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Home My WebLink About1270-zTOWN OF SOUTHOLD ~U'ILDIBIC, DEPARTMENT TOWI~ CLERK'S OFFICE SOUTHOLD, N, Y. CER"I'~FICATE OF OCCUPANCY No..Z..~.0.,~0 ......... Date ~ ...... ........................... ~ Y..,...26. ............... 19. 61 THIS CERTIFIES that the building located at '//O.0di~].~.~'...D.l' ............................ Street :Map .~o. ~a~ ........... U~oek No....~ ............. Hot ~o. ~ .......... !~..a..~.~..U.~....~:.~.., ............. conforms substantially to the Applieatlon for Building Permit heretofore filed in this offlee dated .................. Igo~.onlb. o',e.......28., 19/~0.. pursuant to which Building Permit No.Z...i..2..~.0. ........ dated ..................... I/0.~.01~O.1~.....2~19.60.., was issued, and conforms to all of the require- ments of lhe applicable provisions of the law. The occupancy for which this certificate is ~ssued is ....... P..V..:[~.t&g.~ ..~ll~...~.~-..1.y.....d.~..~[,~Bg. .......................................................................... This certificate is issued to ..F,v.l~l~..J~..&..}/a~...Esl~l,~d, ................... 0.~ffi~;12.~. ............ (owner, lessee or tenant) of the aforesaid building. Building Inspector 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.° 1270 Z Date .................. ~vemb~.,.,.~8 ........... 19..6Q Permission is hereby granted to: .... ]~'ti. ng...ii-~. - F.~ petand ................................. ................ G~d~.el~.~gU~ ~..... ~ ;. ~.;. ......................... to '-"Bu~"l'd.. ~le,~" one,., f'~..ly'..dwe.'l.3:ir~ .................................................................................. at premises located at ..... ~T~"J~'T~'~'"(~'~'~'~ ................................................................................ .............................................................. ff~a't;~.'tu'elri''''' 'R; '~'; ............................................................. pursuant to application dated ......................... ~lov,e,~eI~....~' .......... 19...60, and approved by the Building Inspector Fee $'""tO;'00 ....... n ' Inspe FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate, C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 ¥ _3. ~Oopy ofcertificate~: b~iib~h~ $1.00 . Date .... ~ ~c~,.~. ~..,. z/~?.'./... · New Building .~./.~.. ?..~..)... Old or Pre-existing Buildi,, ............ ,Land ........... Location of Property ........... - - ~ / House No. Street Hamlet Owner or Owners of Property .~".~.~.-././~,~'.'~...~.../~] .~../~ ~'~'~'~'~'~'~'~'~'~' ~ /-~/~2~ County Tax Map No. 1000 Section .../.~. i~. ....... Block ...'~. .......... Lot....~..~.7~. ........ Subdivision . .~.'.*¥ ?..~:~..~.--:~ ............... ~ ' . ........ .... Fded Map No. .Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ........................ Planmng Board Approval ..................... Rev. 10-10-78 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1, Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal), 3. Approval of electrical installation from Board of Fire Underwriters, 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date' of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. ,' C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on' pre-existing dwelJing or land use $5.00 ~: 3. C~o. py of certifi~at~6~ ob~-tCan-~c $1.00 ·~ "~'~' '1 Date.. ...... ..~,.~ New Building . /.~, ./ .... Old or Pre-existing Buitding .......... Vacant Land ............. Location of Property ............. ~.(.JC]c~c:~C ~/'/~:~c:' .Z~ ,~/~' ~ ~,~__~-~-~. f ?.7~;,~/~ . House No, Street Ham/et Owner or Owners of Property ............ ~; ..'~. ..... ~-;..~./~../~.~. .................... County Tax Map No. 1000 Section .../~. i~. ....... Block ...'Z .......... Lot....~...ZT~. ........ Subdivision..~..~:.~.~.,-:~.-~. ~% ............. * .... Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept, Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ....z,~.... ............ ~.'t.) Request for Temporary Certificate ..................... Final Certificate ................. ~t.'?~.. i,~ · /. Fee Submitted $ ......... ..} .............. J ~, ~,'~'~ ~\~, ...... regulations. Construction on above described budding and perm~t~meets all applicable codes and ....................... NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. xamined ....... Approved ........................... 19 ........ Permit No ............................... ................. · ................................. Application No. /)~7 0 APPLICATION FOP, BUILDING PERMIT 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 odioining 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, os herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (S'gnotur~ of opplicoht, or name, if o c;~;;c;~ior;i' " (Address of applicant) State wheth.er 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) ]. Location of land on which proposed work will be done. Mop No: ............................................Lot No: .................... Street and Number ......... ~.e~.~...~.~,.l .~..~.....~...,~.!.¥..'~..~ ........ ¢~...~...Y'.~.~:~..¢.f.~ .......... .s;'u~..~o~..If:.. /il. ~ Municipality ~ ....................x. ........... r ............. 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: a. Existing use and u anc ,//~o,a/O-- acc p y .......... . ................ b. Intended use and occupancy....../?..~..f..~.,.~.?...C,.--.....,~....~/~-/~,.4,.L~..~. .................................................................. 3. Nature of work (check which applicable): New Building.....~...... ........ Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost .......... .,(..~,.~.~.r~ ....................................... Fee ...~: ................... : .................................................................. (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 ................................ ~'-'~ '~ ~ . ........ ~..~,~,...*. ..... Depth 8. Dimensions of entire new construction: Front ....... ~..Z. ............. Rear ............. Height ...... ~.~...~.~. ............. Number of Stories ........ ./..~Z, .............. 9. Size of lot: Front ........~'.~..~...( ......... Rear ........ ./...~..~..~ .......... Depth ....... /.~.~..~ ......... 10. Date of Purchase ....~.~.~.4.¢. ...... .~.. .......... ~ ....... Name of Former Owner .~.~.~..Z~z~'~...4..~.~...~..~.f.f.~..~.~.,/J.~.~U lk Zone or use district in which premises are situated ............................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... ~...~ ................................. 13. Name of Owner of premlses./~-.~.~..~.~..Jf,...~.~.~/~Address .~.~...~.?~...~'.~..~...~...e~.~ne NO...~.~.'~..~.~..~3 Name of Architect....~..q.~.~..~£,/~/...,~.,..~.T.~7.~./~.. ........ Address ...~v?~9.~.~.~E,~'9....~3.~.~...,~...y...Phone NO ..................... Name of Contractor ..............~ ............. Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, end 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 vTO~,J~,,/~ ) S S COUNTY OF .:~f~,¢~. ...... ) ' ~u'~ame er in'~'Ju~g~on)a~wa ~~ being duly sworn, deposes and says that he is the applicant above named. He is the .........~(Z~..%~z~.~¢~J/ .................................................................................................. (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 applJcaton; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed Jn the manner set forth in the applicat~ filed therewith. Sworn to befr]~e this ]u~,rH T ~O~EN ~~ /~~~ ........... ~ ..... ~ Y '~'*"~' ~ '~"*~ ....... ~'~4963 Suffolk Co,.*- ~ * ~ ~m ~ t plr~s March 30 ~9 / ....... , Nota~ DESCRIPTION OF MATERIALS AND SPEC FICATIONS rear of lot /~o I 59'- 6" north arrow distance to corner ('b"feet if corner lot frontage of lot street name distance to corner (¥feet if corner lot} lines ~ FOR REVERSAL of the house design, these p~ans ' ~" ~" ~ "o To facilitate use of the reverse plan, take dimens~ns ,, a~e reprinted (in reverse} on the back of each sheet. ~L -, ~ ~ I APPROVED .Y~A 90-04 161,t STREET, JAM~, ~, ~ 5 7 ~ ~ FOR REVERSAL of the house d, '~ " ', , , ,, al:e reprinted (in reverse} on the b~ '1 t " ~* ~ ~ o° "~ .9 ~ ~ ¢- / ' , ~ - ~ - ~ ~ ~ . I, ~:~-~ e~. -~. ~ .~ - ~ / '~ v~ i. ~'.~" ,, '~ ~"~F ,-~ ~ ~ - _ / ~ '~ / ~, '~ ~ / o ~ - I ~~ ~ -~"oc. t..~ :: _~ ~ '1 ~_ _. '~-'- 13 . I. !- ~-~-m~.,c~- ~.w~.o. ~ . . _ - _ _ . ..... _ --~~ ~ ~ . ..~ .~- ~ . ~, ---~ __ ~ .... ~ ~'-'~&-.: ~ '~ ~ ~E--_ ':~ .,~ "'~'- '~ ~'~~ :' ' ~_ ~ 'E~& ~ f;~ ~.~L'-~'' '.'~ J !-I ~ , ,~ i ~..~ I ] I : I ~ '~ ~ ~ ~ ~J--~ ~' I; I '' - ~ ~--~ ~ I ' , i ~[~T:---::-. ---~ ,---Tn---: L-E.~-.---EE ~-~ - ~ ~ ~ ~ ~ ~'. i ' I 'r ~ ' ' ' ' ' E ' ' '~, '' "'~ 4,' ~ ~ ~ ~ / ~ J ~ ~l~,'~ ~'- ~ -'.%: :' :~ ~'., 1 , '~ - 4 ~ / ' ,' ~ , ~ '~ , ~ -, ' ~ I :; ' 2 . ''.. - ',. · ~ ~0 ~.~" I ~ .~=- . , ,' . ~ I HOMEMASTER PUBLICATIONS, INC. sheet 90-04 161.t STEEET, jA~AIC~ aC, N ~. NOTED} 90'04 161st STREET, JAMAICA 32, N:Y, I , - - t ..... 1-- +~ HOMEMASTER PUBLICATIONS, INC. cheer noJ I, I I I -+ o__ 4 ~RAWN BY ~ROVEID HEN} '; SILL HOMEMASTER PUBLICATIONS, INC.. 90-O4 1Slat STREET JAMAICA S~. N.Y~ design number RuDoLPH A. MATERN A. L R. 90-04 16].st STREET, JAMAICA ;32, N.Y. J~ / / ~ ~ ~4 ~ , ~ I ~ I I ._ ,, L _ __, , ~'~ ~ ~ ~ ~ '~ ~ ~ ---t'--~'---~: . ~--~ ~ ~ . ~ ~ ~ ~ ~ ~ ~ ~ ~o-o4 l~t STREET, ~A~CA ~2, ~.Y. d ...... ~m' 'h'ch 'ha h .... , ~ ........ M. SCALE lA' = 1'-O" (OR AS NOTED) I ~'' I 90-04 161st STREET, JAMAICA 32. N.Y. CESSPOOL DETAIL DE. TAIL. O~: OpTl OI, IAL IN 5T~,LLATIO N~ ('FO~ -51LL WINDOW HEAP i NSTA L LA-FI C) N DETAI ~ 5ILL 2 ..r WOOD ~LASTI PLAN O/::~TI 0 kl EXTERIOR BASE/WENT E N-FI~-_A N C E PETAl 5NOWl NG OPTI ON,,kL ','A L W I N T I TE" wiNgow~ I~ WOOD ~rL.L ii? DRAWN BY APPROVED BY WOOD 51LL ~L~ELNT I T E" DO UI~ L~. HUNG WINDOW ~, FN .~- ~j3,,A.A, E YVAL g_, N01-~; .~.34TE~ ~ I 0 ~ J~AA6 RUDOLPH A. MATERN A. I. A. REGISTERED ARCHITECT ~0-04 1611t STREE'r, dAMAICA 32, N.¥