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HomeMy WebLinkAbout1510-zFOI~i~I N'O. 4 TOWN OF SOUTHOLD BUILDING DEPARTME~IT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at .I/J~.~...~'~G~'~..~ ....................... Street ~ar~ent byTl~e Se~,,__,. p I'~10 ....................... OIUL, I'~ No...J~.~.~l ....... Lot No.~.~ ............... 0~'J,e~t.~...]~..~, ...................... conforms substantially to the Applicatian for Building Permit heretofore filed in this office dated ................................. AllStl$.t,.....~. ............ 19..61. pursuant to which Building Permit No...Z1 ~0.. dated ....................... Att,~.l.lS.t.....~. ........ , 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 .......... .......... .~..~..a. ,l;.e....~[I~...~ti~....dw. ellin~ ..................................................................................... This certificate is issued to ...~l,.~.~.3:...l~,...]:t'l(~ ................. ~WP.~,I~ ................................................... (owner, lessee or tenant) of the a.foresald building. H.D.approval Mar.a?, '62 by R,Villa .......................... ................... FO~.lW NO, 2 TOWN OP $OUT~OLD BUILDING DEPARTMENT TOWN CLERK'5 OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PI~RAAIT MUST BE KIEPT ON TIlE PREAAiSES UNTIL FULL COMPLETION OF THE WORK: AUTHORIZED) N? 1510 Z Dote ...................... ,,/L!Ag~ ~..,.. ,~, .............. 19~,... Permission is hereby granted fo: Wal,~.~...UA%., .I~.~.~..... ,A~.,~...... ~.~ ....................... . f,~3...~L,~.~..,~.e. .................................................. ....... C}le~o.ad...L~cii~g ................................... to. ~.,1.~., .~..e.y.~....~..~.e... ,~.~.e~.~.]::.~...~.~.e. ~.l.~,~g ..................................................................................... ot premises loco*ed ot ,~p.~..A..~.3,~...~.e,~..~L.~...P~.le~;.,,bY..,.t~h.e...~.a .......................................... ..................................... L~h~.e.e...~-,~a;~.er.s..L,~e~..O~,fen.t, ............................................................... pursuant to oppiicetion doted ................................ AAg.t~.8.:f~.....,~. .......... 196:L..., and opproved by the Building Inspector Fee $..LO.o... ~C] ........ OR 6-1990 To~ of Southold Building Dep&rtment Southold, Long Island, New York Dear Sirs: ~closed herewith please fimd Department of Health Oer~ificates on b~th the private sewage disposal and the private water supply in connection with residence building located on Plot #43, Section C~e, Map ef Orient-By-The-Sea, Orient Point, New York, situate on the west side ef Three Waters Lane, approximately 200 feet north of Parkview Lane, Orieut-By- The-Sea, Ori~ut Point, New York. It is our understanding that it is necessary te sub- mit these certificates in order to obta~u a Cerbificate of Occupancy. Will you, therefore, issue said Certificate of Oecupaney~ ~0 US. Thamk you. Very truly yours, WALTER UHL, INC. a :ec ]~ICiOSH~CS FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. AppraYed ........................................ 19 ........ Permit No ............................... Application No./.. ?.....< _f?. ............. APPLICATION FOR BUILDING PERMIT Date August 7 1~61 INSTRUCTIONS a. This application must be completely filled in by typewrite? or in ink and su/omitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildingF on premises, relationship to cd]olning premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram whlch 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 Sou'thold, 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. Walter Uhl, Inc. ......... Ha 1.t e~...UI~ 1., ... Rr ~ %.d~ ~ .................................... (Signature of applicant, or name, if a corporation) 3 Glen Lane, glenwood Landing, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor · Walter Uhl, Inc. Name of owner of premises ..................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Section I 1. Location of land on which proposed work will be done. Map No: .O.~.i.?...q~..~.~.~.Z?...~.?.Z.S..e.9... Lot No: 43 Street and Number ......... ......................................................... Municipality 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... occu an Residence One Family dwelling b. Intended use and p cy ................................................................................................................................ 3. Nature of work (check which appllcable): New Building .................... Addmon .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 12, oo0. 4. Estimated ~ost .............................................................. l~ee ..~.0.,..0.~ .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units.....O.n~ .................... Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................ 6. If business, commercial er mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existinfl structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................ Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Helght .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front.....4..©. .................... Rear ........ .4..0. ................ Depth :25 Height ............................ Number of Stories ..1...~. ...................... 9. Size of lot: Front .........1..0...0. ............. Rear ......1...0..3..:..7..1. ......... Depth .1...2..5,/.1...5..2. ........... ........................................................ Name of Former Owner ........................................................ 10. Date of Purchase 1958 W. oHoK'ing "A" Res id~ f~ 1-Agr ±cultura 1 11. Zone or use district in which premises are situated ................................................................................................ 12. Does propos'ed 'construction violate any zoning law, ordinance or regulation? N..o. ............................................... · Walter Uhl, Inc .... Glenwood Landing ]3, Neme of Owner of premises ........................................ ~aaress ............................................ ~none NO Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor......W...a..1...t.,e..r....~.l..:-..I...n.,c..: ......... Address Glenwood Landing ............................................ Ynone 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 cor.r er lot. STATE OF NF--c~/.,cY~,4°4~ S S. COUNTY OF .,..~%..........~'~. ............ ) Walter Uhl ................................................................................................. b~Jng duly sworn, deposes and says that he Js the applicant (Nome of individual signing opplJcation)~ above named. He is the President~ Walter Uhl~.., .I...n..c.: .................................. ............................................... i'~'r~'~ractor, agent, corlSorate 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 ali statements contained in this application are true to the beet"of his knowledge and belief; and that the work will be performed in the manner set forth in the ap?lication filed therewith. Sworn to before me this ]UDITH' Au ust Ifotarlr,~ublic, State of New Yot/~ ( nature of a licant) ................ .7...t..h.. dav~f .................. .9:..u-s.._~c.....,,> .... 19~:~4963, s,rr01~ Notary Pubhc, ~~.~....:,~'?'c'%~' '~¢*' ........ County FOR1Y~ NO. 1 · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ~..~-',~ ' *~ ~o~ f . :, / o Approved ........................................ 19 ........ Permit No. ..'~ ............... Disapproved a/c ...................... ........................ '...' (Building Inspector)/ Application No./....~?,.../...f?. ............ APPLICATION FOR BUILDING PERMIT Date . .~_U..~J.~..~ .~.....7. ....... 1 ~.'1 ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and su6mitted in duplicate to the Bullding 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 coYered 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinances and regulations. Wal~er ~1, Inc. ........ ~a~er- ~ ~..Rr~s~en~ ..................... ~ .............. (Signature of applicant, or name, if o corporation) 3 Glen Lane, Glenwood Landing, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Con~ractor Walter Uhl, Inc. Name of owner of premises ..................................................................................................................................................... if applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Section I 1. Location of land on which proposed work will be done. Map No:O.r.-%..e...~..t..T..~.~..'...T..h..e..T..~...e..a..... Lot No: 43 Street and Number Three Waters Lane, Orient, Ne~t York Municipality 2. State existing use and occupancy of premises and in{'ended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................................... u n Residence One ~am~ly dwelling b. Intended use and acc pa cy ................................................................................................................................ 3. Nature of work (check which applicable): New Building......~.. ............ Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost...~.~.~...O..0...0.~.....P..../~.. .............................. Fee ..~t],0,,00. ................................... ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units.....O~ ................... Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occ0pancy, specify nature and extent of each type of use .............................. 7. Dimensions of existin§ 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.....~.0. ...................Rear ........ .~.0. ............... Depth .....~.~i .................. Height ............................ Number of Stories ..]....i~ ...................... 9. Size of lot: Front ........~.0.0 ............. Rear .....~,,0;t.,.~.~ ......... Depth ~.~,~J,.~.~ ........... 10. Date of Purchase ...........~l~t.~. ................................... Name of Former Owner ......... .E..,...H......K....~..~ ............................ "A" Res :l. duutt&l-Ag~tcultura~. ]]. Zone or use district in which premises are situated .................... ~ ........................................................................... ]2. Does proposed construction v{olate any zoning Jaw, ardinance or regu{otion? ~.O. ..................................... , ......... Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor......W.~..~..~..~......~...~.*...~..~..C.: ......... Address ...~...]'~.~..O..0..d.....L..~...n..d.$..~..q....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 co~r er lot. STATE OF NF_~y.~v_D~.~ > COUNTY OF ?.~.~.~..~. ............ ) / SS. ................. .l,~2l.~lt~ U"II'1 ................. be ng duly sworn, deposes and says that he is the applicant (Name of individual signing application) 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 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 .J~DITH 'r, ~O~[N .._~._~ N'ot~PublloK~ate of New York .... ~ day,-of .............. ~.~.~( .... }~2~Suffolk County ~ .................... /'~/,., ~/ ~ ~_~;~,,,,~z~,~ ~o, Nota~ Public, ~ ................. ~ .......................................