HomeMy WebLinkAbout220-zFORI~I NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE: OF OCCUPANCY
THIS CERTIFIES that the building located at .~e./~1..~?..~a.~.~.a~.e..~?.~t.~.~.~..~.~.~.~s~`.~..~..~t~..~eet
Mop No ..... .~. ........... Block No ........... .~* .....Lot No .................. ~,**. .............................................
conforms substantially to the Applicohon for Budding Permit heretofore filed in this office dated
................... ~qt~.~'...;~.~. ...................... , 19....5..8.. pursuant to which Building Permit No ......... ..~.....220
dated ........ ..E...e~...~..~..a.~....~. ..................... , 19....5..~., was ~ssued, and conforms to all of the requirements
of the applicabie provisions of the law The occupancy for which this certificate is issued is ........
PRI~AT~ O~E FA~Y ~_LL~G
The certificate is issued to Robert J. Kent, o~ner
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector /
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
OF WOrK ^UT Om O
No . . Z 'P~O ....
Permission ~s hereby granted to
.............. ~0..Evergrccn. Roa8 ..............
at prem,ses located at .~et] ]~"l~'l!~'l Se ~I~'~, '~t. ol~r~ ' ( ]Bl~y ~'i~'~ ']I~OEt.~') ................
..................................................... ~utho.Z.d.~ .. ~,.~., .............. -, ................................
pursuant to apphcatlon dated .......... ~-~&,~l~....~r/l ........... 19. ~'~, and approved by the
BuHdmg Inspector
Fee $';~)0' l~d'
20 Evergreen Road
Summit, New Jersey
January 25, 1958
Town of Southold
Building Department
Town Clerk's Office
8outhold, N. ¥.
Gentlemen:
I have a bungalow on waterfront property
between Paradise and Cedar Beach Points. I wish to
remove a part of a one car garage and b~!ld on a
two car garage and extend the kitchen. I am enclosing
applications for a building permit. I expect to do
the work myself.
Since my property, that of F. Akscin and
That of J. Hickey were once one property, the boundary
lines are somewhat irregular. However, I think the
proposed addition will not violate the spirit of the
new zoning ordinance. Mr. Hickey and I have enough
land extending to the highway (Bayview Hoad?) to
bu~!d our own driveways. However by mutual agreement
all three of us are sharing existing driveways. My
bungalow is 12.5 feet from the nearest boundary. All
other separations are much greater. The proposed
alteration will not reduce this separation.
I am not sure of the map and block number.
~y tax bill for 1~56-1957 (Book 1, page 472) has the
following under my name and address:
1 H 6 28 115
Can you fill t~is information in for me?
If any additional information is required,
please advise me. I expect to start work in the late
Spring.
Yours truly,
Robert J. Kent
FOI~M NO, I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ....... ?~.....~.: ................ 19...~..~...
, ' ..........
Approved ........................................ 19 ........ Perm t
Application No ........~. ·.....Y':~..~.'. ........
Disapproved a/c ............ ~.~ ........ : ...........................................................
/
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
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 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 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 part for any purpose whatever until a Certificate of Occupancy
shall hove 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, ordinances and regulations.
(Signature of applicant, or name, if a corporation)
20 Evergreen Road, S~mmit, N. J.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder.
Robert J. Kent
Name of owner of premises .....................................................................................................................................................
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 ................................... Block ..................................
Street and Number ....~....~...~......../.~..?.~.':...~=...~....','~....~..~..: ......... ~..?....~.' ...............................................................
2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction:
a. Existing use end one family residence
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 .~..]'...5..0...0. ................................................ Fee .....~..:..U.?. .........................
(to be paid on filing this application)
FEES:
· . one ,. ,
If dwelling, number of dwelling units ............................ ixiumDer of dwelling units on each floor ............................
two
If garage, number of cars ........................................................................................................................................
If business, commerical or mixed occupancy, specify nature and extent of each type of use ................................
· ~0 32 ~ 60 ~
Dimensions of existin9 structures, if any: Front ............................ Rear ............................ Depth ............................
Height .......... ..3:.5..! ........... Number of Stories ...°...~..e.....s..,t.°.~.~.....~..-nt.~.....a...~.~.~...~. ..............................................................
Dimensions of same structure with alterations or additions: Front ..~Q.! ....................... Rear ...... .~..~.~....~/.' ............
Depth .......... ~..0..! .............. Height ...~...~.~ ...................... Number of Stories ....~..~..e. ...................
8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................
Height ............................ Number of Stories ............................
9. Size of lot: Front ..Z.0..:..~..! ............... Rear ...]r.9.~.! ................. Depth ~.~)..~..O.~:....~.0...0..t
10. Zone or use district in which premises ore situoted .......... ; .....................................................................................
lT.
12.
Does proposed construction violate any zoning Jaw, ordinance or regulation? ....................................................
Robert J. Kent, 20 Evercreen Road, S-mmit, N. J.
Name of Owner of premises ........................................ Address ............................................ Phone NO .....................
Name of Architect ..............,S.al~.~ ............................... Address: ...................... g.:R..~.~Y.~.~.~h~rr~J~. ....................
Name of Contractor ..............s.~.~...e. .............................. 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 numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF ~lill~lllJJl~, v )
COUNTY C~ ..~..~?*-;~z~ ,~f,~....,), /S S.' '
/' ~ ~/~l: h~i ~ duly sworn, deposes and
(Name of individual signing application)
says that he is the applicant
above named. He is the ..........................................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dul~' 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 wilt be performed in the manner set forth in the application filed therewith.
Sworn to before.J~ne this
.......... ~.2.:..[do~~:~[ ............ 1 .~....~... ....
Notery Public,~.-..(~.7/ ....................... . .h~.. z:7. :....~.ounty
NOTARY PUBLIC OF Y, TW JERSEY
~ y Corem ..... , - ·
(Singature of applicant)