The URL can be used to link to this page

Home My WebLink About7041-zFORM NO. 4, TOWN OF SOUTHOLD BUll.DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z(~l~$ ..... Date ........... April .... 1~'. .... , 19..7~ THIS CERTIFIES that the building located at ...De,nar. II~ive ........... Street Map No. La~t~.el. Ct~ ~Soc~k No ........... Lot No...1.. Laurel.. N..X, ............. conforms substantially to the Application for Building Permit heretofore filed in thi.~ office dated ........... Dee...26..., 19.7'~ pursuant to which Building Permit No. dated ......... .Dec.-.26 ..... , 197.~., 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~,ivate · ene..ff.a~t.$y, d~elllng. ,,~ith..a~. additloa .................. The certificate is issued to . ~r.r. ard. &. B~bra...Goehrtagel-. .... 0~nel, a ......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. N.,tt. ............................. UNDERWRITERS CERTIFICATE No.. pondt~g ................................... HOUSE NUMBER .... 1.~ ...... Street .... DeLmar. d.~ive ........................ .......... .......... BUILDING ~ (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK, AUTHORIZED) Ne. 7t}~!1 Z Permission Is hereby g~mted to: pursuant to application dat~cl .................... ~ll~.....ek~...: .............. , 19.~.., and approved by the Building In~p~tor. F. $...sJ~ .......... BuitdJng ~ THE NEW YORK BOARD OF FIRE .UNDERWRITERS SW BUREAU OF ELECTRICITY~ ~ D~to Apr~-'] 1~ ~ 85 JOHN STREET, NEW YOR~ NEW;Y~ 1003~' N 154317 THIS CERTIFIES THAT mdy t/~ e/t~ t~d ~qu/~m~tlt as ~c~ ~ ~t~ ~ t~ ~t ~ t~ a~ ~p~ ~m~r ~ t~ p~m~ of u. ~oenrlnger,i~ ueAmar up., La. reA, b.L. in the follmelng ~'~tlon; [] Basement _[] 1st FI. .,~,~.."~;.~eo.. April 15, 197a [] ,~.d Fl. OUtSide Section Block Lot and found to be in compliance with the requirements of thts B~mrd. -,, Ii i.s w ys. s~a.~l.l~¢'~', TIMECtOCKs ~ ~ M~T~ R V I C OF CC. COND. SERVICE I~ECT NO. OF S E Francis B. McCaffery, Jr. Box 2~5 Cutchogue, New York 11935 EXHAUST FANS A/AT. H.P. ~/~ERS SOUTHOLD, N. Y. oprove " " ,,.?..?. ........................................ , Pemit No. Application No. · ! ................... J~l Disapproved o/c ....................................................... ~ '" (Budding In- ' '~ "" ' spector) ? ~.~ ~ ¢~ APPLICATION FOR BUILDING PERMIT .-~ ~ate ........................... ./. ~.. ~9.Z.i...b/ ~.. ~..~" ~_ 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 buildings on premises, relationship to adjoining premises or public stree~ or;~ areas, and giving a detailed description of layout ofpraperty 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 appllcation, the Building Inspector will issue a Building Permit to,the applicant Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used Jn whole or in part for any purpose whatever un/tJl~a Certificate of Occupancy shall have been granted by the Building Inspector. /~_~, ,'~J' APPLICATION IS HEREBY MADE to the Building Deportment for the~Lseciance of a Building Permit pursu,a, nt 'to the/ ,Buildlr.~..' Zon,e O~mance. of .t. he T,o?.,o,f. S0uthold,. Suffolk,, ,Cou.n~Jqe~ .York, and other applicable Laws, Ord nonces or ~egu att,.ons, mr me construction o.r. ou~alng.s., addit ons or_a.l~ _~, o..r..for removal or demolition, as herein described. me app,cant agrees to comply w~th a. app~ cable aws~rai nonces, building code, housing code, and regulations. ('~/,~~~-/~ "/~Signot~,~of appl'i'car;~r, ~or name, ~ ~ corp~ratl~) ..... ' ,. ........... .............. State whether applicant is owner, lessee, architect, eng' r, general contractor, electrician, plumber or la~ilder. . D..~.~... i ...................................... /_ _ ,~ ~7~ ,~ ,~ .... _,~....../~ ...... ~: ........................................ Name of owner of premises ...... .{~..(If'~...~....~......~.~....,/~./l[;~!/,f'al~.~.........~..~.~..-~..j~_~. ................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of and on wh ch proposed work w be. done Map No' ...~....~.~ I~d~' Street and Number ...~..~.~..~~ ....... .~.....'~'-.~'~,,...../~-.,~-r .............. i....~ .... - / Municipality ......................... 2. State existing use and occupancy of premises and intended use and occupcmcy of proposed canstructk:m: a. Exisiting use (and occupancy ..... /~......~[..{J~. .................................................................................... . ......... b. Intended use and occupancy ~ ............... Nature of work (check which applicable): New Building .................. Addition..................~ Alteration ... ...... ......... Repair .................. Removal .........~. ....... Demolition .................. Other Work (Describe) ........................................ (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 extentof each type of use ............................ 7. Dimensions of existing structures, if any: Front ....... ~ ................ Rear Height ~.../~../. .... Number of Stories ........ ./. ...................................................................................................... Dimensions of same structure with alterations or additions: Front ........... ~.,,~'..../. .............. Rear ..... ~'..~.~../. ............. 8. Dimensions of entire new construction: Front ........ /...~Z../. ................ Rear ...... /..~..:../. ............ Depth ..... ..~.../. ............. Height ...../...~. ........... Number of Stories ...................................................................................................................... 1 i. Zone or use district in whi~q premises are situated ...-,~.../J~'...~....'~-...: ............................................................................ 12. DOes proposed construction violate any zoning law, ordinance or regulation? .....~'...~.. ................................................ Name of Architect ................................................ ~.....Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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/)r'O~J _.,/ I c c COUN YC - ............ ~,~~~ ....... being duly sworn, deposes ~nd sa~s t~t he is t~ ~pplic~m (Nome of individual signing ~pplicotion) above named. He is the .......... ~ .............................................................................................................. (Contractor, agent, corporate officer, etc.) ' of said ~ner or owners, and is duly authorized to perform or h~e performed the said work and to ~ke ond file this application; that all statements contained in this application are true to the best of his kn~ledge and belief; and t~t ~e ~rk will be ~rformed in the manner set fo~h in the opplicati~ filed ther~ Swomt~f~ethis ~ -- ~ / ~ / - ................ No. S~-S71~ ~ ~ueK~ in Sv~lk Cou~.. 12. l 765.26~O 9AM TO 4~ ~R REQUIA- ED I~ECT~S: I BE~RE BACKFILU~ ~NDA- TION ~R START FRAM~G 2. BE~E CO~RtNG ~PtLINE ~. FINAL WHEN JOB CO~LETED NOT RESPONSIBLE FOR DESIGN OR CON- STRUCTION ERRORS