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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~