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HomeMy WebLinkAbout1981-zFOI~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 ..E/.S.....Nas~a~..~ot~t..~o~d ............... Street Nassau Point Cl. Prop. Map No ....................... Block No ......~ ......... Lot No..g~,~.....G~tchogue,/...H,.~'., ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................................... ~.e~,v.a~...~,, 196.~, ... pursuant to which Building Permit No....~1.C).81. dated ...................... E~b.1;~.~.M.....2 ....... , 19.~.., was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ....... P.~i~rate...one..l~amily....dw. ellin~ ......................................................................................... The certificate is issued tol?Jagaik. Ho~Ld:i~g...Co ............................. ~ ...................................... (owner, lessee or tenant) of the aforesaid building. H.D. Approval- Sept. 30, 1963 FOI~M 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? 1981, Z Permission is hereby granted to: C~ h ~ t~ ~!" ~"c~,, P/~, ~ :- i l~ ~/~ L~ t .~,J G ~ c~ J. Gendr o~.....A/(~ .... ~Jttel,.. t~eh~en~t ...................... .......... J~m~Ol~r~i~...'r,~.]~,- .................................. to .....~altd.. ne~.. ~..f.~..~r...d~e.l.t~ ................................................................................. at premises Iocoted at ..let...2~..tlaeseu...po~l~lt..~z,ep .............................................................. ................................. F,/5 .... ~q&t jeu-..l~n.t...l~o&~ .................................................................... [ ..... .................................................. Cu~--...ti~.~, ........................................................................ pursuant to opplication doted ........................ jl~e~al.~....~ .............19~,~...., and approved by the Building Inspector Fee $.10,.00 ........... Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 5, 1997 Mr. Alan Cardinale P.O. Box 77 Mattituck, N.Y. 11952 Re: Copy of CO Z-1702 Suff. Co. Tax Map #1000-111-9-6.3 Dear Mr. Cardinale: As per your request, enclosed please find copy of CO Z-1702 dated October 3, 1963 along with copy of plot plan for the above premises. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Georgia Rudder, Secretary FO~M NO. 1 TO~'N OF ~OUTHOLD ~BUILDING DEPARTMENT TOWN CLERK'S OFFIC~E $OUTHOLD, N. Y. Exam,ned ......... Approved ........................................ , 19 ........ Permit No .............................. Disapprov~ a/c ....................... ........................ ......................... APPLICATION FOR BUILDING PERMIT Date ................. ~.f~]~.9,~r,~......2 ............ 19..6.2. 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS H~EREBY 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. (Signature of applicant, or name, if o corporation) .............................. Z~e. sp.c~:.t~ ............................................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................................... .(;..o...n..c..:...~.~..t,.o.;. ............................................................................................................................. Name of owner of premises .............. ~'......~c~z..-.....~..~s~v~.~.........~.. ..................................... 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.: .~n.ssa~.~.o£~t..~.. Lot No.: .~ ................ Street and Number ....l~'~.~.....Ha£.s~.Lt..~.o~.~..~c~ncl. t ........O.U~.q:~q~§.U.e.~.....H,Y .............................................. Municipality 2. State existing use and occupancy of prern:ises and intended use and occupancy of proposed construction. a. Existing use and occupancy ........... .v...a..a.~...~.0~ ........................................................................... b. Intended use and occupancy otn_e £~,t~1]_,~ 3. Nature of work (check which applicable): New Building ...~ ....... Addition .................. Alteration .................. Repair .................. Remora! .................. Demolition .................. Other Work (Describe) .................. 4. Estimated Cost ............. .LF.~e.C}0.Q:.I~.M ........................ Fee '10o00 (to be paid on filing this application) §. If dwelling, number of dwelling units ...... O,l~e ................... Number of dwelling units on each floor ............................ If garage, number of cars .............~I~'.q ........................................................................................................................ 6. If business, commercial or mixed occupa,ncy, 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 of same structure with alterations or additions: Front ................................ Rear ................................ Depth ................................ Height ................................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .....~0 ..................... Rear ..... .~..0. .................... Depth ........~..2. ................... Height .............................. Number of Stories ..... D.Z'te .................. 9. Size of lot: Front ............ ~L.Q0 ........... Rear ........... ~.0...0. ..... Depth ........ ..~.~.~ ............... 10. Date of Purchase ............... ~,9.~ ................................. Narr~ of Former Owner 11. Zone or use district in which premises are situated ....... ~.....~;~8~. ......... ]2. Does proposed construction violate any zoning !aw, ordinance or regu orion? .......... 13. Name of Owner of premises ....W.....~Chlff~i'lf~.t ....... Address Nassau Point ................................................ Phone No ................... Name of Architect ~arl Loven Address ......... G. lezh.~.oc~.~...~].~.~.,... Phone No ................... Name of Contractor R. Gendron Address James~.ort .................................................. Phone No .................. PLOT DIAGRAM Locate clearly and distinctly a!i 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. STATE OF NEW~,~ Y~OJ~K.~ ) COUNTY' OF ..~..~....~._o..1_....~. ......... ) S.S. Retie Gend~on , ..............................................................................................(Name of nd v dua! signing opp~ication) oe n9 duly sworn, deposes ond says that he is the opp~icant above named. He is the ................ C.Q~.~..a..~..t...o..~. ........................................................................................................ (Contractor, agent, corporate office~, 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 oil 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 before me this ................ ~. ..... dayo~ ......... .~..e...b....'g~...~.Z'.~. ...... , 19 63 ~ / ~ ~ N y Pub,,c ....~.~..:..~fl..T:~(ty' '''~'~' (Signature of opplica.n~) ............................. ~' I~otaPJ Public, State of t',e,v York No. 52-034,~g~3, Suffolk C0ur y ................... ¢-- k ....... -~ ---I tHESE ew/~,. SH,m]- N~ ~2-~(~ ~-T'~C~_- ~'~C;~ ~ L.' ~ '? STATE S~L DATE SCALE CARL KEHN LOVEN A , ~' ~=l.~ ~RCCtTECT GLEN ROCK NEW JE~SE~ S'IAiE ~ r r, , ~ 5467 r'~:.WHiS~ CUI~I~ NAIIC,:bq b%UN ,I' ,' , LL-P"T ,~l©F__ F'L~'VATIOM~ ~-c .-+ 4~ ............. f i.i d I I STALE SEAL ~ ',,,'oN A I.A. DATE S ' CA~E hE'VISION DWG Nc -t ,: I ,.4 , t S~I ATE S .F~,L , ~L~o '0 LISIN~ ~OOM x, ' FOYE L?. i,© q MtJNICIP/M If¥ WITHO U1 M~. SLATE SEAL I',lv - CARL KEMM LOVEN ' ]T,T, 7FSStT',~