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HomeMy WebLinkAbout1053-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT~'IOLD, N. Y. CERTIFICA'~ OF' OCCUPANCY No. Z 746 Date ....... ~Yuly 21 1960 THIS CERTIFIES that the building located al .~$...$.~tIIlc~...V..~.e...W...l~,~.~.,...Q~.~.e.l~.i; Street orien~-By~The-$ea *** ---t "- 22 ................................................. Map No ....................... Block No ..................... l~u l~u ............................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. .A.p..r...i-..1.....2.5. ............ 19.6...°.... pursua~t to which Building Per'mit No ....... .M.....1...0...5..3.... ~lated ........... .A.I~r:L1 .2..~ , 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 PRIVAT~ ONE F~ILY DWELLI..N~.. This certificale is issued to ..~.l...n...e..t...~..e....~...~...i...a..~...~....0.~?.r. .............................................................. (owner, lessee or tenant) of the aforesaid building. ........ ~..~ ~:z~,~\:~. ,,,,,.c. ~"i' ............ t'"" '~' u. % ................... 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) 1053 Z Permission is hereby granted to: Place ~ t~gge~,...A/~...-.~i.~t~'~..K, um-J.i~,~ .............. ...... m)x..~?. ........................................................... ............ t~l~d.~.....~o.~[. .................................... t°b~' 'td...x,/~tr~ · .oxxe.. ~'~],y.. 6~.1~/g ....................................................................................... at premises located at .~.'/~..~.....Or,[,~'}'l~;...]~...t,~..~. .......................................................... ................................................... t~/~..... ~ound.. v~e~ ..Roa¢~ ............................................................. .................................................................... ~.f~nt ,.....1%T~, ............................................................. Cpursuant to application dated ........................... ~p~.~.][.....~ ............... 19~..., and approved by the" 13uilding Inspector Fee $ ' '~0~,'00 .......... GRo~er 6-177~ July 20, 1960 Town o£ Somthold 0££iee o£ Building Inspector To~¢n Clerks 0££ice Southold, N.Y. Dear Sir: Request inspection o£ Xtunjian residence £or Certi£icate of Occupancy. Thank you. Yours truly, PLACE & XRUEGER, 0USTOM BUILDERS William J. Place President WJP:dn TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ ]9 ........ Permit No. ~ l O ~'~ ~ Application No../..~..._~...~ .......... APPLICATION FOR 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 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 issuanc.e 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, as herein described, The applicant agrees to comply with all applicable laws, ordinances and regulations. ..... ....................... (Signature of ap~a~i'or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................................... ~.,e, ,n,.,e, ,z/.~ ,1,.., ,0,.9.,z3. ,¢, ,z7, .~, ,o, 3, ,o, ,v, .............................................................................................................. Name of owner of premises ..................G...J:~?.~..¢..e.......~.~.8,.~. ............................................................................................ 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. Map No: .0..r...J:..e..~.t;....~...~..o....~.e...~... Lot No: ..~.~ ............... Sound View Road. Street and Number .......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... b. Intended use and occupancy ............ Xlw~],3,~z~ ................................................................................................ Locate clearly and distir~ progi~rty lines. Give street ad, whether interior or corner Io Notare of work (check which applicable)' New Bui[ding..:~ ............... Addition .................... Alteration .................... Repair .................... Removal .................... Demolitidn ....... .~ .......... Other Work (Describe) .................... ' ' 7/.0 Estimated Cost .......... ¢,~L'I .~.0D.O.,.OD ....................... :M. Fee ......................................................................................... (to be paid on filing this application) I[ dwelling, number of dwellinfl units ........ ~e ................. Number of dwelling units on each floor ............... ~ ............ If g~rage, number of cars ........... ~..~ .............. ........................................................................................................... If business, commercial or mixed occupan~, specify nature oad extent of ea~ type of use .............................. Dimensions of existinfl structures, if any: Fr?t ............................ Rear .................. [ .......... Depth ............................ Height .................... Number of Stories' .', Dimensions of some structure with alteration~ or additiong: Front ............. , ......... '.'~ ........ Rear ................................ 'Depth Height ................. r ............ Number of Stories ' Dimensions of entire n~w const.~uction: Front....~.~.t ................. Rear ..... ~.t ....... :..:' ...... Depth .~6 ....................... Height .....~.~ ................ Numger of Stories ....~ ..................... ' .: Size of lot: Front .......~O~. .......... Rear .....&D.O.~ ............. DeptH' ..~.( .~ ................ . Date of Purchase ...... }i.O~.~,.2~...~.6~. .................... Name of Former /ner .~.oo.~O~o~..~a~.....~a,... Zone or use clistrici in i'gh premises are s~tuated ............................... r ........................ r ........................................ Does proposed construct/on violate any zoning Iow, ordinance or regt lation? ............ , ......... ~ ............................ ".Nome of Arch,tect...~.$~l~..~e ..................... Address ~.....ll2..&le~z'~ ...... Phone N~r...1.~7~. ..... .'Name of Contractor..~.~.~,~.~g~ .................. Address ~ox ~7 ~dfor~ Ph~n~ " " .................. ~ ............................... NO. .................... PLOT DIAGRAM '~/' '~' ~ tly a]l buildings, whether existing or proposed, 6pd indicate oil s~tZback dimensions from block numbers or description according to deee and show ~treet names and indicate STATE OF NEV~ Y(~I'~K,~z ) S S ............................ ..A)7 ..:,...~ ................ bein~ duly sworn, deposes and says that he is the applicant (Name of indl~idual signing application) ~d~ove named. He is the ................... ~~,~.~ .............................................................................................. (Contractor, agent, corborate 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 cont0Jned in ~s aRplication are true to the best of his knowledge and belief; and that the work wilt be performed in the manne~ in the application filed therewith. , Sworn to before me this ~ P~/;' ~t~ ~O~, .............. .......... ......... Examined ......... ~/..~';~..7. ................... 19 ........· TOWN OF SOUTHOLD BUIL~DING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. A p'icat on No. ........... " ', .,LT / o Approved ........................................ 19.......Permit No ............................... Disapproved a/c ...... /. .............. ..~....~. ............. ~ ............. ~..~%. .................. ' , , ' ././...:c "' ..... L .......... (Building Idrspector) APPLICATION FOR Bt,III. DING PERMI,T Date .........J~,~,... ~.~. .........i ...................... 196.0. ........ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink ,\, submitted in~dqpli.cate to\:he Building Inspector. , ,~ ', b Plot plan show ng ocat on of lot and of buildings on premises, relabons~lp to adjoining Dremlses or pqbhc streets or areas, and g ving a detai ed description of layout of property must be drawn on ~he diagram wh, lch is pdrt o~ th'is ocat on. c. The work covered by th s aDp cation may not be commenced before .ssua~ce of Building Permit: d. Upon approve of this application, the Building Inspector will issue a Building Per~i[ tc~Ptke~applicgnt. Such permit shall be kept on the premises available for inspect on throughout the prolgress of th~ wgrk: ., j ', '".~ e. No building shall be occupied or used in whole or in p art for any purpose Whatever until d, Cerhft.date~of O~cupancy., shall have been granted by the Building Inspector· .' /! ', ! ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursagnt, to the Laws, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appld:able '. Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demo[itlon, as herein de,~,ribed. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or nc me, if o corporation) ......... .. (Address of aP ,licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or'builder, ............ .q~¢ ............................................................................................................ ¢ ............... Name of owner of premises ............... ..¢..~.~.e..~.~...e......~.E..~.j.~.~. .................................................................................. i ....... '~(... If applicant is a corporate, signature of duly authorized officer. William J IO.r~c9 (I~] : (Name and title of corporate officer) 1. Location of land on which proposed work will be done· Map Nn0rieD, t B-,* the Sea, Lot No:~,,2 ................. Street and Number oo~'t~t '.¢.i.e..~?...~Lo...8.,~..,' Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed con~{ructidn: a. Existing use and occupancy .............................................................................................................. !.. ......... ~ .......... b. Intended use and occupancy .......... .I.~.,f.~.~j, yj~5 ........................................................................... 3. Nature of work (check which applicable): New Building....X. ............... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... ~ .. ~11-000.00 - :~ 0 4. Est[mated most .................. ~ ........................................... t-ee ......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... .~..~...e. ................ 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.....~.~ ................. Rear ..... ~3. .................. Depth .3.6. ....................... Height 15~ Number of Stories 1 9. Size of lot: Front ........ .3:..0..9.~. ........... Rear loc' Depth 260' 10. Date of Purchase ...... ~.O.~.*....~r....~...C)..6...O. .................... Name of Former Owner Il. Zone or use district in which premises are situated ................................................................................................ ~0 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... · · c~ eiznon'c .......r~ame or ,~rcmrecr ........................................................................................................ Willls~ql Place Address Rt. 112 Medford Phone NoG.~,i~.7~ .......... ~ . . Place&Krueger ~ddress Box 87 Medford p ~ " " ............................................ h~,,,= NO. Name of uonrracror .................................................... ,, .................... PLOT DIAGRAM Locate clearly 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 whether interior or corner lot. ! STATE OF NEV~Y,O~,K,~ ~£ ) S S COUNTY OF ...~.L~.:....) · .............................. [.( .~ ....... ~..~....¢%...~....'T7%... ............... being duly sworn, deposes and says that he ', the applicant (Name of individual signing/g~plication) above named. He is the ...................... ~~..~...~ ......................................................................................... (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 al statements contained in ~is a~tication are true to the best of his knowledge and belief; and that the work will be performed in the manne~ ~the application filed therewith. Sworn to before me this ~ -- /~4~'~ NoraW Public, ..~,[~.~ .......... County