Loading...
HomeMy WebLinkAbout5182-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z6291 Date ....... J~n '~3.. · , 19.7.~. THIS CERTIFIES that the building located at E/8. Seventh 8t Street Map No. G,I,~thlt~lock No .......... Lot No..26&27. · La~el ~,Y, ...... co~orms substantiEly to the Application for B~ld~g Permit heretofore filed in this office dated ~ar 25 · , 19. 71 pursuant to which Building Permit No...~1.~2E dated ~r.. 2~ . , 19..71, was issued, ~d conforms to M1 of the requ~ merits of the applicable provisions of the law. The occupancy for which this certificate is issued is R~iva. te. ~e. fanily..dwml.1ing .............................. The certificate is issued to Rober.t .a. ~a. F. inora ...~rs ................ (owner, lessee or ten,t) of the ~oresMd bulldog. Suffolk Cowry Dep~tment of Health Approval · g~ 6- ~97~ · bY R,..V~l~a ... UNDERWRITERS CERTIFICATE No...Pg~P.g ................................. HOUSE NU~ER ..... ~0.~. ·. S~eet ... ~e.venth .St .......................... ... 2~.'~ .~ , . ~ ..r ~ .... B~Iding Inspector ~ FORI~ NO. i TOWN O~ $OUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (I'HIS PERMIT MUST BE KEPT ON THE PREA~ISES UNTIL FULL COMPLETION' OF THE WORK AUTHORI~ED)., 'Permission is re mnte~ to: ................ ..~.;..~e.~ ............................. at premises I~ated at ......... ;'~"~'&"~'"' ~.'X~~ ..................................................... .......................................... J~.---~-.Jt ....... ~. ...... .J.,~ ..................................................... pursuan¢ to application dated ..............: ............... ~(~t,~1~ ....... J~ ..... , 19..~j., and approved by the Building inspector. Buildi SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date ~,~. < - TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located (Give de'ed location) have bDen inspected by this department and found to be satisfactory. ~Chie£ of Oener~l ~ ~ y ~N OF SOIJTHOLD , ' . - ~. ',~ ~ ~- ~ ' / BUILDING DEPARTMENT ~o Ce,,~ ~ ~'"'- ,-~ ,,:./.. . ,, . S/~ ~_~/-m.~- ~, ~c.~ ~'~~' ~ ~ ........ Pe~it No. ' ~ ~ ........................................ , ............................ ............................................................................................................. ~ ~~ ~ ~-~-~ ~ ~ //-/~-~( .......... ~ -(~J(~" ~~ .......... ~. ......................... ~ ......... ~ .......... . ~...~. ..... a. This application must be c~ple~ly fill~ in by ~ewriter or in ink und submitt~ In ~llc~e ~ ~e Buildl~ In~r. - b. PI~ ~l~n s~w?~ I~tion ~ lot ?~ ~ bu~ldi~s ~ premJm, relationship to ~jolnl~ ar~s, a~ g~w~ a ama,aa ~ri~ o~ ~ aT pm~ must ~ drown on t~ dl~mm c. ~e ~ c~r~ by this a~licati~ ~y not be ~menc~ blfom i~ua~e of ~lldl~ ~. d. Up~ ~r~al of this appllcati~, ~e Building Ins~ctor will I~ue a Bulldl~ Pe~lt ~all ~ k~t ~ the premiss ~ilable for ins~ction throughout the p~s of ~e wo~. e. No building s~ll ~ ~cupi~ or u~d in whole or In pa~ for any pu~me ~a~r until a Ct~lflc~ shall h~ ~en gmn~ by the Building In~r. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bu Idlng Perm t pumuant to the ~Build!n.g. Zone. O.~1. inance, of the T ,o~n. of Southold, Suffolk County, New York, omi other alii c~ble ~ Kegu,anons, tar me construction or buildings, additions or al.terations or for remova or demollt on, al he~ln deecrlbed. The applicant agrees to comply w. th all applicab · aws, ordinances, building code, h~ouslng code, and regulatlam. Rebert& A~na Fi~er& (Signature cf applicant, or name, If o C~rl~ratlon) 1~ E~wards St Bethpage (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, owners Name of owner of premises ......]it~be~$..&..Am)~...F.~.lez~& .............................................................................................. If applicant Is a corporate, signature of duly authorized officer. .... .~**~e~ee~e~4~e~e~-~e~Ie~ei~B~*~*e~eee'eeee~e~eeeeeee*~ie~ie(Name and title 'of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ....~.t.~.t.~hl, teb~,~, ......... Lot No.: '~"6"...~.....2..~. ...... Street and Number ........~/.l~..~.t~lt,..~ ......... ~dil, lt~l~,....,~.~.1~.t ................................................................ , ,~ (2..~' Municipality 2. State existing use and occupancy of premises and intended use and occupancy of pmpMed comtructlon: a. Existing use and occupancy ...l~.a3~.t,..'llL~. ....................................................... b. Intended use and occupant, ......O]3~.....~.~I~....{1,W.~.~,,~,:J,33~ ........ :~ ................................................................. 3. Nature of work (check which applicable): New Building ..~ ...... Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... 4. Estimated Cost ............ ~27~0(~.....+. .......................... Fee ..1...0..e..0..0. ............................................................................. (to be paid on fi~ing this application) 5. If dwelling, number of dwelling units ..... .l~.e. ................ Number of dwelling units on each floor ............................ If garage, number of ~cars ........e/~a .............................................................................................................................. 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 ndditJons: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... ..b('~,-..8 ................... Rear ...... .Ll'Z.-.J~ ............ Depth ..... 2..~..6..~.~,0 Height .................... NUmber of Stories ...~]2~ ........................................................................................................... 9. Size of lot: Front ...1.0Q .................. Rear ...... .1.20 ....................... Depth .....1.~0. .................... 10. Date of Purchase ............... ~,g, .......... 1.c~..1. .............. Nome of Former Owner .~,~..~,fl'~lZ~t;L].l .............................. 11. Zone or use district in which premises are situated nJLm ¢1. I$t; 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... ~el ............................................. 13. Name of Owner of premises ..~...~.....A..s...~.J,T~.~.~. ...... Address ......~.~.~.~l~.e. .................. Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ....... sa~e. ................................... Address ............................................ Phone No .................... PLOT DIAGPJkM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner 10t. 7T6 T STATE OF NEV~ YD_RI~,. t S5 COUNTY OF .~g~iJ[, ............. ~ ' .................................. ~l~i~.&-.~'.~Z~.ll, ................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ................. ~.e.~..-....~..u:.../.~.~.el' .................................... ':: ................................................. (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 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 19..~..~... ' ................., . ....... ........................... ..I~__ ELIZABETH M/~ NEVIL/E ~0TAJ~y PUBLIC, State of New York NO.~ 52'8125850, Suffolk Co _ Term ExpiresMarch 30, 1~ TOWN OF SOUTHOLD B',d~d, ing Inzpector's OH:ice ~'~own Clerk B,,ilding Southold, N.Y. 765-9660 FORM NO~ 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. TEI~OP4a~ Certificate Of Occupancy No..~..~. 0. ..... Date ......... 80pt · .~12 ......... , 19.. THIS CERTIFIES that the building located at ..... E/$ .Tth. St ........... Street Map No. G ,Lo. TUtb&I 1Block No ........... Lot No.. 2~ .&. 27. .. La~e~... !~ ~, ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... 14ar...2~.. ~ 19.7]. pursuant to which Building Permit No .... dated .... Hal' .2~..., 19.77., 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 . Pr.iYaJ;e..oi~..f&mll~. The certificate is issued to .Robert & Anna Finora ~mers of the aforesaid building. Suffolk County Department of Health Approval (owner, lessee or tenant) 7/9/73) ........ UNDERWRITERS CERTIFICATE No.. N..90~1.9.6... 3.ept. 29. .. 197.1 .................... HOUSE NUMBER .... ~0~ ...... Street ....~.~'~ll.~h ~f.. ............... Building Inspector eKsnq L"A~O I~TO P~l F S, IN(:. 260 ISLIP AV'~, XSI.,~, N.Y. APPROVED BY NEW YORlC STATE D~TM~ ~ ~ ~BO~TORY N~ ~ CO~ BY .~ ~i~) DATE BACTERIAl. EXAMINATION BERNARD ~Robert Fino~a Edwards St Bethpage ~.Y. Dear Sir; Your note of ~ept-:Tth recei~e~.~' Bnclosed I. temporary C/O~ ~hile completing Returned herewith is and your copy of lab repot This mmt be sent to lth pt~ their approval - for~ Your Pernit ~ ~182Z has eo tha, t you may oee~y )ourm t~ul~ li~tild~ng Inspector { $10,~0). - t