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HomeMy WebLinkAbout2106-z_ i��TILA1 nt4�. h TOWN Or- SOUTHOLD BUILDING r T0WjNj CLERK'S O'� -ICL SOUTHOLD, N. Y. a; No. L`1 69-7 ............... Date ...............I:?P t!GP t ?�' '.. �'....:......, 1 � .... Street l HIS CERTIFIES that the building located at ..�.0U:-19911 • ge .. b ........... Block No......��. Lot No. �.......=ds�"Cha.$:1%1�...?o.Yo........ .•-.y ........ �.. ,. Map No...;�w{ �............. . conf(jnrs substantially to the Application for Building Permit heretofore filed in this office dated 19 ,3... pursuant to which Building Permit No. 7,2106.... �..................T'G i;>w ( r was issued, and conforms to all of the requirements ',. dated...........................c��Sii..............,�qj3 'of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ................................................ P.r..1v:a ..ten^...' c 7.� ..c3:c.r ,_?. x?r;......................................... _. w - ..... �z �S' K'.i............................ The certificate is issued to ....;;s',�s'?o••ru •,Ray�,(owner, lessee or tenant) of the aforesaid building. r HX.approval Sep•i; .209 1963 by R. Villa Building Inspector 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? 2106, Z Date....................... TM0 ..... 27 ................. 19.43 ­ Permission is hereby granted to: Theodore --&--Ruth .. Rayburn ................................. ............. C%.... A*Vef .... *'*'*'* ........................... ............. ....................... Matt-i-tMek ................................... to -fluV1A-.Tiew--one ... fami-l-r--dwalling ..... ................................................................................ ........................... I ............................ ... ..................... ....................................................... atpremises located at ..... ................ I ........................................................ ...................... I .... I ....................... mattituck ....... ............ _ .................................................................. ......................................................... I ................................................................................................. .1111. pursuant to application dated .......................... TXMe .......... 2() ............... 1963 .... and approved by the Building Inspector Fee $_.j.Gj.()0 .......... Building 'Inspector � F -I 7 M 111 77� ................. - �'�a�&�.se.ver�.re�ae� �%�ST� 3�.'"}aFt�+��� &nn'�le �..��,. �,.-,,�a�..,s�;l�k�.eli�,L,��v ..J . _ 1. ,. 5,� .•:�F!Y'•��'� � e>�,� ;t�`> >. r''OAM f8®EL -}94t New 'ark curb of itrr`anberwrttPro ;. BtAEAU OF ELECTRICITY 88 ,OWN STREET NJW YORK 38, NEW YORK N 3 Q Q ,r71 i }n, Date X.04.6674 i "�, � � �t-uric �Eq'ut�i�t►r�...__._,,.--�..__---_ . ___._ ._ __ _.____�_. __. _. __.._.._.__ .____._� �.er�to�a�d•' Barr ,�;�saY'r.�sr'��.,x>:��� �I Wk ov 7� �r'.; 14410 s. if, ��I�C>Y.tiARxllCti . »rw..:..sg +r�+�+w.Y..•.r ,�,» r«;.......a.�rwF.. 'k:1Kt1Ei11�1 LrxJvtt� �iG FA14Mtge"?} W*�rc 3 . 'jd' YF3- I+. '1' ,€ [ :a"4'I:' Y4, i` .11 "�'1-! ?.s w# 7 ,E B049' -,i 4T, 41 rwfs a,*A, tow U* 6 0*6 M At Att Uw Jft'A" l tst r xrw:f-r., =aii: �, iv 4yws c$'F'.eu. :- fs n 6 r, :,revs cc.•. •.a,>-. -... a , J'. -�. „- FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..............-. ......... 19.Y. / Approved.........................t.1.........., 19....I ... Permit No. ......... .....®.6 Disapproved a/c ......`.-.�......... .......................... ........... ......... Y ..... (Build......in g .......................... Ins ector) APPLICATION FOR BUILDING PERMIT Application No.41. d ................... Date ............. k ,......................... 19ii9.'....... 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 drown 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. anor ......................................(Signature of app ' me, if a corporation) .. (Addsl�applicant) ........ (Address o of State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................../...........................................f�..........—......................................................................... Name of owner of premises ..... ✓��1.. /1�?</ ...... ......IL..F'/—Z .........../�..f� ��.. If applicant is a corporate, signature of duly authorized officer. ................................................................................................ (Name antitd le of corporate affice r) ��ap, 6--r' 1. Location of land on which reposed work will /be done. Map No:..�?.t. ? .h../.<. lOu/C! ... Lot No:�.`.�,. ' % S .fStreet an '...... ./... y...l........,. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................................................................... b. Intended use and occupancy .........GA L'. ? tC �lC�......lZ a.0 �i,,.�.................... 3. Nature of work (check which applicable): New Building ..... j.......... Addition .................. Alteration ................. Repair .................... Removal .................... Demolition.................... Other Work (Describe) ........................ 4. Estimated Cost ��/...„S, �% o Q.....................Fee......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ....................Number of dwelling units on each floor ............................ Ifgarage, 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 ...../tlO.�.`�'.... Rear .......................... Depth ............................. Height............................ Number of Stories...............%.......................................................................................... Dimensions of some structure with alterations or additions: Front ....Alk?.H<......... Rear ............................... Depth............................ Height ...............................Number of Stories ........................................ ii el 8. Dimensions of entire new construction: Front..... .,y .,.. c�........ Rear .... i�. ... .'..... ...... Depth r?.5.1 ................ Height ........� ?r. .......... Number of Stories........ . / ..................... 9. Sizeof lot: Front .................. Rear ................. Depth ....... 1� . ............................ i 10. Date of Purchase ........................................................ Name of Former OwnerG/....... ...y4.!�M..117 .... ... 11. Zone or use district in which premises are situated..................................................................................... .. 12. Does proposed construction vi late an zoning law, ordinance or regulation? O / L/.; ................................................... 'r �alee� pA Fi u.2.�/ �Ok lv! �I/+'7r7 ��` ' / 5 13. Name of Owner of premises ...,cP.rs.fir,......:".�i...�..........Address ... . �../.�... .... �..... Phone /rO,ea r�F�s�rr ..Address....l.V..L"..[?,.h..L'..f4�.............. Phone Name of Architect ........... �..................../E...........^ Name of Contractor . �ft.�,e s.!. Q �aKI�S/)ucAddress ... ..fl. ls�E. ......... Phone No.��.�". �../. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set -back dimensions property lihes. Give street and block numbers or description according to deed, and show street names and inc whether interior or corner lot. t oe �(o , s Q__ STATE OF, NEO/7, COUNTY OF,,,,,.., j S.S. ................ .. .............................being duly sworn, deposes and says that he is the applic (Name of individual signing. 1a li ationn)) abovenamed. He is the .....6 ...... .. .................... .............................................. Contractor, agent, corporate officer, etc.) of said owner or owners, and 1s duly authorized to perform or have performed the said work and to make and this application; that all statements contyljb)T� tn,&' application are true to the best of his knowledge and be and that the work will be performedl4yerYthublicpEby o�th in the appli ation filed ther}vithor �c� /, J Sworn to before me this Na 52-0344963, Suffolk Count Of scion ExpiresMarch 30, ?�.`. ...... 1 ........ .......... .......... .......................... Notary Public, c••. ....:. c . • . (Signature of appli nt) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... {. 194,t. Application No. .�....f . Approved........•...............',..i..........., 19..s ..... Permit No.. Ali ..�.., ..�..{,. Disapproved a/c j.. i ..L :...f...,l....... r......... ........................ (Building Insp tor) APPLICATION FOR BUILDING PERMIT % / f Date........... ...�.`......................... 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 applica- tion. 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, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. ....eG......................................... (Signature of applic nt, or name, if a corporation) . �. ................... (Address of ap —Hcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................�.�'..Giawe.......:.........,..........................j...%.................. .................................................. I.................... Name of owner of premises.../7C),:�Y4....1....l.l.........(...!.lF. Gf ��-'••.......................................................... If applicant is a Corporate, signature of duly authorized officer. ................................................................................................ (Name and title of corporate officer) Oro ev�YC�ryr1L 1. Location of land on which rop ed work will be one. Map Noe.blfQ.i l.11 �y.tSU...�F.'�r.ry-Lot No.:.6,,.�A.. Street and Number r "•/ %••f.• ••.....Q ..........<l��t` /r...� ....?TI? .... ( f/qct•••. ?b./,...... r/•%.(.!f� p Municipality WX 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancyv • • ••••• b. Intended use and occupancy .....leC ... /G..t! 3. Nature of work (check which applicable): New Building ......A\......... Addition .................. Alteration ................. Repo ir .................. Rery}ovol ........./......... Demolition .................. Other ,ork (Describe) .................. -P 4. Estimated Cost ............1/.40.. l a... ......................... Fee ...... �D. .......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... .................. Number of dwelling units on each floor ........................... If gproge,-number of carsr ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specify nature .and extent of each type of use ................................... 7. Dimgnsions of existing structures, if any: Front ...: °. t........ Rear ............................ Depth ........................ Height............................ Number of Stories............./......................................................................................... Dimensions of some structure with alterations or additions: Front ... . �........... Rear .......................... 8. Dimensions of entir new construction: Front ................ amber Rearories:/ J:P ........ Dep , Depth ...............Height (hum ber of Stories ......../. G&RR6C �� Height .........C>�............... / ........ 4?,7or— e 9. Sizelof lot: Front.... 2A..P44.......Rea r .................... Na........ Depth..... d©...•.......... 10. Date of Purchase ........... 4.0 me oUormer Owner ..4C!/../,(i .: t....yp,�/ 11. Zone or use district in which premises are situated ....(I.P.S.t..d.��f1. / .......................................... 12. Does proposed construction viol. tea zo m ]a ordinance or regulation? ...Nd g r1v............................................. 762C0�✓ore %% 13. Name of Owner of pre ises .Q./.j. t.tla4... t!r?ftr/r'Address No. Name of Architect .. ...... 3?s. .......... Address . vi°1!?11?.' /Y16" Phone No./O.P.-.2 Name of Contractor/.kVS/2S: •..�f�ayt. 5..... Address .... �.�'0.�').,..,,. Phone No.7: PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set -back dimensions f property lines. Give street and block numbers or description .according to deed, and show street names and indi whether interior or corner lot. �ur�EJ .4 VP. ry X11 q �r rob 9'o N %J STATE OF: NEW O 1 , i ) S.S. COUNTY OF .. �.....) ��% �'�t •••� • • • • ...............being duly sworn, deposes and says that he is the applic nt Game individual signing application) abovenamed. 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 t iis application; that all statements contained- in this application are true to the best of his knowledge and belief; a id that the work will e performe in the manner set forth in the appli tio) fjled �erewitutai Sworn to b, ore me this - �tii.ed,,��•G��tdL[��J%% �jdr ']-n ..... day of ... 19. G. 3 �Glr' ..K7.... / VA�, STYPE............ ,........... ............................ Notary Pu lic ............. ... 4t..... Hotary. Pudlk fiiptin5f New fork (Signa re of a nt) . / No. 523889685 in/7 ! / QUNIMed in Suffolk County 1' GGGiVVJ , O MMIUlon Expires March 30, 196X� r PI a r - .1py \ s µ ' ' `�_ a .. _,r n �Zb ., , . .. .. .. ,�bR -�.✓' � yztja �� o��� .... rte,. 1• , , aV AIV. ° 6+ O o • 9C'ta k. + I _ ' REFERENCE: DARUTH u � CG� �da "' a`l?i f £� Id`iid ' now"'o soUrr-ITL ITb tie ARY M. VAPUTH ?,, a n � r •" SCALE Sus 3t/+ { �� ;APV! f°'°f'