HomeMy WebLinkAbout1496-zFOH~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD', N. Y.
CERTIFICATE OF OCCUPANCY
No..~...~.~. ............ Date ................... ~o~.elltbe~.......13 ........ , 19..~1.
THIS CERTIFIES that the building located at .....~,/~.....~1~..l'~.i~e ........................... Street
Map No. ~.X ............. Block No.~.~::Y~ ............. Lot No. ~ ............ ~'~g~..~ ...................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
........................... ~.~1~......Z~I .................... 19.61... pursuant to which Building Permit No. ~..~.~..C)..6..
dated ....................... ~1~3,~....3~ ......... , 19~..., 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 ..........
............ ~r.i.v.a.t.e.. ~n~... f~mll~...c~ze.].ling ...................................................................................
This certificate is issued to ..J~.gx'.e~..(~.,..~oQi~.~ ...................... O~e~ ...........................................
(owner, lessee or tenant)
of the aforesaid building.
H.D.Approve~
by Villa
FOEi~ 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 1496 z
Date ......................... ~-~'""3'~' ............. 1961...
Permission is hereby granted to:
l~ed L...~e....~.C....Ra~ot...Noor.® ...............
.............. ~a~ti.tuck ............................................
to..Bui~d...ne~.. ~,~e..£~.l.ly...d~e.l.li~ ....................................................................................
at premises located at ..A].:~)...]~'.~.TO ...................................................................................................
........................................................... l~.t, ti.t, uek ................................................................................
pursuant to application dated ................................. ~'IL~ ...... '.~;~. .......... 19.6.~1..., and approved by the
Building Inspector
Fee $" q'O~'O0 .........
Building Inspector~ [
/
FORM[ NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined
Approved .......................... !..~ ........... 19...h...Permit No....~..../..~.~...1....~ ......
Disapp roved a/c .......... ~~~..m~~
............... ......................................
(Building Insp~tor)
Application No ..... ]...~,L..I..(~ .......
APPLICATION FOR BUILDING PI~RMIT
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 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.
l~e8 L~ Moore
(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.
........................................................ ~on~r.a~t or. ..................................................................................................................
Name of owner of premises ......... J4~tZ~./~J~.J~.t..~},..,~l~Cl~*~ .....................................................................................................
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: ....... ~.t.~.t.~$~.~ .......... Lot No: ...... ~ .........
Street and Number ....AI~O...D~.~.....~.~e~ .................................... { ........................................................
Municipality
2. State existing use and occupancy of p~emJses and intended use and occupancy of proposed construction:
a. Existing use and occupancy ............ .~..~O~ ................................................................................................
b. Intended use and occupancy ................ o~e..~l~..~e~l$~..... ...............................................................
3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
.1..9..
4. Estimated Cost ........... .=.~. .............................................. Fee ..... ..............................................................................
(to be paid on filing this application)
. ,
5. if dwe[]ing, number of dwe]]ing units ................................ P~umoer of dwei[ing units on each floor ............................
[f 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 3"~"~' Rear ,,~1. Depth
One
Height ............................ Number of Stories ............................
9. Size of lot: Front ........ ..&?~ ............ Rear ........ .~..?.. .............. Depth ..J..~.O....~,V.? ..........
1961 K. ~ttthill
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? ........ .~...O. .......................................
· ~1, l~ooz, e
]3. Nome of Owner of premises ........................................ Address ............................................ Phone NO .....................
Name of Architect ........................................................ Address ............................................ Phone NO .....................
F. L. ~oore Mattituok
Name of Contractor .................................................... Address ............................................ Phone NO .....................
PLOT DIAGRAM
Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all
property lines. Give street and block numbers or description according to deed, and sh*
whether interior or corner lot.
names
msions from
nd indicate
'
I
STATE OF NEW S S.
COUNTY OF
F~ed L,
(Name of individual sigmng
above named. He is the.
of said owner or owners, and is duly authorized to perform
this application; that oil statements contained in this appl
and that :the work will be performed Jn the manner set forth Jn the
me JUDITH T. 130KEN
Sworn to before this ~r~ Public. Stay, of N..~.w y~.rk/
............... ,
.being duly sworn, deposes and says that he is the
agent, corl~arote officer, etc.)
performed the said work and to
true to the best of his knov
filed therewith.
i
applicant)
.lico~t
and file
d belief;
FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Disapproved a/c ........... ~.~~ ..~.. .........
(Building Insp~/ctor) .
APPLICATION FOR BUILDING PERMIT
Application No. / /'-~ ~ ~
D- July 31 ~6t
are ................................. ;.- .......... : .............. i~ ............
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 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 port 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 for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
~h'ed L. Moore
(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 nr~i~ i"iarF~ret G. i"Ioore
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: ....... ~....!~....~.~.~..t.,.t..~.'.t.~;~. ....... ... Lot No: ...... ~k .........
Street and Number .....A.~.b...o...!.)..r..$.~.e.,.~......!~..t..t..$.~.-~ ..............................................................................................
Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ............ ~.~.o..~j2.t....~..o.~ .................................................................................................
b. Intended use and occupancy ............... .0.Tt.O...~.~i.~.~..~.we.?,Z~.j,u~ ....................................................................
3. Nature of work (check which applicable): New Budd ng ......... x~.~......Addmon .................... Alteration ....................
ReDair .................... Removal .................... Demolit[on .................... Other Work (Describe) ....................
4. Estimated Cost ........... .6.~0.0...~?/.~/~. ............................ Fee ...... ;k.O.., ..............................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ......... .o.b.e. ................ 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 ................................
De~th .............................. Height .............................. Number of Stories ................................
8. Diroensions of entire new construction: Front ....... 3.,~.*!.[; ........... Rear ......... 33.:.}?: ......... Depth ....2!.+. ...................
Height ............................ Number of Stories ....O..'O..(.~ ..................
9. Size of lot: Front ......... ."L.~] ............. Rear ......... ,~. .............. Depth ..1.k~...~...e ..........
10. Date of Purchase ...........~..9~ ..................................... Name of Former Owner ............. J.{.,...?...~.~.-'] ....................
11. Zone or use district in which premises are situated.....t!JLt. L ....................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~.o.. ......................................
13. Name of Owner of premises ...... ]~....J.v[o.O~'. .............. Address ............................................ Phone NO .....................
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor 9 ~ ],~ ~k{ooZ' - . ..... Address ...... ~r!B..l-~'~.~..%..'g,. Q~.¢ ................. Phone NO .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate
property lines. Give street and block numbers or description according to deed, and
whether interior or corner lot.
s~reet names
I
t
t
I
from
~d indicate
STATE OF NEW YORI< S S.
COUNTY
J?r ¢,d I~.
(Name of individual signing.~l
above named. He is the ............ con:b-:~'ac ./.
of said owner or owners, and is duly authorized to perform
this application; that ail statements contained in this appli
and that the work will be performed in the manner set forth in the
Sworn to ~efore me this ,.,omi T e0~l ..
~Y-,.~ State o! ~ew yor~
.................... ..., ..................
Notary P u b [ ic,~Z~ ,,~... -. · · '/~--u~-" · '~f~nty -
..being duly sworn, deposes and says that he
agent, coqborate officer, etc.)
performed the said work and
true to the best of his
filed therewith.
applicant)
t
I
is the
I
)licant
and file ,'
~d belief; -