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Home My WebLink About1965-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDI~4G OEI~ARThAEtqT TOWN CLERK'S OFFICE SOUTHOLD, N. CERTIFICATE OF OCCUPANCY No..Z.%~.~.I. ............... Date ................... J[.~.~[......2.~. .............. , 19~.~... THIS CERTIFIES that the building located at ..,~/.8....Y~;Lll..L,~.~.C. ax,~ec~..,R~ ............ Street Map No ...... ~ ......... Block No..,7',~ ............. Lot No..~.~, ..~. ~.~..~.~...~..C.~.....,.,~.:.~: ............. conformB substantially to the Application for Building Permit heretofore filed in this office dated r ( ................................... ~(~4~T~.e~'......~.,.,,, 19.~,~.. pursuant to which Building Permit No. ,~.~,g.~.~'.., da~ed ...................... Deee~e~,....L~....., ] 9~.~,.,, wos issued, ond conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ .......... P~i.va.t e...or~...Y, am~.3,y..~w~llin, g .................................................................................... The certificate is issued to ..... ~ll~a...~O8~O,'L~t...,IlT .................... OW~qe~. .............................................. (owner, lessee or tenant) of the aforesa,id building. H,D.approval April ~9~ 1963 FORM 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.° 1965 Z Dote ................. Dsee~.....~O ........... 19..~2. Permission is hereby gronted to: .Tempest..Homes.....A/C......lglllla~..~.~.~.ola ............. Rt..~.~A ....... RoekT...P.~int t.....L..]'.... to ... ~lld.. ane. u.. one..faattl¥...&welling ................................................................................ ot premises Iocoted ot ...S~/...8&de....~ill...Lan~..:ox..Neek..Road ....................................... ................................................. Mat, ti.tuck ......................................................................................... pursuont to opplicotion doted ....................... D~oeml)~..,.J~. .............. ]9~.,, ond opproved by the Building Inspector Fee $..~,,.(~1 .......... // Building Inspector mNO~! TOWN OF SOUTHOI.D BUILDING DIPARTMENT TOWN C:LERK's OFFIC:E c~ SOUTHCILD, N. Y. Examined ~c_~~ 19...~.....t~ Approved ................. ..c~...L., 19...~.....~ermit No....~ .................. Disapproved a/c ...... ~.~ ........ ~~.......~'~.,~...~. · ................................ ............................................... ./.. ............. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled Jn by typewriter or in ink and submitted Jn 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. · work covered by this application may not be commenced before issuance of Building Permit. d. iUpon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such perr~it shall be kept on the premises available for inspection throughout the progress of the work. e~r No building shall be occupied or used in whole or Jn part for any purpose whosoever until a Certificate of Occupancy shall have been granted bY the Building Inspector. APPLICATION IS H.EREBY/V~DE to the Building Deportment for the issuance of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or I~egulations for the construction of buildings, additions alterations, or for removal or demolition, os herein described. ,The applicant agrees to comply with all applicable lows, ordinances and regulations. (Signature of applicant, or name, if o corporation) Rt. 2%A~ Rocky Point, New York (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~Bmllder. ........................................................................................................ Name of owner of premises ...~..~,~,~,;~.~l.l~...~.,...~..~.~..~...o.~..$....~.r., .............................................................................................. If applicant is ~ co,orate, signature of duly authorized officer. (Name and title of corporate officer) ~. L~ation of land on which proposed work will be done. Map No ~.Q~ fi~.~ t...~..~ N~C~ Street and Number ................................................ Municipali~ 2. State existing use a,nd ~cupancy of premises and intended use and ~cupancy of pr~o~d construction a. ~isting use and ~cupancy ................................................................................................................................ b. Intended use and ~cupancy ....0~e...~..~l~t~ ........ ....................................................................... 3. Nature of work (ch~ck,,w~hich applicable): New Building ..... ..~.. ........... Addition .................. Alteration .................. Repair .................. Re,naval .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ....~..~..~...q.0. ............................................ Fee ...$..]:..0..'.0.0. ...................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............0~.~ .............. Number of dwelling units on each floor .....0.~.e. ................. If garage, number of cars ..... .Q..~..~ ................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature a:nd extent of each type of use .................................... 7. Dimensions of existing structures, if any: Front. ...... ..................... Rear ............................ Depth .............................. Height ............................ Number of Stories ................................................................................................................ -Dimensions af same structure with alterations or additions: Front .. .............................. Rear ................................ Depth ................................ Height ................................ Number of Stories ................................ ., ............................. ~' 2' 8. Dimensions of entire new construction: Front 1+_~ ~ Rear .......... ~.. .................. Depth ...... ~ ...................... Height P3}. ....................... Number of Stories ..~,~ ....................... Size of lot: Front .~.QO ..................... Rear ...~100. ...... ; ................ Depth ...~,00 .................... Date of Purchase .......................................................... Nome of Former Owner ..... ~.~I~I~.¢.~..~.Q..~.~...~.Q.~ ..... Zone or use district in which premises are situated ......... ~ ......................................................................................... Does proposed construction violate any zoning iow, ordinance or regulation? ...... ,~O ................................................... Name of Owner of premises~.~ '] ~.~1...~D. SC.QiEL..~T~ddress ...['~a..~.tl~:J~...~.o.~'. .......... Phone No.~[B...~.-..):{-.LJ:.~O Name of Architect ...,; .............................................. Address ................................................ Phone No ................... Name of Cofltrc~'tor~t~.~.~.'l;..,~D~.~....QQ~'~^; ..... Address .~-~..-°~'~,e..~.C.~...~.O~2,.tphone N~h..~,~,~2~, '? New York ..... PlUOT DIAGRAM Locate clearly 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. .¸ 10. 11. 12. .1.3, STATE OF NEW,/Y(~O~K'~ ,,~ ) S ~ COUNTY OF~...) *~' ~ (Name of individual: signi~pplicatiOn) 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 I~f~e me this ,/~ _ .~ ' ............ · .~.:.~ da~-~f ..... ~ ........ , 19.~,~-~/_ Z. ~~~ ~ ~ · 'I ............... ...... Notary Public ....~~~~guDty~/,, ~ (Signature of apPlicat~t) '" ~ r~blJ¢, S;:ate of New York ~,~pc.~/~ ,,u. 52-0344953, Suffolk Courlty/= · ~' ~ $-9 SUFFOLK COUNTY DEPARTMENT OF HEALTH Aoril 29~ 1963 Date Building Permit No,/V~P TO WHOM IT MAY CONCEPJ~: The sewage disposal facilities for a structure located at .... ~_~~~~, ~,~ ,,~ ....... have beeu inspected by this Department and found to be satisfactory. DiStrictEngineer