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Home My WebLink About30-zFO~ NO. ~ TO ~W~I OF $OUTItOLD BUH.nING DEPARTMRN'T Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No. ~391t, ..... Date ...........~,ut~lSt, 2~.s ..... ,197~. THIS CERTIFIES that the building located at 1~/.~ · I~oz'.th. Pu~acl ........... Street Map No.. ~ ~. .......Block No .... X~ ....Lot No. X~ ...... G~'eenpori;t .tlo~, ...... conforms substantially to the Application for Building Permit heretofore ~ed in this office dated .........J~tl.y. ~;~ .... , 19.68. pursuant to which Building Permit No. 307.~[amemimt) dated .........J~t].y. ~1 ..... , 19.615, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Pri~at~ .one..~a~-l~ .~weL-L~g ....................................... The certificate is issued to ... John. l~eoll ......................................... (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval .................................... UNDERWRITERS CERTIFICATE No .... ?.e.B...~... ................................ HOUSE NUMBER ... ~Tho.~ ..... Street .. ~ol'th .]~oeA ........................... ..................................................... G~'em~o~'~ ................ · ....... FORM N'O. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF: APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No....~,..~0 ........... Date ............................ ~.tl~...,'~ .......... 19...~'~. Permission is hereby granted to: J~..&~..~h, ................................................. ....... ~'~..~a~ ................................................. ........... 5m,-th~:t~ ~'""'~Y~ ................................. to ...Ivu.~.l.d..~d~i~%$~n...t,~..e~et,~..d~el.~g ..................................................................... at premises located at .l~/...~].~.-l'~;h...l~oA~l. ................................................................................. .......................................................... ~ou%h~l~,....~,~. .................................................................. pursuant to application dated ....................... : ........ ~tll~.....~.~. .......... ]c)..~...., and a~proved by the Building Inspector. Fee $~.~9.O. ....... ~.~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z 67.2. Dote June 15 19...6...0.. T~IS CE~TIFIES thor the buildir~ Iocot~ at ....~...s.....S..o.~...~..o..a...a.,.....S..o...u...~....o.~..4 ........ Street Map No ......................... Block No ......................... Lot No ................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................... ~.e.....2..2. ............ , 19.5..7....., pursuant to which Building Permit No ........ ..~.....3..0.. ........ dated ............................. ~..e.....2..2. ........ 19...5..7..., 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 ................ PRIVATE ONE FAMILY DllELLING Joh.la A. Fre~..b.a owner This certificate is issued to ..................................................................................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector il FORi~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... ' ........... , 19. ~lllltl~llclec1 Application No ............................. Vlsapprovea a/c .............................................................................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ............................... ....... ......... , ...... 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 drown 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 progress of 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 Deportment 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. .................. ..................... ....................... (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................. .Owi~le ~- ....................................................................................................................... Name of owner of premises ...~g.}.t. IL.,~J~.l'.~;.fl]~ ......................................................................................................................... If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ....... ~ ......................... Lot No.: ...~ ............. Street and Number ..}l/~....~O:~l..~O~ ......... .(Iz'fz~p~ ............................................................................... Municipality 2.State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~gelZJ~ill~ ............................................................................................................ b. Intended use and occupancy .............. a~me.....~i.~h,.~..~fL~ .............................................................. 3. Nature of work (check which applicable): New Building .................. Addition ...... ~.. Alteration .................. I Repair .................. Removal .................. Demolition .................. Other Work (Describe) ....................................... ;~"~ i 4. Estimated Cost ............................................................ Fee ~ ' ' (to Be paid on filing this application) 5. If dwelling, number of dwelling units ........ P~e ............. 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, Jf any: Front ............................ Rear ................................ Depth ................. u. Height ........................ Number of Stories ................................................................................................................. Dimensigns of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...~ ............................Rear ...... ~,~ ................. Depth ........ 2.~. ........... Height .................... Number of Stories ....OZle ........................................................................................................... 9. Size of lot: Front ..... .1..0.0. ............... Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 ]. Zone or use district in which premises are situated .... ......u4')'" ...... ....d:~.... .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation~ ..... I~O ....................... 13. Name of Owner of premises ......~..('?.~...~....~..~...~.~ ........... Address GZ'ee;~t~.o~'~ ...... ~ ........ : .................................. no e P~o.....u~o~. ...... Name 'of Architect ...................................................... Address ............................................ Phone No ..................... ~ame Name of Contractor .................................................... Address ............................................ ~hone 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 or description according to deed, and show street names and indicate whether interior or corner Int. STATE OF NEW Y, QRI~.., ~ S S COUNTY OF ....... 9~..~.Lzi.°....-~.. ......... ~ ' ' Jokc~ Fz,~l~h (Nome of individual signing application) abow~ n~med. He is the .............................. ~ ............................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners and is duly authorized to perform or hove perfon~d the said work and to make and file this application; that all statements contained in this application are true~ ~he best of his knowledge and belief; and that the work will be performed in the manner set forth in the application~l~ therewith. Sworn to before me this ,/ / ~ ~-'m .................. ~.... ~d~y of '. ........................ ¢~. ........ 19....~ , l,, 7, ,' J-~&~:~ .//{..,~ ~/¢.~ ~ .zC~ ~)~, t r f' ant ............. ........ NOTARy PUBLIC, State of New Y~ ~ '- ' No. 52-06~8100 Suffolk Goun~ Examined S IL t ~ 19..[~... Permit No. O ~ Disapproved a/c .......................................... ....L ............... J ................................ 'tOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE S~THOLD, N. Y. 19..~..~ A~e~e~ (Building InSpector) APPLICATION FOR BUILDING PERMIT ................................ ....... ........ , ]9...e..8.. ..... 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 showin.~ 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 a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o 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. ~- / (Signature of applicant, or nome, if a corporation) .................. ........ ........... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner Of premises ...~.o....~......~.~..e.~..~. ......................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Locatio, D, of land.~p_n.w,hj~h,,~'oposed work will be done. Map No.: ........ ~ ......................... Lot No.: ....~ ............. Street '~ r~d~N u~m~er ~-~/~..~......~g.T. ~ ....~.o..e-..~..; ....... .G. ~..e..~.9.~..~. .............................................................................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~l,~..e~'l~L~.~ ............................................................................................................ b. Intended use and occupancy .............. ~__~._m_~......~.~L~..&D...&CI.~'I~,,;LQ~. ............................................ ~ ................ 3. Nature of work (check which applicable): New Building .................. Addition ......~.. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ........................................ ~ ................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ g..~..e. ............. 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 ...2.6..' .......................... Rear ...... ,O_~ ................. Depth ........ 2.~. ........... Height .................... Number of Stories .... g~ff ........................................................................................................... 9. Size of lot: Front ...... 1...0..0.. ............... Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ........ '.l..~..t.~....~.J:.S...~. .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ..... ~O ............................. I.j..ee~ ............. John Frech _,, .~.?...e..e...~..?...o..~..~.. .................... Phone No..../.6.0. B0. ...... 13. Name of Owner of premises ........................................ ~aaress .. Name of Architect ...................................................... Address ............................................ Phone No ..................... same Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locote cleorly and distinctly oil buildings, whether existing or proposed, ond indicate oil set-bock dimensions from property lines. Give street ond block number or description occordin§ to deed, ond show street homes ond indicote whether interior or corner lot. ~ ~ STATE OF NEW YORK, ~, ~ ¢ ¢ COUNTY OF ....... ~ .Z..Z...O.~ ........ ~ ~.-~- · l'oh~ Fr~ch ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .............................. ~rJ,e,:~ ............................................................................................................... (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 app!ication are true/f/) the best of his knowledge and belief; and that the work will be performed in the manner set forth in the applicatio0,ffilJ~d tl~erewith. Sworn to before me this / / // .................. ~.... day of ~. ......................... ~T.I,~. ........ , 19..i.~.~ / /~ ~ ~ ~ ~ c . ................... .................. ............. FOR~ NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......... .,,~w~...-~.....~.....~..... 19.~...7 Approved .......... Z ......... ?. ....... ~.:.....19....~..~.Permit No....~..~ .......... Disapproved a/c ........................................ ~;:: ..... ...................................... ............ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. ~~......~... ?...'~..... 19..?.~...~.... 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 adioining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location. 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 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 applicgnt agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) ............. ........ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ............. ...................................................................................................................................... ............. Name of owner of premises ........ ..~.......~.....*-A~ ...... ,Z~ ........ ..~..-,'~,,~...C../..~..~ ........................................... : .......................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No ................................... Block .................................. ...... ........ ................ State existing use and occupancy of premieses and intended use and occupancy of proposed consfruction: a. Existing use and occupancy ~' II b. Intended use end occupancy ................................................................................................................................ 3 / · · Nature o~ work (check. which apphcabte). New Budding .............. ~.....Addmon ................ ...... erahon .................... Repair .................... Removal .................... DemohhOn. ................... Other Work {D~.~r~be) ............. ...................... ~. 4. Estimated Cost .................................................... ~ ....... Fee ........... ~ ........................................ '~ (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units .......................... ,Number of dwelling units on each floor ............. ~ .......... .... If garage, number of cars ........................................................................................................................................ 6. If business, commerical or mixed occupancy, specif~/nature and extent of each type of use..... ........................... Height ............. /. ............. Number of Stories ...... ./ ....................................... : ............................................................... Dimensions of same structure With alterations or ad'ditions: Front ............ ~......-~.....~. ...... Rear ...... .~'.....-~....~. ............... / r Depth .......~'....~..:...~ ........... Height ............. .~. .............. Number of Stories ..... ../. ........................ Height ............................ Number of Stories ......../......i ............. 10. Zone or use district in which premises are situated .................. ~....~ ................................................. 11. Does proposed construction violate:-any zoning law, ordinance or regulation? ......... .~......C~. ........................... Name Of ' ' " Name of Contractor ............................... !.: ................... Address ............................................ Phone NC) .........~ ........... J.,.h $o.u~vD STATE OF YORK, ) _ _ -/Na~e of individual signing application) ............. ~..c~..~ ..................... being' duly sworn, deposes and says that he is the applicant ~ · above 5amed. He is the .......................................................................................................................................................... (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 t~e b?st of his knowledge and' belief; and that the work will be performed in the manner set torth in the appllcation~led therewith. Sworn to before me this -, / / /~ ............... ............ ~ ~ / (Singature ~f applicant) ~ ' Notary Public,~. ~'~:~. .............. ~nty ~ / ~ i ~x~r~ Mord~ ~, FORI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ......... .~....~...c~...' .'~...... Approved .......... Z ...... f.: ....... .~' 19 ~ ?Permit No ........ ~.~ ..... Disapproved a/c ...........~.:~:z .~.~ ............. ......... ...... ............... (Building Inspector) Application No ............................ APPLICATION FOR BUILDING PERMIT 19...~']...~.. Date 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 punic streets or areas, and giving a detailed description of layout of property must be drown on the diagram which is part of this location. 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 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 parsuant 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 and regulations. (Signature of applicant, or name, if a corpor,otion) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. .............. . .................................................................................. Name of owner of prem ses ..................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Map No ................................... BIocI~ .,~ ' ' .......................... Street and Number 2. State existing use and occupancy of premiesi~sxond intended use and occupancy of prOposed construction: o Ex st ng use and occupancy ~~' ' b. Intended use and occupancy .................................................................................................................... 3. ,Nature of work (check which applicable): New Building .................... Addition ........ Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ..:.~.~....~..O. ............................................. Fee~.~... .............................................................................. (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ IF garage, number of cars ........................................................................................................................................ 6. If business, commerica[ or mixed occupancy, specify nature and extent oF each type of use ................................ /'~ ,~'" ...~....~.~'./~ '~ ~ . Depth ........................ ' ' 7. Dimensions of existing structures, if any: Front ............... ' ............Rear .................... ?.~C-~ .~ .... Height ......... /. ................. Number of Stories .......... ~.. ................................................................................................. Dimensions of some structure with alterations or additions: Front ............. ~....'~.. ....... Rear ....... ,.~...~'~.. ............... Depth ...~..~...~/..~....~. .......... Height ............ /.../¥. .......... Number of Stories ................................ 8. Dimensions of entire new construction: Front......~...~......f....O. ..... Rear ...~....~.'..~..../..~.~.'. .... Depth .../..?......~.. .............. Height ......... /./.¥..~. ......... Number of Stories .........../. ................ 9. Size of lot: Front ...... [...O....O.. ............ Rear ...... ./...~.....O. ............ Depth .......'~'.....~?......~. ......... 10. Zone or use district in which premises are situated ................. ~.'.~ ................................................ 1 1. Does proposed construction violate any zoning law, ordinance or r g ~on ..................................................... 12. Name of Owner of prem.ses...~ .......... ./.~.....~./~.~;.~..~...1...Address ............................................ Phone NO ..................... Name of Architect ................. ............. , ....................... Address ............................................ Phone NO ..................... · ........... ~ ......................... Address ............................................ Phone NO ..................... Name Contractor 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. STA'rEO NEV'F.T9 ,:', > ss, COUNT-¥ Of .~'...~...'Z:...~ .......) ' ..... ............. be,ng du,y sworn deposes and says that ,s the app,,cont '" / '"ii'lame o~f~Thdividual ~ignir~g application)~- abov/e named. He is the ..................... ~...:: ................................................................................................. (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 work will be performed in the manner set forth in the application filed~erewith. /, Sworn to be[ore me this ...~.~.~.A...~..... day of ....~.~...'~......')~.. .................... 19..~.~.:(.... < ~oingoture at oppdcant) / /