HomeMy WebLinkAbout2595-zNO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Of[ice
Southold, N. Y.
Certificate Of Occupancy
No. Z ~+213 Date April 26 , 19
THIS CERTIFIES that the building located at Inlet & Miria~ Street
Map No. ~apt. Kidd ~4~k No. Lot No. ~ & pt. 69 Mattituck
conforms substantially to the Application for Building Permit heretofore filed in this office
dated Dee. ~+ , 19 64 pursuant to which Building Permit No.
dated ..... Dec . · ~ , 19 .61~, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . Private erie family dwelling
The certificate is issued to Wilhelm ~ ....
of the aforesaid building.
0~ner .....
(owner, lessee or tenant)
Suffolk County Department of Health Approval . ¥~arch...30 .197.1...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? 2595 Z
Permission is hereby granted to:
................... ~l.v~.~o~t ..... Z...Z.. ......................
to ....... ]~t,~,~...~J~.~.. ~_~_e_.. fJa~...~',~i;],~11~ ............................................................................
at premises located at ,.[~.tJ...~J~.-&-.~t,.-69.-.-l~J.~l~lJli: ........ ~'pt...~,J~l.~Jd'..J~llt~l~e-~ .................
................................... :_~._]_~t... Z,n_ _~_, &..ltl, ir.t,sun. ;Roi,,d~ ........ l~%t.~.t~e~. ...................................
pursuant to application dated ..... ~i~ ....... _~14111l~1~...~, 19..~., and approved by the
Bu,ldmg Inspector~ ~ ! I~llt~e~ ~lt~t ~ ~ ~ i~11:~1~ ;~0~ I~1 ~O&~J ]L~zJell
Fee $..~k~t*.t~) ..........
! Building Inspector {
(;~EORGE E. LEONE, M.D.
Commissioner
SUFFOLK COUNTY
DEPARTMENT OF HEALTH
SUFFOLK COUNTY CENTER
RIVERHEAD, NEW YORK 11901
{'qVISION OF ENVIRONMENTAL
HEP*I. TH SERVICE5
EASTERN DISTRICT
727 4700
WESTERN DISTRICT
724*2500
March 30, 1971
Mr. Renssslaer G. Terry, Jr.
Attorney a~d Counsellor at Law
Main Street
Somthold, New York 11971
Re: Emmie Rusch & Erna Hackal;
Pcr~dts #2595Z, 2596Z, 2597Z, 2598Z,
Dated: December h, 1964
Lots 66 and p/o 65~ p/o 66 and 67,
p/o 69 and 68, p/o 69 and 70 - Map
of Captain Kidd Estates
In response to your letter of March 26, 1971 regarding the above referenced
b~il~tugs, we have checked our files and also conducted a field inspection of
the premises.
Our files did not contain any material pertaining to these builM~ngs. How-
ever, m~ field inspector remembered inspecting the sewage disposal systems
and approving them.
With this information and the fact that the homes are supplied water from a
private water company, we have no objections to the To~n of Southold Building
Inspector issuing certificates of occupancy for these buildings.
Very b~tly yours,
Robert A. Villa, P.E.
Chief
General E~gineering Services
RAV:kJh
FOE~ NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Application No.: .~... .....................
Approved ........................................ , 19 ........ Permit No .................................
...... ..... .....
{Buildino Inspector)
APPLICATION FOR BUILDING FERMI?
.......
INSTRUCTIONS
o. This opplicahon must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildinc
Inspector.
b Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o
areas, and g,vmg a detailed description of layout of propertymust be drawn on the d~agram which is port of this application
c. The work covered by this apphcation may not be commenced before ~ssuance of Building Permit.
d. Upon approval of thru application, the Buzld~ng Inspector will issue a Building Permit to the applicant. Suc:
permit shalt 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 Jn part For any purpose whatever until a Certificate of Occupanc'
shalI have been granted by the Building Inspector.
APPLiCATiON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances o
Regulahons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described
The apphcant agrees to comply with all applicable laws, ordinances, building cpde and regulations.
..... .................................
,~./~(Signature of apphcant, or name, if a corporation)
....... ...................................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde,
.................. ...............................................................................
Name of owner of premises ...... .~..../...~.....~.....~.....~..~ ....... ...~.. ~....~.~ ................................................................................
If applicant ~s a corporate, signature of duly authonzed officer.
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No' . ..... Z.~..~..~ ..................... Lot No'~.~...~.'......~...~..
Street and Number ../~...A../~....~ .~.......~..~..~../.--......~./...~..~.......~..~..-~..~-./~..T..~.,~. ...... ..~..,~..~..Z...~..~..~......Z~..:...~. .............
Munmipahty
2. State exmting use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...~...~'.x~......~. ............................................................................................................
b. Intended use and occupancy ..... ..?..~.~./....~....~..l?..Z.,4..~...~..... ................................................................................
3. Nature of work (check which applicable): New Building .... ~.'. .......... Addition .................. Alteration .................
Repair .................... Removal .................... Demolition ...... ~. ........ Other Work (Describe) .....................................
4. Eshmated Cost~..4/,¢~..~.~. ....................................... Fee ..../..~....~.. ..........................................................................
(to be paid on filing this application)
5. If dwelling, 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 ...............................
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 ....... .~...~. ............ Rear .....~.,...C?... ............. Depth ~.~....,~',. ..................
Height ~.~....~7:.f.~.~. ..... Number of Stories ,.~Zkl....~,. ...............
9. Size of lot: Front ............. .~..5.'~.. ...... Rear ........ .~....4~.. .......... Depth ...~...,.~.....~...../. ............
10. Date of Purchase ..~..,¢.~..~.....~g.~.....,Z.~...~,..(~.. ............. Name of Former Owner /~..~.(~...~.. ..... ~--~,.~..Z;~,.g~....~. ............
11. Zone or use district in which premises are situated...X~.~..TJ.,.~.:ZT..X~..c....~. .......ZK.,.,~. ...........................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ..... /~..R .........................................
13. Name of Owner of prem,ses~./.~,./~..-f,....../~'.' ,~. ....... ~d~l~,..Address/.~.'Z/w.~./~ ................ ~ u~.~- At4%, .... Phone No.~t~
Name of Architect~..7:.~..Z..,~..~...~..,..-~....z'~...~'.....~.q..,~...~... ..... Address/, .......................................... Phone
Name of Contractor' z:...~7. Z.~...7...~.....,/!. .......... ( .............. Address':'.. ........................... ~e,/. ...... Phone NoJ. ..................
PLOT DIAGRAM
Locate clearly and d~stinctly all buildings, whether existing ar proposed, and indicate all set-back dimensions fro~
property lines. Give street and block numbers or descriphon according to deed, and show street names and ind~cat
whether interior or corner lot./~A j:::) e~-/~ .~ d:-~A~z~'~ /--~-/-' ~ /~ 7~ ~:~,~,7-~,/~--/_~o7~ /1,7,,~_/:)~/~
'o
LOT '0
STATE OF NE~ YORK,
COUNTY OF.._~,(,(,(,(,(,(,(~ .~.~...~-~'..~ ...... [ S.S.
~/~ ~ ~ ~ ~ ~ d ~ /~ be ng duly sworn, deposes and says that he is the applic~
(Name of indwidual signing application)
above named. He is the .....................................................................................................................................................
(Contractor, agent, co~orate officer, etc.)
~ owner ~ and is duly authorized to perform or have performed the said work and to make and
th~s application; that all statements contained in this application ore true to the ~st of his knowledge and beli
and that the work will be performed in the manner set fo~h in th~ application fged therewith.
Sworn to before me this
........... , .............. day of~ ........................... '. .......... , 19 .........
........................... ....... ......................
...... ~ ......, .............. f.~j~b~j~.~t~ .......................... ~ ~y t g re at appucant)