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