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Home My WebLink About1530-zFOI~M NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY , = , SOU~: THIS CERTIFIES that the building located at ...L~c,~..~',~.~..~..:~I~...D.~,. Mop No.~,~.f~ ................. Block No. ,m:~,* ............. Lot No ................. :~.~ ............................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. ~.~.'~,..~f$ ................................ 19.EL.. pursuant to which Building Permit dated ..,~,,g.S.~.t:..,~ ............................ , 19...~I, 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 ........... ..~..~...~.~.~.~..~.....~...~...~...~,~...~.~...~. ........................................................ (owner, lessee or tenant) of the .a,foresaid building. Building Inspector FOE~I NO. 2 ~TOWN OF $OOTHOLD BUILDING DEPARTARFNT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1530 Z Date ...................... Permission is hereby granted to: ~har&ez..Ada~.~ ................................................ .... 2.7.0....a;r,F~.z.e.ld...A.v.e ................................... ....... Ea s.t--.~o~.thpor.t .f..L.~.~.~ .......................... to. ~ui.~:d...new.. ene.. ,f. am.i..~.., d~e.Z ~.i. ng ..................................................................................... ot premises located at ...~/.S.....~e~.tozL.II.r.~.v.e ................................................................................. ........................................................ S.o~.tb~o.1 fl.~... ~.,.Z ........................................................................ pursuant to applicot,on dated ................................ ,~t-g~B~;.....2br ........ 19~]:...., and approved by the 13uilding Inspector Fee $..],0~,00 .......... .... ;.',.. ~::L.; .': L .~-..~ ................... :,:.,:..,.:.::(~ .............. Building Inspector ( TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................... Disapproved o/c ................................................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT August 24 Date ............................................................ 19......6.~T... 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 ~)remises 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. I~o 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 Dep.artment for the issuanoe 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. Charles Adams (Signature of applicant, or name, if a corporation) (Address of applicant) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner · Charles Adanu~ 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: .................... Street and Number Leeton Dr., at West Drive., Southold Municipality State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: Vacant lot a. Existing use and occupancy ............................................................................................................................... ......... One family, summer dwelling 3. Nature of work (check which applicable): New Building .................... Addition ....................Alteration .................... Repair ....................Removal .................... Demolition ....................Other Work (Describe) .................... ~ , $9,000. p $~0.00 4. Estimoted ~os~ .............................................................. t-ee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ................................ Number of dweIling units on eech floor ............................ If goroge, number of cars ....................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature ond 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 ................................ 36 36 24 8. Dimensions of entire new construction: Front ............................ Rear ............................Depth ............................ Height ............................ Number of Stories ......... ~ ................ ~64 sq. ft. 9. Size of lot: Front ........ .5..0. ................ Rear ..... .5..Q,...1. Q ........... Depth ....~D.7./.2~Q~ ........ January 1961 ,~ C.B. Johnson ]0. Date of Purchase ........................................................IName of Former Owner ........................................................ "A" Residential-Agricultural 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction violate any zoning Iow, ordinance or reguloHon? · Charles Adams ...2]..a...~..t.....~.g..~..t...~.P..°..r..t.. ........ Phone NO. ]3. Name of Owner of prem,ses ........................................ Address .................... ..... C. C. Shumard ^;~ress ...L..e..v...i...t..t..o.._w~...,.....P..a.... ......... Phone NO. Name of f',rcnltec~ ........................................................ r-,un .................... Name of Contractor..~.~.~..e...s..t-..q..e..w...e.~..1. .................. Address ..9..Q.~;..~.;i,~.:],~...~.~,. ........... Phone NO ..................... Bilt-Well Inc. of Northern Ne~ Jersey Riverside, New Jersey PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, ond 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 NEVi/ YJ:~, ) S S ' [ " [- COUNTY OF .~.u..~..o..z.~ .......... ) ' ' / Charles Adams / ~V ' . .......................................................................... , ....... ~ ............. De ng (Name of individual signing application) ~ du ¥ sworn, deposes and says that he is the applicant above named· He is the ................... .Q.W~. ................................................................................................................. (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 best of his knowledge and belief; and that the work will be performed in the manner set fcjf~lti~, t~E~pplication filed therewith. Sworn to before me this ~a~ Public, State of New York No, 0344963, Suffolk Coun~ t 8 ,~, 24th H~, ~f A~U t .~ ]~.,~Zx~ires ~*~' ~ ~9~ ~b~gnoture of applicant) ......................... , ............... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No. Disapproved a/c (Buildin~ Inspector) Application No. -'3 © APPLICATION FOR BUILDING. PERMIT Date ......................... ~..c~,. !~.~...2.~ ............. 1 9..... ,~.~'... 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 diagr6m which is part of this location. c. The work coYered 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. Charles Ac]ams (Signature of applicant, or name, if a corporation) 2?0 Larkfleld Road, East North]port, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Charles Adam~ 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: .................... Leeton Dr., at West Dr£ve. ~ Sour:hold Street and Number ....................................................................................................................................................... Municipality 2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction: Vacant lot a. Existing use and occupancy ............................................................................... ~ ..................................................... One family su/~me~ d~ell~[ng b. Intended use and occupancy ................................................................................................................................ property lines. Give street and block numbers or description according whether interior or corner lot. ~ ~'~"-~-~_~- ~Z'//'~ 3. Nature of work (check which applicable): New Building ...... ~ ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~..~.~..0..0...0..* ........................................... Fee ..~.~.O..t.0..0.. ......................................................................... (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 ................................ 8. Dimensions of entire new construction: Front.....~.~ ................... Rear ...~..~. .................... Depth .......~..4 .................. Height ............................ Number of Stories ......... 1 ................ 864 Illl, £1~o 9. Size of lot: Front ........5~. ............... Rear .....~.0~].0 ........... Depth ...~.0.~/~0.4 ........ 10. Date of Purchase .................. ~.~...~...1~...~'.~...~.~..~...~. ........ Name of Former Owner ........... .~.~....[I.~...~.~.~.~.~.lfl ............. 11. Zone or use district in which premises are situated ........... ~.~..~..~.*....~..?.~...~..~...~..~.~.~.~.~.~..~..~[~.~..~...~..~...~..~.~.~.~. ................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ............ ~...0....; ............................... 13. Name of Owner of premises...~..~[.~.~..~....~.~ ...... Address ...~.~.l~....~.~.~.~l~.;~,~. ........ Phone NO ..................... Name of Architect.~.*.....C.~...B.~'..~ ....................... Address ..~...~k'..~...~.~,.~..?/~,....~.t%, ......... Phone NO ..................... Name of Contractor..l~l;~ltltl.t,..~.tt~.ll~J, .................. Address ..9.l~l~...~l],l~..~t,* ........... Phone NO ..................... Bilt-Wel~ Znc. Qf Northern New Jersey Bive=side, New Je=mey PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from :o deed, and show street names and indicate duly sworn, deposes and says that he is the applicant STAT Y_Ot K. ) S S I . I COUNTY OF ,.l~.~,:g~..~.~.~. ......... ) ' I I (Name of individual signing applicatiog) above named. He is the ................................ ~ ..................................................................................... (Contractor, agent, cor~o[ate 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 a lJcation; that all statements contained n th s app i cation are true tb the best of his knowledge and belief; and t~t the work w be performed in the manner set forth in the appHcatibn filed therew th. I Sworn to before me this .Ill~I~H 7, BOKEN I ~, of ~.~ ......... ]~k,.~, Sufok Cou~yz~ t~gna~ure of applicQnt)