HomeMy WebLinkAbout1184-zFOR~ NO, 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ..~./.~...~.~..~....~..f~.:J,l~.~..~d, ..................... Street
l~ast l~ar~on~ l~e~ Yor~
Map No .......?.?...? ......... Block No....?..~..*. ............. Lot No ..................... .~.t ...........................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
............. ~.I~1~...~.. ............................... 19..1~.Q. pursuant to which Building Permit No .......... ~..~J4
dated ....~..~..~..~...~..~....~.~.. ........................... , 19.....~...0, 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 ..........
............. .................................................................................
This certificate is issued to ................... ~.~.[~.~..~j~'~l,l~l.~....~9/~.~ ...........................................
(owner, lessee or tenant)
of the a.foresaid building.
Building Inspector \
FORM NO. 2
TOWH OF SOUTHOLD
BUILDING D[PARTMENT
TOWN CLERK'S OFF~CE
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS P, ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 1184 Z
Date .................. ~U~'~ ....... '~ ............. 19'60"
Permission is hereby granted to:
.... ~ee~o~'~' ....... ~'~ ...................................
to ..~u~.]~¢1..-new.- one..£~L.]:y'..d~e'~t~.~g ....................................................................................
at premises located at ..~./~..~o~y...~D~.D..t..~O.~. ..........................................................................
.......................................... · Ea.~ t,.. ~a.r .ien.~......N~ .~ ...........................................................................
pursuant to application dated ............................... ~,~1~.....~ ......... 19.6~.., and approved by the
~uilding Inspector
Fee
CITADEL ABSTRACT CORP.
2488 GRAND CO~qCOUI1S]~
NEW YORK, N'. Y. 10458
(212) 292-5200
TO:
Gentlemen,
Would you please send to undersigned5 a copy of the Certificate of
Occupancy-for above property. If none is available, please advise us
accordingly. Check for your fee of $ attached. Our title number
is We are insuring the purchaser and conducting a title search
for same.
Shank you for your help,
Robert Keppler
- ~ FL
~.'. 77° F/, ~-o,, w..-
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ........................................ }9 ........ Permit No ...............................
(Building Inspector)
Application No...l.J......~....cJ. ..........
APPLICATION FOR BUILDING PERMIT
Date August 22nd 60
iNSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Pict 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 aJ,~ions, or for r.em~molition, as herein described.
The applicant agrees to comply with all applicable laws, ~
(Signature ~ant, or name, if a corporation)
..60.~.. ilai~l..S.t r.e s.t, ...~. aa zipo~..t.,.., ile.~.. Xor. k .....
(Address of applicont)
State whether app[icont is owner, lessee, agent, architect, engineer, general ~contractor, electrician, plumber or builder.
........................................................................... .................................................................................................
'S '
Name of owner of premises ........................... ~.a..r...i..a....~..~...~.a.~.~$ .............. . ..........................................................................
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: ....................
Street and Number .e../.~.~.~..~.~.~..k.~.~.~..~.~.i..~..~.~t~..~..e.~.a..r.~Ag~.L~.~.a..¥~t ............................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ............................. .V..IR.O.~ .........................................................................................
residence
b. Intended use and occupancy ................................................................................................................................
property lines. Give street and block numbers or description according to deed,
whether interior or corner lot.
3. Nature of work (check which applicable): New Building......~.. ............ Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
$14,700
4. Estimated Cost .............................................................. ~ee ..........................................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ................ .lt. .............. Number of dwelling units on each floor ............................
If garage, number of cars .............................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..............................
7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth
Height ............................ Number of Stories .............................................................................................................
Dimensions of same structure with alterations or additions: Front ................................ Rear ................................
Depth .............................. Height .............................. Number of Stories ................................
8. Dimensions of entire new construction: Front ...... 42 Rear 4-2 Depth
Height ............................ Number of Stories
9. Size of lot: Front ..... ~.~ ................ Rear ...... ~.~ ............... Depth ..~.~..~.. ..................
10. Date of Purchase ................ ~9~.~. .............................. Name of Former Owner ...... ..~..~..~.~.~ ..............................
11. Zone or use district in which premises ore situated.....~..e..~.Jr.c/...e.~.O...e. .....................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ....... ..~..O. ........................................
13, Nome of Owner of premis~.~...~9,~.~t,~.,~J,~. ............ Address .~.*...~..$.Q~ .................... Phone NO ...... ~.q~.e. .....
Name of Architect ........... ~O~f~ ................................... Address ............................................ Phone NO .....................
~ . . ~iverside Homes, Inc .... Riverhead ~, Pa ?-3~95
Name of uon[rac~orT: .................................................. Address ............................................ t'none NO .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ail set-bock dimensions from
and show street names and indicate
s. 13~ 45' 10" e 125'
n
45'
-29'
' Roomy Foi'n~ Eoad
Stanl..e~ S: Corwin be n- du.
............................................... . .................................. ~ y sworn, deposes and soys that he is the applicant
(Name of individual signing application)
· a ent
above named. He ~s the ................................................... :~. ...................................... ~ ......................................................
(Contractor, agent, corlbo~te of~cer, etc.)
of so d owner or owners, and is duly authorized to perform or have performed t~ said work andre and file
this application; that all statements contained in this application are true to~J~e best of his kg~'ledge,/and belief;
and that the work will be performed in the manner set forth in the appl~here~ith./~
Sworn to before me this ,
NE'UA C '~ ~' ~ ' t r o
.................... .... of .................
Noto pub,,c ..................................
Term £×pJ~¢s M~rch 30, 1961
FOR~ NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
xammea .................... ~ ................. /y
Approved ........................................ 19 ........ Perm t No ...............................
............. ....... ............. .............. ..........
Disapp
roved
o/c
...................... ................. i ..............
Application No...J.,,J.....~,...(,~. .........
APPLICATION FOR BUILDING PERMIT
D. August 22nd 60
are ........ : ................................ 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;~n 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 ot~_zzppilcable Laws, Ordinances or
Regulations, for the construction of buildings, additions or al~ns, or for remov/m or demolit-~n, as herein described.
The applicant agrees to comply with all applicable laws, ord~~ulatits. A /
' .........
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
agent
~rl a K~:~ntar zis
Name of owner of premises .....................................................................................................................................................
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: ....................
· , e/,s .,.~OOky ioiY~ ltd. ne:~tz Aqu~,vzew ~d.
Street and iNumoer .......................................................................................................................................................
Municipality
2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction:
~. [xistin~ use ond occuponcy ....................................................................................................................... , ..............
b. Intended use and occupanfy ................................................................................................................................
3. Nature of work (check which applicable): New Building .................... Add t~on .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
$14 ~ 700 Fe
4. Estimated Cost .............................................................. e ..........................................................................................
(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, Jf 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 42 Rear 42 Depth
Height ............................ Number of Stories ............................
9. Size of lot: Front 1.25 Rear 125 Depth 12~ ...
10. Date of Purchase ................ .1..9.~.~ .............................. Name of Former Owner ...... .~i~li?..8..~..~..~r.~ ..............................
11. Zone or use district in which premises ore situated.....~...e.~..~...~.~.~.~...O..e. ......................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? no
13. Name of Owner of premis~'~.'.....~..{~.~..~.~.~..~.~.~ ............. Address ..~:.:....].~..~..~..~,O...~. ..................... Phone NO ...... .~.{9..~..~ .....
Name of Architect ........... f.~..O..~...e. ................................... Address ............................................ Phone NO .....................
}~iver~:id~ ~omes,
Name of Contractor .................................................... Address ........ : ......... 7 ....... ' .................. Phone NO. P~ ....... .7--3395 ............
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing 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.
t~9'
45'
~ ~rook
STATE OF NEV~o~I~ ) S S.
COUNTY OF ............................ )
................................................................................................ o mg duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ................................................................................................................. ~ ................................
(Contractor, agent, gaqb'b-f6'~ officer, /~t'~.), ,~
of sa d owner or owners and is duly authorized to perform or have pfrform~ the saidlwork and/o make and file
this application; that all statements co~tained in this application are kue/o the best ~f ~s ~wledge and belief;
and that the work will be performed in the manner set forth in the ap~io~her~