The URL can be used to link to this page

Home My WebLink About2591-zTOWN OF SOUTHOLD BUILDING DEPARTMENT 'tOWN CLERK'S OFFICE SOUTHOLD, N. ¥. I~t~RTIFIOATI~ OF oI~r. LIPANr. Y THIS CERTIFIES that the building located at ...]~/.8.. M4tfll~. l:~a4 ......... Street Map No. ~ ........ Block No .... X~ ...... Lot No..-X]~ · .]~t.~.~k~. ~.~ ........ conforms substantially to the Application for Building Permit heretof, o~e filed in this office dated ............ ](OV~ab~. ~'~19. ~ pursuant to which Building Permit No. -2~)J,-~ dated ............. ]~0~..27. .... 19J~., was issued, and conforms to all of the require- ments .of the applicable provisions of the law. The .occupancy ~or which this certificate is issued is ... ~1~. ];{{lf~=~fl'~{~ .~,..~.~'~.~ .~ .Of~lC~.~ ............................ The certificate is issued to . ~.~.~. ~.0~ .~(IllD~. ~O~J~... 0t~l~l* ................... (owner, lessee or tenant) of the aforesaid building. ( aPPX~O¥~d by B4 ~ppea~8) .Suffolk County Department of Health Appr~oval ...~ J~,~..~:~..b~..P~..~r~2t~l~, ........ ......... FOP,~I 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? 2591 z Permission is hereby granted to: ...l~:tm~e,~.. l~ti~t ~. ~ ........................................ .......... I~t,.~.~e~ ................................................ to .... .1~..~..t~l~e..lli~:Xtr~..J~t~l-l~Sf..~t.~tlt[ ............................................................... at premises located at .... ~J~...JJJ~,~A"z..~jJ~l~J ...................................................................................... ........................................... l~t£tu~ ............................................................................................. pursuant to opplicafion doted .......................... ~~1'.....~ ..... , ]9.4~.., ond opproved by the approved l~y ~ Appeals Bu,ld,ng Inspector Fee $~!~ l~J ............ 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? 2650 z Date ............................ ~..~]~..~. .............. , 19....~..~ Permission is hereby granted to: .............. Matt£tuek~ ..... ~.Z. ........................... to .... ISu~d..=aw...~ua~.neaJ..huLid~n~ ....................................................................................... at premises located at ........~j~ ..... JJl~:J.~-.~&~ ............................................................................. .................................................. J~t~Lta~, ..... 1I.~. ....................................................................... pursuant to application dated ............................ ~~..~. ....... 1-9..~ , and approved by the Building Inspector NOel J~eJ'l~[t, issued to replace ~ 2~'c)1-~ ~UtO.~®Ot to filing ammended bn.~.!.ding pta~. Fee $..~1~ ............ Building InspectorI Building Permit No., SUFFOLK COUNTY BEPART~ OF HEALTH Riverhead, New York TYPE OR PRI~ LEGIBLY IN I2~K Health Department Plan No. Application for Approval of CommerciaI ,Se~wa,ge Di,,sp?,sal System TO: The Suffolk County Department of Health Date~ /~, Application for approval of commercial sewage disposal system is hereby requested. (Name and side of str~t, and name and di~tan6e to nearest' ~nters~cti~ "~treet) I hereby certify that this com~ercia! sewage disposal system has been con- structed in accordance ~th plans approved by the Suffolk County Department of Health on (date) . 2-/;.~ /~ ~ and with all the requirements of the latest bulletins on sewage" ~i~6s~l ~f the ~ffolk County Department of Health. Applicant' s Signature ~(~/ :~.~T_. _ _ - ~ (Builder ~ner) FOR USE OF HEALTH DEPARTMENT ONLY Installation satisfactory - Yes ; No Based on the information stated hereon by the applicant and other information made available, it is the opinion of this Department that this system with proper maintenance can be expected to function satisfactorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structural features are not included. Date 1966 SCHD - S-13 6/5 Exomined .................................. , 19.. TOWN OF $OUTHOLD ~BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ..................... .~..k. ............... , 19....~.!..Permit ,. p /' / ~ ....... 7 ........ (Building Inspec/for) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin, Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o areas, and gwing a detailed description of layout of propertymust be drawn on the diagram which is part of this application c. The work covered by this application may nat be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Suc[ permit shall be kept on the premises available for inspechon throughout the progress of the work. e. No buddmg shall be occupied or used in whole or in pa rt For any purpose whatever until a Certificate of Occupanc} shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE 1o the Building Department for the issuance of a Building Permit pursuant to thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulahons, for the construchon of buddings, addihons or alterations, or for removal or demolition, as hereto described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. Mike Wini %~. Z..... A/.C..... ~.tanley...~lula]~z ..................................... (Signature of applicant, or name, if a corporation) (Address of applicant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................... ............................................................................................................................ Name of owner of premises ..... ~d.~.~eg..l~J.~az'~ ............................................................................................................ 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: .~T. ........... Street and Number ...~./,,.~, ..... ,.~.$D..,[~.,O.~.CI,, ..... J.~.~..:[.f212~ ...................................................................................... MumcipaJity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~.~.¢.~.~...].8~.~ ..................................................................................................... b. Intended use and occupancy ........ o~.e..~to~.~...~l~$.~,~$&..~,.'J~,,~,~j] ....................................................... 3 Nature of work (check which applicable): New Building ...Z3f_~w~X... Addition ................. Alteration ......... v ...... Repair .................... Removal .................... Demolition .................... Other Work (Describe) ................................... 4. Estimated Cost .... 3.(~t..~O~..P~.l~l ............................ Fee ........ 1.0A.0.Q. .................................................................... (to be paid on filing this application) 5 If dwelhng, number of dwelling units ............................ 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 ...... b.usin~.~ts ...... 7. D~mensions of existing structures, Jf any: Front .......................... Re~r .......................... Depth ........................... Height ............................ Number of Stories .............................................................................................................. D~mens~ons of same structure with alterations or additions: Front ................................ Rear ............................... Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of ent,re new construction: Front ........ .~.(9. ............... Rear ..... .~.0. .................. Depth ....... .~...0. ............... Height ............................ Number of Stories ...D.%2~ .................. 9. S~ze of lot: Front ...~.Q..P./~ .......... Rear ............................ Depth ...3kO. Q..~./.~ ........... 10. Date of Purchase ........................................................ Name of Former Owner ...................................................... 11. Zone ar use district in which premises are situated ........... !!~.!!...~.!~$.~,D.9.~$. ....................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .... ~'..9.~,..~...~Dt).~.g.v..,e..d.....l~,z.~..B..d, ~ppea±s 13. Name of Owner of premises ..~t~n.l~¥...~&m$~,~z.Address .... Nai.ti.tuc~ .................. Phone No ................... Name of Architect ...... .G,..Jg:zler.$ .......................... Address ....... ~a;Ttf~,$.~P,V..~ ................ Phone No ................... Name of Contractor ..~J.k.e,..~iD. la~.z ..................... Address ........... ~[6.%.~.~.1J.C~ ........... Phone No ................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro, property hnes. G~ve street and block numbers or description according to deed, and show street names and indica~ whether interior or corner lot. See filed plans STATE OF NEW YORK, ~ COUNTY OF ..... 8.uffjolk .......... ~ S.S. ................................. ~41ke..~ir¢la~.z ................................... being duly sworn, deposes and says that he is the applio (Name of individual signing application) above named. He is the ......... a,~e~¢...e.f...(~,trtei, ......................................................................................................... (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 th~s apphcation; that all statements containe~u~,t~is~Rlication are true to the best of his knowledge and bel and that the work w, ll be performed in Ch~r.~D~efta~f'~0~ the apphcation filed therewith? Sworn to before me this :~'~ . ',cs. s~:~'.0[k c0uat~ _ ~ ~z ~ // ................... ~Z... day of ..................... ~Q~.e~...., 19..~.~. /~~/ ~/~_~/~ ~ ~/ ~ ~ ~ .... ~...~..[.~L.2L ~ ......... ...~ ~ 9~ ~ · ....................... : .......................... : ................ ~.7 ........... Nota~ Public, .~...~unty (S,gnature of appl~cant)~ tI t \ \ '1 JOB NO. EHE~ NO. DATE REVISIONS ~oU'r'¢_ 2.5-' M ~,""r-rimv c.,,x t4 ,W. Idlk' ~," :4, JOB NO. SHEET DATE REVISIONS %,, DATE DRAWN DR~WN BY