The URL can be used to link to this page

Home My WebLink About1878-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, ~1. Y. CERTIFICATE OF OCCUPANCY No..,Z..2O~. .......... Date .......................... ~To.~.embe,~.....c~...., 19.6.~... THIS CERTIFIES that the building located at J]./.~....,~,o~d...~.e..,..(.C,~{~,.~). ............... Street conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................................... J~.]p.~em'be~...~., 19..~.2. pursuant to which Building Permit No. ],8.~.8...~,.. dated ............................. ~l¢.~ob~.~.....~LS, 19.02..., was issued, and conforms toJJll~,f the requirements of the applicable provisions ot'L]%Oeal~aw. The occupancy for which this certificate is issued is ........ (owner, lessee or tenant) of the aforesaid building. FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPJ~RTMENT 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.o 1878 z Dote ....................... ~ J;O~l~.....t~ ........ 19...(~ Permission is hereby gronted to: Allen.&..Zz..ene..Bes~ .................................. · .8~und...Ave ........................................................ ..... ]~attX.tuekr..]i..Z. ........................................ to. ~k~va..~.. ex~,~t~.ng...d.~e.l.l~.ng...te., th~.,-, to~a~on ..................................................... at premises located at ...~'~.....l~.~d.].~,,~,i ................................................................................. ............................................ Ma.tt~.tu~k .............................................................................................. pursuant to application dated .................... ~l;JelJ~e~"**~ ............... 19~.2..., and approved by the Building Inspector Building Inspector FO'I~M ~0. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No .......~.~8 .......................................... Date ................ To ...A.l.l.~.n _~s. ch ...................................... .............. 8 o.un~...Ave. .......................................... ................... Nat.ti.t~ck ..................................... PLEASE TAKE NOTICE that your application dated ...................... __.., ~-C~v e in a dwelling at for permit to ~ ....................................... the premises located at ..... ~./.~ .,Hemt.lton Ave ..... C oun.~y...P,d...~27A. ................................ Street Map ......... ~.~ .................... Block ....~LXIiX ....................... Lot ......... XX~ ......................... is ~iO1Llt~disapproved on the followin? groin)d, ..... Laak.-o/'...~ol. lr~t~:..I)~p.$, o~ ...pnhltc... ,~o~.ks... appr.o~ al.~...-See .t;tor~.. a3.9I~ .... ~en...Mun ,...I~w, ........ no...ent~im aers ...B~.o..t...p. laris...szlhmli.~.ed,...and, na...p~mi~.. ~ee...submi. i.ted, ...................................... Building InSpector ~ TOWN OF $OUTHOLD OFFICE OF BUILDING INSPEOTGR TOWN CLERK'S E]FFID, E SIDUTHOLD, N. Y, ' r ~f ~'u151ic Works Suffolk County Yaphonk Ave., Yaphank, N. Y. Middle Road CR 27 Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Lows of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that .....~.~..~..~,~.. · .~e~.-.M~¢.t~A,t~e~...~.~-~,.~ ................................................................. has applied to the Town of Southold for a permit to construct a building as shown on the attached plot plan, submitted in triplicate, dated ................ ~.~..,...~...],~. ................. and titled ..~4a~,..~·..~¢a~$..~,~.~:,~...&~ We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. 10/16/62 approved pu~suaut to Sec.239~e~ of the General Municipal Law. truly yours, SUFFOLK COUNTY DEPT PUBLIC WORKS BI SHOP Com~i s s f ' ~ B6ilding Inspector By ~ Town of Southold, N. Y. Chzef En NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................ ~.~. ..................... , 19 ........ Application No ............................. pp yea ........................................ ,,,1") ........ t'~rm ~o ................. ~ .............. ,~ ~, Disapproved a/c ............................................... ..~ ...... 4~L..~. ...... 7'~ ................ ...... ... ............ ......................... i aiiaia 'i i 'ilg ......................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o, This application must be completely filled in by typewriter or in ink end submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot end of buildings on premises, relo*ionship to adjoining premises or public streets or areas, end giving o detailed description of layout of property must be drawn on the diagram which is part of this applica- tion. c. The work covered by this application rnny 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 shell be kept on the premises available for inspection throughout the progress of the work. e. No building shell be occupied or used in whole or in po rt for any purpose whatever until a Certificate of Occupancy shell hove been granted by the Building Inspector. APPLICATION IS HEREBY M,~DE 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 tine construction of buildings additions alterations, or for removal or demolition,~.as herein described. The applicant agrees to comply with al~ applicable laws, ordinances and regulations. (Signature of applicant, or name, if o corporation) ............ ...... ...... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ................ ~....~......~.......~Z.....~.....{~ ....................... 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.: ...................... Street and Number ...~..'~../~....~...,~....,~....'/~"~--7¢,.~...~'...~.. ............................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. / a. Existing use and occupancy .................................................................................................................... b, Intended use and occupancy,.....,. . ....................................................................................... 3. Nature of work (check which applicable): New Building ..... 7:.%:.~..~...._ Addition ...... Alter~ion Repair ...... ,~T..~,L Rem~oval .~.,.~.., Demolition .,~...,~.,.~,.,~.,.-Otl~er Work (De~';il~e)~-~'~¢ 4. cost ..~.//.~ .................................... ~ee ............................................ V."'"'.'.'.'..'....~ Estimated 3, (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 ...... .~../..¢,~ ~.... ~_~.,ature and extent °f each tYpe °f use '""~~'''''' __.._..,...._....._....,...............,.._............_....,..~_..,.. 6. If business, commercial or mixed occupa'ncy, specify n 7. Dimensions of existing structures, if any: Front .......... ....-:=..~.7.;.;.... Rear .......................... Depth .......... Height ................. ~.:;..~7:7 Number of Stories ................... -..:.7...-:.-.,7.q7 ............ ; ................ , ................. Dimensions of same structure with alterations or additions: Front ....................... ~.;%zZ-Rf57 Depth ........................ ¢..~.....T:~-I-eight ................................ ,iX[urober of S orfbTF~-_. .............................. 8. Dimensions,,~j/i,iof entire new construction: Front .......... ~ Rear ...~...~..~ ........... Depth ..~......:~.~ .......... Height ..... ~.~.....ff¢~.. ......... Number of Stories ...... ~ ............... F ron~: ../....~..~ ............ Rear ...... ./.._...~..~%.... .......... Depth ...~......¢~... 2~7.... ....... 9. Size of lot: 10. Date of Purchase '..~.~....~.../¢./...~..~.~.. Name of. Eozrner Owner*...~./~Z~...~, 11. Zone or usedstrct nwhch prems/esarestuated ...... ~..~~ .......... 12. Does proposed construction viola, t¢ any z..o.~i, pl] ~aw, o, fd nance or reau at on~ .~. .... ,~. Name of Owne~of ~rem',es....C~.'...~~^ddress..~. -'~~ ....... ;....7. ;;;Z' ;~'~;.'~ Name of Architect .................................................... Address ................................................ Phone No .............. Name of Contractor ........... ..'-~..:. .................... 7. Z;:T.%:~ ~ddress ~-- Phone No.% ....... PLOT DIAGRAM Locate clearly and distinctly ati buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description occording to deed, and show street names and in~dicote whether,=,.___~interior or ~c°rner lot. _ _ -- ,,, .~o c~ (Name o in iwa/~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 a,nd belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ,, ,~. ¢ ............. ./...~....¢-~ ~ ~-~ay°'~'" ........................... ~.. , ,~.4~ ....... ~~~ No,~,.~ ~,,c ..~~ ....... ~..~.'~:~'""~'~ ~',~;~';;";~";;;/;;;;~¥ ......... : ............. ~ ~mission ~plres ~arch ~¢, ~ SUFFOLK COUI@Y DEPARTMEKr£ ~' NKiLTH Riverhead~ Ne~,~ York ~PE OR PRINT %~:fl, I. BLY IN INK To tM ,~ffo].k County Dep~ctment of Health A~licati~ for ap~oval to c~st~t pr43~ate ~re~ reques~d co~ern~g w~ch ths fo].l~lng ir~o~tion is ~%b~it~d~ Dis~ance to nearest ~in 6~ Septi. c tank (a) Inside width~ ........ fb~ (b)Lengtb~ ........ ft~ {c) Liquid dept~ ?~ See~.~¢~. field (a) Tronch ~ W in,~ (b)L~ ~t~ (c) Number of t~mches (d) Depth fr~ bottom of seepage pipe to ~qcound water I hereby certify t~t I m'~ fami.li~' with tl'm requirements of the latest ~alletin of 'the "Standards for Private $~.~mge Dispos~f[ Systems" and wJJ2. constraint this system ~ confo~nce with t~es~ ~tandards~ or re~islon~ thereof~ p..eva~].ir~' ' at the tJ.~ of const, ruction~ t"~5t US% (~ TH~ II~,LT~ DEPART~I~T OI~LI' Bas~ on. information presented hegeon it is the opinion of t~ris dep~rt'ment that <',~1). adequate ~r~ satisfactory sow'age di~3posal system can bec,o~tructed~ ' ' on this plote