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Home My WebLink About2957-zTOWN OF SOUTHOLD SUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. P. ERTIFIOATE OF [:]OP. UPANP. Y No. ~. 2~8.~... Date ................. A.11g~St. ~ .... , 19~. THIS CERTIFIES that the building located at .. ~8...Pe~o~iC. La~ ....... Street Map No. ~ ........ Block No..y~ ....... Lot No. ~.. ~Q~P~.~. ~.~ ............ conforms substantially ~o the Applicati.on for Building Permit heretof~e filed in this office dated ............ P~ .... ~..., 19fi~. pursuant to which Building Permit No. 2~. Z. dated ............. De~.. ~0..., 19.&~, was issued, and conforms tv all of the require- ments .of the .applicable provisions of the ~w. The occupancy ~or which this certificate is issued is ...P~ivage. o~..~a~ily. ~:~.lg. ........................................ The certificate is issued ~o ... ~a~t~..~ea...;~O~ ............................... (owner, lessee or tenant) of the aforesaid building. ~ ~ ..~.. Suffolk County Department of Health Appr~oval .... ~ ... ;~. . ~.~.~... 0 Building Inspector [ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIC~E SOUTHOLD, N. Y. BUILDING PEP. MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 957 z Date ......................... .~.~ e e.~'b, er.....1.Q, ...... 19.~... Permission is hereby granted to: Walt~r....F.~...Luc~ ........................................................ ...... B~tehog~..~,~, ..................................... premises located ..... ,,,- ...~e.~,C~...~¢, ~t~¢~ ~ .......... ........ ~.....: ......... ...................................................... · . e.e ~ui~,~, ....... N~;.~£~...: ...... ,.~ ...... ::,: .................... ~,: ....... ;[....,.~:..: pursuant to application doted .............................. D~o~-..,~..., 1 ..., and d Building Inspector ' ee~i~.[~) e}11¢ ~ · · :~/~.~..J .~,:~.,......~.-,~,~.,v.~.~,~ .............. , ................ ~-- t Bui ding Inspecc~,or FOI~M ~0. 3 TOWN OF $OUTHOLD BUILDIHG DEPARTMENT TOWN CL,ERK'S OFFICE SOUTHOLD, N. Y. i~/OT~.CE OF D~SAPPROVAL File No ................................................................ Date ................... .. December......8 ........19.6.~. To .~.~.~.e~'...F.,..Llloe ...................................... ......... ..................................................... ............. ~'.~t.~h~gue ,... N,.~', ............................. PLEASE TAKE NOTICE that your application datec~ ............... Deeeml~e~,.....6 ...... move e~istin~ dwelllng ior permi~ to ~t .......................................~ . premises located at ...... ]~/.I{ ..Pee~i~. Lane ......................................................................... Street Peeonie~ Map X~ ...................... Block ........... ~ .................. Lot ............ XX~ ........................ is returned he~'ewith and disapproved on the followin? grou~)d~: ..a.ppti. e.a%lem.i-s...i, neem. ple~e~ ....~h~r.e...i~.. n~...p!o.t...plan..s, ho~m...ln...spae.e...p~ovided.. £~r ..~ame..or~..appli2&tion. Building Inspector SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg, Pe:r~[% No~~ TO WHOM IT MAT CONCERN: The sewage disposal facilities for a structure located at ~ (Oiv~ de~d location) .... have been inspected by this Department and found to ~e satisfactory. District Engineer ......... bistrict Engineer ...... FOKM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit No ............................. Disapproved a/c ........................ ..................... APPLICATION FOR BUILDING PERMIT Date .............. ~9. P..0.~.t).0.~'....~., .................... , 19.0.3. ..... INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink end 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 property must be drown on the diagram which is port 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 o Building Permit to the applicant. Such permit shall be kept on the premises available for in.spection throughout the progress of the work. e. No building sh,oll be occupied or used in whole or in port for any purpose whatever until a Certificate of Occupancy shah 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 dep~olition as here n described The applicant agrees to comply with all applicable laws, ordig~nces, building code on.,~ restrictions. (S gnature of~pphcont, or name, f o corporotton) (Address of applicant) State Whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder. .......... ~..~.~. ......................................................................................................................................................................... Name of owner of premises ?~a]Lte.'e t% if applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which pr9posed work will be done. Map No.: ........................................Lot No.: ........................ Street and Number 0~ k.0.~.O..~e..x~/O ~.~ Municipality 2. State existing use and occupancy of premises ond intended use and occupancy of proposed construction: ~esi~en'b~.al a. Existing use and occupanfy .............................................................................................................................. ~'.... b. Intended use and occupancy 3. Nature of work (check which applicable): New Buiiding .................. Addition .................. Alteration .................. Repair .................. Removal ..;g ............. Demo(ition .................. Other Work (Describe) ........................................ 4. Estimated Cost ........~!~...O.~.O..O..~. .................................. Fee ..~.~.,0. ................................................................................ (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 ...... ~2,! ............... Rear ................................ Depth ....~.O,t. ......... 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 ........................ Height .................... Number of Stories ....................................... ; .............................................................................. 9, Size of lot: Front ...,].~).0 ................. Rear .................................... Depth ........ 2.5.0 ................. 10. Date of Purchase ..~}J..-..b.'..-..~,~. ..................................... Name of Former Owner ..'.V..~...~.~LQ,~Lo.?..~.i' ..................... 1 1. Zone or use district in which premises are situated ........ .z?..q.~.~..~..~.~.~. .................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ............................................................ 13. Name of Owner of premises )!j.~,...I~......~.z.~.9..e. ................ Address ~..~,d.~..¢.tt.~?4DLO. ...................... Phone No. ~.~..'..&...'..6..&..~/..~ Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..,Q,9,~.d,,O.:0 ................................... Address ..~;gh~.r~]c ........................ 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 number or description according to deed, and show street names and indicate whether' interior or corner lot. .__J V? STATE OF NEW YORK, 1, S.S. COUNTY OF .... S.~ £~.o,]Z~ ........... ,( ...................... .~..~..~..e..:q...[?,,..;~ ......... , ...................... v,,..,,.being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ........... ~,Tk~]..~.V.~,.fJ.~, ....................................................................................................................... (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,he b~of hfs'lmowledge and belief; and that the work will be performed in the manner set forth in th~ application file~he[e~t~ ...... ........... ...... ................... , c, Q ......................... N0~P, RY PU~LIO, State of Ne~ Y~r~ F;o. fi2-2~414OG, Suffal~ Cou~l~ /q