HomeMy WebLinkAbout2074-zFOR~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's O~[ice
Southold, N. Y.
Certificate Of Occupancy
No. ~-''~. ....... ~ 0~.... Date ........... '~''' '1~''' l ..... , 19..~..,~-'
Map No ..... ~ ..... B~ockNo .... ~. .... Lot No. . . .'A ..... Z~.~ ........
conforms substantially to the Application for Building P~rmit heretofore filed in this office
dated ....... ~...~,. ,~.~,.,
dated '* ~ ~... 19 ~ was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
l~s~'e' ~ 'r~~'~
of ~he aforesaid building.
S~olk County Depar~men~ of
~ND~gW~IT~gS
~o~s~~ .... ~.~.o ..... s~...~...~~ ...............
......
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)
2074
Z
Permission is hereby 9ronted to:
....t~homa~.....Mon~l. to .....................................
· '~O..'~e~"~rson-..-.~ve ...................................
....... M.i.n~o-ta.,r · ....L .,..Y.- ~ .........................................
to ... ~11~ l~.. l:lelg:. ,one., .ff. ami.ty.- 4we .~..ti~ ..................................................................................
ot premises Iodoted at ...W,.1.Z.B..&...At.I~..]~A~ .....................................................................................
...................................................... ~.ur~ ............................................................................................
pursuant to application dated ......................... ]g~y. ......... :2~/. ................. 196.3..., and approved by the
Building In~;pector
Fee $.10.,,00
SCHD
SUFFOLK COUNTY DEPARTMENT OF HEALTIt
Date. July 30, 1975
Bldg. Permit No. 2074 Z
TO WHOM IT MAY CONCERN:
The sewage disposal facilities
Wells Rd. &Albro St., Laurel~ N.Y.
at
(Give deed location)
for a structure located
have b~en inspected by this department and found to be satisfactory.
1975
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD~ N. Y.
ORDER TO REMEDY VIOLATIO/,~
, Date .... ,
&/~/ ~ ._ // '-7" .........................
(o, wner ,~r authorized agent of~"~'ner)
(addresJ,p~v~lder or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance ,?~ ~
Other Applicable Laws, Ordinances or Regulations ......................... i ..................
:state character of vi~;i~'~if~i ..................
in violation of ............ ,¢'i ....................................................................
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comp/l~,,..,_,,~t/,,~with the taw and to re~r~6r~' the
conditions aboy~ mentioned forthwith on or before the ...~;.zc:'~.~.(~:~-,~.~..¥...(.~..~¥..~..~......f.../../...../.(....
day of ....:,: ....... /. .............................. , 19./..~...
The premises to which this O~DER Tf) REMEDY VIOLATION refers are situated at
/"'7. .. j~. ,~ // ..,/ ./ .~ x, .//./., / /)· . /
~?.~...:,~..z~.'.~.-....6~...~././'...~-....(...~.~(/~!.(./.,.~.,.~./?~..County of Suffolk, New York.
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprison?~nt· or both.
~. ................... ~...:,~-....~ ..... : ............. :~ .....
~uddmg ~nspector
TOWN OF SOUTHOLD
BUILDING DEPART/vlENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ......... . ..~,.....,,. 1....'.~., ~,, ...... ,
Approved ........................................ , 19 ........ Permit No.
Disapproved a/c .......................
.................... ............................. : .............
(Building//fnspector)
Application No...c~....L.'~..~....~i[ ..........
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
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 application.
c. The work covered by this application may not be commenced before issuance of Building 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 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 or alterations, or for removal or demolition, os herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
(Signature or oppdcant, or nome, ir a corporation/
.......... ~+0.. Jet. i:e~'.so~.. ~,ve.t... ~.meo.la ........................ (Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................................................. ~o;~....~...bu£ 1~ e;~. ............................................................................................................
Name of owner of premises ""T['IO~L~'"~o~g'~'~']zO .............................................................................................................
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 .,,~J/I~h'W~t't~I"~'"N'/~"'A]:~"~J~ ........ ~l~,~tll'~]' ......................................................................
~wunicipalJty
2 State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a, Existing use and occupancy .,,~gt, l~l~,,,..30~; ........................................................................................................
b, Intended use and occupancy ........ O~l~,,.~l~,i.'l,~,,,d~,]z[,i,l-Ag ...........................................................................
3. Nature of work (check which applicable): New Building ....,7,.X3QL... Addffion .................. Alteration .............
Repbir .................... Removal .................... Demolition .................... Other Work (Describe) ........................
4. Esti~nated Cost ......:[,1.~.Cl0Q.~. .................................. Fee ....... ~.~ .........................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ...... ~nll~. ................ 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 ........................................
8. Dimensions of entire new construction: Front ........... .~ ................ Rear ...... .~ ................. Depth .....},l,O,~.~.~.~. ......
Height ............................ Number of Stories......Ona .....................
9. Size of lot: Front .....'t~(~ .................... Rear ........... '[2.O .......... Depth ....... .'10~'. .........................
10. Dote of Purchase ............~.6~ .................................. Name of Former Owner ....... ~,....~t~t~:L'l.'l .....................
11. Zon'e or use district in which premises are situated .......... ~..~..?....d...$~.~.. ................................................................
12. Doe~ .proposed construction violate any zoning law, ordinance or regulation? ............... }j'~ ..............................
13. Name of Owner of premises ...~]P,~..~r/,J.~r~l,.O......Address ....... ~,~ftlD.],l~. ................... Phone No .................
Name of'~rchitect ........................... !.I ......................... Address ............ ..~. ............................. Phone No ................
Nome of C6htroctor ......................... !! ......................... Address ............... ~ .............. j ............ Phone No ................
PLOT DIAGRAM
L.ocot~ clearly and distinctly ail buildings, whether existing or proposed, and indicate all set-back dimensions fn
property lines. Give street and block numbers or description according to deed, and show street names and indic~
whether interior or corner lot.
STATE OF NEW YORK, )
COUNTY OF ...~tt~.~'~Jl; ....... ) S.S.
.................. . .......... ff'J't~:~&lL ~on~a.'l ~ ................................ being duly
(Name of individual signing application)
sworn, deposes and says that he is the applicc
above na~ed. He is the ....................... ~r~er.......b~ilde~. .........................................................................................
(Contractor, agent, corporate officer, etc.)
of said ow~qer or owners, and is duly authorized to perform or have performed the said work and to make and f
this opplJcbtion; that all statements contained in tJ~is application are true to the best of his knowledge and bell
and that the work will be performed in the manner .set forth in the application flied therewith.
Sworn to bbfore me this JUDTN T ~0ffEN //// '
.................. ~.. day of .................... ~...~[~:~g~.~°~.u~.%?~~/. , . , /Z ..... ,. /'/~
Notary Pu~hc, .~.t,~....~..~.'LA~ ........... ~-~ (S.gnoture of oppl~t)
TOWN OF ~SOUTHOLD *
BUILDING DEPARTMENT ~'~//Z~_.~.~ /
TOWN CLERK'S OFFICE ~~,~. ~ j~
SOUTH~D, N. Y.
APPLICATION FOR BUILDING PERMIT
Dote .................. ~ ..........2.?. ................ , 19-63 ..........
I NSTRUCTION5
o. 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 application.
c. The work covered by this application may not be commenced before issuance of Building 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 pa rt for any purpose whatever until a Certificate of Occupancy
shall have been grcmted by the Building Inspector.
APPLICATION IS HEREBY MADE 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 Lows, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described.
The applicant agrees to comply with oll applicable lows, ordinances and regulations.
(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.
O~ner * buil~e~
Name of owner of premises ....Thomas...Nar~ello .............................................................................................................
If applicant is o 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 ...~E/~..~.ell$...&.l~/~ ~],~O Dr .... Laural ..........
~ /,,3'~d]) Municipality i '
2. State existing use and occupancy of premises ana~ntended use and occupancy of proposed construction:
a. Existing use and occupancy ...~.~,~,~'3.t;...1Q~ ..........................................................
b. Intended use and occupancy ........ .O.~.e...~'.~;L].~...~'~.Li.~'3~ ....................................... ....................................
3. Nature of work (check which applicable): New'Building .... ~.,~;~...... Addition .................. Altei~tion :.Z.;,..;..:....'.
Repalr .................... Removal .................... Demolition .................... Other Work (Describe) ........................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ...... .o...n..e. .............. i..Number of dwelling units on each floor ............................
If garage, number of cars .............................................................................................................................................
6. If business, commercial or mixed occupancy, specify natureand extent of each type of use ................................
7. Dimensions of existing structures, if any: F~ont .......................... 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 ........... 5'1 ................ Rear ......53. ................. Depth ...... ~.0...3- .............
Height ............................ Number of Stories ......Q..n..e. .....................
9. Size of lot: Front ....L20. .................... Rear ........... 12.0 .......... Depth ....... ']0.5'.~...i ....................
10. Date of Purchase ............~-.9..6.3. ................................. '.Name of Former Owner ....K.:.....T.B..t..h..i..l'l .......
~: ..... ~ 'A" dist
] ]. Zone or use district in which premises are ~,,uu,=u .................................................................................................
12. Does proposed construction violate any zoning Iow, ordinance or regulotJon? ............... ~...O. ..................................
Name of Architect ................................................. ;.'.:,Address ............................................ Phone No .....................
Nome of Contractor ......................... ]! ........................ :Address
............................................ Phone No .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and ~dicate all set-back dimensions from
property lines. Give sfreet and block numbers or description according.to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW YORK, )
COUNTY OF .... $~U~o3J~ ...... ) S.S.
.............................. Thomaa..Mon~ello. ............................... being duly sworn, deposes and 'says that he is the applicant
(Name of individual signing application)
above named. He is the ........................ o.wt3.a:E....-....btzilcl, er. ........................ ..: ..................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file
this application; that all statements contained,,j,q,t~h~. ~U~tlication are true to the best of h s knowled e and be el'
and that the work w,II be performed m ttze m4...~8, rs~,t0fole~¥?$ the annhcatien filed therewith
Sworn to before me this .0 52.0344963, S ~. ta/~~ ~"']/ ,~
.................. 22. da of ..................... ~ .................. , 9 '3 z~.~ >f
.........:.c.. ......................
Notary Public, ~,~,~J~..~¢(..,.~ ....... ~ (Signature of oppJ~ant)
) I
~4
GEORGE
fOSTER
[.
]uS
GEORC:~ G. ,STER