Loading...
HomeMy WebLinkAbout150-z FORM NO. 4 TOWN OF 50UTHOLD BUILDING DEPARTMENT Town Glerk's Office Southold, N. Y. Certificate Of Occupancy No. .~i~?,~F..... Date M~?T!b 19.72. THIS CERTIFIES that the building located at ..SlAMOOd 7?Ti~'! Street Map No. SMVOOd Aa>~ttck No...........Lot No..'j.....~OVtthlld ~II.Y. . conforms substantially to the Application for Building Permit heretofore filed in this office dated ...........OCf+ Zit, 19. 57 pursuant to which Building Permit No..1.~i . . dated C1Ct 2~ . , 19. 57, 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 P.lirl,t! . en! . fPmily..drTel].S.Tt~ . The certificate is issued to John. ll[li~t - • lfi4Eine?i pVl1lfi~ ~ • BdviB~ ~ .8»saII - (owner, lessee or tenant) pTlslrit l~M1Ula of the aforesaid building. KOTZIfOtlslIIg C!A! SalplOtioa KaPth 14~ 19rJ2 0.8• Suffolk County Department of Health Approval . ps! lzistitu . lI.$............ . tbna! >i 390 ~ Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT ~ r (THIS PERMIT MUST BE KEPT ON THE PREMISES `3K'~HF'K~$8~'B1h~i ~F 'A'I~~`'I~~~~L'~`*f~L"~A"~'I~"~`~~`I~~f(~1~f'~` UNTIL FULL COMPLETI~I OF THE WORK AUTHORIZED) No. ...^6...a~~......... Date ~Q'~~f@3'...R~,~...[5:~......19~~.... Permission is hereby granted to: ~ ~~fiS~'.t$ $T'08•.... .7At2t2, dd~~~.tk n', to ....Build.,new, dtvel~,inG l/ , at premises located at ....f ..............................................a;......Seat~~ctuthoh3....1~,~~'.............................................................'~ L pursuant to applicotion dated .............................~~'~tJ.~.>k.....2~.........19.~'~.., and approved by thee, Building Inspector. i, i Fee $~Q«~............ I~I~ ; 7 P~ Y t~ 6 d,.J~...i"Clz. , ' rl, ~ ......................~.~........g.......P............................~ ~ Buildin Ins ector ~ A i ~~o d i i t' ~ ~i`4* ~~1 I~ ~ FOHM NO. 6 TOWN. OF SOUTHOLD Building Department Town Clerks OfFice Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building `z Inspector with the following; for new buildings or new use: ~ 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). ' 3. Approval of electrical installation from Boo rd of Fire Underwriters. ~l 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural ar topographic features. 2. Sworn statement of owner ar previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. DatC ..%~Ax'Cs11..~~s..1972 New Building Old or Pre-existing Building .............X............ Vacant Land Location Of Property Seawood,rlcrea,. Section I, Bayviewr, Towns of Southold, New York Owner Or Owners Of Property Edwin Foy and Susan Foy Subdivision Seawood ACrea~..SeCtion I .,Lot No.... Block No House No.....~'..~ Permit No Date Of Permit ....................Applicant Health Dept. Approval ............................................Labor Dept. Approval Underwriters Approval ..............................................Planning Board Approval Request For Temporary Certificate Final Certificate Fee Submitted $ ....`~.e.00 Construction on above described building and permit meets all applicable,r-,p-de/s 'and regulations. Applicant ........................1, .~.rr..v.....(l/J""'.`~'~ Robert W. Tacker, Attorney for Applicants Sworn to before me this ^f „13th day of ..azi~'CIIr,,,1972 (stamp or seal) Suffolk Notary) Public County Lr~C~C~i ~ IZC..P ((~~jj NOTARY p~`'f!r=' y Suffolk Co ~~Ir, ~'Jp/G Ter 'a'e of Ne m Cr,;~irc:. Maoch53p ~~9~Z5 art , SOUSIDIG CODE IDTSPECTIOtJ March 14, 1972 Eduin 6 Susan Poy Seauood acres, Seg. I,F2575 390 Seawood Drive Lo! # ? Southold, Neu Yozk i made this inspection es,reyuestad in "Application For Certificate of t)ccupancy", Datsd March 13, 1972. About 11000 A.M. Mss. Foy admitted me to this one.. family duelling. The building appeared in good shape, I did not,ics a minor vertical cr:ok (about 3/ib at the top) in the fotmQation. I notice no violations. There are no other buildings on this parcel. I completed my inspection about 11:30 A.M. Respectfully submitted, w:~.-~ George Fi. Fish4r Building Inspector A sketch of the !loot plan is in the Housing Code f11e. B.P. # 150 `Z, 10/23/57 John Weight, new dwelling C.O. # Z 2'53 2/Z6f59 FORM NO. 4 TOWN OF SOa~THOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY Date 19........ THIS CERTIFIES that the building located at~'.~.~V~!~?W '~'~~:~'.~'©~'~q ~°~"~tt Map N~€;it,B,WQdc3„ACX'P,~ock No............ ~~a« .............Lot No............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ,..,.,.QC'GO~bBS' 22 19 pursuant to which Building Permit No....~^.'~:3~.~ OCtOL?e~ dated 19.....f., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificote is issued is PRSV1~7' t)5~+;-~`AI+t~I~l' ~3t~;~T,~Nt~ This certificate is issued to ......!~.4t~X~..~~:~,~:~i...4;WYaE35C (owner, lessee or tenant) of the aforesaid building. < ; , i_.,: Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. Examined........C..:~..~...J.....19..~~...~ Application No....... f..'~`..Y. J......... t~ Approved ~................19........Permit No... Disopproved a/c _w ..,..:..r. (Building Inspector) APPLICATION FOR BUILDING PERMIT 3 Date ~4':.Zl-~C.......z.L..........19...5.1.... 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 location. c. The work covered by this application may not he commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the opplicant. Such permit shall be Kept on the premises availoble for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whotever 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 applicoble laws, ordinances and regulations. -~l.~~z ~~~.......tl. 7'U'%'................................ (Signature of applsi7cant, or name, if a corporation) ~CY ~ / / (Address of applicant) Stote whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ~ , Name of owner of premises.........~~...~.:.......~..2~C.~sz~...'. If applicant is a corporate, signature of duly authorized officer. L~ (Name and title of corporate o titer) 1. Location of land on which proposed work will be done. Map No.~~:'!r~ro`p, Block n _ ~ Street and Number .........................421:~.@.lst~1.....~!~°............ 2. State existing use and occupancy of premieres and intended use and occupancy of proposed canstruction: a. Existing use and occupancy J b. Intended use and occupancy............~4.'1..........h({.L(b'G.i%!?-S'~........a~,h!N,A 3. Nature of work (check which applicable): New Building ...Addition ...................Alteration.................... , Repair ....................Removal ....................Demolition ....................Other Work (Describe).................... .o ~ 4. Estimated Cost ....................cX..l..~.. Gzv......................Fee .................,`.V.:. ~v.......................................................... (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 .......................1............................................................................................................... 6. If business, commerical or mixed occupancy, specify nature and oxtent 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 G 8. Dimensions of entire new construction: Front.......~f~./.. b..~.... Rear ......j~.....~....... Depth ......,Y..`~ r Height ~ 5 Number of Stories 9. Size of lot: Front .......f.6~..~........... Rear ........r1.~7~.~......... Depth .......~5.~............ 10. Zone or use district in which oremises are situated 11. Goes proposed construction violate any/~z'oning law, ordinance or regulation? ...........~y~ 12. Nome of Owner of premises.~~Jj.-.~inr..W..W~~'t,....,Address•~~Sf~.~d~.P.?~~~.ul...~.i~!1~Phone NO Name of Architect ......................................................Address ..............................Phone N0..................... / . Name of Contractor.....C.i~21.~~4...~~ax:t'..:....,Address ~`R-~.cQ .....................Phone NO. ,5:9.:5..~.z.`LZ3 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dirrfansions from property lines. Give street and block numbers or description according to deed, and show street names arvl indicate whether interior or corner lot. ~ ,3a~--- (gb STAI"E OF NEW YORK, ) S S. ~ COUNTY OFr~~-~ ~fi'~4~i~ , , „ ....`.7..:1............,.,..,,.,...,,.........being duly sworn, deposes and says that Ise is thw applicant (Name of individual sig~ni~ng~a-p'plicati~on) abovE; named. He is the.......,~~2lY.Cr.~,~.~'~:~...,......~.....~....,..~...~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to mal<c and file this application; that all statements contained in this application ore true to the best of his know edge and belief; and that the work will be performed in the manner set forth in the application filed therewith, Sworn to before me this ~yy,, ~y ~ ~~p e1 ~ ~ day of ..........`;~~GX 14...x-...,.f„ OC-O-cL•Gt{'W~ ~~J ~ (Singature of applicant) Notary Public,....y.,~(t~"1.a.2....,~9~~:`'k~-~.-i(.Z.~/.-esl.....County No[ary Pul°icF St~~ ooCNew York Resitlmg in Suftalk County My Commies on CxpucsyMarch 30, 19 ~ FORM NO. 1 ~ ~S ~C TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE / SOUTHOLD, N. Y. Examined........~~`... ~..°'~.........19..-rp.! Application No.......?.....~~.. Approved e.............19........Permit No.... ~..f Disapproved a/c (Building Inspector) / APPLICATION FOR BUILDING PERMIT Date...........UG 7`~r34:~ ...........~:.,~........19..7.2..... 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 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 sholl have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of p Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Yorl<, 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 corporation) ~o-e.~1 ~~-t'e~ c~ d~ .......................................................:..................1.:1.~.~..~. (Address of applicant) State w,,gqhethe~~r o/pp~licant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ..........Y,Gt.t .[<C.G.W.4 .................................................~.....q............/..~..~............................................................................................ Name of owner of premises .......W...............W....~~.Zt.~....................................................................:......... If applicant is a corporate, signature of duly authorized officer. ....C?:? ~.......::~~~C~~y~,:~:~:.~~............~.~~ . v (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map Nom'°E"~^..'."°~.``.1'.'.~~locl~ _ ~ C . Street and Number ...........~.1r44t.S?r.4:e'4c~t......41r7~4naA.......-:r .~.....7.... .~.(~-ww.~.C=t~ue~.. 2. State existing use and occupancy of premieres and intended use and occupancy of proposed construction: a. Existing use and occupancy . . b. Intended use and occupancy.........~`!L........~P/.1.G.':r:rr.!R..~.'......../~(i.'1.~. 3. Nature of work (check which applicable): New Building ......Addition ....................Alteration.............. Repair ....................Removal ....................Demolition ....................Other Work (Describe).................... 4. Estimated Cost ............~...11111.p .............................Fee...........~../6,~Y~............................................................... (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, 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 .rG U 8. Dimensions of entire new construction: Front......~4Y Rear ~ Depth Height Number of Stories c 9. Size of lot: Front Rear .....J.IlQ................ Depth .....~.J.~............... 10. Zone or use district in which premises are situated 11. Does proposed construction hhviol~7ate any zoning/ law, ordinance or regulation?...t.~~..(.i.., 12. Name of Owner of premises.. `,t~~m...~...~!v.Qd-~.(!l...Address //W~Wf.~~h NO...~/P..-........... Name of Architect ..................:...:.............................Address Phone NO..................... Name of Contractor4'r?~~~!~.rel.2t.~~?.....1J.1.G.^~........Address ...~.rJ.2i.Y!~^s~2,~ ................Phone NO.c~:S.:~.y~3 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. ?Ga r ~ . t A 1 f-~y° t 4 1 STATE OF NEW YORK, ) S S. COUNTY OF . ) , rc, , ....L~~~'-0/.~~2:°.-~~ ................................being duly sworn, deposes and says that he is the applicant Name of individual signing application) above named. He is the......... ~ :4'.~:Cr~/.[..f•~:5:4.'a.. (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 Yhis 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 therewith. Sworn to before me this ~ p~ ' z da of ~-C.~Zr.'..::. ~~L~ML ~`l~ y 19.5. ~ ~ ~ (Singdture of applicant) Notary Public,..~~.x:G.r'k*.3~......~~!.<~zQt-`./.........Coin ELOISE BOWDEfi Notary Public, State of New Yor12 Residing in Suffolk County No. 52-0367800 My Commiss!on Exp!res March 30, 19 ~f