The URL can be used to link to this page

Home My WebLink About5555-zFOlk~ NO. 4 TOWN OF SOUTHOI,D BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No .... ~ ~ ~'g6 ' ' ' Date ............. Augus.t. 15.,..., 19 THIS CERTIFIES that the building located at Soun~l..View. -Ave~ ......... Street Map No. XX ...... Block No...XX · · · Lot NOt)es¢ ~ ..... Southold, · N..¥ ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... Sept~ ~['5, -' , 19 7t' pursuant to which Building Permit A!o. 5955.Z dated ..... 5~y:t'Oct;' 6,", 197t' ', was issued, and confoms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is 'Pr'i~at~ 'one' faint'lTl dwelling ..................................... The certificate is issued to . Dr. Robert- Kaplarr .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................. UNDERWRITERS CERTIFICATE No. 'Perrding .................................. HOUSE NUMBER '-73'?0 ... Street . ~qoumd..View .Ave-. ....................... ............................................... ~u%ho id.,..N, ¥. .................. ........ .... Building Inspector FOF,3/I NO. ~ TOWN OF SOUTHOLD BUILDING DEFARTMENT 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? 5555 Z Permission is hereby granted to: to ,.~l~..m~. ~t~m...~..e~#.t~e..~~ ............................................................. at premises located at .... ~).~tllle..~l~.,~l~ ..~;;~!~W..~lf~i ........................................................... .................................................. ~~ ....... ~.3~+ ......................................................................... pursucm¢ to oppli¢otion dcr~ed ............................... ~4{~....{.} ......... , ]~.~{~.., nod opprove~{ by the Bui{ding Inspector. Building Inspector, / , Examined Approved FORI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Pem,t No...~..CC..~....~ ...... Application No. Disapproved a/c ..............~. :'.-.~.__..._...~._...... ~..__z APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. Th~s opphcotton must be completely fdled in by typewriter or mtnk and submitted in duphcote to the Builder Inspector. b Plot plan showing location of lot and of buildings on premises, relat~onsMp to adjoining premises or pubhc streets. areas, and gw~ng o detailed descnpt~on of layout ofproperty must be drawn on the diagram which ~s part of this opplicatio, c The work covered by this apphcat~on moy not be commenced before ~ssuance of Budding Permit. d Upon approval of th~s opphcot~on, the Building Inspector will ~ssue a Budd,ng Permit to the applicant. Such pern shall be kept on the premises available for inspection throughout the progress of the work. e No budding shall be occupied or used m whole or ~n part for any purpose whatever untd a Certmficate of Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Deportment for the ~ssuonce of o Building Permit pursuant to t~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buHd,ngs, oddmons or oiterat,ons, or for removal or demolition, as herein describe The apphcant agrees to comply with all apphcable laws, ordl nances, budding code, housing code, and regulations. (S~gnature of applicant, or name, ~f a corporation) (Address of apphcant) <;'c::, r..,, z-,',,' o,,¢. z::~, State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buHdc ...... ...... ..................................................................... .: .................................................. Name of owner of premises .~4~',......~.~-'-A~ .~....z'~l',~.~/--~ ....... ] ................... : .................................................... If apphcant is a corporate, signature of duly authorized officer. ...,:2z/,.,. ................ ' ~/ (Name and title of corporate officer) 1. Location of land on which proposed work will be done Map No ......................................... Lot No..........~'~ ..... c'.......__ Street and N~nb.e,r ~.6-~Z.....,~.~.. ...... ~Z/./~....~...~z:~...~./.'....~.C2C-/.~..~Z~......~?4~C~x'X'/.~:~...~I.~'x~_~ ( ~' ~) ~7~ ~OUN~ ~ A~L~ Municipality ~o~o~.~ 2. State existing~se and occupancy of premises and intended use and ~cupancy of proposed construction: a. Exis~ing use and occupancy ...~.~.....~~.~.'. ............................................................... b. Intended use and occupancy ....... ~~ ............................................................................................... 3. Nature of work (check which applicable). New Budding ..~ ..... Addition .~ ............. Alteration .............. Repair .................. Removal .................. Demolmor .................. Other Work (Describe) ..................................... 4 Estimated Cost ........... . .~...,~.,..,.,~ff. ..................... Fee ..~......~.,....-.r. ...................................................................... (to be prod on filing this application) 5. If dwelling, number of dwelhng umts .......... / .............. Number of dwelhng umts on each floor .. Z ..................... If garage, number of cars .......................................................................................................................................... 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ......................... 7 Dimensions of ex~shng structures, if any: Front .,~. ~. ~ .................. Rear ....~?..~ .................... Depth ..~.: ........... Height ...../~.~ ............ Number of Stories ..... /..~.-, ................................................................................................ D~mensions of same structure with alterahons or additions. Front ..... ..W..~.. ........................ Rear ....44. ..................... Depth ........ ~. ................. Height .....7.~' '. ............. Number of Stories .... ~/..~_, .................. 8 D~mensions of enhre new construchon Front .................................. Rear ............................ Depth ..................... Height .................... Number of Stories ..................................................................................................... 9. S~ze of lot: Front ....... ,~..~..o.i..?..:..~... Rear . .~.."&.~ ! .................. Depth ....... _//...o. .................. 10. Date of Purchase .¢./.~l~::~..-w.. ....................... Name of Former Owner ......."-'. ............................................... ] 1. Zone or use district in which premises are situated ....~¢~.~.£~.~m~, ................................................................. 12. Does proposed construchon wolate any zoning law, ordinance or regulation? ...~.O. ................................. 13. Name of Owner of premises .~..:..~ .~..~..~. ........... Address ....................... ~..:':....~.. .......... Phone No .~...-. .............. Name of Architect .................................................... Address ........................................... Phone No ................... Name of Contractor .~..9...~..~5.~.~,~:~....~.$..~. ....... Address ..c~C:~D~-~.,.b/.~..C[ ..... Phone No ~*.~..~2,.~.~.. PLOT DIAGRAM Locate clearly and d~stmctly all buildings, whether ex~sting or proposed, and indicate all set-back d,mens~ans fro, property lines. Give street and block number or descrlphon according to deed, end show street names and indicat whether interior or corner lot .1 STATE OF NEV~OR.K,f., ,~' [ S S COUNTY OF ~~ ......... J' ....... ~.~.~.~~=~2..~.-~..~...Z~. ............................. being duly sworn, deposes and says that he is the applic~ (Name of individual s~gning application) // - above named He ~s the ...... ~.,~)..,~'~.,.f~.~..~,~-~,~. ........... ~..~..~.'....-T ............................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and f this application; that all statements contained m this apphcation are true to the best of his knowledge and behef; a that the work will be performed in the manner set forth m the application filed therewith. Sworn_to before me thm/'~.~.', ~, ....... ...... of ...... ?""r Notary Public~C;~'~'~'G~' :~"~'"z' '~"6/a0TARYmZABETHpuBUC. ~U~St,,, NEV,LLE/o! Ue~ ¥~, County ~ .~7/.~ (Signature o~';~l~ii;'~;~'i .................... NO 52-8125~50, Suffolk ~re~m E~p~res March 30, 19~.~(