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HomeMy WebLinkAbout2783-zFOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...]~j'.,~..~ttrJzt~...~[~l,..~..~tlJ'.oLtJ~..Rd. ...... Street Map No.....:l~.~ ........... Block No ......~ .......... Lot No. "'~C,~ ......... ~Te~'..8'O,~E~.~[~ ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................................... ~tl~e ....... .~. ........ , 19..6,~.. pursuant to which Building Permit No..~..~3...;~ dated .................................. 3"~lae ....... ~1,..., 19...6.~, 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 ........ ..... ~.i.~.a.te.. ~ne...~'amil¥,..d~e ~2~ing ............................................................................................ The certificate is issued to ....~i,~]~t~.....OZ'~. ...................... 0.~/~,~ ..................................................... (owner, lessee or tenant) of the aforesaid building. H.D. Approval Sept 1~ 196~ FORM 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 PULL COMPLETION OF THE WORK AUTHORIZED) Ne 2783 z Permission is hereby granted to: ......... .1~;l, ll~,e.....O~'~ ............................................ ................... ~..~..o.~....lf...L. .................... to ....Ma~e.. nn...ex~.s.tin& .. ,twel Ll.n& ...ta..neN ..lc~ at,:Lan ....& ..me/~...ne ~.~ fia~ .......... ....... ~1.'~ ,~.~.t,J. o~ L&.. I~1~no.~e,n~ ~ ............................................................................................... at premises located at ....E/.l~.....Bunz~..Lane...@..Kouz~ous..RS. ...................................................... ............................................. ~ ...... ~.~..l~.g~'.~o,l,l~...H..~'.. ..................................................................... pursuant to application dated ........................................ ~T.1~1~!~.......~. .... 19..~.., and approved by the Building Inspector Fee $...~...0. ~,(~0. ......... Building Inspector !::~. DEC301985 ii, ~OWN OF SOUTHOLD $,4-' 17' 10" H. C~. Tuthilt · . _ ,200,0, KoO~OS .laD. Bonk o.d I-lo~CEtlt Div.-Chicxzp Ti.I.I,~ tnsurc~.~ce Co. ~ ~urveHed, Jul~ 1% I:~t,~ VA~q TU','U # ~o~' OWNER TOWN OF SOUTHOLD PROPERTY FORMER OWNER RES. LAND SEAS. tMP. VL TOTAL 30o STREET FARM DATE RECORD CARD VILLAGE t DISTRICT ! SUB. ~PE OF BUILDING COMM. liND. I CB. MISC. LOT Total Tillable 1 Tillable 2 DOCK Tillable 3 Woodland Swampland Brushlahd House Plot AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGEON ROAD/~¢.~7~, ~.,, f~U~.~/,.~k~e BULKHEAD Est. Mkt. Value M. Bldg. Extension Extension Extension Garage Foundation 'L/qzxt. Wells Fire Place Patio I Driveway Bath Interior Finish Roof Type Rooms 1st Floor Rooms 2nd Floor Dormer · =~+'{ ~ ~ ............ ~ ........... ~-~. .......... '~ ~ew suffolk, in the Town of ,qtv! i[nl;,rovcments dlereon erected, situate, I~ng ~d betng~a~ ~- ~" Southold, County of Suffolk and State of New York, and more particularly ~und~ ' d and descrl~ as follows: he intersection of the.easterly.line ~f Bunny nEG ~ING at a ~nu~nt set at t ..... ~ = id intersection being t~% ~--I~.~.~h the northerly line ct ~ou~Os ~u,~%a-=~+=rlu retinue of sa~ northerly retinue oi sago ~=~ i ..... +=~, corner of the premises northerly line, and ~ing t~e uorv-%=7 n alon~ land of Howard G. Tut~li~ scribed; from said ~1~ o~ ~]~n~eg~s ~ast 2~0.0 feet to a monument ann South 84 degrees 1~ m~nun~ land of coles; thence along said land of Coles, South 6 degrees 49 minutes O0 seconds West .84 feet: thence at right angles to said easterly line of Bunny Lane, North B3 degrees 11 minutes O0 seconds West 199.96 feet to said easterly line: thence along said easterly line, North 6 degrees 49 minutes 00 seconds Bast 100.0 feet to the ~int or place of ~ginning. Also known as: Street Address: Tax Map Designatlon~ 1000-117-6-29 '~ogethcr with SELLER'S interest, if any, in streets ~nd unpaid awards as set ford~ in Paragraph 9. SUFFOLK COUNTY DERqRT~T OF HEALTH Date ,,September 1~ 1965 Building Permit No. TO ~,~I©M IT MAY CONCERN: The sewage disposal facilities for a sbr~cture located a~ _~___~.nn¥ ~ane~ New, S~fqlk (Orr) (Oive ...... ' .... ' "dee8 l~cat~on) have been insDected by this Dep~r~ent and feu~ to be satisfactory. D~strm t Engxneer FOR~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Exam,ned... ..................... :..: ............... , ..... Disapproved a/c ......................... ......................... Application N o..~.....-~....~..~.. .......... APPLICATION 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 areas, and giving o 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) ....... ....... ...... (Address of apph~nt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................... O~..:~. C. ~ :. ...................................................................... Nome of owner of premises ..................~..,~./.../ll..C.. ......... ~..'..~.i.~.. ....................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number ..~ p ~P, MuniciPality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occu anc ''.~/.4~/~ · ~/' .. b. Intended use and occupancy ~..~'~ 3. Nature of work (check which applicable)' New Building -- Addition Alteration~ Repair .................... .z~Removal .................... Demolition .................... Other Work (Describe) .~',~'.~f..~. ................... :::' 4. Estimated 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 ...... ,C....~....~....: ........... 7. Dimensions of existing structures, if any: Front ..... .~.....~.. ........... Rear ....'~..~.~ ............... Depth .......~...-.,~. .............. Height .../'...~ .................. Number of Stories Dimensions of same structure with alterations or additions: Front ........ ..~.....~..~ ............. '~ / ' Depth ........ ..~....~..~ ............. Height ....... /.,,~... ................ Number of Stories ............./.. ........................ 8. Dimensions of entire new construction: Front ..... ..2....~..i ............ Rear .......~..../...i ............. Depth ....... ..~...~....' ............. Height ......... ./.~... ............ Number of Stories .......... ~ ................ g. Size of lot: Front / ~ c:) · ......... ./.~....o..[. ........ Depth '~ ~ o ~ ............................ Rear ................................ 10. Date of Purchase ...~/~...~....~.....~../.......('....~. .................. Name of Former Owner ...... ..'./~..*.........~,.~.~.../'..~...~..~....~ ............... 11. Zone or use district in which premises are situated ................................................................................................. 12. Does proposed construction violate any zoning Iow, ordinance or regulation? 13. Name of Owner of premises ...~..,J../../.C..~......~..~.~....~.....Address ..~../../../..../~....e~?....~.~hone No..~....~...r~':..'.7.'~,..~?C~ Nome of Architect ...................................................... Address ............................................. Phone No ..................... Name of Contractor .................................................... Address ............................................ Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or ~es~rj[ptj, on according to deed, and show street names and indicate whether interior or corner lot ...... STATE OF NEW '~RK.~ .~ ~ /,. ~.,~ ~ COUNTY OF ~ .... .......................................... being duly sworn, deposes ond says thor he is the opplicont (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 hove 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 Jn the manner set forth in the application filed therewith. Sworn to _bz~re me this ~ .~ ........................ day of .................................. , ..... ;'; ......... ............................ ................. ~ .......... ,~o~-52-3'233120 Suffr. i~ County £xpJres J~arch 30,