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HomeMy WebLinkAbout1726-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ~13~Lt~l:L.A~r~, ............................................. Street Map mc~. ....... ; .............. ~ocK No ..... ~ .......... Lot No ...... ~ ......... I~Oll.~;J~l/:l. .................................. , conforms substantiallY to the Application for Building Permit heretofore filed in this office dated .......................... ~ ........... I~ .......,.~ ........... , 19..~t~,. pursuant to which Building Permit No../~..,~.~.. dated . ............................... ~r......~ ....... , ]9~..., 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 ........ ... ~at a ..o~e.._~m~r.. ~t~alling ........................................................................................... · he certificate is issued to ...1~]~.~...~D.t~.B ................................(~1~. ............................... (owner, lessee or tenant) of the aforesaid building. HoD.app~oeal July 26, 1962 b~ R. Villa & P.~Jkowski Building Inspector FOII, I~ ~0. g TOWN OF SOUTHOLD 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) N9 1726 Z Date ...................... ~ ...... ~s .............. 19.~,.. Permission is hereby granted to ~.,~...~... ~.~,.. ~ ~.t,.e..~ ~ ........................................ ................. t~.~t~i~ ..................................... at premis&s located at .... ~¢~,..~..,~j.~.~.~¥...1~ ...................................................................... .......................................... ~.~...Cu~te~...Ave ............................................................................. I~u~-_ho~d~ ~I ~ pursuant [o apphcation dated .................................. J~.....~, ............. I9...~1~ and approved by the Building Ipspector Fee $..~0,.00. ......... Building Tn~'~e~dtor ( FOEM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No ............................. APPLICATION FOR BUILDING PERMIT Date ......................... ]~1.~'......3 ................. , 19..~..2 .......... 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 drown 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. H. Daniel Winters (Signature of applicant, or name, if a corporation) Southold (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................... Q.¥/~;~. ....................................................................................................................................... Name of owner of premises .~.,...~.~,Zt~.e,~ ~.J. Zi.t;e~.S ......................................... If applicant is a corporate, signature of duly authorized officer. (Name end title of corporate officer) ]. Location of land on which proposed work will be done. Map No: ....~..i~.~¥.~,ff.~..~.aZ')~ ......... Lot No: ,..~ ............... Street and Number ,C,~3.st~t..~¥~.t.....S~3t~'J d .......................................................................................... Mun cipa ity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy . ,V.~,~,~,~.I;. ~,Q~ ................................... b. Intended use and occupancy ....... .O,~3~..,,.f'.~l,'l].y..,dwe.l'l~n~,.. . ................. 3. Nature of work (check which applicable): New Building ZXZ Addition Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ...... ~,~.00.Q ....................................... Fee ......... ,],.0. ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .¢~.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 ................................ Rear ................................ Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front ........ .~ ................... Rear ....~. ................... Depth ........ 2,~/.~.LI'. ....... Height ............................ Number of Stories .......O...~..e ..................... 9. Size of lot: Front ....,~. .................... Rear ........... ~.],]~ .......... Depth ....],.0...O. .............................. 10. Date of Purchase ..............-~.c).6], ............................... Name of Former Owner ..~D]A~O~.~,..~.V.~,.~p~D,.~ ..... ' "A" di~t 11. Zone or use district in which premises are situated .................. ~r ............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? .......... D,O ....................................... 13. Name of Owner of premises .~..,.p..~....~..~.~..e.~'..s. .......... Address .....~.g.~.~.~O..1.~ ................... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ...~!¢.~e.~.~..~..~..~..O.W. ff~..~.....Address ..... .,~13~.~ ...................Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ali 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. N~ I /~ ' , STATE OF NEW ~ORK, ) COUNTY OF .... ..~.,.1~....~..O,.!.~. ....... ) SiS. ................... .~......~.8,~,.e.~,...~;~.~.ft~ .................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ............... 0~. .............................................................................................................................. (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 ~plication; 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 ~ ~rth~in'the ~plication filed therewith. Sworn to before me this ' .................. 3.... d~ of ...................... - TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TO\VN IL, iLL SOUTttOLD, NE\V ¥OP, K UP - DATED CERTIFICATE OF OCCUPANCY N O~ CONF OP~A~IING PREMISES THIS IS TO CERTIFY that the /~/ Land / / Building(s) I-I Use(s) Pre C.O. #- Z14258 Date- March 3,1986 located at 505 Custer Ave. Southold Street Hamlet shown on County tax map as District 1000, Section 070 , Block 08 Lot 024 , does.~not~conform to the present Building Zone Code of the Town of Southotd for the following reasons: Insufficient total area. ?On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /--X/Land /--/Building(s) /--_/Use(s~-~isted on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's' Office, the occupancy and use for which this Certifi- cate is issued is as follows: Property contains a wood framed, one family dwelling, constructed on permit 1726Z on 5/3/62. With garage added on permit 3686Z on 10/27/67. An addition to dwelling by permit 8438Z on 3/4/77. Ail permits have C.O.'s. Property situated in the A-Residential-Agricultural Zone with access to Custer Ave. a Town Maintained Highway. The Certificate is issued to of the aforesaid building. WINTERS~ HAROLD D. & MARCELLA F. Suffolk County Department of Health Approval 13NDER\~rI:tlTEftS CERTIFICATE NO. N/R NOTICE IS HEREBY GIVEN that the owner of the above premises If_AS I~OT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. Bu~id~ng inspector I ~0.0 A;V£F,~LJ ~ I, LOT NO'5, Ti-,IE 9OF'Fl CO. CLEI~I~'~ OFFICe_ ~_~._MA~_.LI~_ ,~-~. "' ~; SUFF. CO. T~.~ ~4AP PA.]'~:Pj~]: ~_~-~ ECT,. 0?g_-._SL.~- PC L..g. ~ HAt, CELLA f-.~INTE_,z AT OF' 50U'F~-i-OL b MONUMENT GUAr~Ai'.4TEI~I..) 'TO FIBS;' AMEI~ICAN T',TLE (klSLIP. ANCI~ _A0 _.?_tJl~V_ Ey E [¢ gE B, 2~, lzO_~_)_'_f.:..¢c K_f4___] ..... \,/Ahw TUY'L. t-'. C.> '