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Home My WebLink About2596-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Zt~215 .... Date April.. 26 , 19 71 THIS CERTIFIES that the building located at N/S kiri~ Rst Street Map No. Capt Kida FiS~}ck ~o. ~ot ~o. 68 & Pt 69 ~att~tuck. conforms subst~tiaHy to the Application for Buil~g Permit heretofore flied in this office dated Dec ~ , 19 6~ pursuant to which Building Permit No. dated .... Doc . ~ , 19 6~, was issued, ~d conforms to all of the require- ments of the applicable pro~sions of the law. The occupancy for which this certificate is issued is Private ~ .~am~l~.~. $~g .................. The certificate is issued to Wilhel~ bo~ .... .Owner ........ (owner, lessee or ten.t) of the aforesMd b~ding. Suffolk County Department of Health Approv~ March . 30 %.q?~ . .by. R. Villa House , 805 ..... ~¢... .......... ~.. Building Inspector ~OR.~ ~0, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, hi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2596 z Date ................. ~ememi~e~......T. ................ , 19...~.. Permission is hereby granted to: ..... ............................................................. to ...To..tm~d..-~_~w.. ~.. £amil~... d¥$1i:Ll~ ............................................................................. at premises located at ..... 3, et,.~,J~..&..Pe~tt,..~gr .. ]t3~04~ ............ CJl~,..iCta~,. ~s.ta~+-,el~ ...... ............................................... ~/4~....~aa..l~ad, ....... ~tt£~uek ...................................... pursuant to application dated .(lil~-~[ed-)-...DeeeliJJel~....l~ ..... 19.6~.., and approved by the Budding Inspector! NOT~ Se~aek fr~a et.ree~; [~ee ~-'r, 'be 3~ .t'c ~inimum Fee $.~...0..,...0~... .......... Building Inspector ,mI~OR~E £. LEON£~ Commissioner SUFFOLK COUNTY DEPARTMENT OF HEALTH SUFFOLK COUNTY CENTER RIVERHEAD, NEW YORK 11901 DIVISION OF ENVIRONMENTAL HEALTH SERVICES EASTERN DISTRICT 727-4700 WESTERN DISTRICT 724-2500 March 30, 1971 Mr. Rensselaer G, Terry, Jr. Attorney and Counsellor at Law Main Street S~athold, New York 11971 Re: ~mmie Rusch & Erna Hackal; Permits ~2595Z, 2~96Z~ 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 butldt,Es, we have checked our files and also conducted ~ field inspection of the premises. Our files did not contain any material pertaining to these bui2~!ugs. How- ever, m~ field inspector remembered inspecting the sewage disposal systems and a~proving them.. With this !~*ormation and the fact that the homes are supplied water from a private water company, we have no objections to the Inspector issuing certificates of occupancy for these buildings. Very truly yours, Robert A. ~illa, P.E. CHief General E~gi~eering Services RAV:kJh FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No..~..'~:..Z.?~... ........ 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 c areas, and giwng a detailed description of layout of propertymust be drawn on the diagram which is part of this applicatio~ c. The work covered by this application may not be commenced before ~ssuonce of Building Permit. d. Upon approval of thins application, the Building Inspector will issue a Building Permit to the applicant. Sud permmt shall be kept on the premises avadable for inspection throughout the progress of the work. e No building shall be occupied or used ,n whole or in port for any purpose whatever until a Certificate of Occupanc shall have been granted by the Buffding Inspector. APPLICATION IS HEREBY MADE 1o the Building Department for the issuance of o Building Permit pursuant to th- Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulahons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply w~th all applicable laws, ord~nances,~e and regulahons. ..... ...................... : ........ p,.~ (~z)a ute or app~icaht, or name, ir a corporation/ .................................................... (Address of applicant} State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ...~...!..~.....~'..~..~.....~.. ..... k?...~.....~.....~....~...~..~.h.~..~.. .......................................................................... If applicant ~s a corporate, signature of duly authorized officer. (Name and t~tle of corporate officer} 1. Location of land on which proposed work will be done. Map No' .... I t~"/'~_ Lot No: ..M...17;,...~..~.. Street and Number .~....~....~......q..~. ..... .~...~.~...-C. ...... ~..~..~.~ ..... .-~....%..~.~.~..¢..~..)...~J~?~...~..~....~...%..~...~..~.~....~.. .............. Mumcipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... ~..O...~.....~r... ........................................................................................................ b. Intended use and occupancy .~.~.~../;~.~. A,f.'-~.../../~,.~L... .................................................................................... 3. Nature of work (check which applicable): New Building ..... ,,~ ......... Addition .................. Alteration ................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................................... 4. Estimated Cost ..~./..~/...~...~.~ ........................................ Fee ....~.../..,f..:.~,...o. .................................................................. (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 bus,ness, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. D~mensions of existing structures, Jf any: Front ..........................Rear .......................... Depth .......................... Height ............................ Number of Stories ............................................................................................................. D~mensions of same structure with alterations or additions: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front .......... ,~..~ .......... Rear ..:..~..~ ............... Depth ...~.....~.. ................ Height ........ .~...4(..e:....~..~.?..~.YNumber of Stories .... /. ...................... 9. Size of lot: Front ...... 7.~.~.......: ....... -- / .~..o..~...(. ............... Rear ......... .-Z..~ ............ Depth 10. Date of Purchase ..~.~...~;-.~..2~.......~...~. ...... ./..~'....6....~.. ........... Name of Former Owner ~..~,.oq....'K.....~..~...~.dL..7'..~t~..q~ ......... 11. Zone or use district in which premises are situated...~.~Td./..T:..(~.~..~.. ..... d~.,...~. ................................................ 12 Does proposed construction violate any zoning law, ordinance g:r regulatio.,n;~ .....~,.~.._....;...~.,z.:~.~,~.i~..~. ............ Name of Owner of premises .......................... /;¢/ .......... Address/.),~../4~., .................. ,.~,....~.. ...... Phone ikl~.,?..r ............... Name of Architec~.~ .~,,~...~...~../q.....~...Z'.,b.~....~..T~.£.~. ........ Address ~.q~..~...,~...z~..q..~..~..T.~...N,....~..'.~. Phone No.".~ ........ ./.x ....... Name of Contracto~.t..~...~...~,.Z.../:(......~: ........... ./.'. ........... Address .... :.K ............... t..,. .......... f.'. .... Phone No. ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions froi property lines. Give street and block numbers or description according to deed, and show street names and indica'~ whether interior or corner lot. 200.00' LOT 68 200,00' PART OF LOT 69 STATE OF NEW.~_~'ORK, ,. ~ COUNTY OF ..~c~ .~...~...o..~...~......~ S.S. ........................ ...~.../...Z~....Jl....~.....Z=..../~........-~:,....~..?q...../...2;r. .................... being duly (Name of individual signing application) sworn, deposes and says~the appl ic above framed, He is the .................................................................................................................................................... (Contractor, agent, corporate officer, etc.) .~srr~.wner ~ 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 are true to the best of his knowledge and bel and that the work wdl be performed in the manner set forth in the applicatioq filed therewith. Sworn to bedore me this ,, , / j /_ ,, .' ..~.....~.~ day of ...~ ~.~ ............... , 19.~. ~ ~/ -"~ .~ ~ :: ". .......... ...... ........................... ~%~r, Cq~z_~..;..:....~~;::~County '~ (S~gnature of applicant)