The URL can be used to link to this page

Home My WebLink About8080-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificnte Of Occupnncy No.. ,,Z.6.[~7 ..... Date ............ Ju~Ly.....~6 ..... , 19 THIS CERTIFIES that the building located atE/~..P.e, rad.is$. ~hore~ .Ro~dStreet Map No. xxx ........ Block No.. ~ ..... Lot No..x~..2euthol~L..I~,.~., ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ .J.'~ly...16, 19F.~.. pursuant to which Building Permit No. dated ........ ~[ul}':... ~ 6. .... , 19 f/.~., 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.~.J~y.e:~..e..~qq .e.a.~qr.y..~t..o.r.a. ge..b.u. ~.~.d.~ .rig. ............................ The certificate is issued to . P~char~ .&. Phyllis. C~L~l,c .... ol/lxer, s ............... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N:.R., ................................. UNDERWRITERS CERTIFICATE No.. ~ ell ~ ...................................... HOUSE NUMBER ....~.~.6Q ...... Street ..... Pal, a~L&.se · ~l~ores..Read. ............ ~mld~ng inspector FO]~[ 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) N? 8080 Z Permission is hereby granted to:, ~,.~}~.~.. ~.. ~.3,~.a ,C;t~ ........................ at premises located at ....~/..~,.....~.~,~,~$t,~.,.~.e~.J~][ ........................................................... ............................................. 2o~th~ld .............. .IL,~. ....................................................... pursuant to application dated ............................. .~..t.~. ....... .1.~....., 19...~.~., and approved by the Building Inspector. Fee $....1.Q.~(~ ......... FOlg, M NO, ! TOWN OF SOUTHOLD BUILDING DEPARTMENT .~ TOWN GLERK'S OFFICE SOUTHOLD, N. Y. * proved ..... ...... Disapproved a/~ ........................................ INSTRUCTIONS a. This application must be completely filled in by typewriter oX in ink and submitted in triplicate to the Building Inspector, with 3 sate 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 oF 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 will 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 a 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 code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......................................................... 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 ............................................... ~,~,~.~ ~, X 1. Location of land on which~oposed wor~ will b~e d~gne. Mop ~o.:~..~.....~,~....u....~,~,~Lot F/IlO./.....X, .................. // ~ 0 Municipality 2. State existing use and accupancy of pre~ises and intended use and occupancy of proposed construction: a. Exislting use and occupancy ...... J~.~.~....):~z..'/~ ............/',//'~ .............. : ............................................................... b. Intended use and occupancy ................... :.~. ................. K .V./... · ,~.~,. · .C:.~. ~~.. · · ~...~. · ~. ....................... 3. Nature of work (check which applicable): New Building. ~..~..:...~.. ..... Addition ....... ~. ........ Alteration ................ Repair Removal Demolitior,x,, Ot~her Work ...~ ~..~,,~ ...~..../~.~ 4. Estimated Cost Fee l0 (~O~ .... - / (Description) (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 of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .............. ~'~..,.~ .............. Rear ........ ~ .......... Depth .../..?.. ............... Height .................... Number of Stories 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ..................................................... ~..Narne of Former Owner ........................................................ 11. Zone or u~e district in which premises are situated ..~ ......... ~ .......... ~ ................................................................ 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ........ ~.. .................................... 13. Will lot be regraded . ........... 'i'l"7~."/r~ Wi,~ ~jcess~ill be removed fron~p~ ) Yes '( ) No 14. Name of Owner of premises ..~:.~..:..i .......~..-........~:~.....-:7.. .......... Address ..~..-._.-~...'rr~.'.;....-¢. ....... Phone No ....................... Name of Architect .............................................................. Address ............. ~.~,.~...../~ ...... Phone No ....................... Name of Contractor ..............(~ ................ Address .~...~.. ...... Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frore property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. Sq-A-I-E OF NEWc'~DRI~ ~ .~r' I ~ ~ ......................... ~'..~Z.......~..:..~.:.. ................... being duly sworn, deposes and says that he is the applicon, (Na~ne~tr~ndividual signing contract) above named. He is the ..................................... ~ ................................................................................................................................... (Contractor, agent, corporate officer, etc.) of solid 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 containe4 in this application are true to the best of his knowledge and belief; and t~"'~Zrt-h~-w~r~zilZ~:~rf°r~~,, ,u ~=,~,~ ,,,~,, ,, ~ J the_~anner~ set foffh in the application filed therewith. .................. o, 7/