HomeMy WebLinkAbout2959-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BERTIFIBATE OF OBP. UPANCY
No.z. .283~ .... Date .............. Sept .... ? ..... , 19 67,
THIS CEI~TIFIES that the building located at Al'z'o~h~ad..I, ane .......... Street
Arrowhead Cove
Map No ........ Block No ............ Lot No. 19 ..... Peco~:te,..I~oY., .........
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .......... Dee,..-9-. , 19.6~. pursuant to which Building Permit
dated ............ Dee · · lbr - · ', 19 '6~" 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..one. f~mil,y..dwe.lling .......................................
The certificate is issued to ~s~;h~lel. Abeisol't .......... (~,~er. ...................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .~[11~'.
~ Buildir{g Inspector
FOI~,~I 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? 2959 z
Permission is hereby granted to:
........... :.~lv.e~d.~..:.....:.....~ ...... ~ ................
to
' ....... ~ ............................. ;'"'"'"" .......
·
at premises [0cated
~: ~. v Build ng ~speCtor
S-9
SCHD
SUFFOLK COUNTY
DEPARTMENT OF HEALTH
JUL 1 9 1967
Date
Bldg. Permit No.
TO WHOM IT MAY CONCERN:
The sewage disposal facilities for a structure located
(Give ~ee~' locatfon) /
have been inspec'ted by this department and found to be satisfactory.
District Engince?
District Engineer
NO. I
TOWN OF SOUTHO~.D
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined 19
Approved '( 191'..' ..... Permit No. ~ ~.... ~..
Disapproved a/c ............ 2..w..~..:: ...... .]. v~,~..~.., ................... ~ ..........
............
Application No. Z%~..~...~'i'i.~..' .........
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 property must 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 sh.all be occupied or used in whole or in part for any purpose whatever until o Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS H.EREBY 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.
H. & C. Desi~ners~ Inc.
(Signature of applicant, or name, if o corporation)
8 Bell~ Rd., Reeves Park, Riverhead, N.Y
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Designer- Builder
Nathanie 1 Abelson
Name of owner of premises ..................................................................................................................................................
if applicant is a corpgrate, signature ~of duly authorized officer.
........
(Name and t~tle of~rporate officg~
]. Location of land on which proposed work will be done~ Map No.: ........................................ Lot No.: 19
Street and Number Arrowhead 0ove~ ~econic~ To~n of S'outhold
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
o~ Existing use and occupancy ...................................................................................................................................
b. Intended use and occupancy One family residence
3~ Nature of work (check which applicable): New Building '.....~ .......... Addition .................. Alteration ..................
Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................
$40,000.00 !,9:00 . . .
4. Estimated Cast ............................................................ Fee ......................................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ....... .o.p..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. 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 74' max. Rear 7~~ max .... 73s max.
................................................................ uepm ........................
Height ...~--0,! .......... Number of Stories '"'1 .................................................................................................................
9. Size of lot: Front 133~ Rear 100~ Depth
10. Date of Purchase .. 1963 ...................................Name of Former Owner ....~.l~.~.~p.....~..o..~,:..,o.~ .....................
11. Zone or use district in which premises ore situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordnance or reou at on~ . ...~o
---a - ' ~belson 54 E.9][ S~. 'N.~'~'~z~ .......... 21'2'"~2"75'3'Zf ....
· t~a~n nze~ Addr
13. Name of Owner of premmes ........................................ e~ss ............................................ Phone No .....................
A-?0 Reeves Park
Name of-&~:~:~T....n..~.~ff~..~....:.'..:....~..~...u.f.~..~. ........... Address ....i~m,~,~i.:P~.'4'~'l~a.d. Phone No.
Name of Contractor .................................................... Address .................... i'~ ...................... 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.
STATE OF NEW YORK, ~ c ¢
COUNTY OF ................................ ,~ ....
...................................... ~ ................................................ bemg duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ....... ~..~.'..4..~..~.~i~....-...~...~i..~..~...?...ff.~...~.... ...................................................................................
(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 congained 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 therewith.
Sworn to before me this
~.z~.~... day of ...~~ ............ , 19..~....~..
........ " / .... ..... ...... ./...f ....... ..........
· ,.. r~ ~,~ ~ cuv,-~ ,>~..<~,:~,e-, Count (Ss nature of hcont
r~om~yvr ~Ll~c; ~fa~"4V~' ....... ;, ......... '/~'~,~'~"~ ....... /f~ Y ~ ' 'g f)~plicont) ,-~/~
Comrnmslon l~xptres March ~0, 19~
FO~ NO. 1
'I~WN OF SOUTNOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined
Approved ........................... ~.~ .......... , 19,~.).... Permit No.
................ .~......~ ................ ~ .........................
Disapproved
........................... ....... ............ .........
................ .................................
e (Buildino Insp~r)
APPLIGATION FOR BUILDING PERMIT
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
ureas, and giving a detailed description of layout of property mUSt be drawn on the diagram which is part of thi.s appticution.
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 applicunt. Such permit
shall be kept on the premises uvailable for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in part for any purpose whutever 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 o 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.
I{~ .~, .Q^ ~.esi~.n. ers, Inc.
(Signature of applicant, or name, if a corporation)
8 Bells Rd.~ ~eeves Park~ Riverhead~N.Y
(Address o{ applicont)
State whether applicant is owner, lessee, agent, architect, engi'neer, general contractor, electrician, plumber or builder.
Des ~gner-Builder
Nat haniel Abelson
Name of owner of premises ...................................................................................................................................................
If app~ligant is a cor. porat~, signature of duly authorized officer.
(Name and ti~ of corpdrat~ officer)
~9
1. Location of land on which proposed work will be done. Mop No.: ........................................Lot No.: ........................
Stree¢ and Number .....................................................................................................................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of propos~ construction:
a. Existing use and occupancy ....~.~Z,Z ................................................................................................................
~e family residence
b. Intended use ~nd occuponcy .................................................................................................................................
3. Nature of work (check which applicable): New BGilding X Addition Alteration
Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................
$ 40,OOn. OO $10.00
4. Estimated Cost ................... ' ......................................... Fee ..........................................................................................
(to be paid on filing this application)
o~'Ie
5. If dwelling, number of dwellir~ units ............................ Number of dwelling units on each floor ............................
If garage, number of cars 2 .
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 ................................... 74' Max. Depth 73' Max.
74t Max. , Rear ....................................................
Height 201 Number of Stories
9. Size of lot: Front ...... .1..3...3. L ............. Rear ........ .~..0..Q' Depth ....... ~.~..Q ..................
1963 Philip Horton
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
1 ]. Zone or use district in which premises are situated .....................................................................................................
no
] 2. Does proposed construction ,violate any zoning Iow, ordinance or regulation? ............................................................
.~ . ~athaniel Abelson _~,~ E.91 St. N.Y. 0i~¥ ~. 2~-SA2-7534
]3. Name or~Jwn~r oI ~rem~ses ........................................ ~aaress ............................................ ~none ina .....................
~$Sl~n~r ...... A-70 Reeves Park,Riverhead PA?-4927
Name of ,~lf~ .,..~.£4,~..~,...'4o. un~ ........... A~ldress ............................................ Phone No .....................
Same
Name of Contractor .................................................... Address ............................................ Phone No .....................
PLOT DIAGRAM
Lacete dearly 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.
STATE OF NEW YORK, t ~ ~
COUNTY OF ................................ ,f ....
........ fZ~./':...L...f..:..?.. ........ ..A'..'..'......~..d~.?.'..f?/.:..~? ...................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ........... .~...~:f./..~..~...~..,./.~...r ....... /~..,,~..,I..~...~...,L'....,~.. ..........................................................................
(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 conta:ined 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 therewith.
Sworn to before me this ·
...... ./..~...~...~.,~., ..... day of ......~...~;~ ............. , 19..~....~'.. ,~,~ ,/~/./~,/',/ ,r~' F/
, -/~' (..~.. ~:~,~ ~ ·
hE EN M. GUYER ~ ...... 7./~..,~-~.~. ........................... :,., .......................
Notar~t~i.cc..s,,,~.~,.J~~ .......... ,;.~...../, County ~: (Signature o~~