HomeMy WebLinkAbout716-zFO'I~ NO. 4
TOWN OF $OUTHOLD
i~UILDIHG DEPA i~TMI~'-I~T
TOWN CLEI~K'-q OFFICE
SOUTHOLD, N. Y.
OF' OCCUPANCY
No ..........~..~.5.9.. Date ................................ Jlll.y..i~l ........ , 1960'
THIS CERTIFIES that the building located al e/s...t;.~e.
Map No..N...a...s..s...a.~ ...... Block No ...... ~'*"'~' ....... Lot No ........ l~t~i ...............................................................
Faa'ms
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ..............~.. ............. J..l!..ri..~.....~..~, 19~.~.... pursuant to which Building Permit No .........
4ated ............................. ~lllle...[~., 19~9..., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is
PR]~VATE ON~ FAMILY DWELLING
This certificale is issued to ............ .C..~.e...m...~g-I~*....9~.e.~.....i .........................................................
(owner~ lessee or tenant)
of the aforesaid building.
Building Inspect~
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 716 Z
Date .......................... J'~t~,®... ],.~ ............... 19..~.¢)...
Permission is her.eby granted to:
Or~gir~al H~m~ ~..A/~ ..0 l~m. · ~o~m .........................................
......... ~i~iIl~...~.~ .............................................
........................ ~.~., .................................................
to ~.. n~.. ~.. ~...~.~.~ ..................................................................................................
at premises located at ...~¢.~-.~....~.~s~ ..........................................................................
............................................... ~Z~....~$a~..~..~. ..........................................................................
................................................................ 6n%ah~ga~.,.... ~.,] ...................................................................
pursuant to application dated ...................................... ~....~ .......... 19~...., and approved by the
Building inspector
.............
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728,
TOWN HALL '
SOUTHOLD, N.Y. 11971
TEL. 765q 802
January 2, 1985
Property of Clem S. McKown
Pine Tree Iload, Cutchogue
Suffolk Cry Tax Map #: Dist.
Block 039 Lot 003
1000~ Section 104
To Whom It May Concern:
This is to confirm that Building Permit No. 716Z, issued
to Original Homes A/C Clem McKown on June 15~ 1959 (copy en-
closed) included approval of an open porch. Certificate of
Occupancy No. Z759~ issued July 21, 1960 (copy enclosed), was
issued pursuant to Building Permit No. 716 Z and also includes
the occupancy of the open perch.
Please contact me if ~rou have any further questions
Sincerely yours,
Victor Lessapd
Execut±ve Administrator
VL:ec
Enclosures (2)
' )WNER
_ ~'/r~. ~.
; :ORMER OWNER
TOWN OF SOUTHOLD PROP~:RTY RECORD CARD
~qEW
LAND
:ARM
'i itloble 1
iilloble 2
i Iiable 3
1 'oodland
A ¢omplond
fV,LLAGE D,ST.! SUe. LOT
! ACR.
STREET
r 'usMond
~use Plot
SEAS. YE
IMP. TOTAL
NORMAL
Ac re
FARM
DATE
AGE BUILDING CONDITION
BELOW ABOVE
V~lue Per Value
Acre
W
COMM. CB. MISC.
TYPE OF BUILDING
Mkt. Volue
REMARKS
ri/ ~/~. ,/~, . . .
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKH~D
TOWN OF SOUTHOLD PROPERTY RECORD CARD
)WNER STREET VILLAGE
:ORMER OWNER
LAND
S
W
IMP.
TYPE OF BUILDING
NOP. M~L
VL
TOTAL
FARM
DATE
COMM. CB. MISC. Mkt. Value
REMARKS
AGE BUILDING CONDITION
,IEV,/ BELOW .' f~;. - aBOVE
:ARM I Acre Value Per Value -'
Acre ;--,
liable I i ~
tlable 2
liable 3
oodland
rampland
ushland
)use Plot
~,Lc c
RONT^GE ON WATE
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
~. Bldg.
=-xtension
~tensJoq
Lxtension
~orage J
Foundation
Basement
Ext. Wails
Fire PIoce
Patio
Driveway
PorcI5 ~-v: ,z-..,~
Porch
Both j
In,e,ior F~nish.t bU/~
Hecrt ~-/i/~
Attic
Rooms 1st Floorl
Rooms 2nd Float
NNER VILLAGE DISTRICT
3RMER OWNER
STREET
,N
S
LAN D IMP. TOTAL DATE
7O0
0
NORMAL
fQrm
BELOW
Value Per Acre
ABOVE
Value
ACREAGE
lable I ' '
lable 2
]able 3
~odiand
=mpland i
2shland
)use Plot
FO]~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD~ N, Y,
CERTIFICATE OF OCCUPANCY
No. ~ 3~6 Dete
Map Nc~.O'.$~&~' '~aZ'~l~Block No
.................................................. Lot No .....................................................................
conforms substantially to the Application for BuiJdin; Permit heretofore filed in this office dated
........................................................ , 19 ........ , pursuant to which Building ~rmit No .............................
dated .......................... ~.e....~ ........... , 19..~.., was issued, and conforms to alt of the requirements
of the applicable provisions of the law. The occupancy forwhich this certificate is issued is ..............
.............................................. .................................................
This certificate is issued to
(owner, lessee or tenant)
of the aforesaid building.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ......... .~,~,,...4~..~ 1 .c~..~...
Approved .......... ,~.....'~-9....~e rm it ,.,~ .../'~../~.. ...........
Disapproved a/c '"~Z.""":~'""~ ...... '~ .....
....... ..~-~.../.../../..-. .................
"(Buildinal
( uild~ng Inspector)
Application No .......... ..~....~.~.. ........
APPLICATION FOR BUILDING PERMIT
Date ................ ~. :..... ~...~.....~.. 19...~....~....
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and sut)mitted in duplicate to the Building
Inspector.
b. Plot plan showing location of lot and af 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
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.
.... ....... ............ ........
(Address of applicant)
State wheth~er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name
of
If app~licant is a corporate, ~i~g~_~atu~rllof/~ly,,authorizedf \officer.
1. Location of land 6n which proposed work will be done. Map No: ...L...~..~.'Z.:...]~.~..... Lot No: ../.....~......'~. .....
Street and Number ........ ...~.....~.~c~......~"~...~.....-~.,~........~..~...~.~.....?..~..~..~....:'. .....................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
' u anc /,/c:::z_~.,~-J, ,
a. Existing use aha acc p y .....................................................................................................................................
b. Intended use and occupancy ~~.Y. .....................
3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration ....................
Repair ............... w..Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost ...... ../..~ ....... .~ ......................................... Fee ..L..~.......~.... .........................................................................
(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 ............................ 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 ......... ../~'.....~. .......... Depth ...~.....~. .................
Height ............................ Number of Stories ....~ ........... ~ ~-~4'-
9. Size of lot: Front ...... ~..~:...~..~.~ ...... Rear ........... ~..~:...~..?..... Depth ..... ~Z.~,
10. Date of Purchase ....... ../..~...~...~...~.~..~.. ......... Name of Former Owner .... ~~.¥ ............
11. Zone or use district in which premises are situated ................ ,~..~ ......... .~:~.....: .........................................................
12. Does proposed construction/l/.vi°~te any'/J~/°ni~xg//V~//'~ ..law,_ ordinance or regulation? ............... .~..~.D. ..............................
Name of Owner of premises. Z,.~6~...'~..t:...//~/~'..'~.~-.Address ............................................ Phone NO
13.
Name of Architect - ^ ' '~" ,~c~ .~...,,~..~_,~,~,_~ . ..Address ............................................ Phone NO .....................
Name of Contractor..~:...'~......Lc~.......-m~....:....Address ...~.~,.~.~4~.~.~...~.~.~....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 NEW~.R~. ~(..~ ) S S
COUNTY OF ....~k....) '
..........................~...l/.~-...~... ~,.~.....~..~....'7;~.. ............ ' being duly sworn, deposes and says that he is the applicant
....... ( N a me ' ~li~,'[~ I'~ig ning application)
above named. He is me ...................................... ~--~...;.;..-~. ....................................................................................................
(Contractor, agent, corl~orate 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 appt~i,on fi~rewit~. ~
Sworn to before me this ~( I ~ 1. ~O~e ~o~