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Home My WebLink AboutSilversands MotelSUPERVISOR'S OFFICE 16, South Street Greenporf, N. Y. Tel. Greenport 7-0550 BUILDING DEPARTMENT TOWN OF $OUTHOLD SUFFOLK COUNTY, N. Y. TOW~4 CLERK'S OFFICE Met. Street Southdd, N. Y. Tel. Southold 5-3783 BUILDING I~NSPECTOR'S OFFICE 307 FouRh Street Greenport, N; Y. Tel. Greenpor+ 7-0101 J CERTIFICATE OF OCCUPANCY No. ~ Deft ~ ~1 19.J~_ THIS CERTIFIES +ha+ +he building located a+ I/S , ~tlvermez'e Reml · PeoeaSe BeY Street, Map No. ~Z , B~ck No. ~ , Lot No. ~ 0~ in +he Town of So'old, confo~s substantially fo +he approved plans and specifications hereftfore fi~d in this o~ce wi~ Application for Bui~dlng Permit dated A~l~ ~3 19~, pursuant ft which Building Permit No.~, deftd ~ 19 ~9 , was issued, and conforms +o all of the require- ments of +he applicabM provisions of the law. ~e occupancy for which this ~ffifi~fe is issued is ~l ~ resonant ( ~t~er~. ~1) This certificate is issued fo of the aforesaid building. Thol Jur~eaa & life ewaere (owner, lessee or tenant) Bu,}lding Inspector {The Ce~flcafe of Occupancy will be Islued only after the Building Inspector is convinced of the completion of the construct;on ;n compliance with the Mull;pie Residence Law and with other laws, ordinances ,or regulations affecting the premises, end in conformlty with the approved p~ans and specifications.) FOI~M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........... ....~.......'.cT......~. ......... , 19...~...!.-- Approved ........................................ , 19 ........ Permit No ............................. Application No. ~ ~ .F'¢'- Disapproved a/c ............ ;::,. ................... ;?/ ...................................................... (Buildi r) ' APPLICATION FOR BUILDING PERMIT Date ' c ................. ...... INSTRUCTIONS 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port 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 progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until o 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, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem ses ~.~.. ,~../~.~C./...4~,...,.~'...,'~, ../'. ~ '~ L'~/2 ~' ~'~-/~/~ ..... If apphcant ~s a corporate, s~gnature of duly authorized officer, c~ J~ _~ ordinances, ? code and regulations. (Signoture/cff~pplic~t, or nome, if o corporation) ......................... iX;i;i;;;;"oT ......................... (Name and title of corporate officer) t. Location of land on which proposed work will be done. Map No.: )(' Lot No.: Street and Number ..... ~./j.~../~..~...~.../4~/~..z~...~`~..~-~...~.~...~.~.~.~...~....4~.~...~..~..~.~..~.~..~.<....~..~ ............. · ~unicipality -- ' ' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use ond occupancy ............... ~..*. b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which.applicable): New Building .................. Addition ~ Altera.tion Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ............................................................ Fee .......................................................................................... (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 ......... ..~....,~/.i.~..~.... Rear ......... .~.~..~.......~.~ ....... Depth ........~...~'.....~'...7. ' Height ....... ./....~...Z.7..... Number of Stories .................... .(/~.........O..~.~.. .................................................................... Dimensions of same structure with alterations or additions: Front ............ .._~.....~...~...T. ......... Rear ........ ~.~..~ .......... Depth ........ ..~......'~..>..~. ........ Height .......... ~...~...~...x.....Number of Stories ....... C~.....~ ....... 8.-Dimensions of entire new construction: Front ............ ./.'.~.........../~....7.... Rear ......... .,~...~.....~..~.... Depth ......~....?.t..L:. ..... Height ...../...~;..J.~.... Number of Stories ..... ~.....~ ................................... ~..~- ................................................... Size of lot: Front ........... ~.~.~..7..... Rear ............ .~..(~....P:.. ........... Depth ....... .~....~..~..../~..TL~. .... Date of Purchase ......... .~..7..(..~..:...~....~.. Name of Former Owner z~...~'..~..~,(...~....d'~..~(.~.,~. Zone or use district in which prem ses are s tuated ../~.......~...~c/./.~.~....~./../Z .~....~..~.:~ .-~..~..~..Y..c...~./..~..(4.~.~......~-m. ............... 12. Does proposed construction violate any zoning Iow, ordinance or regulation? ............ ....~......O. ..................................... 13. Name of Owner of premises~..~..u...~..~z ..~../.../~.. ............. Address ~.~.~..xM¢?//~.~....~'...c~-.. ......... Phone No..u~..~..:.?.9..°..(..x.. Name of Architect ...................................................... Address ............................................ Phone No ..................... /L~/..~.(.C.~.~.i~Z~ Addres~ d~uT~ ~ ~ N oJ~...'...~.. ~... ~./... Name of Contractor 4~J/ ....................................................................................... Phone PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior oc corner lot. L o STATE OF NEW YORK, '( c ¢ COUNTY OF ................................ -f .... ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ......................................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perf~ler~ee,,d~ ~said work and to make and file this application; that all statements contoined in this application are trg~,i6/~the )~st o(~is knowledge and belief; and that the work will be performed in the manner set forth in the applicatio/~ th< Sworn to be~re me this ~ / ........ ~..~;~ay of...~.....,:.--~ f --~ ~ ~19"~C~/~ ............. Nota~ ~, ~ ~ NO. 5~-3233120 Su[bJk C~un~ ~ Term Expires March 30, 9~ F~P~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z 32 . Date THIS CERTIFIES that the building located at ...~..~........~...~.~.?..e.~.~...~..~....~.~.. ................... Street Mop No...~ ............... Block No....~ .............. Lot No..~ ..~[~.~.t...~.t.~.~ ...... conformB substantially to the Application for Building ~ermit heretofore filed in this office dated ........................... ~...~. .......................... , 19...~.~ pursuant to which Building Permit No..~.~... dated ................... ~.....~. .................... , ~9....~ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ · eeessor7 ~ts for ~lver sands motel (~b~lt Se~ar houso) The certificate is issued to ..~.~..~..~.~e...~.~.~ ............ ~ .............................. (owner, lessee or tenant) of the aforesaid building. Building Inspector ~ TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT PURSUANT TO MULTIPLE RESIDENCE LAW New Multiple Residence Building APPLICATION NO. I I H Iq,~"7 LOCATION L~//..~' ~ ~,O~.~.Q~_ - ~ House Number Street ~Distance from Nearest Corner (Permanent or Transient) (2) Type of Construction ~'~ ~ - (3) Estimated Cost of Construcfr~/ .~..~-~ (4, S'.'e wh.f disposition will be m.de of w.s,e.nd sew.ge (Public sewer, private sewer, cesspool, etc.) (5) Occupancy (in detail) as follows: ~ I~ Story (include Cellar & Persons to be Basement} Apartments Rooms Accommodated Cot B Second Third Fourth Fifth Sixth Seventh TOTAL .~ ~ ~.,.~ '~ ~ DIAGRAM. The said lend end premises are situated es follows: /v The north point of the diagram IdUST agree with the arrow STATE OF NEW YORK COUNTY OF SUFFOLK THOMAS JURZENIA (TypewrH'e Name) being duly sworn, deposes and says: That he resides af ~K ~I~Wl in the Cify ofr.o~.~ror~o,,u~.~,~zu,~,~.l L. T~a the State o[ ~ YO~ · ~a+ he is making this appllcaflon for the approval of ~~ (ArchifecfuraJ, structural, mechanical, etc.) plans and s~ciflca+ions herewah submitted and made part hereof, and fhaf ~o the best of his knowledge and belief, the work or construction will be carried out in compliance with such plans and speciRcafions, end that if wilJ conform fo all applicable provls~ governi~lfipme residence construction. (SI~N HERE)~//~~ ~ ~ D~~~ , Owner Sworn *o before me, this / a. - ~Of ~ ~~ , '9 ~ U If nppJic~tlon Js fo be executed by someone other then owner, ~c*~n9 Jn his b Jr, the following ~ddi~ion~l inform- a+ion should be supplied: Address (If a corporaHon, gTve full name and address of af least two offTcers) (SIGN HERE) Sworn to before me, this day of , Applicant , 19. Notary Publ;c or Comrniss;oner of Deeds FOR OFFICE USE ONLY Examined and Recommended for approval on Approved on /3 Work commenced on ~ '/ 19~afe Completed 19 I HEREBY CERTIFY that the above report is true in every respect and that the work indicated has been done in the manner required by law and Rules and Regulations of this Department. Signed, Inspector. Page 2 TOWN OF SOUTHOLD Multiple Residence Law Permit PERMIT NO. ~i4 19 ~ APPLICATION NO. LOCATION Application having been made on covering construction on a Auf~ugt 12, , 19~-"7 . for a permit (new, altered, or converted) multiple residence building, by or in behalf of Tho~n~ & ~.or~'Aoe JuA~z~.r~ (owner) ~e~ ~. ~ O~e~O~ ~ ~.~. , for a dwelling located as above sta~, and ~e said appficafion having been exami~d and recommended for approval on A~B~ 1~, I~, a PER~IT is hereby issued for ~e pe~ormance ~ the ~~ (arcMtec~r~l, stmctura{, mechanical, etc.] work described in the a~ve numbered application and any ~compenylng plans and s~cifi~tions. If no work is pe~or~d w~thin one year from the time of its isSUance, ~is PER~IT shall expire by limitation. Approved. A~3~l~t 1~, 1~5~19 Enforcement Officer This pe~t granted eubJeot to f°llowlng oondltionm: motor ~ stops b. provld~ ov~ a~ments f ~5, ~P~, ~1~15, W~ter ~pply and sewerage dl~sal as app~v~ by Suffolk Co~ty Health ~ oboes Ins~o~ b~foP~ suoh work le donee c,'~og$ SE'CZ'/o/V /,~/¢' ,¢/8