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HomeMy WebLinkAbout1242-zFO~,M NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at Map No.~j.~jj...~,.~ Block No...?...~. ............... Lot No ................... ~J~.~ ........................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. ~.~.~,~,~....~.~ ............................ , 19..6.Q. pursuant to which Building Permit No. dated ...0..¢t...~.?.~..?..~....~..~ ......................... , 10....~..O, 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 ............ .~E~r~...j~,...¥~tle~,ek~....o~, ............... : ................................ Lowner, lessee or tenant) of the ,aforesaid building. FOI~M NO. 2 TOWN OF SOUTHOLD I~UILDING 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? 1242 Z Date .................. O~t,O~ e.~... ·..,q.~ ............. 19...60 Permission is hereby granted to: l~a_~k..F.,...~r~eea~ ............................................... ...... 13...W~o~L~a~d..S~. ....................................... ................. Ea s.t,...Z.~.l ~ .. ~,. ,. t., .......................... to ....b~ild.. ne:~..o~e...£~,~ii¥...d.~ ~X~g .................................................................................. at premises located at .Lo'~..#....~o~...~.'i,A~.~,a>~..P.o.l.~&...(L]:.~..~.~,~o~e~.~. .................................... ................................ ~/.S.....~uz~ew~e.t~..L~o~ ............................................. : .................................... ........................................................ .C.u.t.~hogn~.~ ..... N. ~. .................................................................. pursuant to application dated ................................ ~.~'~,D.~.~......~.~......19...~., and approved by the Building inspector Fee $..1.0.,.0.0....P.d ...e a mh Approved .................................... , 1~O~1~ NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT Town CL ,K'S OmCE SOUT.OLD, N. ........... Application No. APPLICATION FOR BUILDING PERMIT Octo]~er 25 1960 Date ........................................................ , ........ 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 ova.ilable 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 o 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 alterations, or for removal or demolition, os herein described. The applicant agrees ta comp y with al appl cable laws, ordinances and regu at ans. 13 woodland Street, East Zslip, (Address of opp{icont) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner and builder Frank F. Vanec~ Name of owner of premises ..................................................................................................................................................... If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No: .~..~..~..~....?..o..~.~.'c: ...............Lot No' 386 Street and Number w/S Wunneweta Road, Nassau Point, Cutcho~ue, New York Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Vacant lot Private one family dwelling b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building ..,.~ ........... Addition .................... Alteration Repair .................... Removal ....................Demolition .................... Other Work (Describe) .................... $6,000. O0 ,~ $10. O0 4. Estimated Cost ............................................................ rea .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..............D.n.,.e. ...... Number of dwelling units on each floor ........ ..O..n..e.. .................. If garage, number of tars none 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 44'8" Rear 44'8" Depth 26'8" · 1 Height ............................ Number of Stones ................................ 100.' k 100' 322' 9. Size of lot: Front ............................ Rear ............................ Depth ............................ May 1@60 10. Date of Purchase ........................................................ Name of Former Owner George E. Mooch ]1. Zone or use district in which premises ore s tuated ............. ~..A..'.~.....R..e..s..~:~e~.n...t..~..a...~....&...~..A.c~...r..i..c...u..~...t..u.~.~ ................ 12. Does proposed construction violate any zoning law, ordinance or regulation? of ^ net of r i Frank F. Vanecek .,, 13 Woodland St., East Ialip 13. Name uw p em ses ........................................ ^aaress .......................................... ~mone Name of Arch tact Address ...... Phone NO~"'m /~,~/.~,~:~.O~ Name of Contractor .................................................... Address .......................................... Phone NO ..................... P,LOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street end block numbers or description according to deed and show street names and indicate whethe,' interior or corner lot. /6~9 / I STATE OF NE~' ¥OR.~ ) S.S. COUNTY OF 9.u..z.~..o.~ ......... ) Fran K F, Vanecek .................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the o~rner-builder (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 oil 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 s~§~nf~grth.jn the application filed therewith.