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HomeMy WebLinkAbout2110-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. I 1717 Date October 28 i9 63 THIS CERTiFiES that the building located at .... ..~..e.,.e..~..e..,,p.~..~,..~..a..~.~..~.....~..~. ...................... Street Moose Cove Es~ XXX ~8~. Gutehogue~ Map No ....................... Block No ....................... Lot No ................................................................... conforms substontiolly to the Application for Building Permit heretofore filed in this office dated ................................ ~....t~....Q ......... .~,.~. .......... , 19~... pursuant to which Building Permit No....,~.~..[...0.. doted ......................... .~,.~...~.~.,-..~ .............. , 19..,~,~._, was issued, and conforms to c~ll of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ............... ................................................................................. The certificate is issued to JO~'3. COT~fort~ O~tl.e~ (owner, lessee or tenant) of the aforesaid building. H. D. Approval Oct, 28, 1963 by R. Villa .......................... ......................... FOI~I NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS I~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. ~110, Z Dote ......................... ~'~.....~ ................ ~9..63. Permission is hereby granted to: l~udenti ~ons-t ~. · - - - ~/(l.~ob.n- · .~ ol~e~l~ ~i- ....................... ........... 9?.~.-.~on~a~--.~'~ ................................ ................ ~ht~J:e~ ........... ~ ................................... to. t~u,i.t.d...~,~...erie...~am~..1~.. ~.~.t.i.n~ .................................................................................... at premises located ct ........ 'l~t"~8~---'-~l~"'3~3~'"-"~o~e"Cove ............................................ .......................................... B~e~' ..Dr...&.. Fawn" ~- ...................................................................... ...................................................... Cnt~h~'gu~ ..................................................................................... pursuant to application dated ............................ ,T~Fk~ ....... ,.~.~ ............... 19...1~.3, and 9pproved b~ the Building Inspector Fee $..]LO~ O0 .......... S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date August 27. 1963 ,~ Building Permit No~ 21lO Z TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at . S. gu, th Ems,t..~o~ner Beebe D~e' &...P, awn.,Lam~.:,. Cut~hogue,.' .N.e~ ~rk (Give deed location) have been inspected by this Department and found to be aatisfactory. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~YL Examined .........(;.~ ,L .~.?..~. :.¥1.... ,~.......,~ Q'/ 19 Approved ........................... !.:. ......... , 19 ........ Permit No..m:. .......................... Disapproved a/c ................................. ................................. ................... APPLICATION FOR BUILDING PERMIT Application No ..... L.~'7... J~.. L. ~. ....... INSTRUCTIONS o. This application muS~t be completely filled in by ~ypewrite~' 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 odioining premises or public streets or areas, and giving a detailed description of layout of property must be drown on the diagram which is port of this application. c. The work covered by Chis 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. ~. No building shall be occupied or used in whole or in pa rt for any purpose whatever until o Certificate of Occupancy shall hove 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. .......... ............. ................ ......... ~Signo~j~ o~ applicant, or name, ir a corporotiom ;f. z.: (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... GENERAL ..~ ~N~C.T.O~ .................................................................................................................................... Name of owner of premises ......... ~.olozl..D,,O~O,~.:b$ ............................................................................................................ 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. Mop No ........ 5.~.O. ........................... Lot No: ...... .4-.(~ ......... Street and Number .....~..~.E../.~.~Q.~..~.~.e~?.~?.~..~.`~.~.~`8..~.~e.~]~G~.b.~..i~'~~t~ ................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ., ~one ....................................... b. Intended use and occupancy ....O.~.e.....~.~.~:~....a...w..e.~.~.,~.~ ..... 3. Nature of work (check which applicable): New Building ..,Z,~:X~: ...... Addition .................. Alteration Re~air .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4, Estimated Cost .._.$.?.~.t..O...O.,O..*...O,.©. ................................ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units one Number of dwelling units on each ~,~,~r°ne floor If g]arage, number of cars .......... .O.~l.e. .......... 6. If business, commercial or mixed occupancy, specify nature.and extent of each type of use 7. Dimensions of existing structures, if any: Front .......................... Rear .......................... Depth Height ............................ Number of Stories Dimensions of same structure with alterations or additions: Front ................................ Rear Depth ............................ Height ................................ Number of Stories ........................................ 8. D~menslons of ent,re new construction: Front ......... 5.~...t. ................ Rear ........ 5.~...~. ............ Depth ..~.~,.~.,~..~..~..! ..... Hei~ght .............. .1..7 .......... Number of Stories ......... 0,~ .................. 9. Sizb of lot: Front ........ 'LQO .................. Rear ....... .1.00.~, ............ Depth ...... 220. ........................... 10. Date of Purchase ...... .1.9.~..1. ......................................... Name of Former Owner ...B. fl~.l~...8.~(1....~.~.$.Q?A. ........... 11. Zone or use district in which premises are situated. 12. Do~s proposed constructioh violate any zoning law, ordinance or regulation? ........... N.0. 13. No,ne of Owner of premises ...... .~Q~...Qf)~P.~.:~.::k_Address .~0. f~...~.~.~....~.~.~., ............... Phone No.~ ....... .... l~ew nyQe ~ar~ No'ne of Arch tect .................. ..~I.?.L.~.~ ........................ Address ............................................ Phone No. Shirley, ;N. Y. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions fr property lines. Give street and block numbers or description according to deed, and show street names and indk whether inter or or corner lot. I STATE OF COUNTY J OF S,S. Name of indi: sign' above named. He is the ......... ' ............ being duly sworn, deposes and soys that he is the applic lication) (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perforrned the said work and to make and this appliqation; that all statements contained in t~is application are true to the best of his knowledge and bel and 1hat ~he work will be performed in ~e manner set forth in the application filed therewith. ........ ..L?..i :.. day of ..~/~ .. ~'~ cT~/L~.~/~c' Notary Publ c .................. L.~.:. ..................................... County (Signature of appl cant) TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OF~:ICE SOUTHOLD, N. Y. Examined(,~/ ..( Approved ........................................ , 19,.'..'....Permit No....Z......~....!../....0. .......... Disapproved a/c APPLICATION FOR BUILDING PERMIT Application No....~.....!..!..,~ ........ INSTRUCTIONS 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 adioining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port 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 o 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 o Certificate of Occupancy shall hove 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 Daws, ordinances and regulations. LS'g oture/of opp 'co t, or name, it o corporation) · 9."/:l...~o~.~..~'Lt:ghwe~.~...~,b~.~.eZ,......~..[~ .... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... .~.~,,,I,...a O.~LO. TOR ................................................................................................................................................ Name of owner of premises ......... ~.O}l.~..gO~fO~¢~ ............................................................................................................ 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 $~$~O~rner ~a~ Lane and Beebe ~lve, OuCehogue, N. Y. ~unidpolity 2. Stere exisfin9 use ond occuponcy o~ premises ond intended use ond ~cupcncy of proposed construction: c. Existin~ use end occupancy ~o~e ............ b. Intended use ond occupcncy One f~il~ dwelling 3. Nature of wo~k (check which applicable): New Building ..~;X~ ...... Addition ................... Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ ' $15,000.00 4. Estimated Cost ............................................................ rea (to be paid on filing this application) ~ ., one floor 5. If dwelling, number of dwelling units ......... .O..Dr~ ............. Number of dwelling units on each rmor ...... hOll2gU .... If garage, number of cars .......... 6. If business, commercial or mixed occupancy, specify nature.and extent of each type of use 7. Dimensions of existing structures, if any: Front .......................... Rear .......................... Depth Heilght ............................ Number of Stories DJr~ensions of same structure with alterations or additions: Front ............. , .................. Rear De~th ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front ......... ~..'~..~. ................ Rear ......... ~.Z.! ............ Depth 29 1 ' Height ................ .'~ ........... Number of Stories ......... ~$ .................. 9. Size of lot: Front ........ 1.0.0 .................. Rear ......... 0.0. .............. Depth ..... .~0~ ........................... 10. Date of Purchase ...... .1..~...~..1. ......................................... Name of Former Owner 11. Zone or use district in which premises are situated. 12. Do~s proposed construction violate.any zoning law, ordinance or regulation? ........... ~.0.. ~06 ~h Ave, Phone No.~One 13. Nome of Owner of premises ...... ~'O'"h"l~'""0"q~"O'~'~'"~"'Address 'N~"}[~I.~'"~'~ ........... N0~ Name of Architect ...................................................... Address ............................................ Phone No. No e of ..... Phone No. Shirley, N. Y. i PLOT DIAGRAM Loca~e clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr property lines. Give street and block numbers or description according to deed, and show street names and indic whether idte ior or corner lot. Notary Public, [Signature of applicant) STATE OF NEW ~'/0RJ~//, ~/~ ) S S COUxlTY;OF .~~) · · ........................ ~....~...,//~...~ ...................... being duly sworn, deposes and says that he is the applic (Name of individ~ual signing application) above named. He is the ..... ~ (Contractor, agent, corporate officer, etc.) of said ow. nar or owners, and is duly authorized to perform or have performed the said work and to make and this oppliqation that all statements cont~i~lfifl ~inl~l~ 6pplication are true to the best of his knowledge and bel and that the work will be performed~t~t~ti~e~eet ~te¢ ~th in the app ication fi ed therewith. Sworn to [~efor~ me this ~e. 52-0344963, Suffolk Cot~nty ~day russian Expires March 3