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Home My WebLink About577-zTOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHGLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located a~1~se.+...Al~.e.~:.~..~...~LC~.d. ~,~e Gre~npo~l~ New ~ork Map No. ~., ...... , ...... ,... ..... Block No ......................... Lot No ....... ,T,.T.~ ...................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................... ~.~.~.1,~,~.~,.,~.0, ....... , 19.~.~.., pursuant to which Buildin~ t~ermit No, ~,,~.2~,, ............... doted ............................ ~.¢~.t, -t~..~...]L~ 19....~, was issued, and conforms to all of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is .............. ............................................. ~,~.~fi:.,.~IE~,,,,,.~I~..~WE~ ............................................... This certificate is issued to ..~[~t~,...~:~C~,~g~.~y..~.~,~,~ ....... .' ............................................................. (owner~ lessee or tenant) of the aforesaid building. Howe.~d M. Ter~r ~ FOE~VI NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULl COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~t~gerath. ~.b..~...~.o..... ~/..0....g..o.~...8..t..z_r..k..e.y. ........................ ....... ~o.z..'/..O ............................................................ ................ ~..a. z ..~h .o..r..e. ,...~:~ ~. .................................. to ..... ~.:~. ,1.~., ~.~.~,,, .~ .~..1..1. ~.p.g .................................................................................................................. at premises located at .~....~:...?..o.~.n..e.~...-...~.e..$..~.~...~.?..o.:...~..~.~.~.l..e..r.~ .R..d. .................................... G~.port ~ N.Y, pursuant to application dated .................... .F..e..b...u~....ry........1..O..,. .................. 1~..9..._., a~d a~roYed by the Building Inspector Fee $~0.00 paid Building Inspector FOI~M NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL a~e No .......... ~...f .7~.. .............................................. Date .................. · ..~.~..x...7_O.....~y.~.o..r..e. ~....~....Y.... .......................... PLEASE TAI(E NOTICE that your application dated ....... Fe~aox~'....~ ........................ 1~.9. ..... for permit to construct ..~.Z.~.~.g ........................ at the premises located at ..~l.o~.,...o~.rJ~e~· ............. M~l~llal~e~..&~e....&..,~l.~.~....R~. ..................... Street Gree~or¢~ ~,¥o Map ~ Block ~acx~x~x Lot ~ is returned herewith and disapproved on the following grounds out. ~nd..it..$s..no~..no/mrtzed..l~rope~ly. ............................................................................................. Building Inspector fille~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ...... .~.~.'~ ......... .?.. .......... 19..~'ff....Permit No. '~ ~'? 7 Disapproved a/ c ..~..~ ........ ~ ....... ~../...~..."/'~ ........ .......... Appllcation No .........~....~.,.7. .......... (Building[Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o._ This application must be completely-.filled in by typewriter or in ink and submitted in duplicot~ to the Building Inspector. b. Plot plan showing iocation of Jot 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. w c. The work c~)veredl by this application may not be commenced before issuance of Buildi~qg Perm t. d Upon approval of Ithis application, the Building Inspector will issue a Building Perr~it to the applicant. permit sh~.l! bp .{<.e~pt on the premises avadable for inspection throughout the progress of the iwork. I ._ e. No building shdlhbe 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. APPLIC,&TI~N-ilS HER'FBY MADE to the Budding \D~partment for th6 issuanc,e of o Building Per'mit pursuant to the ~ other apphcable Lgws, Ordinances or Building Zone Ordinance bf the'Town of Southold, Suffolk County, New york, and t · Regular OhS, for the const~ruc~tion of buildings add t ons~)r alterations, or'for removal or demblition, as herei,n, described. The applicant agrees to ?reply with all applicable lawsqordlnances and~regulahons. M~/' Po ;Wtn~ : , : t , ($ignat~?e of applicant, or/nome, if a corp0~ation) I j --' ~ (Address of applicant) . State whether app' ieont is o~er, lessee, agent, architect',~ engineer, gene:,rol contractor, electdcian, plumber or builder. ~ builde~ owner of premises John K, & Margaz~e~t'M.. St~.~key. Nome of ................................................................... [ ............................... ;';'; .................. If applicant is a ~orporat~e, signature of duly authorized officer. I "~ ............... '('i~lame ;~' ti;ti; of corporate officer) Location of land on which proposed work will be done. Map No: ............................................ Lot NO: .................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... pz*ivate m~welling b.Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New DuHding..~......Addition .................... ^ll'erat~on .................... Repair .................... Removal .................... Demolition ......... ..j. ....... Other Work (Describe) .................... 4. Estimated Cost....$.~.~.4.,0.,0..,..0...0. .................................... Fee .....~./..,~.,,~.,.?...~. .................................................................... ~1- ]QII'~ expansion (to be paid on filing this application) 2 -attl¢ i attic 5. If dwelling, number of dwelling un ts ................................ Number of dwelling units on each floor ........ ..~.....1..s...t.....f..1. o 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~. ...... ~0.... ............ Rear ......... ,RD. .............. Depth ....~.~,lr,~l, ............ Height ....2.~. ..................... Number of Stories ...........1...½. ........... 9. Size of lot: Front .....1.,,2.0. ................. Rear .....1..1...0....,~.~., .......... Depth .......1...0..0. ............... 10. Date of Purchase ....A..u.g~.s..t..~....1...9.~.8.. ........................ Name of Former Owner .....ur~_....k.~_.,o..w~.....t...o.....u..s..: .................... ]]. Zone or use district in which premises ore situated ................ : ..................................................................... 12. Does proposed construction violate on,/ zoning Iow, ordinance or regu[atfon? .............. · ..~l,...O.9......~5.~]~...~..V.9.., ..... Ph on e NO ..................... 13. Name of Owner of premises..J..o.~..~......~..t~..a..r...k..e.Y...Address 8 - · , Wm. Wtnge~ath ... Name of/krcnitect ........................................................ Address .Box...7.O.r~ay...S,,,hor. e.....Phone NO.MQ.....~..-..?..0.~2 - 2 Name of Contractor.....W..~..N..G..E..~*C..T.~....~.T~l~$..E.~....C..0...~Address .]~.q;:F,...7.0...'~Y...$,b,.O~?..~.....Phone NO.IV[0..,...~...].0.~ 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 street names and indicate~ MANEANSET A~2u'~ STATE OF NE~)(pLq~. ) S S. COUNTY OF ~..u.,~:N:,u,.,-9,,~, ........... ) .,, ~ [,,.~ZNQ~,~ .............................................. being duly sworn, deposes and says that~e is the applicant~ (Name of individual signing'application) above named~e is the ..................... ~.~aGD.o.r ................................................................................................................ (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 i~r,~is application are true to the best of his khowledge and belief; and that the work will be performed in th~ic~e~?~ .~hp applicationdiled therewith. , ,. ~ , Sworn to before me this No. 5~-3534J00, s~'ffo[~ ~t~°tx ~ ~- ~ IZ ,~ /Z~,,.~ ~ ..... ~ ..lO ..... do, of ........ ~9,~.E~. ~tr.~ ~.t~ 30, 1959 [ (S~a~r; ~f apr ~lican~-t)~ ~ .... b ................... ': c. - Nl~ .... D..hli~ ,~ ,~~..~Z . ~t~bl[c State of New York ...... z -~ ......... ~ ................................... ~o. 52-3534100, Su fo k Coun y FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exo mined...~..~.....~.....~TT... ............ Approved...~'. ~...../...~ ................ 19..~..Permit No. Disapprovec[ a/c .. ~..c.. 5~..... ~~ · · - ..~....~ .. .... ........ ....................... (Buildin~ Inspector) Application No ..... .."~....~..Z ............. APPLICATION FOR BUILDING PERMIT Date.....,~,~.,e.?,.~..~..?..~......~...O..[ ......................... 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 adioining 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 cov. ered 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. Suc~ 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 port 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 issuanae 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 Itera~tions, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. May P, ............. (Signature of applicant, or n~me, if a corporation) (Address of applicant) State wheth,er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. bu~ldex~ .... ,~^~ John K. & F~rgaz~et Fi. St;az. key ................ Name of owner of ~, ............................................................................................................... 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: ................... N~W C Manhanse~ &ye. & A~..1.er s Road~ Village o~ G~eenDo~ Street and Number ......... /.. ................................................................................................................................. Municipality 2. State existing use and occupancy of p~emises and intended Use and occupancy of proposed construction: a. Existing use and occupancy ......... ............................................................................................................................ p~ivate ~welli~g b, Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building...~.....Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated .................................... ............................................................................ l$ ~i[~:~li exl~ns~.on (to be paid on filing this application) 2 5. If dwelling, number of dwelling units ......... .D,...t¢..~..~.O. ........... 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 ........ 3.0 ................ Rear ......... ~Q .............. Depth ....~ ........... Height ....~...~. .................... Number of Stories ...........1....~ ........... Size of lot: Front ......~..~..O. ................ Rear .....,~.~.0..?.~. ......... Depth ....... ~.0...0. .............. Date of Purchase ..Al~gl-~.l~.~..,],.c),~.~.. ........................ Name of Former Owner .....u~..J~r~...o...lp~.....~..o....~..~.? .................... · Zone or use district in which premises are s~tuated ....... ~. ..................................................................................... Does proposed construction violate any zoning law, ordinance or regulation? .............. 13. Name of Owner of premises..~.O....J~......K..t....B/.t:~.e..~'...Addr~ss ..8...bc...'~..?.....~.~.~.'q....A..¥..e...*.....Phone NO ..................... Wm. W~n~e~'ath ' Name of Architect ........................................................ Address ..~...O?..~.O...T.~.~t..'~'..]J~..~..~.....Phone No.~..o..~...~ ,~...o.~. Name of Contractor.....~...~..~..G.~?.~.'.~....U~....~..~.?l.....q.O,.:Addr~ss N O.g.O...*... ,.6...~...0. ~. 2 PLOT DIAGR,~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from lines. Give street and block numbers or description according to dee.d, and show street names and indicate interi°r,°jc°rnel °t' ~ ','J ' J· ''~' 9. 10. 11. 12. property ~j~ether ~'~FATE OF NE~Ir~]~I~, ) ~OUNTY OF .~.5~." ........... ) S S, ~ ~' Pe WI~TH bein duly sworn, deposes and says that~e is the applican~ (Name of individual signing application) above named~e is the ..................... .~9~.~ ............................................................................................................... (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 applicatiom filed therewith, , ¢ -- Sworn to before me this ~ day of ~. ,~r~bJc. Stye 0 New York (Sgnature/of app cant) / Notary Public, ~..~~~...~s