The URL can be used to link to this page

Home My WebLink About2369-zFOl~I~f NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No...Z...20.~8 ........... Date ........................... Deeembe.:o... ~1.., THIS CERTIFIES that the building Iocoted ot ,J?~t,.,~e .................................................. Street Deer Park Map No....~CJl.~ ......... Block No ....................... Lot No..t.3.r.....Na.tt&.tu~.k.w..M,~, ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................... A.p~..i.l ....... ,~1. ...... , 19..6~.. pursuant to which Building Permit No...~3.~.9...~ dated ............................... ~.~.~, ....... .~., 19....0..~.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ............ P~.i.v.a.~e..~n~..2~m~ZY..,.d.~e.lling ..................................................................................... The certificate is issued to ...... ~...&..~.~...Rayr~n~...t~,a¥~o~':....gwzaer.~ .................................... towner, lessee or tenant) of the aforesaid building. H.D. Approval Dec. 30, FOEI~ NO. ~ 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? 2369 Z Date ....................... &]~',~l, ....... ~ ........... , 19.(~t.. Building Inspector Fee $..'10,.,0~ ......... Permission is hereby granted to: ,1' & G B~i.t~:r~..~,oatae~e~e..~.G..Reymen4..~aynor & ............ :t~+...T. op!~i, ng...]~i¥® ............................. ................... i~.;g~erehead.,.., ii, E, ........................ to ..b.u:tld..~e.~..~ne..f'm4 l~..xt~e~.l~ ..................................................................................... at premises located at ....PaC..Lane ...................L~t..~..~.3s ........Deeg. pa~k .................................. ............................................................ l~,:Lt[tm~ks...., no~ ................................................................ pursuant to application dated ............................ ,I[~'~,~,....2,~ ........... 19..~., and approved by the IIOTE ~ Setback must be ~n ~ine with other' house~ on same s~.de of ~t, reet, s-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date DEC 3 Bldg. Permit TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at ~GiG~'deed location) have been inspected by this Department and found to be satisfactory. District Engineer December 10, 1965 Mrs Raymond Raynor Box 887 Mattituck,,N~Y, Dear Mrs Raynor$, The part,~of the HealthDepteard underlined in red is the reason they have not given approval toy your new house. They need a well drillers certificate, a lab report of the water analysis from your laboratory Who havedone the water test and the completed application form enclosed, When they have this'material they will sent. you~a, notice Of' approval and a copy 50 me. Trusting your builder will;get this cleared up Yours truly ing'In~pe0tOr'l~ ~for you immediatelN FO~I NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application N o..~....?.....~, i...Z ........ Approved ........................................ , 19 ........ Permit No ................................. Disapp rove~,~ ........... · ' (Building Inspec~o '" ' '"'"- ' -'"'r) ' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. 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 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. 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 HEREBY 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 or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code and regulations. ...................... · ~ (Signature af applicant, or name, if a corpora.tion) ...... .. .... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....~./.~...~.....J~....~.'..~. ........ ~...~./.~.'.:.~....~....~. ........ ..~...b.¢~'.~....~..~....~ ......................................... If applicant is a g.oraorate, signature of dul~authorized officer. (Narr/,,~/and title of corporate officer) ' 1. Location of land on which proposed work will be done. Map No: .,,~..,.~.,..~...~.. .......................... Lot No: ..Z,~. ........... Street and Number ~f;~.~.T' . ~ ~ ./~..Z-'-- .... Z~..~,.'..~.. ,~.~:.~...~.,.~..~..'. .................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... · b. intended use and occupancy ~X'-'/I/ .... 3. Nature of work (check which applicable): New Building ..... f~........... Addition .................. Alteration ............... Repair .................... Removal .................... Demolition .................... Other Work (Describe) ................................... ~, ~.~,~ ~ ~ ....................................................................................... 4. Estin~ated Cost ........ './..~. .......... : ................................ 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 ............................. Dept'h .............................. Height .............................. Number of Stories ........................................ 7' 8. Dimensions of entire new construction: Front Rear Depth ...~....'.~....~. ......... Height .....~.~,~... ............... Number of Stories ........ ~ .................. ' ...L.'~....~...~ ........... Depth ...../...!..J~....~....~ ........... 9. Size of lot: Front ... ./. ~...wZ.. ............. Rear 10. Date of Purchase ...... ~...~..'.~'..:'~.. ................................... Name of Former Owner ..~...~...~.~....~.~...~.~....'~. ~.~...¢'. ........ 11. Zon~ or use district in which premises are situated .............................................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... .../~......~. .................................. 13. Name of Owner of premises ../~..~..X~..~../~..~ ............. Address/~..~..~.....~....~..~.~..~.....~...~.....~-Z~Z..... Phone No ................. Name of Architect .,~_~'...~:,~...~Z...~..~..~..~. .................... Address ..../~..(.../rC.~...~.ZZ(...~...~..~.. ........ Phone No ........ ~'~J~ .~..T ....... 2)) Name of Contractor..~.....~...~..~.l.&&.~.....?~,c~f~'£~.~/,/l~ldress ./.~....x~.~'~./,,fl~...~Z.¥.e'T...... Phone N .o~.~...~...~.?,/., PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frc property lines. Give street and block numbers or description according to deed, and show street names and indJcc whether interior or corner lot. STATE OF NEW,, ~,.,,,.~ ~ ~ ~¥~R~ -~ ) S.S. ..¢:~.~.~....L,/~~ ........................................... bein~duly sworn, deposes and says that he is the applicc ' (Name ~'i~ivJd~l signing app~) ~ ~ ~ ~. ~ ~ above named. He is the .......................... ~~...~~.,..~..~ ............... (F~cto~, agent, corporate officer, ~tc,) of said owner or owners, and is duly authorized to perform 0~have Performed the said work and to make and f this application; that all statements contained in this application are true to the Best of his knowledge and be~i~ and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ ~~~~