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HomeMy WebLinkAbout1722-zFOB,M NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z.'6..br.0.7. ..... Date .............. Ap-r-Il ....$6., 19. '7~ THIS CERTIFIES that the building located at . N/S' 'Mi~ldTe' Rcr~d. (C'R27') Street Map No.. ~ ...... Block No..XX~ .... Lot No, XY~X ..... C~tchogt~e.. E,Y, ..... confoms substantially to the Application for Building Permit heretofore filed in this office dated ............ Ap~:~t.i.. ~(~ 19.62. pursuant to which Building Permit No. $7~,L~.. dated ........ .~Y...9. ...... , 19. ~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .Private..o~e. £~?,~i~L~: .dwelling ................................... The certificate is issued to . .~ra .~a2han. Harria.. 0w~ er. ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .pre- .~eq.ulre~nts .............. UNDERWRITERS CERTIFICATE No. pz.e-..~'e~t~'~.re~err~ ........................ HOUSE NUMBER .... 22~... Street... l~d~L~ .~oad.. (aR2?.) ................ .... ........ Building Inspectorf FOI~K NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT CFHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 1722 Z Date ....................... Permission is hereby granted to. ;ro_h~_..l~kha~....~/C...ifatl~_~_.~&~ ............. to ...... e~.emt..~.~[¥~I-~.~. ......................................................................................................... at premises located at . l[~-.-l~4d.],e-..l~O~d. ..... (.~,Rs.2?.A) .................................................. ..................................................... ~teho~le.~....![~¥~ .................................................................... pursuant~to application dated ................................ &~J~_t.~.. 30 ........ 19~..., and approved by the Budding Inspector Fee $..~*,~ .......... TEIWN ElF .:::;EILITHEILD EIFFIBE BF BUILDING INSPEBTGR ToWN BLEI~K'B E3FFIBE BBUTHDLD~ N. Y, Date .............. J/Ja.~...,~.~... 2,962 .............. Mr. Herman Bishop Commissioner of Public Works Suffolk County Yaphank Ave, Yaphank, N Y. Middle Road CR 27A SUFFOLK COUIfTY DEPT. PUBLIC $~0RKS H.F. BItHOP, C01~[ISSIOIYER Building Inspector Town of Southold, N Y Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Lows of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ........ ~o~t~ac.to~...-...a~t...,A/~ ..... Na.~an..~t~.~ ............................. has applied to the Town of Southold for a permit to construct a building as shown on the attached plot plan, submitted in triplicate, dated .............. ......... ~[~.....,],..],96~ ...... and titled ...~.l~t. Dlan .£or...~a~han..Harrls We shall withhold further action on this application for ten days or as otherwise provided m the aforementioned Section 239K 5/8/62 approved pursuant to Sec. 239K of the General Municipal Law. Very truly yours, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE. January 31, 1989 NEb/ CONSTRI/CTION ....... OLD OR PRE-EXISTING BUILDING..,X...VACANT LAND ........ Northerly side of Middle Road (CR 48), Cutchogue Locat£on of Property ........................................................ HOUSE NO. STREET HAMLET Owner or Owners of Property...E.s.t.a.t.e.qf..J.en.n.i.e..H.ar.r.i.s ........................... County Tax Map No. lOOO Section ..~}~6.. Block ..1 ..... Lot Subdivision ....................... Filed Map ........ Lot .......... Permit No ........... Date of Permit .......... Applicant ................... Health Dept. Approval .................. Uuder~rlte~s Approval .............. Planning Board Approval X Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted- $ 10.00 APPLICANT ................. Wickham, W~ckham &/Bre2~ler, P.C. By: Karen J. Str t~c~_~Esq. Please run a search for any building permits and/or Certificates of Occupancy. A print of the map was received by your office in late January. rev. 10/14/88 COPY TOWN O F S [] UTH OLD OFF'Ir. ir OF BUILDING INSPEP. TOI~ TOWN E:LE:RK'S OFF'IOE BQUTHOLD, N. Y. Mr. Herman Bishop Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N Y. Dote ............ ~[ay....2.,.1D.62 ................ Dear Sir: In accordance w,th Section 239K of the General Municipal Law of the consolidated L<~ws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ..... ,.To}-~..W..i~.]~b.a~ .... .c...o.n.t..r..a...q.t.O.~....-....a~.~).t...~. C Na.t.h~n .~ar~.i~. .......................... has apphed to the Town of Southold for o permit to construct o budding on ..?./..~...~.t.¢.d.z...e...~..o.~.d.~....c..:.~ :..2..TA,...q.u..t..e..h.o.s~.e..,...~,..%., .......... as shown on the attached plot plan, submitted in triplicate, dated ............... ................ ,~...~.~.,....,1... 1.,c~ .~,.,2. and titled .... ?.~.o. ~,,.p. ,~..a.,,~,..~.,o,~..,~ .a .%.~..~,?,;..~,~I'Z' We shall withhold further achon on th~s apphcation for ten days or as otherwise provided m the aforementioned Section 239K Very truly yours, Building Inspector Town of Southold, N Y. FORM lqO. 1 TOWN OF SOUTHOLD .BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ....... .... Approved ........ ..~.~ .......... ..~., 19....~'....~ermit No...Z...'..~...?...~ ........ ~' pp oved /c .................. ~...~...-...m.....~ ...... ~ ........... : ................................ ............. ........ ........................ 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 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. 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. (Sigr~ture of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................................... ..................................................... .......................... Name of owner of premises ........ ht, hll~..lillZ~.~.~ ............................................................................................................. 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: .~g31:]gg ............................... Lot No: ~ .......... Street and Number .lt~l~.~ll..~Ol~l~e......C~li.t~l~l.~'~.t...~[~.][e ................................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .V~L~t~..~IZI~ ............................... ... b. Intended use and occupancy ..... I~l~l~..~"ll~t~...ll,¥e~l~ll~ ....................................................... i ...................... 3. Nature of work (check which applicable): New Building .~ ......... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ....~f(X~..,IPa/~ ................................... Fee ......... 10.(X) ..................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .............~ ..........Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify natureand 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 .......... 38 ................. Rear ........ .~8 ............... Depth .......... ~8 ............. Height ............................ Number of Stories.....Ol~ ..................... 9. Size of lot: Front ...... ~ ................... Rear ........ 1-00 ............. Depth ....~00..~,~ .................. 10. Date of Purchase ................ ,.],~1~8...~./~1 .................... Name of Former Owner .-..~--,...bi~&ll..F,~t&t~. .......... 11. Zone or use district in which premises are situated ....... .q~,.w...4:t,s~r ....................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .............. IIO ................................... 13. Name of Owner of premises II~ Address .................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..~l'~,GkJ~lJli ........................... Address ......... ~t4lhO~l~ ............. Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly oll 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. dc/I. STATE OF NEW YORK, ) COUNTY OF ...~.felle ....... ) S.S. ................ ',7 ........... .~l'.O]~ll~:.ll~-~tdl~l, ......... ;:.......-.---, ................ being duly sworn,, deposes and soys that he is the applicant u~ame otlnfllvlauo/slgnmg app.cat~on/ above named. He is the ...... ~..~..~~...~..~D .............................................................................. (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 stateme~t~ in this application are true to the best of his knowledge and belief; and that the work will be ~ ~"~9~r set forth in the aPplication filed therewith. Sworn to before me this '2~- ~?-0344963, Suffol~o~" ~ - ~m~gsian Expires March 30, ~9~ ~ ~ ................. ...... ................_ Notary Public,~...~.:_~_~~ ~ (Signature of a~'i[[~t) ............