... .'~..~ ........ ~.... Depth ...... ~ ............ Height ..../..~. .......... Number of Stories ................................................................................................................... 9. Size of'lot: Front ..~.~.:Z..~..~....: ......... Rear ....... .~....~...'~.~ .................. Depth ....... ./...g.,,~.,.~'. ....... ~ .... ,,~, 10.* Date of Purchase .................. : ................................... ~me of Former Owner ...................................................... ~ 1 ,~ Zone or use district in which premisee ore situated ................................................................................................... 12, Does proposed construction ,violate any zpning law, ordinance or regulation~ ..... ~.,.~. ........... _.: ............................... /'1/3.~. Name of Owner of premises'~,p?. ...... J...~J.)~..~.,,......Address ~'~d~ls~l~t~Jl~llflii~a, am~,~mmm~.m...... I~ Nome' of Architect ...... ~ ............. ~ .......,~ .................. Address ............................................ Phone No ................... / :~ '~ Name of Contractor .................................................... Address .......................................... :. Phone No ................... PLOT DIAGRAM Locate clearly and distinctly al! buddm.gs, whet.her .exl. s.t,ng and indicate all set. back dimensions fro, property' lines. Give street a,nd. blc~ck, nurc~er or oar, eruption c dnaw etreat nam~ and .. , ,.:~..'.~,: ? .. ,. ,. /, , . . ' .... .. STATE O~ COUN~ OF ....... ~~~ ~ · . ~. . ~~~~~.~ ......... ~ .............. ~i~ duly ~m, ~s ~d ~ t~ ~ is the apphc- (Na~ of i~Widual s~gnmg a~lcatl~ _ (~nt~or, Gg~t, coyote o~lcer, etc~) . . ot ~Ja owner or ~ne~, ~at the ~ will ~ pe~a In me manner ~t tonn m me ~,,~ ...... ~,.,,~ ......... -.............. .... · . ~ ~-:::.-.~-.0,~- ~~.~..., ~ ~_.~__ .