The URL can be used to link to this page

Home My WebLink About6932-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin~ Inspector Town Hall Southold, N.Y. UPDATED Certificate Of Occupancy No. ~5.7.52 .......... Date .M.a.¥. 30 .. 19 85. THIS CERTIFIES that the building: .- .a.c.q e..~ .s.o.r.~' ................................ ... Location of Property 6010 Soundview Avenue S o u. t. h .o.1 d. House No. Strut Hamlet County Tax M~p No. ]000S~ction , .0.5.? ...... ~B]ock .. 0.8 .~ot 001 Subdiv~on..~ ............................. Filed Map No.. ?. ..... Lot No... conforms substantially to the Application for Building Permit heretofore fried in this office dated ....o.c.~.o.b. ?.~..~.8. ....... 19 .7.3. pursuant to which Building Permit No...6. ~.3.~. .Z. ............ dated .... {) 9.~.ql~ 9 ¥..~.1} ............ 19 ? 5., was issued, and conforms to all of tho requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... a.n..a.c.c?..ag.o.~.¥ bu±lcl~.ng for storage. The certificate is issued to ....................................................... of the aforesaid building. not Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO .......... .n.c. ~...r?.q u..i .~.~.d. ......................... Building Inspector R~. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THI~: PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL C~MI~,LETION OF THE WORK AUTHORIZED) 693': Permission is hen Z t~,g ranted to: ...... ~h~.~..~.n£s~ ....................................... pursugnt to ~Pl~!c~fion dated .......................~.~ ............ J.~ ......... , 1~....., an~ approv~ by the Building Insp Fee $!.~ ... / ( , Building Jn~ector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. prav ............... .:.: ........ P--i, No ..... ...... Disapproved o/c ............................................................................................ Application No..~....~....~.~.,.~,.,, .............. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~, in ink and submitted in triplicate to the Building~ Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule, or public streets o~-~r~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises areas, and giving a detailed description of layout ofproperty must be drawn on the 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 wJlJ issue a Building Permit to the applicant. Such permit shall be kept on 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 been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant 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 for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cede, and regulations, and to admit authorized inspectors on premises and in buildings for necessary~j~pections./-"-'--') (Address of c State whether applicant is owner, lessee, agent, orchit~er, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No. ................................................ Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which prop~w, or ~k w_i~b~done., Map ~ ........ :~ ................. Street and Number ....... ...~J~.~~...~...~ ...... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ....~ ........................................................ ,~ .................... r .................. b. Intended use and occu anc ............. / ~!....~......&..~ ....... ~ ........ ~....................P Y ' ~ property Ii~e]es. Give street and block number whether interior or corner lot. 3. Nature of work (check which applicable): I~e~'Bt~ilding ..~ ............... Addition .................. AIter~'fion .................. Repair .................. Removal .................. Demolition .................... Other Work ...................................................... ~'~'Y"~)' ' ' .~.....7.., / Z- ~--'~'"'~(Description) 4. Estimated 'Cost ............................................................ Fee ............................................................................... (to be paid on filing this application) / 5. If dwelling, number of dwelling units ............................ Number of dwelling units 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,,e~f~-es~flng structures, if any: Front ............. .~. .......... Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ...................... .~.,-~, u~mber of Stories ...... 7'2~""'2' ............. /~' ' ~ 8. Dimensions of e~nfire new construction: Front ............. ;,v .................... Rear ............................ Depth ........................ Height .................... Numb~r~ o~ Stories ....................................... ,..,..:r...~. ..................................... ~..~.~...~ ............ 9. Size of lot: Fsant ~, ' ., ./...-~,.~ . Rear ' ,Death ......... .::~'"'"?'~'7"~ .................... ~ ...................................... LTr~ '7~'-'"~::':~ ............. 10. Dote of Purchos~ ........ ::...?. ............ ............................. Na~f__f~F.ormer Owner ........... ~....~ ............... 1 1. Zone or use district in which premises are situated ...................................................... ~?~) ....................................... 12. Does proposed construction_~te any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded .............. ¢¢,../.~...~(/Vi~f'excess fill be removed frorr/premises~ ) Yes (_) .No ] 4. Name of Owner of premises ................................................... Address ...".~,'.~...~... Phone No.' ..~.....~ ..............! Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... ~ PLOT DIAGRAM Locate ¢leorly and distinctly oil buildings, whether existing or proposed, and indicate all set-bock dimensions from or description according to deed, and show street names and indicate STATE OF NEW YORK, t S S .. COUN~' OF .....................,~,.:....~f .'. ,, ,~ -~, ..................... v ..... -~--.~ ............ ~ .............. .~ ...... ~ ............... ,be, Ina duly sworn, deposes and soys that he is the opplic~m 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 knc?wJedge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ,/-~ Swam to before me this .,. / ........................ doy o{ ............................................ , 19 ......... t~- ~ Notary Public,. ................................................... County ~k~,- ~? ..... '"-"~"4~.-/ , .' (Signature of applicant)