The URL can be used to link to this page

Home My WebLink About5560-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.;" .1+830 Date THIS CERTIFIES that the building located at Map ]No. XX . Block No. XX. Lot No. [;OUt 26 , 19 ~ L.ighth.oume R.~, & S,V~A, Street conforms substantially to the Application for Building Permit heretofore filed in this office dated .. O. et 43 .., 19 O. pursuant to which Building Permit No. dated .... O~t . .t3., 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 Pl'~va%e orte. fatally. ~twel!lng ......................... The certificate is issued to Philip o£ the aforesaid building. Suffolk County Department of Health Approval .... 0~tOr ....... (owner, lessee or tenant) Feb..2~..t.972 b2 R. Villa UNDERWRITERS CERTIFICATE No P0nd:Lx~ .. [IOUSt~ NUIVlBER 2~0 Street L~ghtho~l~ P~ 1 ~+6~ Sound View Ave Building Insp¢cto; TOWN OF $OUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. BUILDING PERMrr (THIS PERMIT MUST BE KEPT ON THE PRF--~ISES UNTIL FULL COMPLETION OF THE WORK~UTHORIZED) N? 5560 Z Permission is hereby granted to: at premises located at .......~j[~Jt~t, lt~..JJJlli~.~.~JO~..Y~i~llJ..Ji,~ltl~ ....................................... ....................................................... ~a~X$ ......... ~,X~ .................................................................. pursuant to application dated ................................ ..~....~. ......... ..~.~. ...... , 19....~.~, and approved by the Building Inspector. S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date FEB ~ 8 197L~ TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed locati6n)' have been inspected by this department and found to be satisfactory. FEE) 9 8 1978 TOWN OF SOUTHOLD A/~-~ J~ ~/~. BUILDING DEPARTMENT ~ ~ TOWH CLERK'S O~ICE / ~ · · / ~UTHOLD, ~.~ ~ ~~~ ...... ,, ,, ~proved ........................................ , 19 ........ Pemit No ...... Disopproved o/c '. .................................................................................... ; ...... ~ ~ , .................. ; ......... ~ ~ - ~ ~'~", ~ 't APPLICATION FOR ~UlLDIN~ pE~IT ._ ~ . October 1~ 71 o. This opplic~tion mu~t be completely fill~ in by ~p~writer or in ink ~nd ~ubmitt~ in duplic~t~ to the Buildin~ Inspactor. b. ~lot plon showino Ioc*tion o{ lot ~nd o{ building* on pr~mise~, relotionship to od~oinin~ promise~ or public ~re~s, and ~ivin~ ~ det*il~d description o{ Ioyout ofprop~ mu~t bo drawn on the die,ram which c. ~ work covered by thi~ opplication m~y not b~ comm~ b~fore i**uance o{ Buildino P~rmit. . d. Hpon opprovol o{ thi~ opplic~tion, th~ 8uHdino In~pactor will i~sue o Buildin~ Permit to th~ opplicont. ~ch parm~t,~ ~h~ll be k,pt on th~ pr~mise~ ovoilobl~ {or in~paction thr~hout the pr~re~s o{ th~ work. o. ~o buildin~ ~holl be ~cupied or used in whol~ or in pa~ {or on~ purpose whatever until ~ Ce~i{ic~t~ o{ ~cupancy~ ~holl hov~ b~n oranted by th~ guildin~ Inspector. A~PLIC~TIO~ IS ~fiRfigY ~D[ to th~ Buildinfl D~pa~m*nt {or th~ i*~uonco of o guildinfl ~rmit Buildino Zon~ Ordinanco o~ th~ Town o{ ~u~old, SuffOlk C°un~, ~w York, ~nd oth*r oppllcobl* ~aw~, O~in~nc*~ or Reoul~tion*, for the con*truction o{ buildings, addition~ or ~lt~ration*, or {or r~movol or demolition, o* h~min de~rib~. Th~ opplicont ~orees to comply with ~11 opplic~bl~ I~w~, ordinonc~s, buildin~ c~, hou~in~ c~, Joseph Radich (Signature of applicant, or name, if a corporation) ................. $.~th.ol~. ............ . .................................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Co~t.rac.tor. ................................................................................................................................. ~ Name of owner of premises ...E~-.:~.,o....S....e:..~...a:.~l..a: ............................................................................................................. .~ if applicant is a corporate, signature of duly authorized officer. ~ ........................................................................................ _ ,// (Name and title of corporate officer) Location of land on which proposed work will be done. Map No.: ........ ~.. ........................... Lot No ............... Street and Number .L.,.i.g,.h..t.,.House Rd & Soun.d, View Ave ...So..u.t. hold Municipality State existing use and occupen<;y of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...'v:'.e....c..a.~....]:..a..~.~. ................................................................................................... b. Intended use and occupancy ...Q]3,~...~.{~P,;i,~.~....G..~e,,~:~,~. ............................................................................... 3. Nature of work (check which applicable): New Building ...... ,~..,~. ....... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost 22 000 _.+ - li0. (to be paid on filing this application) one 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ..... OZ~e .......................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additi,ons: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ................................ 8. Dimensions of entire new construction: Front ................ .~.Q. .............. Rear ....... ..b(.Q. ............... Depth ......2..8. ............... Height .................... Number of Stories ...Q~f~ ............................................................................................................ 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ...................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation;~ nO 13. Name of Owner of premises .p~,;~.~.~..~.~,~..~.~,.a: Address AS~;O['~La ................................................... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .~,...~([~.~..h. ............................. Address .....~..o..~...~..h...o..~.~. ..................... Phone Ida ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-I~ck dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether lot. STATE OF NEW~,yORI(,., ~¢c COUNTY OF ........... · 1~. ¢ . ............................................ · ~Q~.~.....~.~..~ ..................... being duly sworn, d~oses and soys t~t he is the applicant (Name of individual Signing application) above named. He is the ................. .C~a~ ............................................................................................................... (Contractor, agar, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke end file this application; that all statements contained Jn this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set fodh in the applicati~ filed therewith. Swam to before me this .................. 1~.. ~y of ......................... .~C~ ..........., 19.~.[.. Nota~ Public, . ........................................................... Coun~ (Signature of applicant)