HomeMy WebLinkAbout1527-zFOR,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 ...... ~./..~......,.~.,a..~...~..a..V..~,..~.....~..8,...~.,Q ................ Street
Ba~ Haven at 9outhold ~, ~.O..~,ta~.g. ld~..~.~.,.~,. ..............
Map No ....................... Block No ............. ~ ..... kot No .................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.................................... ~.~..~.~......~..~. ....... 19,..6.,.~.. pursuant to which Building Permit' No....~..~.~'.,.~.~....
dated ......................... .~.~..g.?'..~.t'. ....... ..~.~., 19....~,.]; was issued, and conforms to ail of the requirements
of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ..........
........ .P.r.i..v. ~.~.~...o. ne,.. 2~m;t.~...4w.e.. ~!~,r, tg ............................................ : .........................................
This certificate is issued to .... ..~.a.?..~...a..~.....q.*....0..t.g. QgD..O.~.. ................................ '~' .....................
(owner, lessee or tenant)
of the a,foresaid building.
H.D.approval Dec. 11, 1961 bY Villa
Building Inspector
FORM NO, 2
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED
N.o 1527, Z
Date ................... .August ....... 1~.3 ............ 19..(~,~.
Permission is hereby granted to:
O
........... ~l.n...La~. ..................................................
................... Beu.thetd ...........................................
~o ...... ~ui.l~...ne~..one...zes.~l:[.~y...d~w.l-l.irl~ ................................................................................
at premises located at ...L~t..i//~9...-.B~y..~la~e~..~t..~.>thot~ .................................................
.............................................. B~y'"~v~n'"~e ................................................................................
.......................................................... ~outhotc} ...................................................................................
pursuont to opplico$ion doted ................................
Building inspector
Fee $'"'10~ ~'-~) ........
Building' Inspector
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
August 8, 1989
TO NHOH IT MAY CONCERN
RE: PROPERTY SUFFOLK COUNTY TAX 14AP # 1000-88-4-38 1435 Bay Haven Lane, SOUTHOLD, N.Y.
The undersigned inspector inspected the property.
Based on the inspection the chimney was part of the
original dwelling covered under the original Building
Permit. No further application is necessary.
B.P.#1527Z, C.O. #Z]195
CURTIS {~. HORTON
Senior Building Inspector
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 3, 1989
TO WHOH XT HAY CONCERN
RE:
TAX HAP #1000-88-4-38
1435 BAY HAVEN LANE
SOH~HOLD, N.Y.
To the best of my knowledge the chimney
on this dwelling was part of the original
CURTIS W. HORTON
Senior Building Inspector
AW, c/c,
AT-
.)
xtensJon !
xtension Fire Place JZ Heat ~'~
~ '~~ Porch R~fType
" Porch Rooms ]st Floor
reezeway Patio Rooms 2nd ~loor
TOWN
OWNER
OF SOUTHOLD
FOR~ER OWNER
PROPERTY RECORD CARD
VILLAGE
E
I
STREET
4
S
W
DISTRICT SUB.
ACR E I.
TYPE OF BUILDINXG
LAND IMP. TOTAL DATE
~0 o
//00
AGE
NEW
NORMAL
BUILDING CONI~ITIoI~
BELOW
ABOVE
FRONTAGE ON WATER
Farm Acre Value Per Acre Value
Tillable I BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland
Swampland
Brushlc.,3~ ~.~ ~ ~
House Plot ,~.
lest. Mkt. Value
FRONTAGE ON ROAD /"),]'"''~/ 3~j""- ~- ~;o,~. //)-~""
Total
TOWN OF SOUTHOLD
~BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTNOLD, N. Y.
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and sctbmitted 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
shah have been granted by the BuiIding Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issu~nc.e of a BulJding 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 cs corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........................................... ......................................................................................................................................
Name of owner of premises......J~....~.~.~'..~...~,e.....0..i..~O..~.j~-.O.~.. .....................................................................................................
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 ...... ~[..~.~...~.~.~....~.~..~*...~9~ ............................................................
Municipality
2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....................................................................................................................................
b. Intended use and occupancy ................................................................................................................................
3. Nature of work (check which applicable): New Building ...... X ........... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost....~.~.~.~.Q.0.*Q.0. .................................... Fee ........ ~,0. e.OJQ ....................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............... ~ .............. Number of dwelling units on each floor ............................
If gprage, number of cars .............. ~, ...........................................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of u~ ..............................
7. Dimensions 0f existing structures, if any: Front.l...~ .............. 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 ....... ~8.~ ............... Rear ........ ~ .............Depth .....~ ................
Height ....... ~.~ ............... Number of Stories ......... [ .................
9. Size of lot: Front ..... ~, ............. Rear I
10. Date of Purchase ....~.~..~,.~.D.~ ............... Name of Former ~ner ....[~...~ .....................
1 1. Zone or use district in which premises are situated .......... ~e~$~e~$~ ...........................................................
12.-'Does proposed constr~ction~vi~ate~ any zoning law, ordinance or_reaulation? ....... ~ ........................................
.... ,_ Avenue
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor.....~...~e~ ................ Address ..~..~e~ .................... Phone NO. ~..~.m~.~
PLOT DIAG~M
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 NEW YORK, ) S S.
COUN'r'{, OF ..-~.~A~f~l~r ........:). v
................... ~/...~,~,~,~,~.~,...~;~1~ ........... ;~..~;~..~ .......... ?.,,,r,;,..beigg d?y Swo~rn_,. d~poses ond says that he is the applicont
(Nome of individual signin~ ~c6ti0n)
abdve named. He is the ............. OO~.~.~e,~O.~ ........................................................................................................................
(Contractor, agent, carl}orate 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 best of his knowledge and belief;
and that the work will be performed in the manner set forth in the applic;atio~ filed ]~.e/ev~i, jh. / ~_
Sworn to before me this '~'
. ~,~Sz'~l day o.J-l~A,u~a~.'r, ......... 19 ~.~t~t~ '~c~nature of applicant)
............. ,,~,, _
Notary Public ..... ~. · ~.. · · .~-~?,~'~'~. · .. · ..............