HomeMy WebLinkAbout2404-z FOI~I NO. 4
~TOWN OF SOIJTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFiCATe OF OCCUPANCY
No....ZZ13~L ............ Date .......... ~j?~.~...i..
THIS CERTIFIES that the building located at
Map No...;J'~,~;e~ ......... Block No....~f.7~'~X, ........ Lot No .................... ~ .....................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
............................................... J¢~[,'...23 ...... 19...~.4 pursuant to which Building Permit No..2404,..~
dated ..................................... ~[I~.~...~24~ ..... J 9.....~JJ was issued, and conforms to oil of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ........
............................................ · Or~e...£am~.'~..¥.. ~ee~,.%. ~t~j .......................................................................
The certificate is issued to .............. E~e,~:.,ql..l/~.O~ ..............................................................................
(owner, lessee or tenant)
of the aforesaid building.
FOP~M 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)
II,J? 2~J04 Z Date ...................... J~. ......... ;~ ................ , 19..~....
Permission is hereby granted to:
........ ]{~lw, a~..~....l{'o~ ............................ ............
to ...]ju~.~d...a~..add~c~..~It..a~..~.~.i.~...d~.l.t{~ .......................................................
at premises located at ..... ~.~-..Wo~l~..~e~..~'O .............................................................................
............................................................. Ft..~t~.. ~ieeki.....g~uteh~ .............................................
pursuant to application dated ................................ ~ ..........2.~ ....... 19.(~1~.., and approved by the
Building Inspector
Fee $"~¥ (~)0' ............
J.C, LANB ABSTRACT CORP.
63 W. Main Street
Babylon, NY 11702
(516) 669-3241
September 5, 1991
Town of Southold
Building Department
P.O. Box 1179
Southold, New York 11971
' RE:
CERTIFICATE OF OCCUPANCY
RECORD OWNER - KUEHN
JC-2145
PREMISES -2625 WEST CREEK AVENUE
CUTCHOGUE, NEW YORK
DISTRICT 1000 SECTION 110 BLOCK5
LOT 2
To Whom It May Concern:
Enclosed please find a check made payable to the Town, not to exceed $60.00, in order to receive
a certified copy/copies of C/O on the above captioned. If you have any questions please call me at
the number above.
Thank you for your immediate attention in this matter.
Very truly yours,
Denise M. Delisle
Offfice Manager
Encl.
Permit # 2404Z - Addition~ ¢~c~
Permit # 19466 - Addition and alteration of porch
Also need permit # for dwelling.
Representing
TRW Title Insurance of New York, Inc.
TOWN @F SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728 ,
TOWN HALL '
SOUTHOLD, N.Y. 11971
TEL. 765-1802
January 4, 1985
To Whom It May Concern:
Please be advised that we have no record of a Certificate
of Occupancy for the original dwelling located at property
owned by Edward W. & Theresa Fox, located at 2625 West Creek
Avenue, Cutchogue. The Suffolk County Tax Nap Number is~
District 1000~ Section 110, Block 05, Lot 002. One Certificate
of Occupancy has been issued pursuant to Building Permit No.
2404 Z~ dated May 23, 1964, for an addition° Certificate of
Occupancy No. Z2131, dated April 13, 1965, Was issued for
this addition. (Copy of Building Permit & CoOo attached.)
An application for Pre~Existing Use Certificate of
Occupancy is also attached.
Sincerely yours
VL:ec
Attcho (4)
Victor Lessard
Executive Adm~nlstrato~
FOEM NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved ........................................ , 19..~....Permit No ................................
Disapproved a/c~i""~
............................ .................................
APPLICATION FOR BUILDING FERMIT
INSTRUCTIONS
a. 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 part 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 of applicant, or name, if a corporation)
.. W. Creek...A.y..e..s.....~.~..t.g.~..9.~.u..e. .....
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.~Z'. .........................................................................................................................................
Name of owner of premises ....... ~.~L~..~.OX .....................................................................................................................
If applicant is a corporate, signature of duly authorized officer.
' ['~e and title of corporate officer)
I. L~ation of land on which pr~osed work will be done. Map No: .......... ~ ........................ Lot No: .~ ........
Street and Number ....~....~.~...Cr.e~k..A~..~ee~-..N~r..au~ ..........................................
MunicJpaliW
2. State existing use and ~cupancy of premises and intended use and ~cupancy of pr~osed const~ction:
a. Existing use and ~cupancy .'...~ .........................................................................................................
b. Intended use and occupancy . ~ ...............................................
3. Nature of work (check which applicable): New'Building .................. Addition .....~... Alteration ..................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ......................................
4. Estimated Cost .~.../~D..~...O.....~. ............................ 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 ....],~. ................... Depth .......... ..2..~. .............
Height ............................ Number of Stories .....~ .................
9. Size of lot: Front ............................ Rear ............................ Depth ................................
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
1]. Zone or use district in which premises are situated ......... "~" ~S.~ ............................................... ..................
12. Does proposed construction violate any zoning law, ordinance or regulation? ............. ~0. ....................................
13. Name of Owner of premises ...~1.~i'..1~.o~r ................... Address ........ D.11~P,I'lO~lZe .............. Phone No .....................
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor .................................................... Address ............................................ Phone No .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEV¥.--YO, I;J~/') ~ '~ ¢ ¢
......
........................................ · ~......~ ............................ being duly sworn, deposes and says that he is the applicant
(Name of individual signing application) ·
above named. He is the
(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 file
this application; that all statements contained in this application are true to the best of his knowledge and belief;
and that the work will be performed in the manner set forth in the application filed therew th
Sworn to before me this ~ '
............... .................. ......... , _
...... ........ ...........
~orary ~'uo.c, ..~...~.....~.... Co(.~t~ JUO~T, ~. ,0KE~ . .(Signature of applicant)
&z N'otary Pubtic, State of New YOrK
Ne 52-0344963, Suffolk Coun~ /
Comrn~ssion Expires March 30, 19