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Home My WebLink About1591-zF4~I~M ~0. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ~ 1477 Date October 23 19,.6...2... THIS CERTIFIES that the building located at .e/-..~/~,:Le~...~v.e,.~..~e~t.... Street Map'No. ..~.~.e..~...... Block No. e*e Lot No ........ ~....~. 83 . "' Have~ .................................................. ....... ~ .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ................... 0..~..~..°...~..e...~....2..~ ....................... , 19..~..~.. pursuant to which Building Permit No. ..... Z ...........1~91 dated ........ QC~:Jobe~..2~J ...................... , 19...61, was issued, and conforms to all of the requirements of the appli'cable provisions of the law. The occupancy for which this certificate is issued is ........ ........ ..~..~...z.y~..~.....f~.....~.z. ~.~.. ~..~, .~. ~. ~ ...................................................................................... The certificate is issued to ............... ............... ~e~1.~e~`~&~'e~e~1~H~a~e~~ ............ (owner, lessee or tenant) of the aforesaid building. TOWH OF SOUTHOLD BUILDING DEPARTMENT '1'O¥1t'4 CLERK'S OFFICE SOUTHOLD, Iq. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1591 Z Dote ............................ 9~E.o.~.e,~..~.:~ ...... ~9....?..Z. Permission is hereby granted to: .... ~ele~..~cl .... F.r ~.ct,.e~.J~ ~... ~.~ .e..~ .......... ..... B~.ie.~.. A~, e~*t u.~ ......................................... ...... Gr. eenp~r.t ,...N~..~.Q~ ............................. to ....... ~.~.~..z. ~..a..~,t,~..o.~...~.o....~ ~.~.~.%.~....o..q?.... ~.a..~.%..z.¥...~??..e..Z...z..t..n..~ ...................................... at premises Iocoted et ..~.a~.t..~$~..~r~Y.~.;L~...~7.~;~L~.~....~.~...e.f~D.~.~ ...................................... pursuant to opplicohon .dated ........................... O~,~oher...2,~ ............. 19~.~....., and opproved by the Building Inspector Fee $.5...0.~...q~.&.~. [0a'lc'[ Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No...../..'~....'~.../.. ........... Disapproved a/c ............................................................................................ .................. .......... Yjl' i'J' tn;f,'G;;') ................................ APPLICATION FOR BUILDING PERMIT 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 drown on the dia§rom which is part of this application. c. The work covered by this application mey not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o 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 po rt for any purpose whatever until a Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o [gui[ding Permit pursuant to the Budding 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 for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. Helen Hansen (Sign,oture of applicant, or nome, if a corporation) Bayview ~enue, S~k~ Greenport (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner remises Helen & Frederick Hansen Name of owner of p .................................................................................................................................................... ]f 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: Summer H~.~n Lot No: e/s Ba~iew Avenue, Greenport Street and Number ....................................................................................................................................................... Municipality State existing use and occupancy of premises and intended use and occupOn~yoF proposed construction: a. Existing use and occupancy o~e ~$~ . ,, ,, ~/ b.Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building .................. Addition ......~ .......Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost $200 Fee $5. O0 (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 ...... J,f~ ................. Depth ......~ .................... Height ..................... ,%"'~t~ Number of Stories ........... .1. ..................... 9. Size of lot: Front ....~ .................... Rear ............ .......-~' ....... ~. Depth ............. .1..8...0. .................... 10. Date of Purchase 1955 ........................................................ Name of Former Owner ..... .C...a..s...s..i...d.y. .................................. "A" Residential 11. Zone or use district in which premises are situated ................................................................................................. ]2. Does proposed construction violate any zoning law, ordinance or regulation? ........ .n..o. ......................................... 13. Name of Owner of prem ses .H..e..1...e..n.....&.....F..r...e..d.e...r.~..c.]Ad~Iraesns~9..n.. ......... G.~.9..e..n.R.o..r...t. ....... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor Frederick Hansen Address Greenport Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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, ) COUNTY OF ..Su.ffalk ......... ) S S. ......................... I-lelan..~an. san ......................................... '..being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the owner (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 fife this application; that ali 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 application filed therewith. JUDITH T, BOKEN Sworn to before me this N'otary Public, State of New York ~t .~.~, ~ ~-~44963, Sa[folk County~ I / z . / .............. .......... .................. z.:__ __._____. Notary Public, .~..~~... ont T~WN ~ $OUTHOLD BU~D~G DEPARTMENT TOWN CLERK'S OFF~CE SOUTHOLD, N. Y. £xomined ............... ~.r~. ~...., 19...(¢.../. Approved ................ (~....'~......~....~...., t 9..(¢.(.Permit No ..... ..~..../.-.$.~/ ..... Application No ........~...%..~....-~.../.. ..... (1~ Inspectori ............................... APPLICATION FOR BUILDING PERMIT 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 drown on the diagram which is part of this application. 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 ovailobie 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 Sou,hold, 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. Helen Hansen (Signature of applicant, or name, if a corporation) Bayview Avenue, ~l~z~l G~eenport (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, genera[ contractor, electrician, plumber or I~uilder. ~ Helen & Frederick Hansen Name of owner of premises ........................................................................................................................................... ]f applicant is a corporate, signature of duly authorized officer. (Name and htle of corporate officer) , 1. Locot,on o f/and on wh,ch P:;:s;:~:Zl ~..~ ............... Lot No: .. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy one family dwelling b Intended use and occupency 3. Nature of work (check which applicable): New Building .................. Addition ...... ~ .......Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ..~..0..0. ................................................. Fee...~.~.'..0..O. ............................................................................ (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 ..........~1~ .................. Rear ....... ~L6 ................. Depth ......~i. ................... Height ............................ Number of Stories ........... J, .................... 9. Size of lot: Front .....~.~ .............. Rear .....~?..~,t"~m.. ........ Depth ............. ],1~.~. .................... 10. Date of Purchase .................. ~,9,~ ............................. Name of Former Owner ..C.~.~.~.~.d.~. ................ .... "A" I~.esidentl~l ] ]. Zone or use district Jn which premises are slruarea ................................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ ~ ......................................... 13. Name of Owner of premises ..lrl~elD~..&..F.;~.~'J~,da~l~....l] ......... .~1[~.~..~.~.~ ....... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .....F~.?..d.e.~.~.c..k.....H...~..n...~..e..rl.. ......... Address ............. .G...~.?.?.n..p..o.~.~. ......... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly oil 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, ) COUNTY OF ...$tI.££C~.]¢ ........ ) S.S. .......................... H~].~tr~..~a~l~r~ .......................................... being duly sworn, deposes and says that he is the oppli;?nt (Name of individual signing application) above named. He is the .............. .0..,.I~,.,~.,,~. .............................. i~'~'~'c¥~'~;'~'~'~;'~'~'~l~'~'~'~'i'~i"~'~ i .......................... ~'~, ' of said owner or owners, and is duly authorized to perform or have performed the said work and fo make and f~{?'~ 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 application filed therewith. Swam to before me this JUDITH T. BOKEN Notary Public, State of New York