The URL can be used to link to this page

Home My WebLink About2909-zFO~M ~O.t TOWN OF SOUTNOLD ]~UILDING D]~PARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. No. ~. 2l~3 .... Date .............. ~'~ .... 21 ....... 19.66 THIS CERTIFIES that the building located at ..... ~/~.. ~i~l.i~Oa~l ........ Street Map No... ~ ....... Block No ...... ~ .... Lot No. ~ ..... ~t~g~. ~ ...... conforms substantially to the Application ~or Building Permit heretofore filed in this office dated .............. ~.. 12, 19..6~ pursuant to which Building Permit No.. 2~0~ .~ dated .............. ~V~..2~.., 19.6.~, was issued, and conforms to all of the require- ments .of the applicable provisions of the law. The occupancy ~or which this certificate is issued is . ~e ~S. b%li~.&l~ .... (Telephone. 00. exeban~ ' c~nter ) ............ The certificate is issued i,o M,~eTSlephon~. CO ............ Q%meD ................... (owner, lessee or tenant) of the aforesaid building. ,Suffolk County Department of Health Approval .... ~... 2,. 1966 .................... Building Inspector FOKM 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? 2909 z Permission is hereby granted to: John V 5ch~e.f~.~...go.n~.t~...Cor. B....A,C.....~q,Z,T.elephone Co ..~9~9.....I~..l~e~c-b..tt~ ............................... ....... 0.ce~l&e+.....~,~:, .................................. to .]~iXd..ne:~..hu~s~..l:mi]A~g......(F-ele~ho'~e..~hang~,) ..................................... ................. (l~ecAal..~ep.tion.. granted) ................................................................................ at premises located at ...... ]~.S.....~la.tzt. Roa[ ............ (i~T...~.~) ......................................................... ................................................... Cut~ho~ue,.....~I, ¥, ......................................................................... pursuant to application dated .......................... 0.¢..~. ............ ~. ........... 19..~,~., ond approved by the Building Inspector Fee .:.~...0...,....0~.. ............ Building Inspector \ TOWN OF $OUTHOLD STREET PROPERTY RECORD CARD Aff/CR. , SUB. LOT e~c~-<¥ ' ~S. ~F-~/ ISEAS. LAND i IMP. AGE NEW ~ N 0 PdV~L FARM Acre illable 2 illable 3 !oodland ~amp!and rushlond ouse Plot rVL FARM JCOMM. CB. MISC. Mkt. /abe TOTAL 0kTE BUILDING CONDITION BELOW ABOVE Value Per Acre VoJue FRONTAGE ON WATER FRONTAGE ON ROAD i DEPTH ~ULKHEAD DOCK Riverhead~ New York ' · ' · · ~... . .TYPE OR PRI%~ LEGIBLY IN I~ : ' Build g Permit No, Health Department Plan No. ~ ~ Application for, Aooroval, of ,Commercial Sewage Disposal System T0~ The Suffolk County Department o£ Health ~ Date J~e 25, [~6~ Appl~ation for approv~ of co~erci~ sewage disposal system is hereby requested. ~ Loeation~ No=~h Side of M~n Road (N.Y, 25A) 1200' Southwest of Cox ~e (Na~6' ~nd s~d~' 'of s~reet~' and name and distance to 'no'est' intersect~g street) Name, New York Telephone C~ : ' ~ ~ , ;, H~et Cutchogue To~ Southhold ill be ~,~ T hereby certif3 'ohat ~his c o~ercmal sewage d~sposal ~Tstom ~oon~' structcd in accordance with plans approved by the S~folk Cowry Depa~ment of Health on (date) , and ~ith all the requiremengs of the latest .~ b~let~s on sc~fgg~ 31%p0saI 0f tl~e g~folk County Department of Health. , ~W YORK ~PHO~ CO~ ~ Apolicant,s Si.mt=o ~2~ ~ Title B~. ENGR. ~ CONS~UCTION ...... ~ - (B~lder ~ ~er) ..... Address ~01 ~UGHBY S~T~B~,~ 11201. To1.No%~X 6-5100-Exg~. 2~97 Ready for ~spection , ~ , , Inspected by Date ~ ' Inotallation satisfactory . Yes .... ~ ~ I ~ Based on the i~omation stated hereon ~ the applicant and other i~0rm o maintenance can be expc~ ted to f~ction sab~sgactorily and Ss not lfkel~ o cause a nuisance, provided desired sewa~ flm,~ ..~.h~meeded. Stmct~al f~t~es ~%}'? are not included. '~ ~ ~ ~ ~] //// :~ . ' ~ .' , . ; . ,..,' , , , FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................................ , 19 ........ Approved ........................................ , ]9 ........ Permit No ................................. Disapproved a/c .............................................................................................. Application No ............................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ............................................................ , J 9 ............ INSTRUCTIONS o. This application must be compieteiy 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 Inspectoc 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 Bdilding 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, o~f~emo,(~e~ demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, uil~cod .regulations. (S'o app' , ,' c fpo t' ~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~...,1~....~',.~...~..~....?.~...],...l~t~_~..~..~.~. ........................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Locotion of bnd on which proposed work will be done. ~p ~ ~h ~ ~ Lot No: .................... Street and Number .~..~...~.,~.,...~) ...................................................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ ~ ....................................................................................... r"~ .................... t'""~ ...... ............................................................................... ~ ..,~..[,...,fi ................. 10. ll. 12. 13. Locatb c property whether I~able): New Building .................. Alteration Nat~ure of work (check which a ............................... Rep?r ............... ~ .................. Demolition ........ ~,~ther Work (Describe) ................................. ~ (to be paid on filing this application) If dwelling, number of dwelling units ............................ Number of dwelHng units on each floor ....................... If glaroge, number of cars ............... ' ....................................................................................................................... If I~usiness, commercial or mixed occupancy, specify nature and extent of each type of use ........................... DirqensionsJ of existing structures, if any: Front:;......! ..................... Rear .......................... Depth ..~....i ................ Height ..... .. ................... Number of Stories ..........~ ............................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ........................... Dep~th .............................. Height .............................. Number of Stories ........................................ Dirqensions of entire new construction: Front ~$~$~/~.1.1. ........ Rear ....~$.J.~dl.~,.~, .... Depth ~.t..~.J,~,?. ........ Height .~.6.1.,~6!.~. ............ Number o~ Stories ....... ,], .................. Doe's proposed construct on v o ate any zon ne aw ordnance or renulotionP ~1~ . . . Name of Owner of premises~ie~.~l~J1~..~$..Address ............................................ Phone No.I~IL.~.?.~ Nawe ......... No ............... No~e :for ......................... , ........................... Address ............................................ Phone No ................. PLOT DIAGRAM distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fn and blocks~.~"numbersl or description__saccording4~,~ fT' ~o"t° deed,w ~ ~_o,~?~.' .°nd show street namesand.~__~r.__ '~l~9¢u~indic.~['i:d~tete et-oT , WOOD ......... being duly sworn, deposes and says that he is the appJic( amc of individual signing application) He is the Ar~hite~t aa,t.j~ a~ the agent (Contractor, agent, corporate officer, etc.) of said owner or'owners, end is duly authorized to perform or have performed the s, Cdd,,work and to make and ~ this opplication; that aH statements contained in this appli~;ation orf~f'F~ to the ,b',est ~f his knowledge and beli and that the work will be per, formed in the manner set forth in the/applicc~ion,Q~c['the~ewith. Sworn to ~_be~-e me this ~,.~,~, ~.~ [~_~ ......... ......... - da f ...................... ....... ............. J) lNotary t'ublic, ..:...~.,-z~,,~.~~l~.~oun y (SignQ ure ot oppdcant) FOI~M NO. 1 TOWN OF SOUTHOI. D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......... ~..~.....~.....~... ...... , 19.~.~:T Approved .................... !.~. ................. , 19'.!! ..... Permit No...~...~'.~...O...~.]......,~-. Disapproved a/c ........:,:.:.~..~.~...... :;~.~..~ ....... :;:~,.,~.....~.~ .~z..~..... ~ .~..~---"--'-'~ ...................... :.;:Z ........ .¢:...~.. ................. ~.Z ..................................................... ........ . ../.. ........................................... · ~ (Buildingt~nspector) 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 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 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 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. ................. (Signature of applicant, or name, if a corporation) ...... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises If app[~t~s~a corpora~,~pflt~re o~duly authorized officer. ........ Jt ................... (Name and title of corporate officer) ~. Location of land on which proposed work will be done. Map No.: .................~ .................. Lot No.: ....~ ................... Street and Number 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 ,,~~,.,,,~.~...~,~.~ ................................................................... 4ature of work (check which applicable): New Building ~/' Addition Alteration Repgir .................. Removal .................. Demolition .................. Other Work (Describe) ~00 oo0 Io 4. Est mated Cost ............ :? .............................................. Fee ..... (to be paid on filing this application) 5. If d~welling, 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 .J~..~...J~-~...~ ..... 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth Height ........................ Number of Stories DiMensions of same structure with c~lterations or additions: Front ....................................Rear Dep.'th ................................ Height ............................ Number of Stories ................................ 8. DiMensions of ent re new construct on: Front ..... .~..~...-...O...~. ................ ReQr ....~..~....l~..~, ............ Depth ..~.O....-..~.... HeiCht .................... Number of Sto'ries ..... .~....~,~,). Size of lot: Front ..... ~,~.0.". .............. Rear ....... ..~..0..~..j" .~" Depth ~ ~'O1" Dat~ of Purchase ..................... J~.~..~.. ......................... Name of Former Owner Zan',e or use district in which premises are situated ......... ~......1 Doe~ proposed construction violate any zoning law, ordinance or regulation? Narhe of Owner of premises ..~..:.~.:.,~. ,C~.:,...C9..: ............... Address ~.L.W..L..urg...~iI~K...~,~,....~.Ir~I.. Phone No..~...~.':.~!.D.. L~I..~... ~,....h):..Y.:..C..: Name of Architect ..~'../~..~.....~:..~[.~..~.ID. ........................... Address ..... Phone No. Name of Contractor ~.~.,..S...c~.....~...t~....?.....~....Address .~.~..~..~...§..~...~..~ ..... Phone No. PLOT DIAGRAM I.ocatf clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr property li'nes. Give street and block number or description according to deed, and show street names and indic whether interior or corner lot. / ~,. ]~ou~ STATE OF NEW YORK, ~ ¢ e OF ................................ )' .......... COUNTY -z~o,o' ~4~t~i-~--~)q 2~A ~ .~.~. I.~)~J/~'CJ. ~. '~.~.~'~J~g being duly sworn, deposes and says that he is the Name of individual signing application) above narged. He is the ........ ~.~..'?~l~g..~.. ..... (Contractor, agent, corporate officer, etc.) of said oWiner or owners, and is duly authorized to perform or have performed the said work and to make and this application; that all statements cont.atned in this application are true to the best of his knowledge and belief; that the w~)rk will be performed in the manner set forth in the application filed therewith. Sworn to bjefore me this ........... ....... day of, ........ .................. , 19.6. Z. Notary Pubhc~l t' County (Signature of applicant) 10. 1t. 13, 495 9~ NEw MAP OF J .AND Voi'~ IK i 0