HomeMy WebLinkAbout1902-zFOEi~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIF|CATE OF OC:CUPANC:Y
THIS CERTIFI~zS that the building located ct F.~i~..~...~.~h..~.~ ....................................Street
...................... ......................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.............................. ~.~.ll~..~}~f~......~......, 19.~.. pursuant to which Building Permit No .......
dated ........................ ~.,~.....,0..~.~.._~.~.., 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 ........
............ ~.$..v..a.~.~...~.~...~.~..~z...~.~.~.~ ..................................................................................
The certificate is issued to ..~.~.~p..h.....&....~...~....q.e..~.......~.~,.~..~. ...................... ~.?.,~,,.s. ........................... (owner, lessee or tenant)
of the aforesaid building.
H.D. approval Mar 1~, 1963 by R. Villa
Building Inspe~or
FO]~M 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? 1902' Z
Permission is hereby granted to:
l~lver J~t · ' ']~J~' ":~ ·" "~/i~ "~l~h" a' ' ']~a~es ~
· ..West...l~.~..~ ................................................
.................. ~Z~e~ea~ .........................................
to ...~.~.,~®w..o,ae...£~at.lT,~l~,].;~t~ ...................................................................................
at premises located at {j~,iii~i1]XT~..j~2T~[~..~L~ir....~;..~....i~..~. .....................................
................................................... l~:n~ · .& ..7~;h.. ~ ~;i..,. · .13reimp.o?t ...............................................
pursuant to application dated ................... ~lj~.t~i~j1~i~.....~r ............. 19~...., and approved by the
Building Inspector
Riverside Homes
box 631,
West Main Street
mRiverhead~ L.I,
March 26, 1963
Attns Matthew wandoloski,
Dear SirS
As~equested in yourletter of Marehl 22nd~ I hav~ made an ·
inspection of the Ralph Mtms'premtses, Seventh& Flint 85~ Gr~enport~
I find that the building isincemplete, there being no
front or rear steps~ the garage ~floor is. not installed~ ~there
several inches of water in the cellar which must be completely removed
and dried up all of this must be done before I Can issue a certificate
of occupancy,
i will hold all of the papers that you have sent untilsuch
time.~the~work~i~ completed~.
Yoar~ truly
Buildin~ :InspeCtOr [
March 22, 196~
Mr. Howard Terry
Southold Building Department
~ain Road
Southold, New York
RE: RALPH MIMS - PERMIT # 1902Z
Seventh & Flint Streets
Green~ort~_New York
Dear Mr. Termly:
I am enclosing a photostat copy of the Health
Department approval of the sewerage system and
a copy of the Fire Underwriters Certificate.
As of this afternoon the Village of Greenport has
completed the installation of the water main.
Would you be good enough to make the final
inspection for the Certificate of Occupancy and
forward same to us as soon as possible.
MW/sh
encls
Sincerely yours,
Matthew Wandoloski
Vice President
B~verhea~p New York
1. Subdiv._~ia~ Raase
2. (a)Sec.No. ~
(b)Lot No,.
3. F.HeA+No.
4e Ve A, NO.
~ (Ser~ ~o.) '"
~, Bldg,Permit
or Job No. l~(igl~ ~
Application for Approv..al of .P~i, rate $ewa~e Dispo_~.l
To the Suffolk County Bepartmen% of Health~, Date .. ~ ~; 1_~.~ . -
AppLication for approval of private sewage disposal for a single fsmily
dwelling is hereby req%tested concerning which the following information is sub~
mitted =
60 Agency requiring approval
7, Name of owner ~ml - "1mm
§. Na~e of builder R~v~aida
9. ~stem - '~ ~ -
~, Water su~ly ~ . ~ ~"~s~ ~ ~ ~va~ We~
Cesspools
(a)Numbg, r ~f~_~ ~
(b)Blocks below in, et .
(c)Block si~e
in.
15. ~pt:lO tank -
(&) Luside W___~
16..~e~e f~d --
,'<=~ I
~g)Finished ~de to cover m ft (d)Dep~h bott~Of ~e
~-~-~--~ ~*tem
I ~ certi~ t~t this priva~ ~ u~=~ ~
st~cted as in~cated ~ the app~cation ~d is ~ acc~~~~
ments of the latest ~etins on the St~d~ds ~or Priva~~'~'=
~ffolk County Dep~nt of He~]th
~i(2iAp~noan ~ ~ 1
19o Rely for Ins~ction ~it~
- //~ USE 0F ~E ~ DEPART~ O~L.
~n~eoted ~ ~~~ Date ~/~
mnst~ation ~ ~atisfaJ~o~' ~es. ~ no~ ~
............. ~.-,.. _ _: _': ...... , ...............
Based on the information stated hereon by the applicant and other information
made availabl% it is the opinion of this department that this system with proper
maintenance can be expected to function satisfactorily and is not likely $o cause a
Date MAR I ( 1963
s-5-(Rev.)
'1/58 (Over - Complete sketch on reverse
--- .......... ~*~*~ ,,~oxy u~a¢cn sm~c~. See Department of Health
lnstruotion notes for aid in making sketch and completing application form.
ST~ET [
L/A/y-
": -37.. ' ' ':
HF-ATING
~,~ ,,'
3 wi~.e..servio( : ,
Z
FORM 1~0. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved .... ~...&..~/..,~. ................ lc)..~.~Pormit No...~../..~..C)..~.
Disapproved a/c ...~.~.~,~..:.:.~:~.~ ....... J~Z~r.-..~tc~...!:..~....~-.?.F~...~..~. ~(
.... ............ ........ .......................................
(Buildin0 In~ector)
Application No.
APPLICATION FOR BUILDING PERMIT ~/~
Date ...~f]]~..~..e,?.~..b...e:.z.~.~ ............... , 19...~....~..
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 applica-
tion.
c. The work covered by this appJication may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector wilt issue a Building Permit to the applica.nt. 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 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 County, New York, and other applicable Laws, Ordinances or
Regulations for the construction oF buildings, additions, ~ns, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable law/sf'~rdina~ces and reg~ul~t'i'a)~s.
~ ( (Signature of applicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
wner of premises ....Ea:Lph..ez~d..~ex~a.ea..VLtm,~ ..........................................................................................
t is a corpor~g~e~e of dul~,/y, au~1;hori~.~cl officer.
~ (Momo ~nd tltle~ corporoto officer) ~ ·
1 kocotion o{ Iond on which proposod work will be done. ~op No.9~.~.~...~'.~.~ P~k 51
. kot ~o.: .....................
TOWN OF SOUTHOLD
Street and Number ....~.~..~d..~e~e~..~e~...G~e~.Roz~..~.% .......................................................
. ~unicipa~ity
2. State existing use and occupancy df premises and intended use and occupancy of proposed construction.
a. Existing use and occupancy ~.O~ ......................................................................................
b. ~ntended use and occupancy ....... .}0~-.~,4,~,~;.e..~,o~e.r..3..A.~t.~r.~;...q~9~.~;~l',~ ..............................................
3. Nature of work (check which applicable): New Building ...X ............. Addition .................. Alteration ..................
Repair .................. Remora! .................. Demolition .................. Other Work (Describe) ..................
4. Estimated Cost ....... .~.l.~.,..O..O...O..,...0..O. .............................. Fee ........................................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ................................ $'IX Number of dwelling units on each floor ............................
If garage, number of cars
6. If business, commercial or mixed occupa'ncy, specify nature and extent of each type of use ....................................
7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ..............................
Height ............................ Nuriqber of Stories ................................................................................................................
Dimensions of same structure with alterations or additions; Front ................................ Rear ................................
Depth ................................ Height ............... ~ . ........... . .... Number of Stories ................................
8. Dimensions of entire new construction: Front .~6' t . Rear 56'
........................................................... Depth ..............................
Height ...... .~.~..*. ................. Number of Stories ....... .O...~..e. ................
9. Size of tot: Front ....... 'IQO ............... Rear .......... ,~0Q?. .............. Depth ...... ~.,..9..0..~..~...~
10. Date of Purchase .N,o.~.el~be~.....~O.~...~,96,1 ............... Name of Former Owner Peter
11. Zone or use district in which premises are situated. A z'el!l'l~e~t'l ~t:]. ~Qd Agr'l ¢l.t].t~tl,ral ])::L~¢.
12. Does proposed construction violate anyzoning law, ordinance or regulation? ..~.e.~ ....................................................
...... Ralph Mim~ ... Third St. G~eenport_, . GR
13. I'qame or uwner aT premises ............................... ,~aaress ..................... Phone No ..................
Name of Architect ..~.o...b..~..~..$...~..~.~.a...~..~...k..~. ........... Address ................. Phone
Nome of Contractor ]~,~.V.~.~$,~.~...~.Q~.I~B, ,,l~Address .~.~...~.~,;],~...~..~;~....~...:J-..v.~rhe~one No.~..A....~._-.~.9~
-J ao~ .~OPLOT DIAGRAM
Locate clearJ and distinctly ati buildings, whether existin~ or proposed, and indicate'oil ~et-Back dimensions from
property lines. Gi/e street and block numbers or description .according to deed, and show street names and indicate
whether interior r corner lot.
STATE OF NEW YORK, )
COUNTY OF ............................ ) S.S.
Matthew Wandoloski '; ~ ~-, '
................................................................................................ bc,rf~ duly/,,~worn depose~,,~1~d s)~ys that,,,be s the 9PP cant
(Name of individua! signing application) ~/~,,,~_~,~L_/,/~
above named, He is the ............................................ ~ ....... ..~..,
(C~tractor~c rpor6'te officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the soid work and to make and file this
application; that oil statements contained in this application are true to the best of his knowledge a:nd belief; and
that the work will be performeC, in the manner set forth in the applicat~led therewith.
Sworn to before me this / ) ¢ ~ / ,,/ , /
·" ~ 1~5~ 52-2611875 - Suffolk CoJnty
ComBission Exp res March 30, 19