The URL can be used to link to this page

Home My WebLink About6189-zF0~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's O~ice $outhold, N. Y. Certificate Of Occupancy N°.z--~706 ...... Date ............ Dee ..... 19 ..... , 19. THIS CERTIFIES that the building located at ...Bayahore. ~oad, ......... Street Map No. Pet....Bay..Esl~lock No ........... Lot No .... ?~.~ ..... Greenport .. conforms substantially to the Application for Building Permit heretofore fried in this office dated .......... ~3et ....20'" 19.72. pursuant to which Building Permit No..61 dated ............ 0~... 20., 19.72, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. P~$vate .Gne..£a~;i,~y. d~eil~ng..vitla .a~. addif~on ................. The certificate is issued to .. ~/a~ter. ~ · · I~h~®...&. ¥~f8 ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...N.o.R.; ............................. UNDERWRITERS CERTIFICATE No ..... laend:~ng ................................ HOUSE NUMBER .... ~O~ ..... Street ..... Bay.$hor~. Road ..................... ........ ..... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6189 Z Permission is hereby granted to~ ,- , -- ../~,~, ..~...~-7- ~-~ ~- ....... .... '~ ,?~'i:vi;';~ ....... ~'"""/'~ ~ ~ L e '" ~ [ ,~/')rT, 197....~_, and approved by the pursuant to application dated .............................................. 7. ................ Building Inspector. Fee :..../....~...~... Building Inspector Examined ................................. ~ ...... , 19.."~'. ~O~M ~NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Approved ........................................ , 19...i".. Pemit No ..................................... Application No. ~ Disapproved o/c ......................... ~ ................ : .............................. ~ ................. (Building Inspector) APPLICATION FOR BUILDING PERMIT ~NSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, giving a detailed description of layout of property must be drawn on diagram which is part of this 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 the premises available for inspection throughout 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 beeg., granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance o; a Building Permit pursuant to the Building Zon~ Ordinance of the Town of Southold~ Suffo[I¢ County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or ~me, if a corpo[ation) '"~~ress o~';'l~'~ii'~'~';i ........................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder; Name of owner of premises ........ ...~,,,~....~...~...~....../,,~..../~_.o..~....~'..~.,,~......Y.~ ............................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 7 , 1. Location of land on w/,hJ~oposed work will be done. Map%m~So.: ....(/.[~.. ....... ~_ot No.....~.~...~..~.~... ......................... Street and Number i~ ..'~...'~....¥...~,,.~...~........~.~..~.,~. ........ .~.../~..,,~,,~.'~....'~.q...~.......,~...~.. ................................................ ~/6 ~-~ ~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................. .-~,~,/,.,~,,,~,, C.C. ........................................................................................... b, Intended use and occupancy ...................................................................................................................... '~.x,' ,l~re of work (check which applicable): New Building ....................... Addition ......~ .......... Alteration ............... Repair Removal Demolition Other Work ...................... ~' ~ (Description) 4. Estimated Cost .......... '.~.~..0.0. ....................... Fee ................................................................................................. (to be paid on filing this application) 5. If d~lling, number of dwelling units ....... ~. ....... Numar of dwelling units on each flor ......................................... If gara~, numar of cars ............................................................................................................................................ 6. If busine~, commercial or mixed occupancy, specify nature and extent of each ~pe of um ..................................... 7. Dimensions of exi~ing structures, if any: Front ~.4../~.. Rear .....~5 ............... Depth ....~.~ ................... Height .................... ~ .................................... Numar of Stories ........................... Dimensions of same structure with alterations or additions: Front .~ ............... Rear ............. ~ ................... -7 / Depth ......... .~. ................................ Height ............. Z. ......................... Numar of Stories ........................................ 8. Dimensions of entire new con~ruction: Front ...... ~.~.~ ....... ~ / ~......~.-..~ ........ Rear ............................ Depth Height ................................................. Numar of Stories ...................... .~ ........................................................... 9. Size of lot: Front ......... ~.~...~ ............... Rear .............. L~..~ ................. Depth ............. ~.~...~.. Height .................................................... Numar of Stories ............. 10. Date of Purcha~ ...... ~...~.{ ..............Name of Former Owner ....~.....~..~ ............. .~ .................................... 11. Zone or use district in which premiss are situated .........................~. ..................................................................... 12. D~s propped con,ruction violate any zoning law, ordinance or rewlation: ............. ~.~ ....................................... 13. Willlot~re~aded .............................. Witlexcessfill~mmo~dfrompremi~s: [ ] Yes [ ] No 14. Name of Owner of premi~s ~C~.~R~C ~ )~-~y~o ~77-~ (Address) (Phone No.) Name of Architect (Address) (Phone No.) ame o~ ~on[ractor ...~ .......... ~.~ ................... tAddress)~t ......... ~' .............................. [Fno:=""~'e No'~.t ......... 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 wheth- er interior or corner lot. COUNTY OF ................................ ~./.......) "'~/~//') '"" ~~ ~ ben du sworn de sss and says that he sthe applicant above named ........................... /J:~.l ............................................................ g Y , po · (Narde of individuj~l sign(ng contract) ' {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 that the work will be performed in the manner set forth in the application filed therewith. ~%' TERRI LEE El. RI( ~/~ y ~ '--~ ~OT~BbI~, ,Stye of New Yor~ I.~./C,-{ 19 .......................... '~'" l~'d~]~- 95 .......................................................... ,- -- Notary Publi ~., ~ s .... ~'~.../.~.'. County ...~fe/~ .............................. : .............. (Signature of applicant) ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF: ELECTRICITY · [~ Novembe~ c 1,~, 19~~i JOHN STREET. NEW YORK. ~.~RK. · . 10038 THIS CERTIFIES THAT o~ly t~ el~g~al equ~nt ~ ~s~ ~ a~d int~ 6y t~ appli~nt ~ ~ t~ a~ ~pl~at~ nu m~r in tAe premises of W.M. Kohnles 'fob L~aysnore M~., ~reenpor~, ,.~. · , November ~ i ~ 1'st ~ -- and found to be ln complla~ce wlth the requlrements of this Board. FIXTURE / I I RXTURES RANGES COOKING DECKS OVENS DISH WASHERS [ EXHAUST FANS DRY~RS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECPT TIMECLOCKs DELL IUNITHEATERS MULTI.OUTLET DIMMERS 1 100 CB x 1 2 1 SERVICE DISCONNECT NO. O~ S E R ' I C Paul R. Burns, Town He~bor Lane, Southold, L.I. 11971 Per_ 11 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. /00 ·