The URL can be used to link to this page

Home My WebLink About5137-zNO. · TOWN OF SOUTHOI.~) BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No ............. Date ........................... , l~ .... THIS CERTIFIES that the building located at... ~Z 00 .................... k~ L ~ h~ ~ C~¢ .~ .... Strut Map No ........... Block No .......... Lot No ................................ conforms subst~tially to the Application fo~ B~ding Permit heretofore filed ~ ~is office F ~ ~ I ~ 7 ~ ...................., 19 .... p~su~t to wMch B~]ding Pemit No. ~.~.7. ~ dated .~... dated ......... ~.~ ~.~, 19 (, was issued, ~d conforms to ~1 of ~e requJr~ merits of the applicable pro~sions of the law. The oecup~ey for which thN ee~gieate is ~ ~mm~ i~ ~ ~o .................... ~ ~ i~' J'~'~ ......... of the ~oresaid bufld~g. ~-~ ~T ~ ~ [~/ ~t~ ' S~o~ Cowry Depa~ment of HeMth Approv~ ................................ U~ERWRI~RS CERT~ICA~ No .................... : ........................ HOUSE NU~ER ~ ~ Od L~ L C [V ~-cr~ ~o~ ~ ............. Street .......................................... ~u 7 elrO~ua- B~dlng I~peetor FOltl~ NO. Z T ~°~ ~ OF sOU'mOLD BUILDING DEPARTMENT ;~OUTHOLD, N. ¥. B~iLDING PEPo~IT (THIS PERMIT MUST BE K~'~EPT ON THE PREMISES UNTIL FULL CQMPLETI.ON OF THE WORK AUTHORIZED) 5!37 Z Permission is l~ereby granted to: at premises located at .......... j~JlJ~"~'""JlJ~lJ~"~ ...................................................................... pursuc~n~ to applicat,ion dated ........................... ~.il~....-J6 ..............., 19..~.J.., and approved by the Building Inspector. FO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z.$~1~6~ ..... Date ........ De~...I0 ...... , 19.?~. THIS CERTIFIES that the building located at . .L~t~c~.s. l~Ck' t~oa~l ...... Street MapNo. x~ ..... BlockNo.. xx ..LotNo. S;X. .Cttt~chogu~. N...E, .... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... Feb . ~6., 19. ?$ pursuant to which Building Permit No.. ~ .~. dated ....... Fsb..~.7. , 19 71., 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 .. P~.~1~e one. i'am~.l~', cl~ei!5.n~ .................................. The certificate is issued to . jdayr~e. & J~rh~a.Z~l .2wners ............. (owner, lessee or tenant) o£ the aforesaid building. Suffolk County Department of Health Approva ~ "26 "1~ Ifouse ~ 2200 .......... ~'~ii(~ing in;~;;~;;/ ........ S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date OCT ~ 6 1971 Bldg. Permit No. TO WHOM IT MAY CONCERN: ~The sewage~//~~disposal //°facilities for a structure/~ located (Give deed location)2 j have been inspected by this department and found to be satisfactory. OCT 2 6 I971 Chief of General Engineering Servlae~ T~N CLIRK~ ~lCl I~11~1 ................ ,,...z/· . .......... ............................................................................ :~ ~ ~.~ .......................... ~.....1 ......... ~ .............. ~...~.....~ ~ - ~ ~. ~/ / ~' APPLI~TEON FOR BUILDING PE.~I~3~~ ..... ~. ~is appli~ti~ ~u~ be ~ple~ly fill~ in ky ~e~riter or i~ ~ c,,k~itl~ i. ~L[.~: iu ',1 Building I~r. ~1~ plQn sk~i~ I~ion of lot Q~ ~ buildi~s ~ pre~i~s, ~l~lion~ip t~ ~jolnl~ c. ~e ~ c~er~ by this a~licati~ ~ not be ~mmenCed before i~u~e of Bulldl~ Permit. d. Up~ ~al of this a~licati~, the Building Ins~ctor will i~ue a Buildi~ Pe~it to the ~pllcant. S~h ~it shall ~ k~t ~ the pmmis~ ~allable for i~ction throughout the p~rm of the work. e. No bulldi~ s~ll ~ ~cupi~ or u~d In ~ole or in pa~ for any pu~ose whate~r until a Ceffiflcate of ~y~ shall h~ ~en gmn~ by the Building In~r. APPLI~TION IS ~REBY ~DE to the Buildi~ De~ment for the issuance of a Bulldi~ Pe~lt ~nt to the Buildi~ Z~ ~i~nce of ~e T~ of ~hold, Suf~lk C~n~, N~ York and other ~plicable Regulati~s, ~r ~e c~stmction of bulldin~, ~dltlons or alterations, ~ .m~m~ as heroin ~ri~. ~e a~llcant ~,s to comply with all applicable I~, ordin~~ . ~~nd ,ulatl~s. . . ................................... .... (Address of applicant) State whether applicant Is owner, levee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premlse~ ..~.~'.....x~..........~:......~.~.~......~....~.~ ........................................... ~ If applicant Is a corporate, signature of duly authorized officer. ~_ (,~ ~-~ ~ ~ ............... : ................................................................................ ~. ~ ~,T~ ~ (Name and title 'of corporate officer) ~. . !. Location of land on Whlch proposed work will be done. Map No.: ...... .~.~.. .................. Lot No.: ..... ..;~...~.. .......... Street and Number ........... .~...~zT'.Z'.ff.~......,~..~.~../~... ...... ,t~t.4~ ................... (~..CrZ~...~Z~ .............. Municipality 2. State existing use and occupancy of premises and Intended use and occupancy of proposed con~truction: a. Existing use and occupancy ............. /~/~-,6/~.......~,~:~Z~ ............................................................................... b. Intended u,, and occuppn~, ......... .~.,¢~..~.......~/:/r.~ ........................................................................ Nature of (check which ~applicable): New Building ~ ................. Add't n ~i .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work iDescribe) ........................................ 4. Estimated Cost ............. i ......................... :.....:: ........... ,J:ee ..I..~-~.~ ........... :~..': ......................................................... (to be paid on fi~ing ~is application) 5. If dwelling, number of dwelling uni~ ....... ;~.~f ........:Number of dwelling units on each flor If garage, number of ca~ ....................................................................................................................... 6. If busine~, comme~ial or mixed ~cupancy~ speci~ nature and extent of each ~e of u~ ............................ 7. Dimensions of existing structures, if any: Front ....; ....................... Rear ................................ Depth .................... Height ........................ Number of S~ori~ ................................................................................................................. Dimensions of ~me structure with alterations or additions: Front .................................... R~r ............................ Depth ................................ Height ............................ Number of Stories ................................ ~.~ ~ 8. DimensJans of entire new construction: ~rant ............... ~ .......... Rear ..... ~ ..............D~th .....~ ........ · ........ Height .................... Number of Stories ........... ~ ................................................................................................. 9. Size of lot: Front ..... ~.~. ............Rent ...... ~.~ ..................Depth ....~ ................ of ......... ............ of 1 ]. Zone or use district in ~hich premises am situated ..................................................................................................... 12. ~es pr~os~ construction Violate any zonin~ law, ordinance or r~ulatJan~ ......... ~ ............................................. ]3. Name of ~ner of premises .~.~ ......... ~ress ~~ ~ Ph~e No. Name of Archit~t ..~...~..~ A~ress ~1~~" ...... .............. ~....~..~,~.. P~ne No. Name of Contractor .................................................... A~ress.... ...... ~Y~....,....,,...,., ....... ~... ...... ., Pbne No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW~DRIi~ ,~.A COUNTY OF ...~...,....j-,.a. ..... ~.~,~.~.....~..:..."~....~n,.~.~...~:.. .......................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing 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 all statements contained in this application are true to,the best of his know edge and bel el; and that the work will be performed in the manner set forth in the application fi~ therewith~,_.,...~ Swam to before me this _ ~ ' _ . // ~ '~/) / / ...... o, ....... ;...., -.-- IPOB~( ' NO. I TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. Approved ........................................ , 19 ........ Permit No .........: ........ .-: ......... Application No ............................. ,. / (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..................................... .J....:... : ..., 19 ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of bu_ildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram whlch Is part of thle 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 Issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inepaction throughout the progress of the work. e. No building shall be occupied or used In whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the :Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the Issuance of o Building Permit pureuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New' York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations or fore, naval or demolition, as herein described. The applicant agrees to comply ,with all applicable laws, ordlnances,~ull/~code,~l~ (Address of applicant) /'~'//,~3 State whether applicant Is owner, lc.see, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..~/'~..~........~..'~.~. ........ ..'3~.............,~...,~.~.......~..:....~.......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. MIlD Nh. ~'~3C~ Lot No.: ~.....2~... Street and Number ..................~....~..~--.. ...... ~../..~.(.. .......... ./...~.~...: ........... ~~.......~.~ .... Municipality 2.State existing use and occupancy of premises and Intended use and occupancy of proposed comtructlon: a. E~lsting use and occupar~ .................................................................... - n .: b. Intended use aha occupa c. ....~ ............................ ~ ........ ~.~ .............................................................. 3. Nature of work (check which applicable): New Building .................. dition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ....................................................... ;....Fee ...~ .................................................................................. (to be paid on fi!lng this application) dwelling units ........ ] ....... ~Number of dwelling units on each floor ~..,~t/...../../~ 5. If dwelling, number of If garage, number of cars ............................................................................................................................................. 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 additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... ~¢'.,.~...~. .................... Rear ,,,.~...~. ............. Depth Height .................... Number of Stories ~...~....z,~... ........................................................................................ 9. Size o~: lot: Front ...... ~ ..............Rear ........ ./. ......................... Depth ..... ~ .............. ~, /..,~.... t~/eJ~. 10. Date of Purchase ..... ....... ~J. ................. Name of Former Owner ~.//./Ae~(~......~',~.~...~ .~ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction viol~.te any zoning law, ordinance or regulaJLion? ........ ~.~ ................................... ~ ..... 13. Name of Owner of premises ....... Address ..~.Z.~...v~ .,e~..~,~'.....,~.~.,,. Phone No....~....~.7~J~ Name of Architect .~'~M~'~.....~.~...~1[:~-~ ........ Address ..../ff~',~E~....X~.-~[ Phone No. ~..~....'., .~......~ Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Lo,ate clearly ond distinctly 011 buildings, whether existing or proposed, and indicate all set4~ack dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. /6'Ot /' ' L I.'-~L _F- /k[ STATE OF NEW'('~OI:IJ¢~,/~i t e e ' ~OUNTY OF ..~/t~[~/E~eE.....~....$~'~' . ' "..i;.:....;~.~...v~..~'-~.~..-....~ .................................. being duly sworn, deposes and says that he is the applicant / ' (Name of individual signing app. licLation) above named. He is the ........ .~ .................................................................... 'iL ................................................. (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 all statements contained in this are application true the best of his th knowledge_..glicLbelief; and that the work will be performed in the manner set forth in the applicat?/~JJfd the~ NOTARY PUBLIC, State of N~w No. 52-8125850, Suffolk Term Exl~ires March 30, ::-: : !.::. ::::::::-:::-: GEORCE G. FOSTER A ~ C HITECT i ; : d