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HomeMy WebLinkAbout4145-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. A39.?$.........:....: Date ........................r''e� �'...23.............. 19.70.. THIS CERTIFIES that the building located at ..Beac -RoPA............................................ Street Map No. .+X............... Block No. .=................. Lot No. ...X......Gr'eenpOTt.....N.Y ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................ ..........I ........... .. 19...0. pursuant to which Building Permit No. 1+145Z ... ` dated ........................... ... ......... ..........1 19...§8 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 ........ iI's etc.).............. The certificate is issued to ....P�;®TCe YSCht..Basin IriC� . . Owner. ............ .............. (owner, lessee or tenant) of the aforesaid building. House 3r 500 ,.... . ..................................... ............. Building Inspe or FORM 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) 9 4145 Z Date .............................1)f,-.0fjfAb T....4, 19.6B.. Permission is hereby granted to: } ..........Al-ov"i)...;:�i.Pa,'�.h J••Eti1.5`�.. •,a'.•rl..Ir '•................. .............Vi . ..................................... ..................... relau)::0xt.................................... to ....1 uI.-I�a ..> a..add z L t:Lo'ri Ak..''C ak.6�.."a1;p,s. tJ,V,s...on,...an emlat;Lng..busAmess..buildIng ........................................................................................................................... .................................... atpremises located at ...... :r .g..... .. F3 ................................................................................. ...........................................................G20.0.1. 72.r:©,t................—AY"...................................................... ................................................................................................................................................................ pursuant to application dated ............................DAC........................ 19.18., and approved by the Building Inspector. .Fee 0*.� .............. � . ......................................... .................. Building Inspector i i V-'1 'ecQ r1.� / .G2� /�. CA FORM .NO. 1 rffGt' t I TOWN OF SOUTHOLD n BUILDING DEPARTMENT > TOWN ,CLIE',RK'S OFFICE SOUTHOLD, N. Y. r J Examined . . . . . . . . . . .". . . . . . . . ., 19. . � f r S- Application No. . . . . . . . . . . . . . . . . � Ti Approved . . . . . . . . . . . . . . . . . . . .. 19 . . . . Permit No. . . . . .... . . . . . . . N . . . . . . . . . . . - Z Disapproved a/c . . . . . . . . . . . . .... . . . . . . . . . . . . . . .... . . . . . . . . . . k-1 . . . . . . . . . . . . . . . .... .(Building Ins/ecitor) . . . . . . . .... . . . . . . . . . . APPLICATIO-N FOR BUILDING PERMIT Date . . . . . . . ..... . . . December. . .4. . . . . 196.8. Gl m INSTRUCTIONS n a. This application must be completely filled in by typewriter or in ink and submitteld in duplicate to the Building Inspector. b. Plot plan showing location of Jot and,of buildings o n premises, relationship to adjoining premises or public v streets !or areas, -and giving a detailed description of lay out of property must be drawn on the diagram which is part of this application. c. They work covered by this application may not b e commenced before issuance of Building Permit. -d. Upon approval of this application, the Building In spector 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 erJ in part for any purpose whatever until a Certificate goof Occupancy shall have been granted by the Building Inspectror. 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 S,vutho ld, Suffolk County, New York, and other.applicable Laws, Ordinances or Regulations, for the construction of build ings, additions or alterations, !or for removal or demo- lition, as .herein described. The applicant agrees to com ply with all applicable laws, ordinances, building code, housing code, and regulations. . . . Fierce Yacht Basin, I,nC. . . . . . . . . . . . . . . . . . . (Signature ;of applicant, or,name if a corporation) BQ4.gb. Road . . . .Graenport. . . . . . . . . . . . . . . . . . . (Address of applicant) I 1 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or A) builder . . . . . . . .... . . . . . Baer. - .builder. , . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � _d a Name of owner of premises . . .Pierce , 13aSin.. .Inc. . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . If applicant is .a corporate, signature of duly authorize d officer. T� . (Name and title of corporate officer) 1. Location ,of land ,on which proposed work will be done. Map No. . . .XXX. . . . . . . . . Lot No. . . . . ...XXX. . Street and Number . . . . . .W/S Beach Road. . . Greenport. . . . . ... . . . . . . . Municipality 2. State existing use and -occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy . . . . Business. Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and !occupancy . . . . . . . . .same.vith. .an. .add.it-ion. & .Alteration• • • • 3. Nature of work (check which applicable): New Building . . . . . . . . Addition XX . . . Alteration . .XX. . . Repair ... . . . . . . Removal . . . . . . . . Demolition . . . . . . . Other Work (Describe) . . . . . . . . . . . . . . . . . . . . . . 4. Estimated Cost . . .31500 '1 . . . . . . . . . . . . . . . . . .Fee 5!00 . .... . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . .. . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . 110n.e . . . Number of dwelling units on each floor . . . . . . . . . . . . . . If garage, number +of cars . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . .BUS i11ess• 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 . . 20 . . . . . . . . . . . . Rear . . . . . 20. . . . . . Depth . . .4o.... . . . Height . . . . ... . . . . . . Number oaf Stories . . .QAQ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . .... . . . . . . . . . Rear Depth . . . . . . . . . . . . . . . 10. Date of Purchase . . .... . . . . . . . . . . . . . . . . . . . . . . . . .Name of Former Owner . . . . . . . .... . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated. . ,nB�� •bus ine s s 12. Does proposed construction violate any zoizing law, ordinance or regulation? . . ...21C1 . . . . . . . . . . . . . . . . . . . 13''.. Name of Owner•of premises Pierce. Yacht. Bas-IfdInt • • •Gre•en�rort Phone No. . . . .... . . . . Name of Architect . .... . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . Phone No. . . . .... . . . . Name -of Contractor . • Same • • • • . Address . . . . . . . . . . . . . . . . . . . . . . Phone No. . . . .... . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and' indicate all set-back dimensions from property lines. Give street and block number ,orr ( e cripti�on accordingto deed, and show street names and indicate whether interior or corner lot. t�'�� his► �0IA` STATE OF NEW YORK, )S.S. COUNTY OF . .51 f:C01k. . .) . . . . . . . . . . . . . .RQ3ary. .Piercla . . . . . . . . . . . . . . . . . . . . . . being duly sworn, ,deposes and says that he is the appli- (Name of individual signing application) cant above named. He is the . .Corp affi.•cer• • • • • • • . . . . . . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • (Contractor, agent, 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 wioirk will be performed in the mann er set forth! in the application filed therewith. Sworn to before me this . . . . . . . . . . . . . . day of P.4'1P.QMber. . . 19. .68 Notary Publi , "L.v`fi. aunty ignture of applicant) MARION A. REG> ew NOTARY PUBLIC. State of No. 52.3233120 Suffolk C1u q Z9tm lxpires March 30, b FORM -NO. 1 TOWN OF SOUTHOLD . . . . . . . BUILDING DEPARTMENT TOWN ,CLE'EK'S. OFFICE SOUTHOLD, N. Y. Examined G. .�. . . . . . . .. 19. . Application No. �. . . . . . . . . . . • • Approved . . . . . . . . . . e. . . . . . . . .. 19 . . r. Permit No. .:... .. 5- �-. Disapproved. a/c . . . . . . . . i I . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . (Building Insp to A3'PLICATION FOR BUILDING P'E,RMIT �i i Date . . . . . . . .... . . . . . . . . . 19 68. i INSTRUCTIONS a. This application''must be completely filled in by typewriter or in ink .and submitted') in duplicate to the Building Inspector. 17 b: l Plot plan showing location of o+t and:of buildings o n premises, relationship to adjoining premises or public streets nor areas, and giving a detailed description of layout of property 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 applicati-con, 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 luntil 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 one Ordinance of the Town of Solutho Id, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of build ings, additions or alterations, or for removal or demo- lition, as .herein described. The applicant agrees to comply with all applicable laws, (ordinances, building code, housing.code, an,.A regulations. \ i . . . . . Pierce. Xacht. Rasi .Inc. . . . . . . . . . . . . . . . . . (Signature ;of applicant, or,, ame if a corporation) /I a . . . . . . . . . . . . . . . . (Address of applicant) Stat r applicant is owner, lessee, agent, architect, engineer, general contractor) electrician, plumber or build jwheth . . . . Gtdntar htit3der. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . Name ,of ,owr}�er of premises . . . .pj.. ce •Yacht i asin— -Inc. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'I I If applicant' is .a corporate, signature of duly authorize d officer. . . . . . . . . . .I.i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . }I . (Name -and title of corporate officer) 1. Loca lion ,of land .on which proposed.work will be done. Map No. . . . . . . . . . . . ... . Lot No. . . . . ....X . Street and Number . . . . . . .►4./S ..�each. .1-ioad Greenilcort. . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . Municipality 2. State existing use and ,r;ccupancy :of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy . . . . . . Rua.".din . . . . . . . . . . . . . . . . . . .N. . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . fi�:,_3c� �,: :rt• • •G is ioxa c: �sl���=atiOII 3. Nature of work (check which applicable): New Building . . . . . . . . Addition . ?X. . . . Alteration . .aLR . . . Repair ... . . . . . . Removal . . . . . . . . Demolition . . . . . . . . Other Work (Describe) . . . . . . . . . . . . . . . . . . . . . . 4. Estimated Cost . . 3s 500.,,++1 . . . . . . . . . . . . . . . . . .Fee 5-to . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to 'be paid on filing this application) .5. If dwelling, number ,of dwelling units .-non[, . . . Number -of dwelling units on each floor . . . . . . . . . . . . . . If garage, number :of cars . . . . . . . .... . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. . If.business, commercial.,.oT mixed occupancy, specify•nature and extent of each type of use . . .�1LS LY3 5$• 7. Dimensions of existing structures, if any: Front . . . . .... . . . . . . Rear . . . . . . . . . . . . . Depth . . . . . . . . . ... . . Height . : . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with.,alteratlons.:or. .additions: Front . . . . . . .'. . . . . . . Rear . . . . . . . . . .... . Depth . . . . . . . . . . . . . . . . Height . . . . . . . . . . . Number of Stories .. . . . . 8. Dimensions !of entire new construction: Front . . 20 . . . . . Rear . . . . . 2®. . . . . .'Depth . . �� .... . . . Height. . . . . . . . . . . . . Number -of Stories . . .one. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . .... . ..... . . . . . Rear . . . . . . . . Depth . . .. . . . . . . . . . . . .. 10. Date of Purchase .... . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . ... . . . . . . . . . . . . . . . . . . ll 11. Zone ;or use district in which premises are situated . . .'.�. .". . ... . . . nest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any z:,ning law, ordinance or regulation? . . .:.no1. . . . . . . . . . . . . . . . . . . 13.. Name,of Owner,of premises t jP..rc 0. ZaC1h4.t. Fj2.S4*jdiTf�b . . . .�,,.s �,flko�;T� . . . . . . Phone No. . . . .... . . . . Name of Architect . .... . . . . . . . . . . . . . . . . . ... . . . . . Address Phone No. . . . .... . . . . Name -of Contractor . . SaTrie ... . . . . . . . . . . Address. . . . . . . . . . . . . . . . . . . . . . . Phone No. . . . .. . . . . PLOT DIAGRAM i Locate clearly and distinctly all building, whether existing or proposed, and indicate all set-back dimensions from property lines..Giye street and block number-or description according to deed, and show street names and indicate whether interior or corner'lot. STATE OF NEW YORK, )S.S. I COUNTY OF! . . BUftoa.k . .) . . . . . . . . . . . .I: . -Henry .Pixxce. . . . . . . . . . . . . . . . . . . .. . . being duly sworn, deposes and says that he is the'appli- (Name tof individual signing application) cant -above -named. He is the . . or. .�J,f f is 'I. . . . . . . . . . . . . . . . . . . . . . . .•.. . . . . ... . . . . . . . . . . . . . . ... . . . .. . . . . . (Contractor, agent, corporate officer, etc.) of said.owne.ior(owners, and is duly 'authorized to perf�urm. or have performed the said. work and to make and file this'application; that all statements contained in'th is application are, true to the best of his knowledge and belief; ,and that the work will be performed in the manner set forffi in the application filed therewith. Sworn to before me this )t day of peo.el'i?b!a_ .19. . .6u. . . . . . . . . � . . . . . . .�.��.- . . . . . . . . . . . . . . . Notary Pu i , fit ► . i.', County ( 'gnture of applicant) !/ AflARION A. RVOINT -NOTARY PUBLIC, State JVo. 52.3233120 Sch°30'�1J /s Tame Eyx ires w � I •