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HomeMy WebLinkAbout485-zFO~R~ ~0. 4 TOWN OF SOUT~IOLD ?OWN CLEi~K'S OFFICE SOUTHOLD, N, Y, CE}ITIF~CA'~ OF' OCCUPANCY No ......................... Date ............................ (,. ............................. .~ew Suffolk AY0., THIS CERTIFIES that the bui]din~ located ~ ................................... .~ ............................... Street conforms substantially to %he Application for Building Permit heretofore filed in this office October 9 1958 ~ ~ 485 dated ...................................................... pu~suaut to which Buildifig.Pe~mit No ......................... OCtOber 14 19..~.., was issued, and conforms to all of the requirements ~ated ................................................ , of the applicable p~ovisions of the law. The occupancy for which this certificate is issued is This certificate is issued to .......................................................................................................................... (owner, lessee or tenant) of the afox~esaid building. ]3uilding :Inspector 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) N.o 485' Z Date 0etobe~' 11~ 19 ~8 Permission is hereby granted to: Harold R. l~eeve & gone A/C Russell Tuth~l! ~ttituok, N.Z. to Build an addition on an exieting dwellin~ at premises located at ~/~ N'ew ~u~fo].k A~'e ~lattituekt ll'.][. 0eraSer 1~ 1~8 , pursuant to application doted ........................................................................ and opproYed by the Building Inspector FORIV~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. E×om ned ...... ........... Approved ................. :.! .................... 19..~....Permit No. '~ z'~/'°~ ~- Application No ............................. APPLICATION FOR BUILDING PERMIT .,~ i~'0o i INSTRUCTIONS o. 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 o detailed description of layout of property must be drown on the diagram which is port of th~s location. c. The work coYered by this epplicotion may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o 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 port for any pu~'pose 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 a Iterations, 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) (Address of applicant) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... .~,e~.~,..~.~t~.¢~ c.~. .............................................................................................................................................. ~ame of owner of premise$.....]~.~.~e.e.~!-...1).,...~.'~.'~ ........................................................................................................... If applicant is a 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 ...~'..~ql~,~f~C..~.~..~t~.e.~...~.~.~.~,'['.~..9.}¢~s..~.~.3~.~.~...~.~ ................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... b. Intended use and occupancy ........ .~..9~..~. ............................................................................................................... X 3. Nature of work (check which applJco'ble): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated c~t ~2~000,00 I=~ $~i.00 . (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 ............................ Rear.2..~..l..."~...." ................ "" 281'0" uep~n ............................ Height ...1..4..~...'~...". .............. Number of Stories Dimensions of same structure with alterations or additions: Front 261"'O" Rear Depth 361'4)" Height .............................. Number of Stories 1 8. Dimensions of entire new construction: Front ............................Rear 31~-0" Depth Height ...1.,./+.t...,~...." .............. Number of Stories ...... .1. .................... 9. Size of lot: Front 1111.-0" Rear ~t1~4)" Depth 166~-0" 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises ore situated ......... ..]~....~..t..i..t.~.~.. .................................................................... NO 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... 13. Name of Owner of ~, ................................................... aaress ............................................ tmone ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... H,~rol~ ~.~e~ve & Son~ ... ~attituck, N.Y. ~. ~MA.9-$284 Name of~ontracror' ' .................................................... ~aaress ............................................ rnone Nu..." .................... 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. See ~r~.wing attached STATE OF NEW YORK, ) S S. COUNTY OF ............................ ) Harol~ R. BseV~ ........................................................................ be ng duly sworn, deposes .and says that he is the applicant (Nome of individual signing applicatlon) Cantr~ctor above 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 ali 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 th~sapplication flied therewith. Sworn to hC~:ore me this /,, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Approved ...... : ................................. 19..;.....Permit No ..................... Disapproved a/c .............................................................................................. Application No ...... ~.~..~....~. .......... APPLICATION FOR BUILDING PERMIT Date .................... .0..c..¢..,.o..l?.e. ~...9..¢..~.~ .................. 19...~..8. ..... INSTRUCTIONS a. This application must be comp[et.ely filled in by typewriter or in ink and sulomitted 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 oi: Building Permit. d. Upon approval of this application, the Building Inspector will issue e 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 issuanoe 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. HAROLD R. REEVE & SONS (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. Gen er~ul Con%factor · Russel D. Tu~hill Nome of owmer of premises ..................................................................................................................................................... If opplicant is o corporote, signoture of duly outhorized o~ficer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Map No: ............................................Lot No: .................... Street and Number ...~.e.¥...~.o.?:.k...~ye~ue~. H~.t..:i:.~..~..e.~.~..]~....~.:.~...~.T..,.~:. ............................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Home a. Existing use and occupancy ..................................................................................................................................... b. Intended use and Eome occupancy .................................... ,~...[ ....................................................................................... 3. Nature of work (check which applicable): New Building .................... Addition ....x. ............... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated ~+ :~2,000.00 ~ ~.00 ................................................................ Co ............................................................... ~ee ........................ (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. /f business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 2~' 0" 7. Dimensions of existing structures, if any: Front....;V...-. .................. Rear . .2. .6. .~. .-. .0. ~'. ............... Depth ...2..8.:..-:.0.!'. .............. ii,' 0" - , One Height ..... .~...-. ................. i'~umber of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front 26'-0" Rear 26'-0" Depth ...3..6..'.-..0..'! ................ Height .............................. Number of Stories ....... .1. ....................... ~ ~ 31'-0" 31'-0" 36'-0" 8. Dimensions of entire new construction: rron~ ............................Rear ............................ Depth ............................ Height ...14.!.-:0:] ............. Number of Stories ...... ,1. ................... 9. Size of lot: Front 111'-0" Rear 111'-0" Depth 166'-0" 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .......... M~.~.tJ,.$1t.O~; .................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .....N..o. ............................................ 13. Name of Owner of ~,~,~i~es Russel D.T~thill A,~dress Mattituck~N.Y. ,~- NoMA.9-8750 ~ .............................. , ............... u ........................................... mane ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Harold ~.Reeve & Sons --- Mattituek, N.Y. ~, NoMA.9-8284 Name of~.onTracTor' " .................................................... /~aaress ............................................ ~'none ..................... 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. See drawing attached STATE OF NEW YORK, ) S S. COUNTY OF ............................ ) Harold ]t. Reeve ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing apiSlication) ' above named. He Contr~,ctor 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 therewith. Sworn to ,.c~obef re me this~i/' da,, of ........ Z. (S gnature of app cant) ~ota~ Public ....... ,~LX.,~.~..~i~....~,J.~.~.,~.,~ .......... ~,,,~ '