The URL can be used to link to this page

Home My WebLink About5219-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.. Z~60 ..... Date ........ Oetober 18~. ·., 19.73 THIS CERTIFIES that the building located at .. W/S. Ba~rvtew Road · Street Map No. XX ........ Block No... Y,X · · Lot No.X~ · Bouthold ......... conforms substantially to the Application for Building Permit heretofore fried in this office dated ...... April 8~ , 1971. pursuant to which Building Permit No. ~219Z. dated ..... April. 85 ., 19.7.1., was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is Business structure.( .Bulk .oil storage tartks) .......... The certificate is issued to John G~igon~:s.. (Southold. Fuel Oil. Co. ) (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approved N oR · .......... UNDERWRITERS CERTIFICATE No...P.E..l~..Z.N.G. ............................. HOUSE NUMBER .9.~0.. . Street . . .I~.ai.n. Ba .~f.i.e.~..R..o.e.d. .................. ........................................... .......................... ...... FOI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. * BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5219 Z Permission is hereby granted to: ............. ~...a..~.~..?~.s..,.. ................................... at premises Ioca~ced at .......... ,~/~'"'~e~"'~ ......................................................................... ........................................................ I}mra~ ........... {I,,~, ........................................................ ~. ...... pursuara to application dined ................................ ~l~;~ .........~..., 19..~.~.., and approved by the Building Inspector. 1~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ~roved ...................................... , 19...'.:... Permit No...~..~...~..,..~ DJ~pp~ved a/c .................................................................. APPLICATION FOR BUILDING PERMil' Date .....................~.p~.~,,~, ....... 8 ................ , 19.....~.i[. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the BuHdin Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets f areas, and giving a detailed description of layout of property must be drawn an the diagram which is part of this applicatio. c The wore covered by this application may not be commenced b~fore issuance of Building Pern'llt. d Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such perm shall be kept on the premises available for inspechon throughout the progress of the worE. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a .Building Permit pursuant to t} Building Zone Ordinance at the Town of Southold, Suffolk County, New York, and othe. applicable Lows, Ordir~nces · Regulations, for the construction of buildings, additions or alterations, or for removal or demolihon, as herein describe The applicant agrees to comply with oil opphcable laws, ordinances, building code, housing code, and regulations. (Signature cf applicant, or name, if a corporation) (Address of applicant) State whether epplicent ~s owner, lessee, ~gent, ~rchitact, engin~f, general ~ontf~ctor, electrician, plumber of build- ......................... ................................................................................................................................................... Name of owner of premises ~o~ G~gO~S ~ ~, .... , ,? * ~ ~* ~ ' ' '" If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done Map No.: ....... ~ ....................... Lot No.: ....:~ ........... Street and Numbe~r ............ ~,~.~...~/~,~3r~e~...~G~l~ .............. &o~l.1;~o.[& ............................................................. State existing use and occupancy of premises and intended use and occupancy of proposed construction' Existing use and occupancy ...... c-[~.e2~3..i=§..Z~..~t~s;[~e,~s .......................................................................... Intended use and occupan,, same with new bulk fuel tanks 3 Nature of walk (check whicl~ applicable): New Budding ...... ~..~..~.. .... Addition ............... Alteration ... Repair .................. Removal .................. Demohhan .................. Other Work (Describe) ...................... 4. Est,mated Cost ........... .b,.,~l~0...=~. .............................. Fee ....1...0.~.0...0. .................................................................. (to be pa~d on fding this application) 5. If dwe[llng, number of dwelling umts .... .~..~.e. ............. Number of dwelling umts on each floor ..................... If garage, number of cars ..................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .... 7 Dimensions of ex,st:ng structures, if any: Front ........................... Rear ............................... Depth .. Height ........................ Number of Stones ........................................................................................... Di~ensions of same structure with alterahons or add~tio,~s: Front ................................... Rear ....................... Depth ................................Height ............................ Number of Stories ............................... 8. Dimensions of entire new construction: Front ..... 2D. .......................... Rear ........2D. ............... Depth ..... 6Q ........ Height ...~.0..~. .......... Number of Stories ..................................................................... 9. Size of lot' Front ........................... Rear ................................ Depth ....................... 10. Date of Purchase ...................................................... Name of Former Owner ..... ]~.,..~az~.a.~.el~ ...................... I 1. Zone or use district in which premises are situated ........... u..~!! ..... hus.irJ~Sa .................................................. 12. Does proposed construction ~iobte any zon,ng law, ordinance or regulat,on~ ............. ~.~ ................................... ]3 Name of Owner of premises .~T.~J'~...~J[.O~$. ....... Address ....8.O:l.l.t~i.alcl. .............. Phone No ................ Name of Architect ...................................................... Address ........... , ................................ Phone No ................ Name of Contractor ...... ..q~i~e. .................................... Address ........... ~ ...........................Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back d,mensions fro property lines. Give street and black number or descnpt,on accord,ng to deed, and show street names and ind~ca whether interior or corner lot. STATE OF NEW YORK ~ .-- / 0 ..~ COUNTY OF ......... ~g,$.~.~.~f, ...... ~ ~'~' ..............................................(Name of O'}]TI:'"'G~Z' "ap~a~O ~ ............... ,ndividu~s,gmng being duly sworn, d~oses and says that he is the appJlc, above named. He ~s the ............................................ ~G~, ........................................................................................... (Contractor, agent, co.orate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and this applicohon; that ali statements contained that the work wdl be performed ~n the manner set fo~h ~n the apphcation filed therewith Sworn to before me this .................... of ............ ........... Notam/ Public,~...~.~~ Couq~~n~ ELIZAB[TH ANN NEVILL~ " .................... No 52-8t25850, Term [xp,res ~rch