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Home My WebLink About5125-zFORH NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z .1+2.2~ .. Date THIS CERTIFIES that the building located at Map No. ;~ Block No.X;~¢, Lot No. April 27. ,19 ?l NYS Elan Read Street xxx Cutchague N.,Y, conforms substantially to the Application for Building Permit heretofore filed in this office dated Jan 2~ , 19.71 pursuant to which Building Permit No. ~]25~; dated .... Jail 2~ , 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 ' '~gric~ltu~al acces'~ory btt~tld~g "(fal~ stand.) ..... The certificate is issued to O~;ls Davids ..... fx~ner ........... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval House ~ 3622~ Building Inspector / ! FO]I~ NO. 2 TOWN OF $OUTHOLD BUILDIN~ DEP~RT~ENT 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? 5125 Z Permission is hereby granted to: ................ ~J,~...~;~ ...................................... em,,==, ...... ~mma= ............ ~.,~., ......................... F~e~tt~and~ ~Lut~l~ · ~':t~a~e ~eeesso31r (from at premises located at ..... ~IiJ~..]~3~..~G4~:~ ....................................................................................... ................................................... ~l~ll;l~.......cu~e ....... ~T~. .............................................. pursuan¢ to application dated ......................... ~'J~&....~. ................. , 19..~.~.., and approved by the Building Inspector. Ira~Bf NO, I TOWN OF souTHOLD BUILDING DEPARTMENT TOWN CLERK'S OPPlCl SOUTHOLD, N. Y. Approved ~ ............. '.......~..~ ....... , 19 ........ Permit No ............................. Application No ............................. Disapproved a/c ............. ~ ......................... '" ~ APPLICATION FOR BUILDING PERMIT ...... INSTRUCTIONS ~'' This application must be completely filled in by typewriter or in ink und submitted In duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, mlation~hip to adjoining premlee~ or public streets or areas, and giving a detailed description of layout et property must be drawn on the diagram whlch Is part of thio application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will Iseue a Building Permit to the applicant. S~:h permit~ shall be kept on the premises available for inspection throughout the progrese of the work. e. No building shall be occupied or used in whole or in part for any purpoee whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. r APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, end other applicable I. awl, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as heroin dsecrlbed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. [~lgnature ar applicant, or nan.~, It · ..... ........ (~ddre. of ~ppll¢.~t) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ .............................................................................................................................................. Nome of owner of premlse~ .......... /~.,~. .......... ~.~,, ,~,,/,~,,..,,~,,. .......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) 1. Location of land on which propoeod work will be done. Map No.: ........................................ Lat No.: ........................ Street and Number ........................ ~.~.'~,.....:~,~.,.. ................... ~1~1~1~'~ 2. State existing use aha occupancy of premises and Intended use and occupancy of pmpaeed comtmctlon: ........... .... ,n,ended,,seond .......... ........ ............................................................ 3. Nature of walk (check which applicable): New Building .................. Addition .................. Alteration .............. Repair .................. ~. ~A ,-~Rem°val .................. Demolition .................. Other Work (Describe) ~/.~..~.~'.~ ..................... 4. Estimated Cost ..... ~......~..~1.,,.......-~..~. ...................... Fee ......................................................................................... (to be paid on fi!lng this application) 5. If dwelling, number of dwelling units ........................... Number of dwelling units on each floor ......................... If garage, number of cars ............................................................................................................................................. If business, commercial or mixed occupa0cy, specify nature and extent of each type of use ./1~.~ 6. 7. Dimensions of existing structures, if any: Front. ........................... Rear ................................ Depth ............ Height ........................ Number of Stories ................................................... ~..... ............................... ~ ........ Dimensions of same structure with alterations or additions: Front ........ ~..~, ............. Rear .....~...~ ............... Depth ......... /../. .................. Height ...... ~.. .............. Number of Stories ....... ~..~..~.~..~. ........ 8. Dimensions of entire new construction: Front ................................... Rear ....~ ..... Depth Height ..................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Nome of Former Owner ........................................................ 11. Zone or use d str ct ,n wh,ch premises are situated ........ ~.~....~'.L.~--~ .~..f...~...~....~.~-,.~. ............................................ 12. Does proposed construct on v o ~.te any zon na aw ord nonce or reou at on~ · ............. : .......................................... :'" 13. Nome of Owner of premises .~..~..... Address. ..~..~.~-~... Phone N~ .~.:~?~ Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No .................... PLOT DIAGRAM Loca.te clea~rly and distinctly all buildings, whether existing or proposed, and indicate al set-back d mens o.ns from property lines. ~ive street and block number or description according to deed, and show street names and mdicme w~hether interior or comer Jot. STATE OF NEW(~O~d(,~s~ .................. i .... ;..~/..J~.t~ .... .~....~,~.~ ............. being duly sworn, deposes and says th~t he is the applicant (Name of-individual sigg~fig application) above named. He is the .................................. ~ .........................................~, ....................................................... (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 file this application; that oil statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Swam to before me this ~ .,. .....o.f ..... ......... . ,d-.. :./ ~ '/I, ,_ 1~.6_1 t q~ l., n~ ..... ~ ........ k~..,~.........,.,~.~ .................... ~e. 52-8125850, Suffolk Term Ex~iree ~arch 30~ l~