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HomeMy WebLinkAbout1452-zFOEM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEP, K'S OFFICE SOUT/'~GLD, N. Y. CERTIFICATE OF OCCUPANCY No ........ ~..;i.;27.~j ....... Date ..................... ~F~,i~la~'...2~ ......... :., 19....6~ THIS CERTIFIES that the building located at .~...~,~...~.~,.~*.~...~..~t Map No. ~ Block No, ~ Lot No ......... ~. , conforms substantially to the Application for Building Permit heretofore filed in this office dated ~e ~ 19 ~ pursuant to which Building Permit No. Z ~45~ dated ...~.~...~ ................................ , 19....~.~ was issued, and conforms to a~l 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 aforesaid building. -- Building Inspector / FOI~M 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.o 1452 Z Date ......................... gl~ll~.....~,O. ............ ] 6~- .... Permission is hereby granted to: ..... l~i~:i'""lt~'~'~ ..................................... to ..move...~..ex!sti~g...priwate..¢~.u~..bt~l:~.d.~.~..to..nm...].o~,&o~ ....................... at premises located at W;/~..O~l~..]~l~,~lO~,,..]~l~al[] ............................................................................... ............................................. · Nm.. ~.~f.~.~ .~...ti.~ ¥-, ........................................................................... pursuant to application dated ................................. .~......'1~ ........... 19.~.'l.., and approved by the Building Inspector Fee $'~'0~00 ........... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,OLD, N. ¥, Examined ......... ..~...'.r'..'=>....~ ...... 19~.!.... Approved .......... ..~..... ............. ~.~ ........ 19 ........ Permit No. ~ /'¥5~ ~ Application No...../....~.....~..~2~ ..... Disapproved a/c ........................ 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 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 wilt 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 alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. Mattituck House Mover, Inc. (Signature of applicant, or name, if o corporation) Mattituck, New York (Address of applicant) State whether-applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Nome of owner of premises Old Cove Yacht Clubt Inc. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) t. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number .....w../...s....°...1.d.. Harbor. R...o.a...d.:.....N..e_.w.....S.~..f..f...o..1..k.. ......... 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 ..................................................................................................................................... Club House Building b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .M...o_v..e.....C...1..u..b House 4. Estimated Cost.....~..4...O..O..'...0.0. ......................................... Fee .~..1..Q.....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 ar 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 ................................ 2~'4'' 24'4" 28' 8. Dimensions of entire new construction: Front ............ .? .............. Rear ............................ Depth ............................ Height ............................ Number of Stories ........ .1. .................. 9. Size of lot: Front .......1..2...2..'. ............ Rear .....8...5..'. ................. Depth ..... .9..7..'../..1..2.5..'. ..... 10. Date of Purchase ........................................................ Name of Former Owner Harry H. Tut.hill 11. Zone or use district in which premises are situated.~...~.~..A..~.~....R...e..s...i"d..e.~n..t..~..a...~..-...A..g..r...~..c...u..~...t.~r..~ ........................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... .N..o.. ...................................... · OldCove Yacht Clu Inc. Old Harbor Rd. ,New Suffolk 13. Name of Owner of premises ........................................ ~dress ............................................ Phone NO Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of ~ntract~r..M...a..t...t..i...t"u....c~....~.H..~...u..s..e..~..M...~..v'..e..r.A~s ...M...a..t...t..i...t..u..c...k. ................... 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 block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ) S S. COUNTY 'OF .~.u..f...f..°..1.~ .......... ) Frank Zeleski ......................... be, ng duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .............. .C...o..n...t_r...a..c...t..o..r.. ..................................................................................................................... (Contractor, agent, corl~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.t~Wl~.~r ~..~.~r,k~ in the application filed therewith. Sworn to before me this #et~,y Pab~'ce.S~at%u°tfio~ev~0~t¥ ~ -~.th day of ..J..uc~.,~ ~' ~.T'"[9 ~.{ ..~,. ~ (Signatuj~e 9fi'~pplicj~)t) /// , ................ ....... ' . Noto, P b,,e, - TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........... ~4.j ................. '.'. ....... ]9 ........ Permit No....~....../..~.~..~i..~.~.... Application No ............................. D sapproved a/c ....... ,, ............................. .~. ......... .~..~¢.....:~ ......................... ~'.-~. ?:~..Z'..~. ................................... ' (Building Inspecttr) APPLICATION FOR BUILDING PERMIT Date ................................. ~.e.... ~-.9. .......... 19..6..~. ....... 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 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 issuanae 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. Mattituck ~Iouse Mover, Inc. (Signature of applicant, or name, if a corporation) Matt~tuck, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Name of owner of ..................................................................................... If applicant is a corporaL.e, signature of duly authorized officer. (Nome and title of corporate offiget) ]. Location of land on which proposed w6rk will be done. Map No: ............................................ Lot No: .................... Street and Number ~.~.../.~..~.}~`~"~.~.~.~.~.~..~.~.~`N~..e`.~..~.~.~.~.~.~.~`~` ..................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacant lot a. Existing use and occupancy ..................................................................................................................................... Club House Building b. Intended use and occupancy ................................................................................................................................ 3. NaturE. of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..M..o.?..e.....C..1...~.b HouJe 4. Estimated Cost......$..4...O..O..t.o..O. ........................................ Fee ,~.,1,,,0,;.,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 some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 24 ' ~'' 24 ' 4" 28 ' 4" 8, Dimensions of entire new construction: Front ................. .'F.. ........ Rear ............................ Depth Height ............................ Number of Stories ........ .~. .................. 9. Size of lot: Front ....... !...2..2..'. ............ Rear .....8...5..'. ................. Depth ......9.?.'....~....2.~..~ ..... 10. Date of Purchase ............................ ~ ........................... Nome of Former Owner Harry H, Tut:h,f.l'l "A" Res 1dent ~a 1-Agrtcu 1tufa1 11. Zone or use district in which premises are situated ................................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ......... .N...O. ...................................... · 01dCove Yacht Club. ~;nc. ~ u..~ ~ New Suffolk Name of Owner o~ premises ........................................ ASdress ............................................ Phone NO ..................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor. M.?t..t.~..t..~.~....H..°...~..~...e...M.O..V...e..r.A~li~s's ....M...a..t...t.~..t..~.~ ................... 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 block numbers or description according to deed, and show street names and indicate whether interior or corner lot. I STATE OF NE~/ x&QRL(,- ) S S. COUNTY OF .~.~...~..~..o..'.J...~. ........... ) Frank Zeleski ................................................................................................. being duly sworn, deposes and says that he is the appl!cant (Nome of individual signing application) Contractor above named. He is the ............................................................................................................................................................. (Contractor, agent, car[borate officer, etc.) of said owner or owners, and is duly authorized to perform or hove 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 application filed therewith. Sworn to before me this JiJDITH T, BOKEN lgth day of ...............~.~J~?.~,~:~l,~ ~?,~I.~.,,~.~{,,,% ~ (Signatu&e ~pplic~t) ~ / , ........................ ~ -- . ~ ,,~ p~. // / /' / --/~