HomeMy WebLinkAbout1537-z Uryry. i x..1919 LI\ ��v�.v . �.... �vu ....� UL.Z • 7 .71 13 o Ub r .U4
TOWN (DIP SOUTHOLD
I UMDING IDEPARTMMT
Town Clerk's ®f m
Souabold, N. V.
Certificate Of Occupanq/
1.o. •2775? . . . . . Date . . • . . . . . . . . .3une• 3� . . . _ . e .s 19. 77
THIS CERTIFIES that the building locates at • . .ji/S. Q••=dvIew- tiv a. . . . • Street
Map ko• Y_c . . . . . . . . Block No• . .y;. . . . _Lot No. . . . . L,�outhcQd :N m 1: .
b-
conforms substantially to the Application for Building Peranat heretofore filed in this office
dated . . . . . . .� � ��9 .� . . . .@ 19.76. pursuant to which Building Permit sSTo. . .� �I J ?
5. 5~
dated Augg .31 �1 gL-1 . ; .f `I. 19.1.�a was issued,, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate Is
issued is •bd c�- re ly •� � •: :trYQ d"w�• pec � ee • -buildl—n . . . . . . . . . . , .
The certificate is-issued to Arai;h--o-i:r, • . . . . . . . • . . . . . •
F- (owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . .b.�-. .I... ab'1111a- • -rb9_'a• C•ii •e;1 .•eaC'rrult)
UNDERWRITERS CERTIFICATE No. ::@ ?e• 1- : I .. . . . . . . . . . . . . . .. . I . • . . . . . . . . . . .
HOUSE N UM13ElEI . . . _ .1 ;'. ;:r. . _ Street . . . a..� . . . . . . . • � . . .
Building Inspecto
FL @
FOR~I NO. '2
:TOWN OF SOuTHOLo '~
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHO~.D, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 1537 Z
Date ..~ ................... ,~l.g~.~J;.....3], ........... 19~...
Permission is hereby granted to:
R fz~erhe,~ ~].'.~on.~-~... ~o......~/.(~...A~nie. · ~.3% ~./it ~¢~1
.... ~ ~...N~;~n...~.t. ...................................................
....... .~ ;Lv. e:r.b, aac~.~..... &., .~ ,, ...................................
to ....... Ne-~,r' 'on~''' ~t~a~zcL']:y· 'd~re'[k]:i~g ..............................................................................................
at premises located at ~.~cmd~..~.i.e~e~.~t:~..~.ea.s~;~..~.~.]x~t~et~a~.`~ve.~J~/~-S. V.tt. )
pursuant to app(ication dc~ted .............................. t~.~.~S.~,...~.~. ............ 19.~.1..., crud ~pproved by the
Building Inspector
Fee $1~), ~)0 ............
Buildin9 Inspector /
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ........................ :2 ............. 19....*.:..Perm t No..~.../.iZ..~....Z ......
Application No. t/ ?
APPLICATION FOR BUILDING PERMIT
Date ............................ ~C~..St 3.t '~_
INSTRUCTIONS
a. This application must be campier.ely filIed in by typewriter or in ink and submitted in duplicate to the BuiJ~ing
Inspector. ,,~
; b. Plot pl6n showing location of lot and of buildings on premises, relationship to adjoining premises or public strf~.ets
or areas, and g ving a detailed description of layout of property must be drawn on the diagram which is part c~f this Iocat}}~n.
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 applicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Contractor
Name of owner of .... i~ An~%e La,erie Ja~/es W~l.~zel
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: ............................................ Lot No: ....................
Street and Number .~L~......8...o..u..n...~..v-~..e..w...~v..e..n..~...e.~....~..°.~..~..~ ............... i ..........................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
vacant lo~.
a. Existing use and occupancy .....................................................................................................................................
b. Intended use and occupancy ~ew one family ~elltng
3. Nature of work (check which applicable): New Building....JliZ ........... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost ...... //.6~,g. O0. ......................................... Fee ..... Jl~,Oo.O0 .......................................................................
(to be paid on filing this application}
5. If dwelling, number of dweillng units .................... .~. ......... Number of dwelling units on each floor ............................
If garage, number of cars ................... D, QI~I,~t ...............................................................................................................
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 ................................
D~pth .............................. Height .............................. Number of Stories ................................
8. Dimensions of entire new construction: Front ....... 2~ ................ Rear ...... ~ ................. Depth ......~ .................
~eight ............................ Number of Stories ...........~ ..............
9. ;Size of lot: Front ....~0~ ................. Rear ...... ~0 ............... Depth '"~0~ .................
10./ O'ate of Purchase ........................................................ Name of Former Owner ..~.,...~. .............................
~. Dbes proposed construction violate any zoning I~, ordinance or regulation? ..... ~ ......................... ~ ................
. 'N~me of Architect ........................................................ Address ............................................ Phone NO ..........~..~ .......
PLOT DIAGRAM
Locate clearly and distinctly all buildings, w~ther exisHng or prop.osed, and indicate all set-back dimensions from
property';lines. Give street and block numbers or~escrlption according to deed, and show street names and indicate
whether ~interior or corner lot.
STATE OF NEW YO~K, ) S S.
COUNTY OF ....
....................... .~.~,.~. .............................................. being duly sworn, deposes and says that he Js the applicant
(Name of individual signing application)
above named. He Js the ....................... ~[~.~ ..............................................................................................................
(Contractor, agent, corSorate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make a~d file
this app aaron; that a statements contained Jn this application are true to the best of his knowledge and belief;
and that the work will be performed Jn the manner set forth Jn the app~ cat on flied therewith.
Sworn to before me this JUDITH T. ~E~
Approved ........................................ 19 ........ ~'erm~ No ................. · ..............
Application No.../....~....,~.....? ...........
^ee.,C^T,O. ,FOR U,LO,.G
............................. ......... ......
I NS'l-RUCTIONS
a. This application must be completely filled in by typewrite[ 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 availabl9 for inspection throughout the progress of the work.
e. No building shall be occupied ~r used in whole or in p art 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 Lows, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or fbr removal or demolition, as herein
The applicant agrees to comply with all applicable laws, ordinances and regulations.
(Signature of applicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder,
Contractor
Name of owner of ....... ---'z~nn~e Laurie Ja~ues
Witzel
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 ~/.~.......~g.t:j.~y..i.~.~.....~..-y-..~.~..~.e..~....~.o,.~.o..Z..~ ............................ ~ ..............................................
f ~ 7 f' ~ Municipality
2. State existing use and occupancy of p~emises and intended use and occupancy of proposed construction:
o. Existing use and occupancy.....Y..~.?...~..~..~....1..°...~. ........................................................................................................
new one family dwelling
~ b. Intended use and occupancy ...................................................................................................... 5-' ........ '~;~ ............
3. Nature of work (check which applicable): New Building..,.~:~ ........... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost ...... .......................................... Fee . ~.10.00
(to be paid on filing this application)
5. If dwelling, number of dwelling units .................... 1 ......... Number of dwelling units on each floor ............................
If garage, number of none
cars ............................................. , ......
6. Jf 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 ....... .2..8. ......... '. ....... Rear ...... 3J~ .................. Depth ...... .],.1~ ..................
Height ............................ Number of Stories ............Z.,. ..............
9. Size of lot: Front ...].OD .................. Rear ...... 1O.Q ............... Depth ...3.00 ..................
August 1961
10, Date of Purchase ........................................................Name of Former Owner ,,.~..~.......~.,~r.~.,.e. ..............................
"a" Residential ~ Agricultural
11. Zone or u%e district in which premises are situated ................................................................................................
12. Does proposed construction violate any zoning I,g~_, ordinance or regulation? ..... ~zo ..........................................
· Ja~~ e itzel · uthold
13, Name of Owner of premise~...~,.g,~,l,~ ............ .t~reT~s~ ................. 8g. Ut3.(;1,~'.~,~...~l~lene 11~8 .....................
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor.~...J:¥..?.~.b..,e..a...d.....C..°..,q,s.~.~..q~..$..°.?Ao~ess ......... ~.J:.~.e.~.e..a...d.· ............ Phone NO .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, wh~her existing or proposed, and indicate all set-back dimensions from
propertYwhether interiorHnes' GiVeor cornerStreet andlot, block numb~a~eed,. . and ~ow street names and indicate,,
,?
STATE OF NEW YOR~<, ) S S.
COUNTY OF .... .quff elk ....... )
Ralph Gallo be no dgly sworn, deposes and says that he is the applicant
'. (Nome of individual signing application)
Co~t~aetor
above named. He is the .............................................................................................................................................................
(Contractor, agent, corlborate 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~lffm~hl](j~he application filed therewith.
Sworn to before me this Not~y Pubtic~ State of N~w York
No 52-03~4g(~3, Suffolk Coun[y, ~
31st - · Auc[ust l~;m~ioll~jiresJ~larch 30, l~,~_~_~Signoture of qpp. licant)
clay OT . ...........................................
........................
k, Notary Publ'ic, . ..'.--,~....:..