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HomeMy WebLinkAbout2111-zFOP~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ..~..~..~..~..~...,~'..~..~'.~. ......................................... Street Moose Cove F, st, Map No ....................... Block No ......... ~ ....... Lot No ..... ~.* ............ .~..~.~..o.h.o.~..~..e..l...}[?,.~..e ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................ ~r.~n.e .......... ,~ .......... , 19.,.63. pursuant to which Building Permit No. ~...~..~..1...~.. dated ......................... ~.11~. .......... ~'. ......... , 19.~.~.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ .......... ...................................................................................... The certificate is issued to ..,O,~..~..~...~..~..$..,~..%~.,..~. ..................................... ~.?~ ................................... (owner, lessee or tenant) of the aforesaid building. H.D. Approval Oc~. 28, 1963 FOR~I NO. 2 TOWN OF $OUTHOLD 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) 2111' Z Permission is hereby granted to: Prude~tL..Con~t......&/C.....~h~.le~..~az~'.~ ......... ...... 9Yl.....H:an.~a'¢8~ .. HWY. ................................... ................ Bh.Lt. le~r. ............................................... to ...t~u.i.ld...new.. one .. ~mll.~ ..d.we&lSng. .................................................................................. ot premises located at ..... ~e6,~.~-.]~i,ce-....-..].~o~..-~,j...~eo-~e..~o~ ................ i.:, ............ (I~ ......... ..................................................... ~utehogue. r..N.Z. .................................... ]~: pursuant to application dated .................................. ~.~.e.....2,~ .......... 19J~.~..., and approved ~)y the Building Inspector Fee $ ' :'iO'i:GB' .......... Budding Inspe~,tor / } ~ SUFFOLK COUNTY DEPAETMENT OF HEALTH TO WHOM IT MAY CONCERN: Building Permit No. 2~lllZ The sewage disposal facilities for a structure located at West sid~ Be~be Dr. ~0' South Fawn (Give deed location) Outch?gue, L.I., N.Y. ~ g8 1963' have been inspected by this Department and found to be satisfactory. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .............. ..~..~. ........ , 19 ........ Approved ................... ~ ....... .~.~. ....... , 19..~.....Permit No...~,.~...,~.;L.~ .......... Application No...~....!..!..I .............. APPLICATION FOR BUILDING PERMIT 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 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 appiicc~tion, 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 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. ...... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .............. .0...h..~l~.~..~..s.....K...~..n..k..a. ....................................................................................................... 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: ..... ~.2~.0. ............................. Lot No: .....5..~ ........... Street and Number .W./.. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....................n.D~.e. ....................................................................................................... b. Intended use and accuponcy One ~'amil~.. I)welli~ 3. NaCure of work (check which applicable): New Building ..~:~;~:~... Addition . ................. Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................ 4. EstimatedCost ....... ~...1..~I..0...0...0..?.0...0. ............................. Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units .....0.~9. .................. Number of dwelling units on each floor If gbrage, 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 ....... ~.~..1. .................. Rear ......... 5.~...! ............ Depth ..?.9..I..-...4:.2..! ..... Heibht ........... ..........Number of Stories .......o~e .................... 9. Size of lot: Front ..... .1.0.Q.! .................. Rear ......... J.0.0.! .......... Depth ......3.23..~. ......................... 10. Dat~ of Purchase .................... .1...~..6...1 ........................... Name of Former Owner ]3eebe & ~ason 11. Zone or use district in which premises are situated. 12. Do~s proposed construction violate any zoning law, ordinance or regulation? ........ 13. NaMe of Owner of premises 0b.~:z'les Kank~ ..... Address 606 ?~;~ Ave, .................................... ~"'~;~.~'"~6~ ........... Phone No. none Na~e of Architect ...........~.o..~.e.. ................................. Address ............................................ Phone No. NaMe of ...... Phone Shiz'le~r~ N. Y, PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate oil set-bock dimensions property lines. Give street and block numbers or description according to deed, and wheth r interior or corner lot. ihow street names and indic STATE O~F NEW Y.~O. RI~//~/~ ) .. COUNTY; OF ..~ .............. >'~' , tName of indiv~_~'al signing application) abow, 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 this application; that all statements contained in this application are true to the best of hls knowledge and bel and that the work will be performed in the manner set forth in the application filed therewith. Sworn to ~e,fo_,~ me this ~ ~ ............ ........... , Notary P~blic, ....~...!~.....~. .................................... ~'"'"~"~"-"'~a't'~r;~"'~pii~'~;~'i ........................ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ........ r :~~~,~ -- (Building Inspector) Application No...C~.~..~/.]...( ............. 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 o'r 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 issuOnce 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. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · .. .q .......................................................................... Nome of owner of premises ............. .C]~.~..~.~.~.~...].(.~.I~. ...................................... ~ .............................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. Location of land on which proposed work will be done. Map No: ..... ~2~C) .............................. Lot No: ....~.~. ............ Street and Number .?/.~...~...e..e.~.e.....~T...~.~..e.~.~.~.~.~.~.~./(.~.~.~.g.~..]g.~.~.~.g~.~...~.~...~.~ ............................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy oF proposed construction: a. Existing use and occupancy ~0~ .... b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building ....X.~..X.... Addition .................. Alteration Rep,,air .................... Removal .................... Demolition .................... Other Work (Describe) ........................ $15,000.00 4. Estimated Cost ............................................................ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ....0...~..e.. .................. Number of dwelling units on each floor One If garage, number of cars 6. If business, commercia~ 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 Del~th ............................ Height ................................ Number of Stories ........................................ 8. Dimensions of entire new construction: Front .~"/'t Rear .~?I Depth 29 Height ........... .1..'~..! .......... Number of Stories .......O..~..,e. .................... 1961 Beebe & Mason 10. Do~e of Purchase ........................................................ Name of Former Owner ] 1. Zone or use district in which premises ore situated. 12. Does proposed construction violate any zoning law, ordinance or regulation? ........................................ 606 7th Ave. 13. Name of Owner of premises Oharles Eanka Address 'N~/'}I~tt~'"~ ........... Phone No. Name of Architect ~one ...................................................... Address ............................................ Phone No. ~ .ractorPRUDENTI 00NST, 00. ~ IN0o 971 Montauk Hgy., No 281-872 Nome of ~..onr .................................................... ~,oaress ...................................... Phone PLOT DIAGRAM Locate 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 ;how street names and indic wheth r idterior or corner lot. STATE OF NEW/YORY~ /' ) S" COUNTY OF ,.:~) ....................... ~,~...,~.'~...~~.: ........ being duly sworn, deposes and says that he is the applic above, named. He is the ...~~.~,~..-d-vzff--z~?z- (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 this applidation; that all statements contained in this application are Irue to the best of his knowledge and beI and that the work will be performed n the rrt~li~erl'.sc:SP~rtb i.n the application filed therewith. Swam to be~r,~e this Notary Public, ,ature of applicant)