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Home My WebLink About1401-zTOWN OF SOUTHOLD BUILDING DEPARTMENT 'rOWN ~CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY ~o...Z ..Xl?5. ...... ~ate ...................... lto.v, emhe~..8. ........... , THIS CERTIFIES that the building located at .WQOd~°~i.~ .]~e~t.~..~.~...~. Street Map No. ~QII ........... Block No .............. w'ew..Lot No ..... ~ ..............]~t~t],~lll2k ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... [~.....].2 .......19..6]. pursuant to which Building Permit No....~,.~.0~,... dated ....................... 1~.....~2 ........19.6],.., 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 ..~:~],.~.~,t~..~e...f.~m4 'ly...dMe'l ].~ ............................................................................... This cert~[icate is issued to .... ]qal~.]~l.....NeJ. SO~l ................ 0'~F. ...................................... (owner, lessee or tenant) of the aforesaid building. H.D. lpp~oved by P.l~.aJko~sk! 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) N.° 1401, 7 Date .................................. ...1~.. ~....]....2. ......... 19....~..1... Permission is hereby granted to: · ~o,,thoX~t,..ll~..:Zor~ ................................... to . 11~1141~ ti..ll~t~.. ~!~1.. ff, ll~l..~r.. ~!1~1. l~.l~ .................................................................................... at premises located at .~:O~'II~'...W~I.~..DI~'~I,~'~...~...~.~'~I.~'...~'.~IIf~II ............................. ....................................... I~ f~n~...ll~...York ........................................................................... pursuant to application dated .............................. Ilill~...~,~ .................... 19.~1...., and approved by the Building Inspector Fee $..'10~ OO ......... Building Inspector APP,ICATION 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 ~ot 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 an,/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 Southoid, 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) Kwasneski & Powell ........ ............................................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises Mar.~.l .xJ~...I~..'.....~..9..1..s.°.~ ................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) MasoI1s ~* 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ear. Wood¢l±ff and ;9estv±ew Drive, MattktulCk' Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .¥.?.~..a..n...t....Z...a..n..~ ................................................................................................... b. Intended use and occupancy.....O..n..e......f..a..m...J:..Z.~.....d.w...e..'l:..1..J:.n..~ ............................................................................... 3. Nature of work (check which applicable): New Building........X~... ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost......'$..1..8..¢..5...0..0..'....]~../.m. ............................ Fee ..~..1...0.:...0..0. .......................................................................... (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 cars .............t..w..°.....c...a..r....a.t..t..a...c..h.e.d...g..a..r...a.c-I'.e. .......................................................................... 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 ...... ,8.,.4..' ................ Rear ..... .8.4..'. ................ Depth 36~ Height ............................ Number of Stories ...... .1...~. ................. 9. Size of lot: Front 208' Rear 200' Depth 122' May 12, 1961 "am ........................................................ 10. Date of Purchase ....................................................... t'~ e of Former Owner Richard H. Price 11. Zone or use district in which premises are situated ...::..A..~....R...e..s."i"d..e..n.t...i..a..~...-..A..g..r...~..c..u".~...t.~ ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... D,o ........................................ . Marylyn M. NelSo Patc ague 13. Nome of Owner of prem.ses ....................................... .nAddress 5. Q...~i~J~.ID,I~...~.~-., ......... ~'l~one NO ..................... . Derick B, Ki Name of Architect .............................. ~.D ..................... Address ............................................ Phone NO ..................... ~sneski & Powell Southold Name of Contracto ..~... ............................................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and b[o,:k numbers or description according to deed, and show stre, names and indicate whether interior or corner lot. STATE OF NEW sYuO~'~lk ) S S. COUNTY OF ............................ ) Leo Kwasneski ........................ ., ........ be ng duly sworn, deposes ~nd says that he Js the applicant (N~me of individual sign[ng application) above named. He ~ m~ Contractor (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 end file this application; that a statements contained in this application are true to the best of his k,,n~wledge and belief; and that the work will be performed in the manner set forth in the applicatjor~)filed therewith. Sworn to before me this //' / a 1 SUDITIT 12thHnu nf .M. ~,,/ 19.~ .,,,~Jotar~,~ '~ ~U~.,~gnature o~ applicant) ............... ~-~ ",'"'?"":;'">";f // ....... ~,' ~k~,/~g-' ~ ~' ,~e~gnaTure or appucan~ ........... ...... .. Notary Public, ~~,~,,,~,~.(~r,~,~., .,,,-~,,.:~dOT't~9"~i p TOWN O.F SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. EX(IT.ned ............ V'" ''~'' ' :~"f ............ 19'"'~'" Approved ........................................ 1 9 ........ Permit No ............................... Disapproved a/c ........... < .................................................................................. ................ t.. ........ ................ ¥. ...................................... (Building Insp~tor) 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 Jot and of buildings on premises, relotlonship 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 issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of $outhold, 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. ................................................ ~nllature,f)f, ap_plig~an_t,_q.r,name, if a corporation) SOuthold, New Yo=k (Address of applicant) State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Name of owner of premises....M.~..~.~l..~......~..t....N..~..~...~..~...~. ......................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Mason~ *~ 1. Location of land on which proposed work wi[I be done, Mop No: ............................................ Lot No: .................... · , cor~ woodcl~L~f and Wes~.wLew Dr~v~, Mat~.~tuck Street and l~umDer ....................................................................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Va~an~ lanc~ a. Existing use and occupancy ..................................................................................................................................... b. Intended use and occupancy....O..~..?.....~...~...~.~..~.....~.~...e..~...~..~...~.~: ............................................................................... 3, Nature of work (check which applicable): New Building ...... ~t~ ......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost......li~.~.~.O,O.,...~,~ ........................... Fee ..l~]L0,,.0a ......................................................................... (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 cars ............ t.~.O..~&~...&~l~C~3~l...~&Z~gl ......................................................................... 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 some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... ~J.~,~. ............... Rear ......~.~..~ ................ Depth ...;~.{~,~. .................. · Height ............................ Number of Stories ...... .~..~ ................. 9. Size of lot: Front ...~.l~J[I .................. Rear .......... ~1~1~1.*. ......... Depth .....~l,~J~.~. ............. 10. Date of Purchase ...... ~t~...~.,~..,~l,.~.~ .................... Name of Former Owner ..1~,¢~]~.~..~...~.~.~.~. ............... 11. Zone or use district in which premises are situated .....~..~...I~,~tLt~C[I[I~IL~?~g~.~.~,.~V,~.~t~ ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... ~ ....................................... 13. Name of Owner of premises.~...~...~..~..~....~...~....?~.?.t~Address 5Q..C~tl:l~:l~,~...~,o...~.?.~.~oOr~'~O ..................... Name of Architect..~..~.~...~...~...~.~.~. .................... Address ............................................ Phone NO ..................... Name of Contracto~....~1~111~;;1' & IIOW~'~'~ Address ~O~tt~Old ............................................................................................ Phone NO ..................... property lines. Give street and block whether interior or corner lot. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from numbers or description according to deed, and show street names ~nd indicate STATE OF NEW ~(~.~, ) S S. COUNTY OF ................ "'*" '"",.~,.~. ....... ) ..... ~ .~....,~.~...~,.~...1~..~...~. ............................... be ~g duly sworn, deposes and soys that he is the applicant (Name of individual signing application) above named. He is the ............... ~.~,~.X..~.~.~.~.~. ..................................................................................................................... (Contractor, agent, coqSorate off,car, 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 applicat, ion are true to the best of his kjpowledge and belief; and that the work will be performed in the manner set forth m the app?icati~n)filed therewith. Sworn to before me this ~, ~L~T~,~ T, ,~-.-~-/ /J~¢/.Y~ ................ .~,.~..~day ~of .... ........... 7.....~../,. ........ 19.~r~,2,~,0,~j~r~3at~,,i~;r~,,.o,,[/~;noture of appl.cant) Notary Public, ~ F% 0 t-.4 'T- ? t. z · O 0 0 C 7~ P,~-VI SI 0 I1S D~OJ~CT DR~ IJJ ri ~1 Iii r. 14 I i'LLT I/.4-" -: ¢- ¢:," ji I I I I i II ° T_ L_ E il V ~ i- 10I',,.4 o T'YD I C...5,. t . ° L ~s, VS- o DP, OJ~C ! flP{'lq!lFC I ~! P PP, O V[- DaT,k DP, QWINC o \ 0 .SLIc¢ j J L L FILL 0 n o IBrD i~l"d *.t HL:~L,L .~T U DY 7L _5" 7'_.5~ C' L L. IVI K.IG F'J.'ix4 -I R[VISIOflS I~[I~I'£K l~ KlPP P P~OJ f,-C f S C Il LC- D IIT~- ° ~CkIEIx, I~:~,TI C_. ,, -' PLUIVllbl k.ic__.~ ,, DW 7e ~[visions P~O3FCT SCQ L[- BaT.E- BP,~LU n I~M AP'PROV&D DRflLUIRC