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HomeMy WebLinkAbout1701-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No Z17963 CERTIFICATE OF OCCUPANCY REPLACES C.O. Z1731 (LOST) Date APRIL 20~ 1989 THIS CERTIFIES that the building. ADDITION Location of Property 2855 KENNY RD & 9500 SOUNDVIEWAVE. SOUT~OLD House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 07 Lot 01 Subdivision KENN~WOOD Filed Map No. Lot No. 27 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12~ 1962 pursuant to which Building Permit No. 1701Z dated APRIL 12, 1962 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued isADDITION ON EXISTING DW~3~.ING. The certificate is issued to ALFRED VONHASS~. (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTHAPPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED NOT AVAIL~Rr~ Building Inspector Rev. 1/81 FOlt~l NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~lj~.~.e..~.~,.../~..~.~.~.~..~....~.v...e.?... Street Map No. ~.e.~..~)~....O..o..~ Block No ....... ?..~? ......... Lot No....~...~.~.t:...~...O..~.~ .............................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............................ ~,~',~,,1,..,1,2 ................... , 19.6~.. pursuant to which Building Permit No.....~....~.~..0.~. dated .................. ~[...~L~ ................... , 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 ........ The certificate is issued to .........~:.]:....~..~..~..~...~.o.?....~].~..~.?...~..~;.~....?....~....e..~.. ................................................ (owner, lessee or tenant) of the aforesaid building. TOWN O~ SO~THOLD 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.° 17Ol, Z Date ........................ ~11~-~-~ ....... ~... 196~... Permission is hereby granted to' .......... ~$~thold .............................................. to ...~d.. ~.. ~.~t~e~..~.. ~.. ex~.~,~., d~t~ ..................................................... at premises ~acoted at ..~/~. ~--~0~' &"~"'~ 't~ .......... ~"~' ~~ ....................... ........................................................................................................................ pursuant to application dated ............................ ~. ....... ~, ...... ]~,.., and approved by the Building Inspector Fee $.~t~ ............. Building Inspector FOR~ NO, ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........ , . ,aved ............. ........................ , ............ Disapproved a/c ......,_....~~...............,... .......................... Application No.../..~..~....[. .......... APPLICATION FOR BUILDING PERMIT Dote 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 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. I APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pt~rsuant 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//~ ,-7 ~ignatur~of applicant, or name, if a coq3oration) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electr)cian, plumber or builder. Name ~f owner of premises ..~....~,~ ................................................................... If~~ sig~u~/~e of duly~_~appl' 's a corpor e, sign of duly au rized officer. ~ (Name and title of corporate officer) on h h ro ose ork /~//~"'- ~ ~ 1. Loca+ion of land w 'c p p d w w'l be done. Map Ngb .............. ~ Lot No' .~. Municipa ity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~~ b. Intended use and occupancy ................ .'(./. ............................................................................................................ 3. Nature of work (check which applicable): New Building .................. Addition ~" Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ...... ~'~.C~.~. ...................................... Fee ...... ~ ................................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ~ .......... Number of dwelling units on each flor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, com~rcial or mixed ~capancy, speci~ natureand extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ....... ~.~ ......... Rear ....~ ............. ~pth ..~.~ .................... Height ...... ~ ............. Number of Stories ..... ~ ....................................................................................... Dimensions of same structure with alterations or additions: Front ........ ~.~ ..............Rear ....~ .................... Depth ......~.~ ............Height ......... ZJ.~ ............. Number of Stories ..... ~ ...................... 8. Dimensions of entire n~ construction: Front ................................ Rear ............................ ~th ............................ Height ............................ Number of Stori~ .................................. 9. Size of lot: Front ................................ Rear ............................ ~pth ........................................ 10. Date of Purchase ........................................................ Name of Former ~ner ........................................................ 11. Zone or use district in which premises are situated ....... ~.C~..~.~....:.~. ...................................................... ' ' ' in n r I ' > 12. ~es pr~osed construct,on vlolate~ony zoning law, ord a ce or egula~on~ ...................................................... ~. ~.~. o~ ~.~ o~ ~.~ ~...~~ ~ ~ ................ ~on. N~ .................. Name of Architect ................ Z...~ ............................. Addr~s ........... ~ .............................. Phon~ No ..................... o, ........ ............ , on. ,o ..................... 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 N COUNTY OF (No~ above named. / ?/,° / ~W K ) ~~...' ............. bein~ duly sworn, depo~e~ ~nd says that he is the opplicont ne of individual sig~ ~ti~ 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 kr~owledge and belief; and that the work will be performed in the manner set forth in the'application filed therewith. // · JUDITH T BOKEN Swam to before me this · // -~ ~ 5 44963, Su '**' ........ ~ .......... dayof ......... ~ .......... ..~.~.!~,~ /X~6~,.,~,~I/~/~.~ ~ ,, '-/ ~,---'~¢A.,/..,//~ ....... /~Z" · ............ ¢,~--~¢'~'~ ....... " ...................... Notary Public, .f~/-~f-~.4¢~/~.~.:._~ (Signafure of applicant) First American Title Insurance Company of New York 210 Court Street, Riverhead, New York 11901 EAST SUFFOLK (516) 727-5700 WEST SUFFOLK (5]6) 421-3020 February 28,1980 Town of Southold Building Department Main Road Southold, N.Y. 11971 RE: Title No. 101-S-9295 PREMISES: 9500 Soundview Avenue Southold OWNERS: William Manos TAX MAP# 1000-59-7~1 GENTLEMEN: Please furnish us with a copy of the Certificate of Occupancy covering the above premises. Enclosed please find our check in the amount of $ 1.00 a copy of the survey and a self-addressed stamped envelope for your convenience. Very truly yours, FIRST kMERICAN TITLE INSURANCE COMPANY OF NEW YORK ENCLS: BY MARY E.VMILES Survey Department Member of New York Board of Title Underwriters--New York State Land Title Association