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Home My WebLink About739-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z~.tO~ ...... Date ........... April... ~3 ....., 19.73. THIS CERTIFIES that the building located at . .II/S..Star. s .Ro&~[ ......... Street Map No. ~ ........ Block No... ~ .... Lot No...XXIt...Eallt .~t. Oll .... N,¥.,.. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........3..'an~.....k~9 ..... , 19. ~9. pursuant to which Building Permit No..739Z... dated ...........June.. 29.., 19~9., 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 .. l?r:~¥at~. 01~ .flllt, ly. ~t,~:l. ltlag ..................................... The certificate is issued to .. W:Lll:l. am .P.. Itehot.t; .... 10~1~ ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .&p.r$.l...~.9... ~. 973.. b~ .B ~. J~lJ,. UNDERWRITERS CERTIFICATE No.. l~.,R. ........................................... ttOUSE NUMBER.. ~1,~ I~0 ...... Street... S.~I*S. ~ .................................. Building Inspector FOI~M ~0. ~ 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.° 739, Z Date ............................ ~.? ,.,, ,2~. ............. 1 .~.. ..... Permission is hereby granted to: IIL!JJ~,~..~..~..~. ~.t,.. ................................................ ............. 3J9....1~.~..~. .................................... to ......... ~Ll~.~..era..t:~ly...{1~.~ ....................................................................................... at premises located at ....L~.'~'~l..~e..~,l:~l~....]~.~.....~le,~...l'.~...~.~! ...... .(..o~...I...t~.,~...~.~....~,..~..). ................ ................................................ ~.t,..~.~'.t~...~:~,. ............................................................................ pursuant to application dated ................................ ~.e.......2~)... ............... 19...~....., and approved by the Building Inspector Fee $..]~0~,00 ............ SUFFOLK COUNTY DEPARTMENT OF HEALTH SUFFOLK COUNTY CENTER RIVERHEAD, NEW YORK 11901 April 19, 1973 Howard Terry, Chief Building Inspector Town of Southold Building Dept. Main Street Southold, New York Mrs. Schott Start Road East Marion Dear Mr. Terry: Since the original permit for the above referenced site was issued prior to the t~ae that this office made inspec- tions, it will not be necessary to complete an inspection at this time. Therefore, we have no objection to your issuing the Very tru]jf yours, Robert W. Jewell Assistant Public Health Engineer General Engineering Services necessary approvals. RWJ:ch TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........... 19...~.~ ,.~ Application No ......... ~ .......... Approved .......... . ...~¢~ .¢:~...~.. 19~... Per m it No ..... Z,~...~..~.., .. Disapproved a/c ..~..~....~.....C~...~'->~.~....,~/...',.~_x ,,~ _ ,--~, __ ./.,~ ...... ~nspg~';~r)" ' APPLICATION FOR BUILDING PERMIT Date..~::~ ........... ~...~... ................. 19.~...~.. 1N<~TRUCTIONS 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 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 tb the Building Department for the issuanoe of a Buildincj 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 applic~za~t) ' State whether appl cant s owner, essee, agent, architect, engineer, general contractor, electric an, p umber or builder. ...................... ........ ........................... ..................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. kocotion o{ I~nd on which proposod work will be done. Map No: ....~ t ~: .................... Street and ~umber ......................... ~ "~ ....... ~;.~m~ .................................................. 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: ~. ~xi~ti.~ ~s~ ~.d o~p~nw ......................... ~.~ ......................................... ........................................... b. Intended use and occupancy ............................................................................................................................ ~... 3. Nature of work (check which applicable): New Building Addition . r ........................................ Alterabon .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.. ~ ........................................... Fee ,/0 ~ (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 ..................... ,~.¢¢4~..~.~.~L,.~---~ ........ /.. ..................................................................................... 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 ........,~....Z..../. ....... Height _ ,~rNumber of Stories .................. .) ........ 9. Size of lot: Front ....... ../....~...?.." ..... Rear ..... ..~.....¢......c? ......... Depth ...."/'"'~'"'~""r,~' 10. Date of Purchase ........................ ./..~....~......~.. .............. Name of Former Owner ...-rn¢/~r~....,<~.~¢.~ .............. 1 ]~ Zone or use district in which premises are situated .......................... ! .................................................... 12. Does proposed construction violate ~n¥ zan~[~g/lOlO, ~ordinonce or regulation? ......... /..'.. ...................................... Name of Owner of premises~ffz; .¢¢¢/¢-~..~L~./..'.~ddress .... ~..;~../.~..../7~/,/.M ....... Bhoe, '" ~Z' ': ..... Name of Architect ..........~.-~,~.J~ .......................... Addres~'..~.T.....'. ......... £ ................ ~..Phone NO ......... ~. ......... Name of Contractor....,~ ....................... 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./ (Name of individual signing application) above named. He is the ......... ~,,¢,-r~. .............................................................................................................................. (Contractor, agent, corlborate 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 applcaton; that al statements contained Jn 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 ~-~~4 *,~ ~~ ........ ............. Notaw Public~~ 4.~.~~ 0 ' " FOR~ NO. 1 TOV~N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .............. .~---~.~.~. 19.~ ~ Application No .......~.~... ......... Approved ......... ~.~...~..19..~..P_ermit No.,d ...... Z.~..~.. .... Disap/p2rov? a~..~...~~...~...../..~..~.., ......... ( B u i i d in~r- · '~-~ .~r'.' ..~'.[ n sp e,~t~~~ ..... APPLICATION FOR BUILDING PERMIT Date ........................................................ 19.~...~... 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 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 issuanc.e 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. (Signatu e of applicant, or riarn~oration) State whether applicant is owner, lessee,~agent architect engineer, general contractor, electrician, plumber or builder. Name of owner of prem ses ............ ....................................... :...: .......................................................................... 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: ..~~.~,./,~kot No: .................... Street and Number ....................... :f~:~. .......... .~.~,..~.~.~..~c~,~. ................... ~ ......................................... 'Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................. ~,~/~..,:r/.~.~. .................................................................................... b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition .................... A~teration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~*/~.~,~z~,~ .......................................... Fee ...t..t?~, .......................................................................... / (to be paid on filing this application) S. If dwelling, number of dwelling units..~~....Nu~ber 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, Jf any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height ............................ ~N~e~of Stories ...~...) ..................... 8. Dimensions of.e~t[re new construction: Front ............................Rear ............................ Depth ............................ Height ........ ':...~..~.~Numbe~ o r es ............................ -ant Rear / O ~ Denth / ~ ~ , 9. Size of lot: kr ............................ ~ .......................... , ................ ~ ~" 10. Date of Purchase ........................................................ Nome of Former Owne ...... ~ ..... ............. 11. Zone or use district in which premises are situated ......................... ~ ...................................................... 12. Does proposed construction~~vi~}e,~ny zo~.~rdinance 9r 13. Name of Owner of prem~~(?..~~ddress-- ~~ ~ ,~p.~~~~..~.~.¢ ..... Name of Archmtect .........~~ ....................... Address ............................................ one NO ..................... Name of Contractor .................................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existin¢ 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 OP NEW YORK.,, ), ............................................ be ng duly sworn, deposes and says that he is the applicant above named. He is the ...................... " (Contractor, agent, corfforate 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 ail statements contained in this application are true to the best of hi~ ~no~le~_and belief; and that the work will be performed ~ before me this ........................,~o~.~d of ........................, ~ ............. 19 ......... ~ot~ ~ic~u~st~te ~' ~o~j-n~ture~f ~e~ of applicant) . No, 52-0344963, Su[~l~ County