HomeMy WebLinkAbout1617-zNo Z-20192
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OC(SJPANCY
Date SEPTEMBER 6,. !99%
THIS CERTIFIES that the building ONE FAMILY DW~.T~ING
Location of Property 3400 PE~UASH AVE.&35 NORTH CROSS RD. CUTCHOGUEcNY.
House No. Street Hamlet
County Tax Map No. 1000 Section 103 Block 14 Lot 1.1
Subdivision Filed Map No. Lot
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 27~ 1961 pursuant to which
Building Permit No. 1617-Z dated NOVEMBER 29~ 1961
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 ONE FAMILY DWE. T~.ING WITH ENCLOSED PORCH AND
ATTACHED T~O CAR GARAGE. *
The certificate is issued to JOSEPHINE ZANESKI & FRANCES J. STEL~R
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
BY mUXOWS , V/6/1962
N/A
PLUMBERS CERTIFICATION DATED
#Z-1394 DATED 7/9/1962.
Building Inspector
Rev. 1/8[
NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTiFiCATE OF OCCUPANCY
No ....Z..~.~.~ .......... Date ........................ ~'~;[~......¢). .............. , 1
THIS CERTIFIES that the building located atW,/[~ .... P~(l~la~h.~i~'~ ............................. Street
Map No. F,~ee~ ......... Block No ....... ~ ...... Lot No...:~. ............~ll~h~J]~ .........................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.................................. ~o.~.e~be~......2~..., 19~,.. pursuant to which Budding Permit No.
dated .................... Nol~b~zt.....29.., 19~1..., was ~ssued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which th~s cemficate is issued is ..........
...... Pri.va~e..on~..~'am$i~..d.we3,1i,u~ ...................................................................................
This certificate is issued to .~3,~ll,~t3..Dq.e.~Z ......... ~Z' ............................................................
(owner, lessee or tenant)
of the aforesaid building
~.D. approVal by ~Jkowskl, July 6J62
........ ..........
Building Inspector
FORM 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)
N.o 1617 z
Date ............. ~O.V..e..a..'D..e..~.. ....... .~.~. ............. 19. ,~.~....
Permission is hereby granted to:
Cheste~...0~.1,~ s)c~-. ,...k/C...I~M~LI~,~..DJ, e.t,~ ........
......... Catcho~ue .................................................
to ..... B~..i~.. ~e~..oae.. ~mily..~eLlin~ ..............................................................
at premises located at ..]~,q~a~b...&..~ot~tA'~ePl~..C~Gss-..~], .........................................................
...................................... ~.1. ~.. ~e ¢.k ~ .. C~t. oae~ ue .....................................................................
pursuant to application dated .......................... .~'~V%l~l~e~...~,'~ ........... 19..0'1., and approved by the
Building inspector
Fee $.,'t-O, O0, ..........
Building Inspector
FOltl~l NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ......... ~...~...? ........ 19.~..C...
Approved ........................................ 19 ........ Permit No. ~'-~/
Disapproved a/c ....~..~...~;~....~......~.....~ .......
.............................. ........................................... ......._.;>..;; ............................
........................ .............................
APPLICATION FOR BUILDING PERMIT
Date .......... ~...r...~...?. ......................... ~ 9...(*...(...
INSTRUCTIONS
o. 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 co'~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. 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 whote 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, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
(Signature of applicant, or name, if a corporation)
............. ~'~(AdClress of c~"'pp'ii~}~'r(t')''/~''c ........................
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premise~....~!.~.....,~--'~.....~.....~'"~..c2 .~...~...?...~..:..~./. .....................................
If applicant is a corporate, signature of 'duly authorized (a~ficer. --
(Name and title of corporate officer)
1. Location of land on which proposed work wdl be done. Map No. ~,(.
Street and Number .....~....~..~..~-,,~ ...... ~~-..i......~....:..~....~ ........................................
/~ Municipalit~ /
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy.......~f..~ .................................................................... : ......................................
b. Intended use and occupancy ...................... .w..~ .......................
3. Nature of work (check which applicable): New Building ........ ~%, ....... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition ............ ;~....Other Work (Describe) ....................
4. Estimated Cost ...... /....~.....~ .................................. Fee ....... /. (2..... ~ ...........................................................
(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 .......... /~..z2 ........... Rear
Height ....... ~...~...~ .......... Number of Stories ...... / ....................
9. Size of lot: Front ..... -- --/...~.....~.. .......... Rear ....... ././...~. ........... Depth ./....,.~..'~......~ ..........
10. Date of Purchase ...... ~...'..../....~..~../~.../. ................ Name of Former Owner .,=,~-~,~../,,~..=./~..,~f-4,~....~.. ....
11. Zone or use district in which premises are situated..].(~d~-......~C....~ ..............................
12. Does proposed construction violate any zoning law, ordinance or regulation? .......'~.._: .............. : .......................
13. Name of Owner of premises.~.~.....~ ............. Address ..I.;~.~.:...~.'..~..~...:.~..~..Phone NO .....................
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor.~.~~; ...... Address ~..~..t..~..:~.'....Phone NO.~.~...~...~.¢..~.~'~...~.-
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
whether interior or corner lot.
STATE OF NEW ~R~/.,//~ ) S S
COUNTY 9F '
.......... ~'..'.~..~....~..' ................................ being duly sworn, deposes and says that he is the applicant
(Name of individual s~ning application)
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 all statements contained in this application are true to the ~st of his knowledge and belief;
and that the work will be performed i~the ~nner s~ forth in the applica~n filed ~ewit~.
Sworn to befo[e me th,s' ~/ ~ NOta~ Pub c, o~a~e°'~ ol New~N Yor~~ (' ~ C~~_
~ ~ 4ce, suffolk C (S~ nature of apphcant)
.................. d of · 0u,~ g
J
SUR.V~fED
LA'v,/12ENCE
OF PP. OPEltTY
G.., BEHiZ
PlE'f'Z
TITLE NO. ~e-$- ~.f:~,'~
5UFF.,C,O.TAX MAP PATA: 1000' lO:g -14- I. 1
SURVEYED JULY ~'~.,,..,~
~ODEFSIC~ VA,NJ TUYL.
LAND SUIRVE¥OIi5 ¢---~,EF-NI t:rO f~':r, . ,~. ,-'"'~,.