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HomeMy WebLinkAbout663-zFOB,M NO. 4 TOWN OF SOUTHOLD BUILDING DEPAR~ Town Glerk's Offlee Sou,hold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .. ~/~stvmew. Pti. Ye ......... Street Map No. ~,~8on ~ .... Block No... ~ ..... Lot No .... yJ~.., jvja. t.t./.t;~Ck..~,~[~ .... conforms substantially to the Application for Building Pemit heretofore fried in this office dated .......... ~ug ..... $6', !9. 66 pursuant to which Building Permit No.. ~6~.. dated .........~ept.. '7. ..... , 19.66., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .~;.~r~L.VZ~te. one. £a~.l}:: .d~eLi~.ng ...................................... The certificate is issued to ...J. vlJ~.s.. ~.u.t.l;~.e.r. ....... ~.,~:r...e~'. ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval t ouse · 27. · .1.970. - .l~y. Re. V.i.l. ta · · · Building Inspector FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 663 z Date ......................... ...1~..........6. ................... 19...~.?... Permission is hereby granted to: Renewed by Julius Juttner Sept 7~ lrrea. L... Iloore....J~/C.... C,~,rSa. ~.....~,cka~.~.t, .............. ....... I/8. :lat..Vi, el. ~riwe .................................. .................... ~/at, td, t,U~k ~....~. ,.~ ,. ............................ to ..... ~t~i3~l. ~. ~. ~tly...d~ llin$ ........................................................................................... at premises Io¢oted at ....l~/.5....Res.t..~im~..Dr~ra ................................................................................ .................................................................... ~a. tt;i.t~ek ~.. · J~.Z o ............................................................ pursuant to application dated ...................................... i~ ........ $ ......... 19.~..., and approved by the Building Inspector Fee $...~} ,1~}. ............ 1966 ........ ; "~L ............. ;'"~ ~. ......... ................................... ' S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. ~ ~ ~ TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give deed location) ' have been inspected by this department and found to be satisfactory. District Engineer ,JUL t U,~ J U T-I-I',JE/:~, '7-0 ~'FN ~F ~ou~'HO].~ Examined ........................................ , ........ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No ................................. Disapproved a/&~ .......... ~.;:~,.~n...m~ ........ ;~L:;.~.,..-~. ·:. ·. 7..;... :: ~r. ......... ................................. ................................. Application No ................ ::'~ .......... APPLICATION FOR EUILDING PERMIT Date ~U~'ust; ~'~.~ ~ 19 ~:~G 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 propertymust 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 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 ~or 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 applicant agrees to comply with all applicable laws, ordinaj:~es, building co~de and reg~d~tions. .....................ia ....... ................ ................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................................. ,~Z%~Z~. .................................................................................................................... Name of owner of premises ....... .~t~.3,.ik~.~...~..g/t~.'~.~L~: ........................................................................................................... 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 .................... ~;'J~.~`~.:~.t~.~.~iz.e`~i~.~J`~.¥t.q`~]~¢~[i~~`~..t ................................... 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 ............................ ~)~¢~.~.~ ................................................................................. 3. Nature of work (check which applicable): New Building ...... ~. ......... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ........~,~0~.0L~34~30. ........................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....,~L,"'t~ ................. Number of dwelHng units on each floor ...... ~.f).~ ............... If garage, number of cars ........................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..][~.~.~).~%.~.~... me sion of ........ ........... ..... ................ epth ........ ............... Height ............................ Number of Stories Dimensions of same structure with aJterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ............... ~). ........ Rear .......... ~ ............. Depth ........ ~ ............... Height ......... ~...['.~.. ..... Number of Stories .......... ~ ................ 9. Size of lot: Front .......... .~uL.~.~,... Rear ]0, D~te of Purchase ...... A~...~:i.,....l~)~ .................. N~me of Former ~ner . .. ,~ .......... ~,.; ................ ~I. Zone o~ use d~st~ct ~n wMch premises ere s~tu~fed ....... .............................................................. ]2. Does p~oposed construction v~o~cte ~ny zoning ~w, o~d~nqnce or regu~aHonP ......... ~'~M., ..................................... ~ 13. Nome of ~ner of premises ...~]Alll%~...~.UJ).~&e~..Address ,~.Q...~¢,t..~..t%A~.,.,...~D% ~.*..,, ................ ...................................................... Address ............................................ Phone No ..................... Nome of Architect Nome of Contractor .................................................... Address ............................................ ~hone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existin9 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 NEW Y~ORK, ~ S.S. COUNTY OF ....... ....................... .J..u..]~..'qf~...~..~l;.~.~'. ....................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .................... .(.).~ke.~' ......................................................................................................................... (Contractor, agent, corporate officer, etc.} of said owner or owners, and is duly authorized to perform or have performed the said work end to make and file this application that oil statements contained in this application ore true to the best of his knowledge and belief; and that the work wi be performed in the manner set forth in the appli~:ation filed therewith, Sworn to before me this Notary Public,~.-:'~'~'~ ~ ./s~..c~.~.~.... County ........... ~~'~c'~' ' ...... \;'""tZu'c;: ..................... ' ........................ TOWN OF SOUTHOLD ~,%/"~"~- '~'- ~ - ~.- .~ ~.,~ ~,~ TOWN CLERK'S OFFICE ZZ .................. , ~pplic~tion No. ~~.~ ................. ~ .................. ~ ........... ~~ I~.~ ~. ~ ~ ~-~ ................. .................................. · .; ............. ....... ................. Z ............... . APPLICATION FOR BUILDING PERMIT r~ 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 orl~'% areas, and giving o detailed description of layout of propertymust be drawn on the diagram which is part of thi~ 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 Occupanc~'~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY AAA, DE 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 oil applicable laws, ordinances, building code and regpl'~ions. ~ ~ 10 Tapp~u lv~., I~lip, N. Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. O~z~ez' · Julius Ju~tner ~ Nome of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. ~ .................... i~JJ,'J'/i~i~'~'~J~J~;~'~¥~'~'~' ................... ~ 1. Location of land on which pr~osed work will be done. Mop No: ............................................ Lot No: .................. ~ Stre~ and Number ................... ~.~.~..~.~..~...~.~.~.~.t...~....~.t~...~:....~3 .................................... Municipoli~ 2. State existing use and ~cupancy of premises and intended use and ~cupancy of pr~osed const~ction: o. Existin~ use and ~cupancy ............................. ~g.~ ............................................................................................. b. Intended use and occupancy ........................... ~.~.~ .................................................................................. 3. Nature of work (check which applicable): New Building x Addition A~teration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost .........~.;~Q.,.Q.QQ.,.Q.Q..i.~.. ..................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .....Q~.~. ................ Number of dwelling units on each floor ...... .0.~ ............... Attached 1 Gar If garage, number of cars ........................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...R~.$.$.~.~.~.~.i..~..1... ouna t ,on 7. Dimensions of existing structures, ~r any: front ........... ,~,. .......... Rear ...... ~0 ................ Depth ........ 2.q- ............... Height ............................ Number of Stories ............................................................................................................... Dimensions of same structure with alterations or aadit'ons: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ............... ~Q. ........ Rear .......... .~.Q ............. Depth ......... ;~ff. .............. Height ......... ~,,~....[.~.,. .... Number of Stories .......... 2 ................ 9. Size of lot: Front ........... .6..0....-~..~....... Rear 12¢' on cree~e,t~ N.t 18.8.' .b.'.....2...]:.?' 10, Date of Purchase ...... ..~..~.1~......5.~...~...~,.¢).~..5. ................. Name of Former Owner George .~.: &. Oly.m.~ia ............................ ........ 11. Zone or use district in which premises are situated ....... .~..~.l~,.~l,t%~.~,~..:k .............................................................. ~2. Does proposed construction violate any zoning law, ordinance or regulation? ......... .N..Q., ............... '~'~"':~"' 13. Name of Owner of premises ...~.~.i..g.~....~.~..~...~.~,.~..~...Address ..1...O....~..~l?J~l~....~..~..~.e..s...~..~lt~e N~.7~.'....'7.:....~.,'.... ~one Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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 NEW Y~ORK, ~ S.S. COUNTY OF ...... ~u~£ok ...........~ ................... ~.~.~..~..1,%~....~..1~'1:i.~,~,1~ ........................................ being duty sworn, deposes and says that he is the applicant (Name of individual signing application) Owner 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 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 before me this // ,'2-*// ,J --- .... ............... ....... ...................... Notary Public,.~~t. ~.,.,~, ~~ ~'c ~.., .......... Count'~ ~~~~(S g of app ,cant) TOWN OF SOUTHOLD BUILDING DEPARTMENT Towiq C, .K'S omc SOUTHOLD, iq. Y. Approved ........................................ 19 ........ Permit Ho .......................... (Building Inspector) Application No ......... . .~..'..~...~..' ....... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS e. This oppfication 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 cowered by this applicotlon 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 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 appNcable 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 nome, if o corporation) ............. .................. (Address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premlse~.. If applicant is a corporate, signature of duly authorized officer. (Name and tide of corporate officer) · 2. State existing use and occupancy of pre~nises and ir~tended use~ and occapancy of proposed construction: b. Intended use and occupancy ................ .; ~ ................................... 3, Nature of work (check which applicable): New Building ........ ~..'~...i....Addition .................... Alteration .................... Repair ....................Removal ........ :~ .......... Demolition ....................Other ,~'ork (Describe) .................... (to be paid on filing this application) ,5. If dwelling, number of dwelling units ......... ~....Number q( dwelling u0its 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 .......... .~...~. ....... Rear ............................ 11. Zone or use district in w~ch premises are situated ................. /.7. .......... ,x'Z, ZZ:¢~........:.'.,,,'~- ............................. 12. Does proposed co,,struction~ ,-¢. ,/ /. ~ ~.~vi°late any c2n ~_~_a.~'Jf',Z'~_--°r¢inpnce or regulation? .................................................... 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 nurinbers or description according to deed, and show street names and indicate whether interior or corner lot. /i~,~lr-l~f~ C~i~Z?~ '~'~'~"-'~'~ · ~...~.. be n dui sworn deposes aha says .hot he s the app cant (Name of ,ndividu~.~gn~l~o~ above named. He is the.....i..~.'r.,~-= .................................................................................................................... (Contractor, agent, cor[2orate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and file this applicet on that al statements contained in this application are true to the best of his knowledge and belief; and that the work wi be performed in the manner set forth in the appl cation filed therewith. Sworn to before me this ....... .~.,.,~ day .....................................