HomeMy WebLinkAbout849-zFOR~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ..~../.~...~.~,~.~..¥.~.....~..~...~.~..,,,]~'..~..~..~..~..~...~..~.. ...... Street
?tOp.
Map N~.e...~... Block No ......................... Lot No ................................................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.......................... ~.~..~,~., 1~...., pursuant to which Building Permit No...~..~ ............
d~ted ....................... ~.~.~...~. 19.~.., was issued, and conforms to ail of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ................
PR~A~E O~ ~A~Y D~LL~NG
This certificate is issued t~
{owner, lessa~ or tenant)
of the aforesaid building.
Building )nspector
FORi~ NO. 2
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N,° 849 Z S ptem r
Date .......................................................... 1~.9.. ....
Permission is hereby granted to:
Pla o e.. &. K~uege~.... ~/~.... ~.'Lu~... ~.r~. ..........
........... ~.~...6.~ ........................................................
Rt liz, ~eeford, L.I.
to b.uild.. ~e~...o~a. f.~ll~...d~.e, ll i~g ..................................................................................................
at premises located at Lot, s..20,..21~..22....~a.t.ti.tu, cZ~.Pe, r~..P.r~op ...... ~..die~t,..ll). ..........................
................................ W/$....S~aby..r. oad~ .......... Mat. t,£tu~k,.....N,.~ r ....................................................
pursuant to application dated ........................ ~p~e~be~....l~ .............. 19~.c[..., and approved by the
Building Inspector
Fee $.tO,~G,....~i~l. cheek
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
File No ................................................................... Dote ........................ ~l~pt~..~..~ .................... 1959 ....
............. ~.t,..e..b.,o. ~. ~. ~.... ~...~.: .............................
PLEASE TAKE NOTICE thor your application dated ...................... E~pt,.. -~ ................. 19...~...
for permit to construct .e,..cl~r~:L:l~lr~ ..................... at the premises located at .~'//~..E,'~.~oe, E~ .......
...................................................................... Street
Map ..l~....f'..t'.....~...~..~...~gJ~ ........... Block ............. :~ .......................... Lot ...20,,21 ............................... is
~I[]~'~]~}I[Z~ disapproved on the following grounds ...... ~sl:~'~o}elwb'.2~*oll%~e ...........
Building Inspector /
Gentlemen:
Bequest final inspection for
~attituck, Permit F849.
December 28,1959
on Barry job located at Sysbee noad
Thank you,
Place ~ ~rueser builders
FORM NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
£xamined ...... ~.~.~,. :.. ~. I...~.......:.. :4 ....... 19./.....'
Appraved ........................................ ]9 ........ Petrol ~.
Application No. ~3 ~: ~'
APPLICATION FOR BUILDING PERMIT
D. ~epte~ber 18 ~ ~9
a~e ............................................................ iv ............
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to th~ Building
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or publi6 streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of th,s ilocahon.
c. The work coYered 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 }he applicarqt. 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 Ocd.,upancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuanoe of a Building Permit pursuant ~:0 the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinancb~s or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ,~d.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
Place & Xrueger
(Signature of applicant, or name, if a corporation)
Rt 112, Medford, L.I.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
builder
· Cornelius Ba,rry
Name of owner of prem,ses .....................................................................................................................................................
If applicant is a corporat.e, signature of duly authorized officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No: ~Tat, tl~%~,~k Park Prop° Lot No: 20, 2].~ 22
Street and Number .~./..~.....~.~.~.~Y...~°.~.d.L...!..~.?'.?.~.:.~..~..~...~:.¥.:. ...... (....8.~..~.1..). ......................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
vacant lot
a. Existing use and occupancy .....................................................................................................................................
dwelling
b. Intended use and occupancy ................................................................................................................................
FORM NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
f/-- .s-?
Examined ....... ~ ................ 19 ........
Approved ........................................ 19 ........ Permit No ...............................
Application No .......,(~.....~......~. .........
APPLICATION FOR BUILDING PERMIT
D t September 18 -- 59
a e ............................................................IV ............
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 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.
(Signature of applicant, or name, if a corporation)
Rt 112. Medford. L.I.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
builder
Nome of owner of premises ............ g.g~D.e,~.:kg.?....B.~.E¥~ ..........................................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of co~orate officer)
1. Location of land on which proposed work will be done. Map No: ..~.~.~..~..~.t. Lot No: ......... 20, .......2}' .... ~
Street and Number .... ~S..........:.Sz~s~... . .......... ~o~.............~..P~¢¢z~uo~ ........... ~.~...............~......Z8~¢ ....... ~). ....... ...............' ........... ....... ........... ...
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of propo~d construction:
a. Existing use and vacant lot
occupancy .....................................................................................................................................
b. Intended use and ~cuponcy ......... ~.~.~ ......................................................................................................
3. Nalure of work (check which applicable)' New Buikling.....~ ........ Addition .................... Alteration ....................
Repair . ................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cast ........ ?i000 ............................................ Fee ....'1{)~ ............................................................................
~)to be paid on filing this application)
5. If dwelling, number of dwelling units .......... c,11~' ............... 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: F~ont. ........................... 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 ..... d~. .................. Depth ....~& ...................
Height ....... :]u¢ ................. Number of Stories .......... .1 ................
9. Size of lot: Front .'1.~) ..................... Rear .....~f(} ................. Depth ........ _1./,?i. ............
10. Date of Purchase ............~1,I~i...t~i...t9~r/ .................. Name of Former Owner ....l]~llhl~.f,.&.~q~t,l~ ...................
I1. Zone or use district in which premises are sitaotcd .......... }f.A..W...]~,~ ......................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? .............. lr~ .................................
13. Name of Owner of premises..Cl~l~,~lu.~..]~'ar~r. ....... Address ..~,~],~],O..l~O~f,h~'A..ltl~llI.Pk~.i~..~..e..~. .............
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor..]~l.~a~..&..~.~g~ ................... Address ..... 10e~..~'7¥..~8¢1~1~1 ......... Phone NO .....................
PLOT DIAGRAM
Locate dearly 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 slreet names and indicate
whether interior or corner lot.
STATE OF NE~ Y~.~,I~ ~f ) S S
COUNTY OF ~....":'z~.......) '
?I , .....
........................................ ~~..~ .....................b 'ng duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
~bove named. He is lhe .................................................. ~~ ......................................................................................
(Contractor, agent, corporate officer, etc.)
of sold 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 applicatio~ filed therewith.
Swo~n to before me this ~, ~ ~
......... ~..~ clay of .... : ....... ~.. 19 ....... Z. ,,~*m, T ,0~ignqture of applicant)
~t~.~ ~ Notary ~, State 0I New y0r[
~~ : ......... ,o 5,034~963 SuIIoIk C°unty
Notary
Public,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ........................................ 19 ........ Permit No ...............................
Disapproved a/c ...~..~....~.~..~..~...... ...~......~.....c.~r~'~
(Building Inspectol,)
Application No .............................
APPLICATION FOR BUILDING PERMIT
Date....~,~'~' ~'~- / ......... ~.~.''u .......................... 19...~'..v-~.....
I N'STRUCTIONS
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 issuanoe 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.
(Signature of applicant, or name, if a corporation)
.El..../. ............. ..............................................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
cc./c .....................................................
Name of owner of premises ......... C~.~Z~.~.~.L.~:~ ......................................................................................
If applicant is a corporate, signature of duly authorized officer.
................................................................................................. . .- ~,~i~ ~1~
~~ />~Pu~rl~ ~
1. Loc~tion o~ I~nd on wHicH proposed work will be done. M~p No: ............................................Lot No: ~.~,.:.~1 ....
Street and ~u~ber........~'i~ ..... .......... ~. C.,! ~
2. ~t~te existing u~e and occupancV of p~e~ises ~nd intended use ~nd occupancy of proposed construction:
~. ~x~sti~g use and occupancy .....................................................................................................................................
b. Intended use occupancy ........ ....................................................
3. Naluce of work (check which epplicable): New Building ...... .../cC.. ......... Addition ....................Alteration ....................
Repair ................ ..2,Removal .................... Demolition ....................Other Work (Describe) ....................
4. Estim(ated Cosi ....... '~,.~..~. ......... Fee .........................................
(to be paid on filing this application)
5. If dwelling, nurnber of dwelling units ............. .Z. ................. Number of dwelling units on each floor ............................
If garage, number of cars ........... ..':7 ..............................................................................................................................
6. [F business, commercial or mixed eccupancy, 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 w~th alterations or additions: Front ................................ Rear ................................
Depth .............................. Height .............................. Number of Stories ................................
8. Dimensions of entire new construction: Front ....... .~..~. ............... Rear .... .~.. .................... Depth ...~...~. ..................
Height ..... .Li4:~ ..............Number of Stories ...... /. ....................
!
9. Size of lot: Front .... .~...,,¢~... ............... Rear ...... ~...-~..(. ............. Depth ...?..~.~.-e...~. .............
10. Date of Purchase ..~.~..~...~..4~(.~.....J..,~..T...~:../..~..~.? ...... Name of Former Owner
11. Zone or use dish'ici in which premises are situated ....... ¢~'.(z-.>~Zl~.~xx(~. ..........................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ...Z'~C....~ ...........................................
13. Name of Owner of premises.¢~./Z~..~.q~./:~.~4../[ZZ~/~-l~.Address'~'~-/~~ .,~/?.r//~.~. ~.~./'~. Phone NO.
"~'t~'&" ';g~e,'~ ..............................
Narne of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor.,~J,/f..¢L-T.~Jt(/~L~.'~..E'/~ ............... Address/~.~2L./C.~..../~-/.~¢g./~...~'g.L)..~2.:Phone NO.(~.':.$.~Z~.
PLOT DIAGRAM
Locale dearly and distinctly oil 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 NE\'~ '(O1~I~,_~2] ) S S
COUNTY OF ~4~....,)
..L...~.~...,~"~ .......................... being duly sworn, deposes and
(Name of individual signing application)
says that he is the applicant
above named. He is the ..................... .C..d.../.~.~...~.~'~ .z'n~.. .............................................................................................
(Contraclor, agent, corl~orote officer, etc.)
of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file
this application; that all statements contained in this application ore 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
.../,~, T'(* day of ~' 19
....................... ~.~._.~...;~...:2 ........ ~'~'~ ~/ ~D~ARD ~.~CRNA~ ,
NoraW Public, .~6.4~<.t.¢..,~.~..l~~..~ounw N~. 52-~1099~0 Suffolk Count~