The URL can be used to link to this page

Home My WebLink About5597-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. K~t3LFZ... Date .. ltay ? ,19 73 THIS CERTIFIES that the building located at Vilale. La & FXogghe~ 5~Street Map No. ~ .. Block No. ~ . Lot No. ~ Q~ie~ N.Y, conforms substantially to the Application for Building Permit heretofore filed in this office dated . · Sept 29 , 19 ~1 pursuant to wh~ilding Permit No. 5~9~Z dated ..... Q¢t. 29. , 19.75., 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 .Pri~ate..garage ~. ~torage. (a~ssO~ .B~E .......... The certificate is issued to William. ~nz ..... ~ ......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ~ ~.' ............................ UNDERWRITERS CERTIFICATE No.~'iR' .................. HOUSE. NUMBER...~.~.~.5 .... Street . ¥iZl. a.g?..L.a. ................ ?~ Fletcher id; Braiding I nspc~.tol FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5597 Z Permission is hereby granted to: ................ O~,3,ezat; ................................................. to ]~iL~:~..ii~ ~$~,O:LT. (.~aLL~.~...~r~L~ ~e-., · · ~t;e~.) -.~ ~ ................................. ............... ~..~~..~..~..~j) .................................................................................... at premises located at ............. ~:/~'"'~m:~'~O~"~ ........................................... ; ................................. ............................................................. er~n~, ......... 1~- ................................................................. pursuont to opplicotion doted .................................. ..~.,.~ ....... ~ ...... , 19...~...., and approved by the Buildi ~ng Inspector. Fee $..~.f~ ............ ''- lrOBbl NO. 1 TOWN OF SOUTHOLD BUILDING DEFARTMENT 1'OWN CLERK'S OFFICE SOUTHOLD, No Y, Examined ........................................ , 19.; ...... : " '. 7 Z-- Approved ...... ..~....~......2~ ............ , 19..~'./... Pemit No ......................... t ........... Application Na ................. ~ ............... Disapproved a/c ............................................................................................ ........ (Building Inspec~or) APPLICATION FOR BUILDING PERMIT Date ....~.~.~..e.~.b...e..F...,......~. ......... , 19.2.].. ...... INSTRUCTIONS a. This application must be aompletely filled in by typewriter or in ink'and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas~andgivingadetai~eddescripti~n~f~ay~ut~fpr~pertymustbedrawnonthediagramwh~ch is part of this application. c. The work cdvered by this aPPlication may not be commenced before issuance of Bui|ding Permit. d. Upon approyal of this application, the Building Inspector will issue a Building Permit to ~the~opplicont. Such permit .shall be kept on the premi~es"agailable for inspection thrOUghout the progress of the work. .' e. No building shcdl be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy 'shell have been granted,by the Building Inspector. APPLICATION-IS HEREBY MADE to~he Building Department for the isSUanCe of a BuildingIPerm t pu~uant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws[ Ordinances or Regulations, for the ~:onstruction of buildings, additions or alterations, or for removal or demolition, as here'in described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cede, and regulations. .................. , (Signature of aJ~icant, 0r-nor~,.~ if az~i6rporation) V~llag &ane & Fletcher St. Orien~,N.Y. . ": L , "/(~Address of applicant) [ - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, e!ectricie~, plumber or builder. ................. ~l!FJ;tl~3~ .................... ; ....................................... ; ................................................................................ ....................... Nome of owner of premises ......... .~..~.~...]:...~..e~._...~. ~..~. ............................................................................................................. 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.: ........ .~..; ........................... Lot No.......~... ................ Street and Number ..../...7...7.~..~...~....x~...~..~...~....~-... ................................................. .l~g~';J,.e. Xt.1;..,...~.,.~'., ........................ 7~' ~,~.~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy .....~:Llir&t;a..glL~.&l~e...aLz~l...&to.~i~..bAr~ ............................................... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ....................................... 4 Estimated Cast ..........~.~.~.~.Q.Q^.Q.Q ......................... Fee ...~Q.,.QQ. ...................................................................... (to be pa~d on flhng th~s application) 5. If dwelling, number of dwelling units .......................... Number of dwelhng umts on each floor .......................... If garage, number of cars .........~.~.~..e....,(,~.).....o...~q'......b..~,~ ...................................................................................... 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use .......................... 7. Dimensions of existing structures, if any: Front ........................... Rear ................................ Depth .................... Height ........................ Number of Star,es ................................................................................................................ D~mensions of same structure with olterahons or add~t,ons' Front .................................... Rear ........................... Depth ................................ Height ........................... Number of Stories ................................ 8. Dimensional ~t~r~l~~ construction: Front ..... ]Q...~.~.t~ ............ Rear ...~.Q...~.~.f~.l;. ....... Depth ...~G...~'.e..~.~. Height .... .%.9...,T,.~..~ Number of Stories ....... ~,, ..................................................................................................... 9. Size of lot: Front ...~,.Lt;.?,,^~.Q .......... Rear ...;~,~ ........................ Depth ....... 2~..,.Q~ ........... 10. Date of Purchase .............. ~,.~.]. ................................ Name of Former Owner ..~...~.~.r.....0..e..q.J;...Z...~..~.?..~...]:.l.. ........ 11. Zone or use district in wh,ch premises are s,tuated " ~" 12. Does proposed construction violate any zoning law, ordinance or regulation? ~ .,...~.~.~...~,%],~.~.O....~.Q~.Q: 13. Name of Owner of premises ....~.i..Z.~...!'....e~....~..a~...~ ........ Address ....0.~J,f~,~.,...~.^~., ............ Phone No ~.~.-.. ........ Name of Architect ............................ ...,,. ........ . ....... Address .......................................... Phone No ................... urzen~ 'z'ruc~zn~ ~ uons:r. Name of Contractor ......... .~.o......J....~..~..: .......................... Address Orient ~ N.Y. Phone No. PLOT DIAGRAM Locate clearly and d,stinctly all bulld,ngs, whether ex,sting or proposed, and red,cate all set-batk d~mensions f~o-- property lines. Give street and block number or descr,pt~on according to deed, an4t show street dames and mdiclat whether interior or comer lot. / D A-~; / / :~1.~ ,~' STATE OF NEW ~DI]h¥,, COU NTY,%~/j_/~ ~/~ ...~.~.,2~/.~ $ ~'; (Name of individual signing~phcot~on) above named. He ~s the ...~ ............................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or ~ners, and is duly outhonzed to perform or hove performed the so~d work and to make and this Qpplicotion; that all statements contomed in th~s apphcotion ore true to the best of h~s knowledge and belief; that the work will be performed in the manner set fo~h in the application filed therewith Swam to ~ore me this ........ Z~ .......... d~y~f '~~~'Z ...... , 19Z(.. ~ (~na/ure of a~cant~ ...... ............. C~s