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Home My WebLink About8214-zNO. 4 TOWN OF SOUTHOLD BUH,DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No.Z.~.0.~..2 ....... Date ............. ~.~.y.....6. ......, 197.6.. Ave THIS CERTIFIES that the building located at ...E. qu..e.s.t.r..~.a.n..~j..t~..1.]:...H./.l, lStreet Map No..x~ ........ Block No...~ ...... Lot No, . ~c.x.....F.~.s..h.e.r.s..Z..~.Z.a.n..d...2!; .Y:.. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... ~ept...19.., 19.7~. pursuant to which Building Permit No..8.2J..~.~.. dated ......... ~ept...29 .... , 19.?~., 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 .. Pr. ivat~ .one..£am;~lY.. cl~.e.~Z~g...~lth..~c~ .d;~.t.~..o .n .................... The certificate is issued to .~!r..s..J.a.c..q.u.e.s...~p~.e..1~..a.n.s. ...... ~.m..e.r. .................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .~; ~.' ............................... UNDERWRITERS CERTIFICATE No..p..e.n.d.i.n.g. ................................... HOUSE NUMBER .... .n 9.n.e. ..... Street .......................................... FOR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~REMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8214 Z Permission is hereby granted to: ................ F4: s.~e-r s · - .I- ~l:ez~ .............................. to .j~lL~.d ..ar~.. ~.~LCl~..t.:tOn.. o~...ezJ, s.t ~.ng.. d~e ]J.~ng~ .............................................................. at premises located at ...... Z~l~a:l~;~l,.-~ .~Be~l,..~:~;}~..Jl,'~e ....................................................... ................................................... · F.:L. she~,e ...I.s .le~.....N.0.~., ............................................................. pursuant to application dated ....................... ~)~-....~9 ............. , 19~..., and approved by the Building Inspector. Fee $~J'.~..QO ............ FOI~ NO. 1 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. App,cot an Na ..... ............ Disapproved a/c~~..~...~~.z..~._..~ Date .....$.ep.t, emlxe,~:..19. ................... , 19...7.~ ..... 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 plat 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, 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 th. is.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. (Signature of applicant, or name, if a corporation) .... ~) =awa~..m ,.. ~.~b~r~.. ~ ~.[ ~..~ ~ ...~.~...~.o.x.k......q ~ ~. ?..o. ........... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Con~r.~g~gr Name of owner of premises ...~r~....Jm~.~.A~p.~ans .................................................................................................... If appli~a corporate, signature of duly authorized officer. .... ................... / (Name and title ~arporate officer) Builder's License N~ ..................................................... Plumber's License No ....... ~.~.~ ................................. Electrician's License No. ..~.~.~.~]. ................................ Other Trade's License No. 1. Location of land on ~hich proposed work will be done. M~p No.: .~.J.~..~.I.....~.g.~ ...... Lot N~ ......................... Street and Number ..... ~.?~.g..~...~.~.~.J..~.j.J.J...~.~., ...... ~.$.~.~K~...~L~..~..~.~.~ .................................. Municipali~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ......... .B.~.8.J.~.~.~LJ.O.g.~.~.$.~.~ ......................................... b. Intended use and occupancy ......... ~.84~L~lg~M...~ ........................................................... 3. Nature of work (check which applicable): New Building~. ................. Addition ........ ..X~... ..... Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ............................................... r .... (Description) 4. Estimated Cost ............. ~Jk3.,,.~.O.g.,.g.O. ........................... Fee ........ ~LS..gg ...................................................................... (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 ..........2..8.'. .............. Rear ....... ~.?.'. ................... Depth ........... (~ ........ Height 20' Number of Stories 2 ..... Dimensions of same structure with alterations or additions: Front ............... ..2.8..'. ............... Rear 44'~ Depth ....... .~. ....................... Height ........... 2~5. ............. Number of Stories ..........3 .................... 8. Dimensions of entire new construction: Front ........... ~-.:~. ..................... Rear .......... 1.Z! ............. Depth ....... 1.:~.! ............ Height ......2..5..'. ......... Number of Stories .................... 2~ ............................................................................................. ...... 33B ............................................ Rear ...... 3~,~...~, .......................... Depth ...... ~.%~...~ ................ 9. Size of lot: Front -+ 10. Date of Purchase; ..:....L..,~..7~ .................................... Name of Former Owner ........ ~zJ;..~..~.~;.~n,,'b~ ........... 11. Zone or use district in which premises are situated ............. g~Lfi~n~.f~,!. .................................................................. 12. Does proposed construction violate any zonin~ law, ordinance or regulation: ........ ~ ............................................ 13. Will lot be regraded . .......¥.~..s. .............. Will excess fill be removed from premises: ( ) Yes (X) No 14. Name of Owner of premises ~.s......~.e.~.q~.e.~....A. gp_e..Z..m.~.n..~ ........ Address .~'.J,.~.t'.~...[f.,...~, ..¥1~hone No ?.(L~m?.§~?. . Name of Architect ........ ~e~ .............................................. Address ................................ Phone No ....................... Name of Contractor A,..~T...G~d~..~ane~eJ...1O~n.~s.r ............ Address~.C~b~..~.~..~..Y.,. Phone No. TBB~.'Z~3.1 ........ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and block number or description according to deed, and show street names and indicate ~/hether interior or corner Iot~ See attached floor plans .......... ~ ....... ~....~...~...~?...,..,~[~. ............ : ....... being duly sworn, deposes'and says that he is the applicam (N~me of individual signing cont~cf) above named. He is the ........... ~~..L.: .................................................................................................................. (Contractor, agentt 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~ the manner set fo~h in the application filed therewith· Notary Public, S,ate of New York ~uallfmd m Suiluik County~ _1