The URL can be used to link to this page

Home My WebLink About6978-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z..~.6. ...... Date ............. THIS CERTIFIES that the building located at ... ~,~aterv.~e~. D~.ive ....... Street Map No.. ~ ....... Block No... ~cr~... Lot No,~x ...~o~thol4 · .~.,.~z:, ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ ~ov. · .8, 197.~. pursuant to which Building Permit No.. ~.~.~.~. dated ...... NoV. · · 8 ....... , 19..7.3, 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~.Ivat~ .ac~.e~$or.y.. s~;.o.~ago..b.~cl~g ........................... The certificate is issued to .. J. eseph .~. ~oph/Le..C~eA~:~o ..... 0wr~s ............. (owner, lessee or tenant) o£ the aforesaid building. Suffolk County Department of Health Approval i~ ~.~ o ............................ UNDERWRITERS CERTIFICATE No .... i~ ,/, · ..................................... HOUSE NUMBER .... 2~0 ...... Street..~,Iat~.v~e~r..D~L.v.~ ...................... Building Inspector l~OE~[ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6978 Z Permission is hereby granted to: , .~..o..s...e.~.~..~..~..o.p.~.t.~....q..t..a. ~.~.z..o.. .................... to .... ~.~..i..!¢.....~:.~...~ .q.c...e..~.~ .o..~y.....s. ~..q ~. ,a.g¢.....b. ~.$ !~.~ ................................................................. Bayview at premises located at ....E./~ ..... ~t~..~,~,flg...~.,F.;~Y.~t ........................................................................ .................................................... ~..o.~.t..~.o.!~ ......... ?......y.... ...................................................................... pursuant to application dated .......................... ]:...Q~. ......... ~. .......... , 19~.~...., and approved by the Building Inspector. Fee $..."[0,~(~ .......... Approved ............ .~. FORD[ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. ....... Disapproved a/c ...~ ..... ~ ....... ~ INSTRUCTIONS a This application must be completely filled ~n by typewriter or in ink and submitted m triplicate to the Buildin~ inspector, w~th 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showing Iocahon of lot and of buddings on premises, relationship to adlom~ng premises or public streets o areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of th~s application c. The work covered by th~s application may not be commenced before issuance of Building Permit. d Upon approval of this apphcation, the Building Inspector w~ll ~ssue a Building Permit to the applicant. Such permi 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 Occupanc' shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Building Permit pursuant to th, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein described The apphcant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and t, admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ..~ ..... .d~..~....~ ................................. If apphcant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's bcense No .................................................... Plumber's License No ................................................. Electrician's License No ............................................ Other Trade's L~cense No .............................................. Locohon of land on which proposed work win be done. Map~Lo ....... ~ ........ ~ ...~ho~t~lo .... ~ .............. Street and Number ....... ~ ...... ~...~...~..~.....~ ....... ~..~. .......................... Municipality State existing use and occupancy of,,~premmes and intended use and occupancy of proposed construction: a Exisiting use and occupancy ...~..~ ........... j~.~...~..~ ...................................... ~ ................... b Intended use and occupancy ............. ..~~' ........ ...~..~ ....... ~...~~....~.. 3 Nature of work (check which applicable): New Budding ............. .~. Adder,on ................Alteration , Repair .................. Removal .................. Demolition ................... Other Work ................................... (Description) 4. Estimated Cost ............................................................ Fee /~ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... .~..' ............ Number of dwelhng 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 existing structures, if any: Front ........................... Rear ................................ Depth ............. Height ........................ Number of Stories ..................................................................................................... D~mensions of same structure w,th alterahons or additions Front ................................... Rear ... Depth ................................ Height ............................ Number of Stones ................................ 8. Dimensions of entire new construction: Front ................ .~... .............. Rear ...... ~ .............. Depth ./. ~ Height .................... Number of Stones ............... ~ .................................... 9. Size of lot' Front ........ ~...~ .................................... Rear ....(......~. ........................... Depth. ~..-~....~...~..' ...... 10. Date of Purchase ................................................. Ix~a~i~e,,of..~o,rm~r Owner ........................................... 11 Zone or use district in which premises are situated .... ~..~...,......~.....;_.- ....................................................... .-.....~.~ 12 Does proposed construchon violate any zoning law, ordinance or regulation .......... ...Z~.....~.. ................................. 13. Wdl lot be regraded ............................ Wdl excess fill be removed from premi~s:~( ) Yes ( ) No 14 Name of Owner of premises ..... dress ........ Phone No ...................... Name of Architect ....................................................... Address ................................ Phone No ...................... Nome of Controctor ........................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and dmtmctly all buddings, whether ex~sting or proposed, and red,cate all set-back dimensions fro~ property lines. G~ve street and block number or descnphon according to deed, and show street names and indicate whether interior or corner lot ¢ STATE OF NEW~KO~/)/./ I. S $ COUNTY 0~~__~ .................,~~,~, ~ ~.,.~ ~...~,,;~'~"~-;',~;~I~'''~;'~''~;\' ..... : ........ be,ng duly sworn, deposes and says that he ,s the apphc~m above named He ~s the .......... ~~ (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make end this application; that all statements contained m th~s apphcation are true to the best of his knowledge and behef; that the work will be performed m the manner set fo~h m the application filed therewith. Swom to before me this ~~ ~~ ~day " .................. ....... ......... ~ ~ ~i~norure or oppucont)