HomeMy WebLinkAbout2598-zFOl~i~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Of[ice
Southold, N. Y.
Certificate Of Occupancy
No. Zb21t~ .... Date ~kpri;t. 26 , 19 71
THIS CERTIFIES that the building located at Ilalat, & 8oa_~_n_¢l D~' Street
Map No.~api Klda E~l~ck No.. Lot No. 65 & Pa~t 66 Mattituck N,¥,
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .... De~ 1~ , 19 ,6~ pursuant to which Building Permit No. 2~98 Z
dated .. D.e¢ 7. , 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 .~ae
The certificate is issued to
of the aforesaid building.
famil, y ~welling
Wilhelm Leh~. ....
Owner ..........
(owner, lessee or tenant)
Suffolk County Department of Health Approval b'arch · 30~ 3971 · by .R~ ¥il,qa
ii.ass # 1700 ...... /4<".~.c.'.~. .('...(.": ~... :: 1~
Building Inspector
FO~,NI 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? 2598 Z
Permission is hereby granted to:
ct premises located at ...... ~$.~l~..&..~..~}...~l~..~l..~p~..][~dd...]{~ll}t .......... ;: ............
........................ , .......... ./ ......... ~.~,...&..~ ..r~..~ .............................. ~ ...............
............................................................... ...~.t,t:t.ta~: .............................................................................
pursuant to application dated ~ltll!l~e~.)- ....... -~13e~"~", 19..~, and approved by' the
Build,ng Ins °r
Fee $"'~0'. O0 ........
Building Inspector
GEORGE E, I. EONE, M.D,
Commissioner
SUFFOLK COUNTY
DEPARTMENT OF HEALTH
SUFFOLK COUNTY CENTER
RIYERHEAD, NEW YORK 11901
DiViSION OF ENVIRONMENTAl
HEAt. TH SERVICES
EASTERN DISTRICT
727-4700
WESTERN DISTRICT
724,2500
March 30, 1971
Mr. Rensselaer G. Terry, Jr.
Attorney and Counsellor at Law
~ Street
So~thold, New York 11971
Re: ~mmie Rusch & Erna Plackal;
Permits #2595Z, 2596Z, 2597Z, 2~98Z,
Dated: December 4, 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 M~rch 26, 1971 regarding the above referenced
builS!pgs, we have checked our files and also conducted a field inspection of
the premises.
O~r files did mot contat~ any material pertaini=g to these buildings. 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 hav~ no objections to the Town of Southold
I~spector issuing certificates of occupancy for these buildings.
Very truly yours,
Robert A. V±13.a, P.E.
Ct:del
Genera_[ ~q. g2'Lneering Serv&ces
RAV:kJh
FORM NO. I
Examined
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. Y.
Application No..~.,...~... ,~.,~,.. ........
Approved ~¢k ............................... , t9 ........ Permit No....~... ........................
(Building Inspej/tor)
APPLICATION FOR BUILDING PERMIT
Date ......... Dege~be,~..~t~...~ g~i, ....... , 19 ...........
INSTRUCTIONS
a. Thru application must be completely filled m 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 giwng 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 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. SucJ
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 ~n part For any purpose whatever until a Certificate of Occupanc~
shah have been granted by the Budding Inspector
APPLICATION IS HEREBY MADE to-the'Br, rildit~j' Department~for~the issuance of a Budding Permit pursuant to thc
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolltion~ as herein described.
The applicant agrees to co~ply with all applicable laws, ordinances, building code and regulatipns.
(S,gnature of applican , or name~ 'if a corporahon)
Wm.
.... .R..t..:.....5..8..~....G...a..l..v...e...r..t.?..n..,..., .N..,...Y.... .....................................
(Address of applicant)
State whether applicant js owner, lessee, agent, architect, engineer; general contractor, electrician, plumber or builder.
Name of owner of premises ...5~1~~ ......................................................................................................................................
if applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer) J)~.t: Lot
1. Location of land on which proposed work will be done. Map No' . ............ .~.l~2 ..................... Lot No: 6§'"a~"~
65
Street and Number ....... .]~p..~£...O~:~i,~..~,d~..~i~r.~,a.w.l~,l:.t::L~zt~¢~..~...~,, .....................................
Mumcipality
2. State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy /~ ~ X-~ %-
b Intended use and occupancy ...............................................................................................................................
3. Nature of work (check which applicable): New Building ........ x ........ Add,ban .................. Alteration .................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) .....................................
4. Estimated Cost ...... ~,g.~g.l~0., ................................... Fee ..... $~LO.,.0~ .....................................................................
(to be paid on filing this application)
5. If dwelhng, number of dwelling units ......... O~e, ........... 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. D~mensions of existing structures, if any: Front .......................... Re(Ir .......................... Depth ...........................
Height ............................ Number of Stories ..............................................................................................................
DJmensJons of same structure with alterabons or additions: Front ................................ Rear ...............................
Depth .............................. Height .............................. Number of Stories ........................................
8. Dimensions of entire new construction: Front .................. .~6, .... Rear .................. 56 .....Depth .......... '28 ............
Height o~-..s¢.o~,y ...... Number of Stories ........... ~ ..........
9. Size of lot: Front ...... .7.9.~).3 .......... Rear .......... I:D'-'OO ...... Depth .....'t~';~5' ............
10. Date of Purchase .... -~a~l~...2,2. e....~..g~ .................... Name of Former Owner "G~lrlr'~l~'~t~'~t .......................
11. Zone or use district in which premises are situated....~.'i~;Z~,~v...N¥. .................................................... ; ......
12. Does proposed construction violate any zoning law, ordinance or regulation.> ......... ~O- .....................................
13. Name of Owner of premises ..... '!~ - -- Addre~sses- (Rive~head). Phone No. ~.~..~..t~.]
.......... Z 9"W6'6a6.iilI" T-
Name of Architect /,,%...~..?....~...~..%k..~.~..~S.f..~s....%.~.....Address ~..~...~E..C.f~.%.9~.~.~.~..,~.~. Phone No .... ~.~ ......... .~.
Nome of Contractor~.~...L..&..P~..~,..Et...B,14~..4D~DC, ddress ..R.~.~...~i.8¥..C~et~L. ve.r~.on.?6one No. PA'"~u.'2~q
PLOT DIAGRAM
Locate clearly and d~stinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fro,
property hnes. Give street and block numbers or description according to deed, and show street names and indicaJ
whether ~nterJor or corner lot.
eo~e~ ~ot, Lot 65 ~ pa~t of Lot 66. Map of Oap~;li,,i~ K£dd
Estates, Matt~[tuck N.Y,
STATE OF N~ ~
couN oF ....... .......... } s.s.
W~lhe~ ~h~ ...being duly sworn, deposes and says that he Js the appHo
(Name of J~dJvJdual sJg~Jng application)
above named. He is the .................... ~.~ ..................................................................................................................
(Con~rflc~o~, ~ge~, corpora~ office[, ~c~)
of said owner ~ and ~s duly au~horJzed to perform or have performed the said work and to make and
th~s application,~ha~ll statements contained in this application are tree to ~he best of his knowledge and bel
and tha~ the work w~ll be performed Jn the manner se~ forth Jn the app~ion filed therewith.
Sworn to. before me this
. ........... ....... .............................
Notaw P~~~o,.~~~nty (Signature of applicant)