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) ............