The URL can be used to link to this page

Home My WebLink About7870-zNO. 6 TOWN OF SOUTHOI.B BUIT,DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . .E./.~..B.r.~..dge..L..a.n.~ ......... Street Map No..!~: ......... Block No.. :g~ ..... Lot No.. ~ .... ~.~.e~qgl~.e...~i:.Y., ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... l~.~y...1..., 19.75. pursuant to which Building Pemit No...?~?.0j~ dated ........... ~:~. Y...1..., 19.7~., was issued, and confoms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .A~C.o~0ry..l)~;U. cl$~g .~..tt~ .e~ .~clcll~;~.o~ ............................. The certificate is issued toA.~;ch.e~ D.e~l~ros ........ Owner .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N,R, ............................. UNDERWRITERS CERTIFICATE No..N. ~R~ ....................................... HOUSE NUMBER .... bc~'~0 .... Street. Br~,dge. ~a .............................. FORI~ NO. 2 TOWN OF $OUTHOLD BUILDING DEFARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P]~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 7870 Z Date ................... / ............... , 19~...~.. Permission is hereby granted to: /~ f) /~ ...~.~..Z,..~:~ ~. ........................... ......... .~:.~ ......... ~ .......... .y. ............. q ......... r ............................................................... - .................................................... pursuant to application dated ..................... ~....L~. ...... ~. .......... ,19.~..~.., and approved by the Building Inspector. Fee $ ..... .~ ................. FO~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved APPLIGATION FOR BUILDING PERMIT Application No .... . .~.....~. · ..~ .. · .~.. · ........... INSTRUCTIONS Date ................... ..N.~7~. ....... ~ ............ , 19..7. 5. .. .~ a. Th~s apphcation must be completely filled in by typewriter or in ink and subm,tted in triplicate to the Budding Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showtng Iocahon of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giwng a detailed description of layout of property must be drawn on the diagram which is part of thru application. c The work covered by this apphcation may not be commenced before issuance of Building Permit d Upon approval of this apphcation, the Building Inspector will issue a Building Permit to the apphcant. Such permit shall be kept on the premises avmlable for inspection throughout the work. e No building shall be occupied or used ~n 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 t'o the Building Department for the ~ssuance 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 alterahons, or for removal or demolition, as herein described. The applicont agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized ~nspectors on premises and in buildings for necessary inspections. ~__~_.gnat~re~oI a-pip'can,t, o name, if a corporation) ...... .............................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or butlder Owner Name of owner of premises .... ..~.~?...~..e..~..?..~.~.~.?..9..~. ........................................................................... If apphcant is a corporate, s~gnature of duly authorized officer. (Name and t~tle of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................ Electncmn's License No ............................................ Other Zrade's License No ............................................... Locahon of land on which proposed work will be done. Map No... :~C Lot No. ~ Street and Number ....~.S..~z'.id,~e...T~'te ............... C~.¢¢.~o§~ ................................................................... Municipality Stale exishng use and occupancy of premises and m.~ended use and occupancy of proposed construchon: a Ex,s,ting use and occupancy ...... ~.~...e.~..];.:J;..D_...g....~... A.a..a..ess..o..~y...b.~.~..cl:.~ ................................................ b Intended use and occupancy ...... .e.~.]:.~...~.g~e.....~..o.o..e.~.$.oz'~T...~.i~.~.~g ........................................................ 10 11. 12 13 14 property lines Gwe street and block number whether inlenor or corner lot Nature of work (check which applicable). New Budding .......... Addition . ~ ....... Alteration ....~C ...... Repair ................. Removal ................ Demoht~on .............. Other Work ............................................ (Description) Estimated Cost ...................................................... Fee ..... 1...0..t .0...0. ................................................................ (to be pa~d on filing th~s apphcat~on) If dwelling, number of dwelhng umts .... .~ .................. Number of dwelhng umts on each floor ....................... If garage, number of cars ................................................................................................................................. If business, commercial or m~xed occupancy, specify nature and extent of each type of use .......................... Dimensions of ex~sting structures, if any. Front ................... Rear ................................ Depth .................. Height ........................ Number of Stones .................................................................................................. D~mensions of same structure with alterations or add.hans: Front ................................... Rear ..................... Depth ............................... Height ....................... Number of Stories ............................. Dimensions of entire new construction' Front ......... 2.--¢.t;..., ................ Rear ..... ~;~.t~ ................ Depth ...~.~.~ .......... Height ................. Number of Stories ................................................................... Size of lot Front ..... ? .................................................. Rear ......................................... Depth ............................... Date of Purchase ' Name of Former Owner ..................................................... Zone or use district in which premises are situated ttA~l Cl':J'S~O Does proposed construchon violate any zomng law, ordinance or regulation: ......... ~ ........................................ Wdl tot be regraded ............................ Will excess fill be removed fram premises: ( ) Yes ( ) No Name of Owner of premises .................................................... Address ................................ Phone No ...................... Name of Architect ................................... Address ................................ Phone No ...................... Name of Contractor ...... .o...'~...e.z'. .......................... Address ................................ Phone No ...................... PLOT DIAGRAM Locate clearly and distinctly all buddings, whether ex~stJng or proposed, and red,cate all set-back d~mensions fron or descriphon according to deed, and show~s~eet names and indlcat~ STATE OF NEW YORK, COUNTY OF . ...~.lZ...C..;~P.~ .......... f S.S .................................................................................... being duly sworn, deposes and says that he ~s the apphcan (Name of ind~wdual s~gnmg contractO above named He ~s the ....................................................... .9.~trP...¢.~' .......................................................................................... (Contractor, agent, corporate officer, etc ) of said owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and this apphcat~on; that ail statements contained ~n th~s apphcahon are true to the best of h~s knowledge and belief, an, thor the work will be performed ~n the manner set forth m the apphcat~on filed therewith. Sworn to before me th~s · ........................................ PROVED AS NO'~ED oJ.~.~B~ ~ oIFY BUILDING DEPARTMENT .5.Z660 9AhA 1'O 4PI',A FOK REQUIf~- :NS?t:GTIONS: ~,~G~,~- ~AcK. FILLING FouNDA' ,,,,,L WHEN JOB CoMFLETED :~.$pc)NSIBLE E-OR D~SIC,.-N OR