HomeMy WebLinkAbout1941-zFOl~/f NO. 4
TOWN OF SOUTHOLD
BUILDING I~EPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, iq. Y.
CERTIFICATE OF OCCUPANCY
No....~...[(~0.0 .......... Date ................................ ~.Ltl~..~.~. ....... , 19~,~...
THIS CERTIFIES that the building located ct ~:~a,~,":~,~W.~...8.OLI.'P~.C~ ............................ Street
Map No ........... ** ....... Block No .......** ........... Lot No ..... ** ..............................................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.............................. ~lQ.~'.eltt~el:'...,~.6 ......... , 19 ...... ~pursuant to which Building Permit No ....... .~....~..9.41
dated ................... ~TO.XK~I~CA=.,,,~ ........ , 19...~.~., was issued, and conforms to ail of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ........
.................................. ~Z~,~J~...O~J~.. ~.~I::[L~.. ~W~:I;L~ .............................................................
The certificate is issued to ..... ~,~,~...t.-~.~l,~...~W~l~ ................................................................
(owner, lessee or tenant)
of the aforesaid building.
......... i...~:.r ........................................ ,i. ...................
Building Inspector J
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 19 1' Z
Date ................... Ilove~be~,...-..16 .......... 19~2 ....
Permission is hereby granted to:
Gotc}~th..i~a~d-~n~.. &. Conot ,...A/C..-..Le stet L~ttle
...8~tl~t~ .........................................................
to 'Bui']zd'"an"addi'ti~n'"ott"m~"ex'~'st't'ng"re~,d'en~e ......................................................
ot premises located at .p,et..R.~O~l~,.....O~.f...F~/~.....P~.ad~,s~..l~oint..l~o&d ...........................
........ :- ......................................... {~eda. t..t~eaeh, t-..-.Southo-ld ........................................................
pursuant to application dated ................................ ~O.~.~,abe~.....~([..19.~2.., and approved by the
Building Inspector
Fee $"¢i~0 ............
Building Inspector
TOWN O~ $OUTHOLD
OFF]CE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HA LL
SOUTHOLD, N.Y. 11971
June 22, 1984
TEL. 765-1802
To Whom It May Concern:
Please be advised of the following information regarding:
Suffolk County Tax Map No. 1000-081-03-014, currently owned
by Robert A. Hennessy: the Building Department has a record
of one Certificate of Occupancy having been issued for this
property. C.O. ~Z1600~ dated June 17, 1963 was issued pur-
suant to building permit No0 1941Z, issued November 16, 1962
:for an addition on an existing residence. C.O. %Z1600 covers
this addition. There is no record of a C.O. for the "existing
residence." We have no app].ications presently for Pre-Exist-
ing CoO.
Yours truly,
Eil~en Carey
Clerk
CHICAC-O TITLE INSUI~ANCE COMPANY-
111 F.&tt~ ~ ~ ;~,~sd. I~ ¥o~& 11e~"~ I.~16%. F2Y.-~SS'
Gentlemen:
of Certific~ate o~cupanc~ - S, urvey Attached.
Map o£:
Incorporated Village of:
Chaim of Title:
Please advise b letter i.f Certificate of Occupancy cannot be
found or was built pYrior to issuing same.
Very truly'yours,
FORM NO. 1
TOWN OF $OUTNOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, H. Y.
Examined ........................................
~pproved ........................................ ]9 ........ Permit No ...............................
Disepproved o/c .......~ ......... ~ ......................................
APPLICATION FOR BUILDING PERMIT
Date ........... /./4r-Z'. .......... ....................
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 drawn on the diagram which is part of this location.
c. The work covered by this application may not be commenced before issuance of Buildlng Permit.
d. Upon approval 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 port 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 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)
(Address of ~'pplicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of prem.ses.....~.~;~T~......~./.~ ........................ ..............................................................................
If applicant is a corporate, signature of duly authorized officer.
~/ (Name and t~tle of corporate off cer)
]. Location of land on which proposed work will be done. Map No: ............................................Lot No: ....................
Street and Number .......................................................................................................................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existin g use and occupo ncy..~-/4~-r{~',~"~,~. ...........................................................................................................
b. Intended use and occupancy ....... 't~ ..........................................................................................................
3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost ............. ~....../.~.~,/,~ .... : Z.~.. ,~.....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 ........ .~Z~/Y~'. ........................................................................................................................
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 ......~/;~f,: ........... Number of Stories ............ 74 ..............................................................................................
Dimensions'~'of same structure with alterations or additions: Front ..... Z~. .................... Rear ..../...~... ....................
Depth ....... ~ .................. Height ....~ ..................... Number of Stories .........../. ....................
8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................
Height ............................ Number of Stories ............................
9. Size of lot: Front ......,,~.~..~. ............. Rear ........ ?...~'...../ ........... Depth ........ ~......~. ...........
.~Z. ..................................................... Name of Former qwner
10. Date of Purchase ........................................................
11. Zone or use district in which premises are situated ...... ~/~'.'~..~:~.~....~.. ...............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation?
13. Name of Owner of premises...,Z~t,~....~l.,~,.~...Address ~,~..~/~.~.J~,~"~/~.i~//~O.....Phone NO.~..~..z.~.~ .........
Name of Architect ........................................................ Address ............................................ Phone NO .....................
Name of Controctor.~X~'~l...r.~..../~t~.."~.....~,~.Address .~/~,ff'A~/,,O...,.~,,Y~M~c'....~.~.Phone NO.~.¢.'.'~:.r,~M..~.
PLOT DIAGRAM
Locate cleorly 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, ) S S.
COUNTY OF ............................
../~./0f.~..~. ....... ~..¢~¢.~.~./Z't~. .......................................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the...~~ ....... ~.¢~ ......................................................................................................
(Contractor, agent, corporate officer, etc.)
of sa d owner or owners, and is duly authorized to perform or have performed the said work and to make and fife
this applicaton that a statements contained in this application are true to the best of his knowledge and belief;
and that the work will be performed in the manner ~l~rt~ in the application flied therewith.
OWOE~
Sworn to before me this
, ,.~ , ,~ew y~ (Si nature of a lica~)
...... [.d ............ ........
Not'aw Publ c, ~.....~.~.':
CHICAGO TITLE I~ISURANCE CCMPAN¥
(516) 727-4455
YOUNG & YOUN(
VEY FOR:
~BEf?T HENNESSEY
~ 1"=40' {°'~0CT7,198~, IN° 82-$0.e