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.> '