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HomeMy WebLinkAbout1777-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ~ 1469 Date October 2~, , 19...6...2.. THIS CERTIFIES that the building located at ..l~'J~..L~tD/l..Ttr.~1~'~.~...~Jol/t21oi.~ ..... Street Map No ...*...*..*. ............. Block No ........... .?..*...*. .... Lot No ................... .*..*...*. ............................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................... ..~....~.~..~ ............................. , 19....~.?. pursuant to which Building Permit No .......... ~,..~1777 dated ......... ~1'.%1D.~...~.~ ............................ , 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 ........ ~Ri~AT~ O~T~ FAMILY DWELLING The certificate is issued to James HerO,cb., owner (owner, lessee or tenant) of the aforesaid building. Building Inspector FOI~ ~0. ~ TOWN OF $OUTHOLD 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°. 1777, z Permission is hereby granted to' Date ...........................,lille" ' ~L~ ....... 19.. J~,. ............. B~a~ld ......................................... to ...... ~, '~d" an"a~di~iun"-on" an..exi~t trig" dwel'~i~g ................................................ at premises located at ...... ~i~' "']~J~,O~"lJ)~ ............................................................................... ......................................................... Bt~,~:l~zd'i '~;T; .................................................................. pursuont',to opphcotton dated ....................................... ~u~lg '"~6 "19'"1~' ond opproved by the Budding Inspector Fee $"%~'00 ............ l, ' Budding Inspector Application is made for building permit to construct the addition of a bedroom, outside size 14' x 16' as indicated on red block at left. This addition will match existing building, wood, with gable roof of same pitch. Concrete block foundation with crawl space. James W. Hertsch Leeton Drive Southold, N. Y. June 15th., 1962 FILE MAP NO. TAX. SECTION P O.PEP. T¥ FILED ~ -- -- BLOc~ ~O Ii I LOT ~ SITUATED AT ~,O~'%'~ O~_~__ ~ ~_'~L'~ COUNTY, DRAWN ~IY C H~'CKI[O BY H. A. SCHMIELAU FOl~l NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exom ned ... ........ Approved ........................................ , ]~ ........ ~e~m~t ~o ................................ D~s~pp~oved ~/c~ ..................................... ~ ................................ Application No. //' ? '~ ? APPLICATION FOR BUILDING PERMIT 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. 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. .................. J. ame s..He~.tseh ............................................... (Signature of applicant, or name, if a corporation) ........ .~ ~.~.~ h~.o.o.~... ~1: .~., ...S car ad ~JLe .......................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ow!~el~ Name of owner of premises ......... ,]'.~.es..~emJ~,seh ..................... . .................. 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: ...... ~ ........................... Lot No: ..... .~,X. ....... Street and Number ....~/.~...,T4ft.e.~o~..D.:ri1~.e.t ............... ~o~thold ........................................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy dwelling ...... b. Intended use and occupancy ti wlthan aJd~tion ..................... 3. Nature of work (check which applicable): New Building .................. Addition .~:'z .........Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ..],.~.8~).0.....]~/.~ ................................. Fee ....... ~. ................................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ....O~ ..................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 ........ P~.-...~, ........ Rear ...... 2.)+..-.3 ........... Depth ....3~>..-.t~ ................. Height ............................ Number of Stories ....... or~e .............................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front....],.br ....................... Rear ....... ],.Lk. ................ Depth ....]-...~. ................... Height ............................ Number of Stories.....0ll~ ...................... 9. Size of lot: Front .......... ~..~. ................. Rear ......... .7.~' .............. Depth ........ .2...]:..0.....~../...~. ............... 10. Date of Purchase ....................... ]..c).~'.c). ....................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situoted......?.~,~ .................................................................................... t2. Does proposed construction violate any zoning law, ordinance or regulation? ........... D.C~ ...................................... 13. Name of Owner of premises ..~Z.~l, Ate~..~le~'.~,~b, ...... Address ............................................ Phone No ..................... Name of Architect " ...................................................... Address ............................................ Phone No ..................... Name of Contractor ........................ !! .......................... Address ............................................ Phone No ..................... property lines. Give street and block numbers whether interior or corner lot. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from or descriplion acccording to ~eed, and show street names and indicate STATE OF NEW YORK, ) COUNTY OF .... S.~l.C~.o~k ....... ) S.S. .................................... ,.T.a/lze$..]~,_e~.t~,sah ............................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the .......... .0.~.e.~.....-....b.~.i..],.~.~. ........................................................................................................... (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 sta:tements conta~,pA-~ in this application are true to the I~st of his knowledge and belief; and that the work w~ll be perforrrt~. I1~h~-ol'F~ set forth ~n~phcat~on file~'therew~th.~ Sworn to before me this trot,ry. P~S~,"Sufloilt C0Un~9~.~. ~. .~ ..~ ~'