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Home My WebLink About1330-zFOI~M NO. 4 TOWN OF SOUTHOLD BUlLRiNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No....~7.~ ............ Date ............................. ~l. lrt, e..~l .......... , 19..6~. THIS CERTIFIES that the building located at ~/~.J~...]F~.....Rt~i~. ............................... Street Map No...:lt,~ ............ Block No...~. ............. Lot No. "F,~X ....... ~O.~l~ho:Ldj...~.~'* .................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................................... ~a~.a~ ....... 2~.., 19.6~.. pursuant to which Building Pe[mit No..~.~.,~,~O... dated ............................... ~.~.....22 19...~, was issued, and conforms to all of the requirements of the appli~ab, le provisions of the law. The occupancy for which this certificate is issued is .......... This certificate is issued to ..W~,i.C~'...P~k,~ .&..W~'~.O .......... Ov~t~.~l ........................................ (owner, lessee or tenant) of the .aforesaid building. Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS I~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1330 Z Permission is hereby granted to: ~/.~l.t~e~..-D,--..~o~oe~.. &-. ~ ~.~e ........................ ............. 2~..~he ~-tn~t..~ve ............................ ..................... F.~z st..~'~a~o~%,.,...~.~-~.~ ................. to ....... 'B~i~" ~ew"~e'~t~zn~ ........................................................................................................ at premises located at ~/B,....~en~y...Roed. ........................................................................................ pursuant to application dated ........................... M~oh'""l~' ...............19,.6.~., and approved by the Building Inspector Fee $.10.00 ........... SHAPIRO & WOLINSKY ATTORNEYG AT LAW May 30, 1978 Southold Building Department Town Hall Southold, New York 11971 Re: Certificate of Occupancy Premises: 189 Kenney's Rd., Southold, N.Y. Gentlemen: Please forward Certificate of Occupancy #1373 to the undersigned at your earliest convenience. A Draft #159 in the sum of $1.00 is enclosed herewith. Very truly yours, }IHS:ma En¢ · FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL Fi le No .................................................................. Date .................... Fe. buary...2~. ............. 1961... PLEASE TAKE NOTICE thatyourapplicationdated ............. ~eb~ar~.....2~. ..............19..6~. rental unit ~rpermitto c~nstruct~S`~za~.~%~ag~.&.~atthepremisesI~catedat..j~.~..~e~n~..~a~.bet~e~a~ No~h..S.e~..D~..&..D.~g~eo.d..~ane ....... Street So~thold~ L.I.~ N.Y. original Map.;~Qf3f.~.Y~ ........................ Block..~..~r..~ ............................. Lot.~.....~.....~. ............ is returned herewifh and disapproved on the following grounds...~Bp[i~O~..no~..~o, ta3~.~ed~ .... in~uf~.i~ien~.~e~.w~ith~ac~u&.~in~im~f~&eien.t..~e~.~.~ar~ ...... ..$~P~.OP. er...divi.si~n..o~..land,_.~p~ove.d_ac~ez.s..%o..~ear..~uiZdi~g. ......... Application original and fee cheeh returned herewith. Building Inspector ~ Note: This property zoned "B" business, eau have motel or^residence~ on lotsof lOOft width & 12,%00 sqft area, residential"A" setbacks, side and rest yards required in either case. Would advise submitting plot plans for review before applying for permits. TOWN OF SOUTHOLD BUI~.DING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLO, N. Y~ Approved .......................... !..~. .......... ]9 ........ Permit No .............................. Application No. / ~ ~ 0 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 deecripfion of layout of property must be drawn on the diagram which is part of this location. c. The work cowered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Bui[ding Inspector will issue a Building Permit to the applicant. Sugh ' 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 Certifico}e 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 ~erein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · ~alter David Potocki and Kathleen M. Potocki If applicant is a corporate, signature of duly authorized officer. ............................................ No 4?-48-49 1. Location of land on which proposed work will be done. Map No: ~' 8668 page 96 Lot : .................... Street and Number Kenne~.'s Road~ SOu~old.~....L.:..I..-...L..N..:..Y..: ......................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................ ..I!.O...Zl..~. ........................................................................................................... Intended use and ~ccu~ancy~.~.?~..e.~....~..~...t.~..a.~..e.....f..~.?.....~.~.e...~......a~...d.....~...e..D..~.~ ............................................ 3. Nature of work (check which opplicablek New BuildMg .................... Addition ....................A;teration ,..~ Repair ....................Removal .................... 5emolition ....................Other Work/Describe) 4. Estimated Cost.....~.....6.~.0.00.,.(~. .................................Fee ....~.Q.~.Q.0. ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling unlts.....8......l~...~. ................ Number of dwelling units on each If garage, number of cars ........................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use..,..~.f~J~.//~, ........... 7. Dimensions of exist(nfl 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 ................................ B. Dimensions of entire new construction: Front.....~...9..t. ................. Rear ...6.9. ....................Depth ..~J ..................... Height ............................ Number of Stories .....]r.~. ................... 9. Size of lot Front 830'84t Rear 352'02~ Depth 10. Date of Purchase Apz":l.l -181 '1960 Name of Former Owner J'ol~e depot. 11. Zone or use district in which premises are situated ...... .b..~...~.~.e.~..~. .......................................... ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .................................................... · Walter Po¢ocki Aaare~52 0hes¢~ Aye, E,~ne NGI¥.-..~.-.0.~.4.S.. ]3. Name of Owner of premises .................................................................................. Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor..?../~.t'...e.?....?..O...~-O..O.~ ................ 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 block numbers or description according to deed, and show street names and indicate whether interior or corner lot. ~:?' 47 / / STATE OF NE'~/'~',OR_K,t ,~, / c, S COUNTY' OF .,'.Y..~...~..f./...~.:..) -_' ............... ~..::...~.~ ........ ../..a..~::c.¢=..<~.(. ......... :.being duly sworn~ depose, ~nd says that he ~s the oppl~cant (Name of individuol signing opplication) above named. He is the ............................................................................................................................................................. (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 file this application; that all statements contained in this application ore true to the best of his knowledge and belief; and~thoj~k~ill~. ~o~_~ be performed~ in the manner, set/zforth in the apphcoflon' ' ~filed therewith.,~~ N~~'~'~q ~&~fi- ~:.~ ~,!z~ ~ .............. ~.~...~: ................ y TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................... Disapproved a/c Application No ............................. (Building Inspector) 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 Jot 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. .......... ................................... (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. Walter Do Potocki and Kathleen M. Po~ocki If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Parcel No. 4 1. Location of land on which proposed work will De done. Map NoL:Lber 3665 ~a.~.e 96 Lot No'47'48''49 Street and Number Kenney's Road - Southold~ L.i. ' Municipality 2. State existing use and occupancy of pr. emises and intended use and occupancy of proposed construction: a. ExlsHng use and occupancy ......... ]~D~I,¢ ................................................................................................................... b. Intended use and occupancy .......... .~..~.~..e..~....~..~..~...~..~.~.e...~.~?.~...~....¥~...e'..~.....~.~.~.~....~.~..~¢~ ....................... 3. Nature of work (check which applicable): New Building....~.~ .......... Addition .................... Alteration .., ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ........ .8..0..0...0.~..0..0....~.? ............................. Fee .......... ~.~.g.?..O..O.. ............................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units...~....?..~..O..~.......(..~.).....Number of dwelling units on each oar ............................ If garage, number of cars .............................................................................................. :.:...... ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use~.f~/~.~.~ ............... 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 ................................ 32' ~4' 15' 8. Dimensions of entire new construction: Front ...........................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ 9. Size of lot: Front ...~.8.0...,.~. ........ Rear ...8...~..~..*.Q~.'. .......... Depth ..~.~...0..*.~.8..'. .......... 10. Date of Purchase .'~'.P~$.]'.....]r.~l....~..g...~.~ ..................... 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? .................................................... p r e m i ses...~...~.~..t¢9~..~..."... ~ .O..~..9.~..~d d re ss N 0 .I..~..'..?i .'. ~.4.~ ]3. Name of Owner of Name of Architect ........................................................ Address ............................................ Phone NO ..................... Name of Contractor ....... ..~..~...~.O.~.O..O.~.:Jr ..................... Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indlcete 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 ............................ ) SS. .................................................................................................. being duly swam, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ............................................................................................................................................................. (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 file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the wgrk wild be performed in the manner set forth in the application filed therewith. Sworn to before me this ~/~,/',~~x"-~-/-'-~-~.~' ~ ~ ~ ........................ day of ........................................ 19 ............ (Signature of applicant) Notary Public, . ........................................................... County