HomeMy WebLinkAbout1939-zFO~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No..Z~.~f~. .............. Date ............... APm.$:L ....... ................ ,
THIS CERTIFIES that the building located at .Wc~.[.'.¢.j~h&:S;~,~,a.,.[~,~.-~,d ............................... Street
Map No....~.~. ........... Block No .....~.. ........... Lot Ne. ~1~ ....... Ha.t,.%~-~l~e.]~. ·
conforms substantially to the Application for Building Permit heretofore filed in this office dated
................................... ~,~O.~.e~e~....,.],~.., 19..6;~.. pursuant to which Building Permit No.7_~LC~ .....
dated .................... ~c~'g'e~l~e~' ....... .~,~.., 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 ........
........ P. r.i.v.a.te .. on~ .. fa~l.y...d.~ell~g .......................................................................................
The certificate is issued to ...D~,~t~!~..~t..~;t~e..~;~S ...................... (~Wfi~:P.~ ........................
(owner, lessee or tenant)
of the aforesaid building.
H.D.Approval Apr. 19¢h 1963
MaJkowskl
.... ~ ......... ~:... ......... : .............. ~ .......................
Building Inspector 'I
FOI~M NO. 2
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS F~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.° 1939 z
Date ................... No'qirem'l~......1.~ .......... 19.(~,..
Permission is hereby granted to:
Har~].d...R....Ree.ve..&..~ ...~/C..Dor~thy.. &..Alice Ha~nes
............ ~att .i.tuek ..............................................
t o .. ~.i. td..-ney.. ~ne...~a~ iF.. ~vet t4.t~ ...................................................................................
at premises Iocoted at ..W/8.....~l~.~;ph~l. ta...Roa~ ..........................................................................
........................................... l~t.titu~k,...~,.~, .................................................................................
pursuant to application dated .......................... ~O~gl~;~:F...,.~l~ ......... 19.6~.., and approved by the
Building Inspector
Fee $10~00 ...........
Butldtng Inspector
TOWN OF SOUTHOLD
.BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y."
,C~//
Examined ......... ~ ............................
Appraved ........................................ lc)..~.....Permit No ...............................
D,sapproved a/c ~~~-
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
Jnspec[or.'
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 location.
c. The work covered by this application may not be commenced before issuance of Building Permit.
dl Upon approval of this~applicati.on, the Building'inspector will iBsue a Building Permit to the applicant. Such
permit'sha~l be kept on the premises ovaJlab%e for inspection throughout the progress of the work.
e. No building Tsball be occupied or used in whole or in part for Uny purpose whatever until a Certificate of Occupancy
shall have been granted by"the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Departm~ent for the issuance of a Building Permit pursuant fo the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, .~or the construction of buildings, additions or,a Iterations, or for removal or demolition, as herein described.
The applicant ag[ees to ~ompJy wi~h all applicable laws, ordinances rand regulations.
-~ HAROLD R ~EVE ~ SONS~ INC
-' (Signature of applicant, or name, if a corporation)
(Address of applicant)
State wheth.er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................... g.9~.~&l...Co~.tr.a.c.t gr ....................................................................................................................................
Name of owner of premises ...... .,D..o.r.o..t. by,...~d....A;Lic.e...,~&Imes .....................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Clarence Bennett
Location of land on which proposed work will be done. Map No: property Lot No:
Street and Number Westphalia Ave. 111~..02 ft,northwesterly, from ¥oup.~
Municipality Mattituck
State existing use and occupancy of pr, emises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....................................................................................................................................
N ·
ew r
b. intended use and occupancy ........................ ~.J~,d.6~D.(le ......................................................................................
property lines. Give street and block numbers
whether interior ~ot.
3. Nature of work (check which applicable): New Building ....... .~. ........... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost ......... $'l.~..~.O0~,0.O ............................. Fee ........ ~.],0,,.Q0 ....................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units .......O.g~ ................... Number of dwelling units on each floor .......... ~ .................
If garage, number of cars .........................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..............................
7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................
Height ............................ Number of Stories .............................................................................................................
Dimensions of same structure with alterations or additions: Front ................................ Rear ................................
Depth .............................. Height .............................. Number of Stories ................................
~ - ~0'0" kO~ O" ..2.q......Q ..............
8. Dimensions of entire new construction: rron~ ............................ Rear .......................... Depth
HeightS.'...O. ll....q.e..~.]r.$P..g.. Number of Stories ..O.~e. ...................
1~+ ' 0"
9. Size of lot: Front ..~.0.~..~..~., .......... Rear ..8.~.'.....0..'.'. ............ Depth ..~. ........................
10. Date of Purchase ..~.O,~.,...~:~.~....~9.0...2. ...................... Name of Former Owner ...Q,],~'.O.g.¢..~....~..~J3D.~..~.~ ..............
11. Zone or use dist, dct in which premises are situated ......... .A. .....................................................................................
12. Does proposed cons(ruction ~i~.l~teeeO~cy ]~g~)~ct[~w, ordinonce2~5 ?sgsurl~iQ~.~ .O. ............................................
13. ~Name of Owner of premises .......... ~a.ine,8 ............... Address ...B..~...3~.t..~..~ ...... Phone NO .....................
i~lame of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Contractor..~.~.~.°..~....~..~..~..e...e.?..e....~.,~..q.~..s..~ddress ...~..~.t.±~.~f~k,..~..~ ...... Phone No.]V~..*.9.-..8.~.~..L?
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
or description according to deed, and show street names and indicate
Beginning at an iron pipe on the southwesterly
line of Westphalia Ave. 1117.02 feet northwesterl:
from Youngs Ave.~said point of beginning being th~
intersection of said southwesterly line with the
northwesterly llne of a l~ ft.Right of Way; from
said point of beginning running along said north-
westerly line of said 15 ft. Right of Way two
causes as follows: (1) S.~5 degr.~6'20" W.,-
123.67 ft.to an iron pipe~ thence !2) So ~5 degr.
53'q0" W.-76v32 ft.to an iron pipe,thence along
land of the party of the first part. two courses
as follows:(1) ~.62 degr.2~20'' W.-83.9~ ft.to an
iron pipe; thence (2) N.~ degr.12'O0"-21W.91 ft.
to an i~on pipe on said southwesterly line of
Westphalia Ave.two courses as follows:(1) S.5~ del
51'20" E.-5~.9~ ft.to a monument; thence (2) ~
S.W~ degr.13'~0" E.-q~.06 ft.to the point of
beginning.
STATE OF NEW YORK, ) S S.
COUNTY OF ............................ ) ·
...,Z..~.../~./..,C'/~4..//~....~~:/_~,~,.g~/.....~... ....................... being duly sworn, deposes and says that he is the applicant
' ' (Name o~ i~divid6al signing application) ~/,,~ ~.,~
above named. He is the ................... : .............................. ~.~.~/~ .........................................................
(Contractor, agent, corhorote officer, etc.)
of said owner or owners, and .is dWy authorized to perform or hove performed the said work and to make and file
this ap lication; that all statements contained in this a~plicqtlon are true to the best of his knowledge and belief;
and th~( the work will be performed in the. ma~'~'~;'~UBu~,~,, , ~Kapp]~otion filed ther~.th~'
Sworn to before me this ," NO~ARY~ ., .~.900'~ ~//~ ~ ~/
Notc,~ P~I,c, .~~ounty