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HomeMy WebLinkAbout1364-zTOWN OF SOUTHOLD BUILDING DEPARTMENT ~'OWN CI~ERK'S OFFICE SOUTHOLD, N. Y. CEETIFICATE 7IF E]I~CUPANP. Y No. Z. 21460 .... Date ................... ~TU~.~r...~'. .... 19.66. THIS CERTIFIES that the building located at . ~/S..CR~. Map No .... J~ ..... Block No ..... ~ ..... Lot No. ~ .... SOl~th01~" 'I~'~ ....... conforms substantially 5o the Applicati~on for Building Permit heretofore filed in this office dated ........... ~I~. $.l .~l~,,Wl~g.tpursuant to which Building Permit No.l.3~~ 'Z" dated l~a;~. 21...(~e~ewofl.-~a~-y .(~6was issued, and conforms to all of the require- ments .of the applicable provisions of the law. The .occupancy f~or which this certificate is issued is ~i.~ate .on~. £ami.;~y. 6x~e-~li~g ........................................... The certificate is issued t~o .l]~e~' H~ ..... QW~*~i'~'~' ". ..... ,'.' .......... towner, lessee or ~enan~) of the aforesaid building. NOTE approved by Bd Appeals & County of Suf£ook ,Suffolk County Department of Health Approval ...... ~.~.R~ .............................. uildi~ Inspector~ TOWN OF SOUTHOLD BUILDING DEPARTM~:NT 'TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS F~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 1364, Z Date .................... .~. P.I?...~. ~.....~ .~.. ............... 19.,6..i.... Permission is hereby granted to: · .If.~lnu~.....H~ ................................................. ................. ~.een~..%......~T.,Z., ......................... to ....Bvil~t... fleet ..~ne..,E. afftl ~....d.W.e.l~.;i, tr~ ................................................................................. at premises located at ....g,~...I~X~.~t~..~OS,¢t ....................... ~. ............................................................... .................................................. S~t~t3~olct~......~.~, ........................................................................... pursuant to application dated ............................ ~'~....2,'L .............. 19.~L.., and approved by the Buirding Inspector', Fee FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y. Approved L~ 19 ........ Permit No...,'~..bc.~$ .................. Disapproved a/c ..... ~,,-~ .......... ~. .......... ~ "(Building Inspector) Application No. '136L~ APPLICATION FOR BUILDING PERMIT ~N~/AL of ~136~ Date .... ......................... ..~.~.~.h....~3 .......... 19..,~..~. ..... 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 propertymust be drawn 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 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 hove 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, building code and regulations. Helmu¢ Hass (Signature of applicant, or name, if a corporation) ............... Nmnth.. Road.,.....Som~hQld ............................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner- builder . Name of owner of premises ..~.9.1~.t..~S .......................................................................................................................... if applicant is o 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: ...... ~ ................... .i.-. Lot No: .~ .......... Street and Number $./.8 .~gr.t...h..I~.9.%~ S.o..ut~Q~.d.. ............ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of,proposed construction: a. Existing use and occupancy ...i......Y~Qi~'k..la,B~. .................................................. . ............................................ il~ d b. Intended use and occupancy one /'am welling ........................... 3. Nature of work (check which applicable): New Building .... X~,,Z,X.ll;. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost .................. I~,~..~10...~/~ .................... Fee ......... ~'.el~.ewal...?..,~.,.OJ~ ............................................ (to be paid on filing I'his application) 5. If dwelling, number of dwelling units ...... ~0~ .............. Number of dwelling units on each floor ............................ if garage, number of ears ........................................................................................................................................... 6. If business, commerciol 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 ...... 3Q ................ Rear ........ 30. .............. Depth ......~ ................. Height ............................ Number of Stories .....¢I1~1~. ................ 9. Size of lot: Front ...... ~lOg .............. Rear ..~QO .................. Depth .....].i~...p~Ltll~ ....... 10. Date of Purchase ........................................................ Name of Former Owner .....~.....~:J.~J:itl~Tll:l. ........................ 11. Zone or use district in which premises are s.tuated ....... ]L...~.,~t ......................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation.:) ....... .TI.O~ ......................................... 13. Name of Owner of premises ...]~,~..~,~ ....................Address .......... ,~.Ol~.t,J~.q],~ .............. Phone No ..................... # Name of Architect ...................................................... Address ............................................. Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM L_oc~te clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or descri ~tion according to deed, an show street names and indicate whether interior or orn~e_,EJ4~ ~7~(~_~ ~.. STATE OF NEW..YO,.[~,.. } S.S. COUNTY OF ........................ JJe.'lltll~t,..J~&~,ltl .............................................. being duly sworn, deposes and says that he is the applicant (Nome of individual signing application) above nomed. He is the . ~.~1,~.~....-...~l~J.],~l.e~. ......................................................................... (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 ond belief; and that the work will be performed in the manner set forth in the gpplicotion filed therewith.., Sworn to before me this II ~ ~1 ~ ..................... .~.,~ day,of ................... JJ/~CJ~ ......w", 19...~.~. ~,/JU~0~ 0.. ~k ~"'~///L~ ~ f'/ ' / 'TZ-. _ ....... ................. ...................... Notary Public, ....../~/~/:~ju~i~ff~b.~.?..[..~.~~.~ (Signature of applicant) ~ ~lll[/;',' 1'11,1 t,, *~t~t¢ of How York z ~ '~' ~' ..... !I FORM NO. 1 Examined .......... ..~.'...4~.. ................ , 19..~. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. RENEWAL OF Approved ~ ~ ! 9 ........ Permit No .....~. 6.L}...~. ............. RE~ ~L of Application No ...... 13.6~ .............. APPLICATION FOR BUILDING PER,MIT 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 la.your of propertymust be drawn 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 available for inspection throughout the progress of the work. e. No building shal~ 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, building code and regulations. ......... Eelm~t..~s~ ............................................................. (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. ......................................... O:~me~.....,B~:2;1,.de~. ....................................................................................................................... Name of owner of premises ..... '.H...e..1..~...~..~.....H...a..s...s. ..................................................................................................................... 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: .......... ~:Y~ ........................ Lot No: ....... ~f?~¢ ...... Street and Number .....~/.~i.....~.o..L¢.~..~.q&~..~.....~..0..~.~.~..~...~.~..~.~ ............................................................... i ..... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....Y..Ct.a..~D.IL.~. .............................................................................................. ~ ..... ¢ b. Intended use and occupancy ............ (~..~f~FR~.I~....~.~I~J,D.~ ....................................................................... 3. Nature of work (check which applicable): New Building ....~ ...... Addition ............... ~.. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... CID, 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 ................................ J~ear ................................ Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ......... 3.0. .............. Rear .....~.0. ................. Depth ...2.~. .................... Height ............................ Number of Stories ....ODe ................. 9. Size of lot: Front ...... ~C}O ............... Rear ....... ;LQf) .............. Depth .....1.~.~..~./. ............. ]0. Date of Purchase ........................................................ Name of Former Owner ...... .~...~LCJ:J~D~.c~ ....................... 11. Zone or use district in which premises are s~tuated ...... ~.....~D;LS.~ .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ................ ~lg ................................. 13. Name of Owner of premises ..... ~...,,'~.,~ .................. Address ............ ~D~.?.~O,p,].C], ............. Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor .................................................... 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. ~.~.~.~ ~q.. STATE OF NEW YgRK. cOUNTY OF ..~l,~f.£D.].~ ............ ~ S.S. .............................. ..~.,e,.,3:,,r(t.,~,lg.,.,,~,,~,..s.f~ ........................................ being duly sworn, deposes and says that he is the applicant (Nome of individual signing application) above named, He is the ..... o. lg~e~t.,,:,,,bl,l.~b;LcZe,~ ................................................................................................................. (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 work will be performed in the manner set forth in the application filed therewith.4 Sworn to before me this ~'-- '~' // z ........... ~o. s~.0~i~"0 .... ::,-~ ,~t~ ...~¢./~ ....... ~;,~....~M~.,., .~.~..J ............... Notary Public ..~?.~ss~n,~l~~~Iz;~? .1~ co ..... CountyC~,~/ ,~' (~i~nature of al~plicant) TDWN O F S O UTH [] LD BFFII]E OF BUILDINB INSPEBTOR Mr. H, F.Bishop Commissioner of Public Works Suffolk County Yophank Ave., Yophank, N. Y. CR 27 Dear Sir: !n accordance with Section 239K of the General Municipal Law of the consblidated La,ws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ....~.q~.~..u,'~..~.a..S.¢. ....... ,': ....... ~ ~.~h&m.o~ q~.q. uLe. ~...G~.e.e rzp az: .t ~...N., .'~., ......................................... ...g..u.,~...~.~.!l.c.g.~%..o.~...¢.z..~.6..~ .................................................................. has applied to the Town of Southold for a permit to construct a building on ..a....~.z.$.w.~..e...z.~.~.¢..~~.~.~...¢.~.~?~.q¥...~3.c.).~.~...2y.~.~...¢.~..~..~.b..~.;¢.~...3~ ~, 100,0' E/o Carole Road, (~ri~ate) as shown on the attached plot plan, submitted in triplicate, doted ....~8~,:Ch 31~ ..] ......................................... and titled ....~..]¢...o..~...~t~.Jr.~.t'.~....f..o...r...]~.e..~..~.n.?.:.~....~.~.a..s.s t We shall' withhold further action on this application for ten days Or as otherwise provided in the aforementioned Section 239K. Li/17/61 APProvED pursuant to Sec. Very truly yours, 239K of 'the General Municipal Law. No permit under Sec. 136 of the Highway Law required as access will be from a private road.for proposed construct~On. S~FFOL~' COUNTY DEPT PUBLIC WOR[qS H. F. BZSH0~ Coramissioner ~WIL/~ MATS~AYE,JR. ~ Chief Engineer Howard Terry Building Inspector Town of Southold, N. Y. 1961 Arshamomaque. TOWN OF SOUTHOLD BFFICE OF BUILDING INSPECTOR TOWN CLERK'S OFFICE SDUTHDLD, N. Y. Mr. H, F. Bi~hoD Comm,ssioner of Public Works Suffolk County yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Loews of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that '""He]'.~"~t"~8:~6 ....... : ......... -A~sh~memac~ue ~...~reenpo~.t- ¥...N.~.~.~ ......................................... . .. 0~,.. ~p~l ~,n~a.t4~ on..¢1~.~6!~ .................................................................. has applied to the Town of Southold for a permit to construct o building as shown on the attached plot plan, submitted in triplicate, dated ..... ~a.~e~ ............................................ and titled ...p. 3,~...p3,&rt...;~...~;~e3,~l,~,,..}ta.~sl Arshamo~s.~ue~ We shall withhold further action on this application for ten days or as etherwise provided in the aforementioned Section 239K. Vew truly yours, Town of Southold, N. Y.