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HomeMy WebLinkAbout1823-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the build.ng located at -]P~'~ R,O,W,...O~'.~...~/S ..~¥..~.ie~..E~:m~t Map No ..,,~'~:~ ............ Block No ~ ............ Lot No ..X;ZX~ ......... SO~t, hOi~t...~'.,.~, ............. conforms substanhally to the Apphcahon for Building Permit heretofore filed in th~s office dated ..................... A~I~ ...... .~(~'~a?J.s~d.), 19 6~ pursuant to which Build,ng Permit No dated .................... ,~t,~ ..... .~. ........ , 19.6~., was ~ssued, and conforms to oil of the requirements of the apphc~ble prowmons of the I~w. The occupancy for which th~s certificate is ~ssued ~s ....... ....... ~$vat~..e~e...-e. em~.~..~l~l~ ................................................................................. The cerhflcate ~s issued to ....... I~.~..lr~:~l ........................... ~q::le:~. ............................... (owner, lessee or tenant) of the aforesaid buildmg ~.D. Approval May by R.Villa -- Buddinfl Inspector FOII~ NO. 2 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) N.° 1823, Z Dote ...................... J~p '"~6 ......... 19. Perrplssion is hereby granted to: Geo~,t~ e.-.K~l~hen. ............................................ · ~tym~...L, I.~ ................................................ to -Jhl~.'~'d- 'new-.one -£-~'l:ty,. d,~e' -'J~.iag.'w~:th..a-'ct~ched g~r~ge-..e-~.., ...................... ~rt premises located ct P~cT-' "~'(~W'~-.6'/~"'J~t~n'-B~&ew-'~l~J .......... {'~O~'~e~]~F"~"i'ls ................................................. r~'"Vi~r"~o~d i; ....... I~outh~l~ ................................................... pursuan! to applicatfan dated .............................. ~lll~ ..... 1~, ........ ]9~r~..., and approved by the BuHding Inspector Fee $..'l.~UO0 .......... Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 2143 Z Date ...................... Permission is hereby granted to a,~orge..~_ phc,, ....................................... --~a.-~a~aleaa ..~ve .................................... · - .1to~---34~- Hel~%hs~ -.L, t.~ ........................ to .... ~ueV..l~i.t...Zti~ll~ ........................................................................................................... at prem~es located at R,G,'~'¥' ~..{~tlrtse4~--lE~_ne'½'ol~t' 'tg/~"Ba:~r'~::t'e;~'-Road ............... pursuant' to application dated ........................ -~ll~tlllir,. -~' ............... 19~,~..., and approved by the BuHdlng. Inspector Fee $~, ~){~ .............. $-9 O~;PA ~T~%~,~ OF HEALTH SCHD SUFFOLK COUntY .... Date 5/25/64 Building Permit No. 1823Z TO ~OM IT ~,~Y CONCERN: The sewage disposal facilities for a structure located at e/s Sunset Lane of£ off s/s Bayview Rd.. So~hold '' (Give~ deed l~cation) have been inspected by this Department and found to be satisfactory. District En-gin~f NO. 1 TOWN OF SOUTHOLD - BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ..... ...... ...... , ........ Approved ........................................ , ]9 ........ Permit No ........................ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink a~d submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the al~licant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in po rt for any purpose whatever until o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) 9.2 Burnham Ave~ Rosly..n Hei~th$ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises ........ G.e. Qr~e..~g,D~ez% ............................................................................................... 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: ..... X)[XXX .......................... Lot No: ~ ........... Street and Number R/O/W.~ o~f S/S Main ~.a.z View Roads (sunset Lane-pvt road) Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy vaaant lot b. Intended use and occupancy to renew buildin~ p. ermit Z1~23 3. Nature of work (check which applicable): New Building ....~.. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. Estimated Cost ........l~.,.~.O.0. ..................................... Fee ...... .~..~......O..O....(....r..~..n,.e..~..1..). .......................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....(~D,e .............. :....Number of dwelling units on each floor ............................ If garage, number of cars ........:.tIV. Q ............................................................................................................................ 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 ...........6.0. ................ Rear ..... ~......6D. ............ Depth ............................ Height ............................ Number of Stories......QD..e. ..................... 9. Size of lot: Front ......... ~,.0.(~ ................ Rear ........ ~L0.0 ............. Depth ....... lL~.0 .......................... 10. Date of, Purchase ..~Q.V.....,lcJ~.~. ................................ Name of Former Owner ....... ]~l.!4.,...lv~.S.~l,~i ......................... 11. Zone or use district in which premises are situated ....... !!~.!!..~.I,S.~ ....................................................................... 12. Does proposed construction v~Jate ony zoning laW, ordinance or regulation? ............ i?,Q ..................................... 13. Name of Owner of premises .r~t~.O.^..~D.~12,e.T~ ............. Address ....... ~Q~IM.~..T-Te~,~]~5... Phone No..I~,~,.-..~.~.~. Name of Architect ......................... ~.~. ........................... Address ............................................ Phone No ..................... Name of Contractor ........... : .......... .~! ............................ Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all 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. STATE OF NEW YORK, ) COUNTY OF ...~/~,~E.~ ....... ) S.S. George Kophen .,b~in~1"dUly sworn, deposes~and says that he is the applicant (N~me of individual signing application) above named. He is the ......... .O.~l,e~ .................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owne~, and is duly authorized to perform or have performed the said work and to make and file this ~lication; that all sta:tements contained in this application are true to the best of his knowledge and belief; and that the work will ~~,~Jhe manner set fo~h in the application filed therewith. Sworn to ~efo~e m~, ~0~ NO, 1 Approved .................................... , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. Disapproved a/c ................................ . ................... /¥ ........................... ............................ APPLICATION FOR BUILDING PERMIT Date .............................. ~.lln&......~ ......... , 19.~.. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. P at p an 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 location. 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,~n_~he_pr~nises avaJ!ab!e, for insp~ctio~ thraug~o~t ~e ,~gress of the.work. . e. No building sh~all be occupied or used in whole or in part 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 Count, New York, and other applicable Laws, Ordinances or Re~ulatians, for'the construction of b~ild~, ,~clitia~s or a!ter~tions, o.r for removal or demolition, as herein described. The appl cant agrees to Comply with all applicable lows, ordinances ana regu ations. ....... O.eQr~a..~l~hem ....................................... , ................. (Signature of applicant, or name, if,~a corporation) .... g.~.....~r~b~.. A.~.~ ,.. JBg~3,y.~...~ ~.t,.~.,.........~.:... (Address of applicant) State whether ~plicant is owner, lessee, agent, archit~t, engineer, general contractor, el~trician, plum~r or bu der. ............................. .~e~ ...................................................................................................................................... ~ ...... ~'~ ......... ~ame of owner of premiss . .~..~ ............................................................,, ........................................... If applicant is a ear, rate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which pr~osed work will be done. M~ No: ...~ ........................... ~t NO:[~ ............ Street and Number ....t. ...................................................................... , .............................. ~ ............................... Municipali~ 2. State existing use and occupancy of premises and intended use and ~cupancy of pr~osed construct~n: a. Existing use and ~cupancy ...~g~...~.Q~ ................................... ~ .................................................................. b. Intended use and ~cupancy ...~e...~...d~e~..~..~ag~.~&~e .................................. 3. Nature of work (check which applicable): New Bud ng Addt on Alteration Repair .................... Removal .................... Demolition ....... ~ ............ Other Work (Describe) 4. Estimated Cost .....~..°T~......~.~.. .................................. Fee .............................. (to be paid oA"~'iii'~"~i~"~'l~'~ii~;~i~i ................... 5. If dwelling, number of dwelling units .......................... Number of dwelling units on each floor .................................. If garage, number of cars ........ ~'~1~..~.......... ...... ...... 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?.'..T...,~....~.. .............. ! Rea r ~...~..f. ·..2':. · .?. ............... Depth .L.¥. .................... Height ............................ Number of Stories ........ /. ...................... 9. Size of lot: Front ........I..~. .............. Rear ........ /..I~..D.. ........... Depth ..../...~....D..~..i .......... 10~ Date of Purchase ......... ~..~..:....~.~.../..~..~..~ ................ Name of Former OWner E,~..~..A'J~...~. ' or use w/ch premises! ~.¢ .... ' ' ............................................ ---- 11. Zone district in are situated..~,.~,..~.. ..~..~.~/.'f.~..~...~'.~'.~.~.~...~/~....~..~//.'.~.t~....~..~.~ 12. Does proposed construction violate an zon aw, ordnance re u at on;~ y on~g o~ g ......................................................... 13. Name of OWner of premises.~.~.l>~...E.....~...o.~.~...../~.. Address ~.~0~..L,~..~../,..~.,/.: ...~.L .~. Phone NO.~.~.:~.'...~...,~..~' Name of Architect .................................................... Address .......................................... Phone NO ..................... Name of Contractor ........................................ ; ........... Address .......................................... Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all 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. O. ~TATE OF NEW YORK ) S.S. 'C'O JNTY OF .......................... ~.-../.~ ............... ~ ................ being duly sworn, deposes and says that he is the applicant (Name of in~vidual signing application) above named. He is' the ......................................................................................................................... ',,, (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 statements contained in this application are true to the best of his knowledge and belief; and that the. WOrk Wdl be' perf,o~med in the manner se, JL f.o~th in the 'applicqtion filed therewith. Sworn to before me this ............. y o)~:. :.-~r~ ~.~,... ........... oto. .......