HomeMy WebLinkAbout1906-zNO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ...}~/~..~&U~.~..~d ................................... Street
Map No...~.;1~,~ ........... Block No...~ ......... Lot No .... ~ ....... ~9,.~.~;~.~.~f,.~...~.~.~ ............
conform~ substantially to the Application for Building Permit heretofore filed in this office dated
.................................... ~.C~.~..,..~......, 19~2... pursuant to which Building Permit No....~...0~....
da¢ed ....................... 0.¢tg~bP,~.......~. ...... , 19.~2.., 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 ........
...... ~.r. ~. e~t,~...one.. £ f~:t,l,y.....cl~.~l~l~,~ ........................................................................................
The certificate is issued to ....~l.:Lam..~,t~,.~l.e.~ ........................ ~r~e;~. ........................................
(owner, lessee or tenant)
of the aforesaid building.
H.D. Approval March 29,
196] by H, Villa
......... ....... ...........
Building Inspector /
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.o 19o$, z
Date ..................... ~e-t~ber.....~ ............ 1 ~o~ ....
Permission is hereby granted to:
Thom..~J.~he~......g/C..~/~.l.l.imt....O~emte~ .....
........ ~a.t t.i.t ~ek ...................................................
to ..... l~n~.~'d .. ~e~.- on~..~'~i.~y' ..d ~e~L4. i~g .................................................................................
ct premises located at '""]~'""]~"~4"~O~d ..................................................................................
............................................................ i~t~CJ:t~ck ...............................................................................
pursuant to application dated ............................... O~t~ber'""~ ......... 1962...., and approved by the
Building inspector
Fee $...10.~:)0 .........
VICTOR LESSARD
EXECUTIVE ADMINISTRATOR
(516) 765-1802
Town Hall, 53095 Main Road
P.O. Box 1179
Southotd, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 29, 1988
TO WHOM IT MAY CONCERN:
Certificate of Occupancy Z-1561 dated April 9, 1963
issued to William Gremler for a Private One family dwelling
and Certificate of Occupancy Z-7230 dated September 10, 1976
issued to William & Mary Gremler for an addition to private
one family dwelling is shown on Suffolk County Tax Map No.
1000-122-5-6. Said premises are also known as #375 Kraus Road
Mattituck, New York.
CH:gar
Yours truly,
SOUTHOLD TOWN BUILDING DEPT.
Curtis Horton
Senior Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOW~q CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined .............. .~.~......, 19 .~J~
Approved ............. No .........
(Building Inspector)
APPLICATION FOR BUI~.D|NG 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 oic property must be drawn on the diagram which is part of this applica-
tion.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon a,pproval 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 $outhold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations for the construction of buildings, additions, 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)
................... ..........................
(Address of applicant)
State whether~~applJ~gt is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Nome of owner of premises ...................................................................................................
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 ......... ~~ ............. ...~...~. ............................ ..~...~.~.'./....~ ...............
Municipality .....
2. Sto~e existing use and occupancy of premises and in[ended use and occupancy of proposed construction.
a. Existing use and occupancy ................................................................................................................................
b~ Intended use end occupancy ................................................................
3. Nature of work (check which applicable): New Building .................... Addition .................. Alteration ..................
Repair .................. Remova! .................. Demolition .................. Other Work (Describe) ..................
4. Estimated Cost ..... ../..~....~....g...o........2~... ............................... Fee ........................................................................................
(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 ............................................................................................................................................
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 ............................ 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 ......... ~..'.z~. ............... Rear .......... .~.../.. ............. Depth ...... ..~_.,~... ...............
Height .............................. Number of Stories ........ ../..'. .................
9. Size of lot: Front .............................. Rear Zoo Depth ....../~1~..~77... ............
10. Date of Purchase .......................................................... Name of Former Owner ........................................................
1 1. Zone or use district in which premises are situated .....................................................................................................
12, Does proposed construction violate any zoning 1law ordinance or regulatbn~
Name of Owner of premises ..~..z.....~.?~._~ ....... Address .... 7~/'~-'~M~......~:('~-....~.....' Phone No
13.
Name ~o~ ~c,h,i,~~..~. "7~ ........... Address ............... ~ ......................... Phone No ...................
Name,,. ~,v,.,~,~~. ;.-....~ ~.~ Address ..... .,~....~...~.....~.~..~.~//~.... Phone No..J~.~,...?::..J./.°./
PLOT DIAGRAM
Locate clearly and distinctly a!l 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 ~90~(!
-/.....~.~..~..~ ....................... <.~..~...: ...................................... being duly sworn~ deposes and says that he ,s the appl,cant
(Name of individual 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 applicaHon are true to the best of his knowledge and belief; and
that the work will be performed in the manner set forth in the application flied therewith.
Sworn to before me this ,,~,, -'-, ~ ~-,
· .......... ...~...~ day_of .......
........... ........ .......
Notary Public .~a'te,~.~.~C~. un, J;,//. ,~ ~' /tgq'gnat,~/f applica,nt)