The URL can be used to link to this page

Home My WebLink About3280-zTOWN OF SOUTHOLD BUILDING DEPARTMENT ~I'OWN CLERK'S OFFICE SOUTHOLD, N. Y. OI~I~TIFIOATIE OP Or.r.U~ANOY THIS CEi~TIFIES that the building located at ....... ~l~&~k; .~.~.~tl~l~l.~ ........ Street Map No ............. Block No.. ~ ...... Lot No..6'l. · ~ ..... l~tl.~.~l:~tB ..... conforms substantially to the Applicati,on for Building Permit heretofore filed in this office dated .......... O~tO~l~..1.?.., 19. ~6 pursuant to which Building Permit No32~l~l .~... dated ........ 4~1~O~0~lf. ~,~l. , 19 61~, 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 ..... ]PIg.~,~.~ ~[~l:g~ .................................................. The certificate is issued Co ...I~rl~y'.C, .~l~]ll, .................................. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ................................... TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) permission is hereb~y granted to: ........... ./.~,~m.. ~,~,~....-... ~.. Fax~...~;~ .................... :~.t...,.~ .~.... .................................. ~.. at premises located at ,~.~.....~,~.J~'.G....4~$L....~..&..~.~...i¢~.*~..~.~I~, ................. ...................................................... ~I~e~.. :ll.:~. ...................................................................... pursucm~ to application dated .............................. ~¢~tZ'...~.~...., 19..~., and approved by the Building Inspector. Fee $...~,.e...,~,.. ........... ............. Building i;~;;~ector SURVEY FOR ~'~F// .,~?-~;~'~-~'' HENRY C. ZURMUEHL ~ HELEN Z. ZURMUEHL LOT NOS. 61 ~ 62 "PROPERTY OF M, S, HAND, SECT. CUTCH 0 G U E GUARANTEED TO, NOTE: TOWN OF SOUTHOLD THE TITLE GUARANTEE CO. HENRY C. · HELEN Z. ZURMUEH[ SUFF. CO., N.Y, SCALE: I" = 40' FEB. I0, 1965 PRO F E S S I~:Yt~l~L.../E NG I N~E'E R AND LAND SURVEYOR ,N.Y.S.LIC,NO. 12845 MAP OF SUBDIVISION FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAY 12t 1939 AS MAP NO. 1280. · m MONUMENT o = PIPE FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........ Approved ................................. , 19 ....... Permit No ......... ..-...~~. D~sopproved a/c ....... ~ ............ ............ ....... .......... (l~u,lding Inspector) ( APPLICATION FOR BUILDING PERMIT Application No ..~......'~...~.... ...... INSTRUCTIONS a. Thts apphcation must be completely filled in by typewriter or ~n mk and submitted ~n duphcate to the Budder Inspector. b Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc streets areas, and gwmg a detailed description of layout of property must be drawn on the diagram which ~s part of th~s apphcat~o~ c The work covered by th~s apphcation may not be commenced before issuance of Budding Permit. d Upon approval of this apphcat~on, the Building Inspector will issue a Budding Permit to the applicant Sue permit shall be kept on the premises available for inspection throughout the progress of the work e No budding shall be occupied or used ~n whole or in pa rt for any purpose whatever untd a Certificate of Occupant shall have been gr.anted by the Budding Inspector APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of a Budding Permit pursuant to tk Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulanons, for the construction of buddings, additions or alterations, or for removal or demoht~on, as hereto describe~ 7'he apphcant agrees to comply w~th all applicable laws, ordinary~es and regulations ~, '~S~noture of apphcant, or name, ~f a corporation) .... (Address of ~l~i' ........... ~" ' State whether apphc~n_t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budde ...................... ............................................................................................. Name of owner of prem,ses ...... /~..~.~.X~.....~'..~ ~/~....~ .~...~/......~...~ ......................................... If applicant ~s a corporate, s~gnature of duly authorized officer (Name and t~tle of corporate officer) 1 Location of land on which proposed work will be done Map No ........................ Lot No ~./....~..~. ~ Street and Number ...... .~.../~../~..~,,:.....~...~.~1,~..,... ~..~,~... ~. C¢'....~...~.....~.....~f'....~-'~...~...~..e.~.: Mumc~pahty 2 State existing use and occupancy of premises and ~ntended use and occupancy of proposed construction' a Ex,st,ng use and occupancy ........ h~ ~'~ Z~..i...,~. f ..................................................... b Intended use and occupancy.~...~ ......... ~t ~ t~ ../~. (~.....~. ...................................................... ............ property lines Give street and block numbers or description according to deed, and show 3 Nature of work (check which apphcable)~ New Building ~'~ Addition Alteration Repair ....................Recnoval ............ Demohtion .............. ,~ Other Work (Describe) .................. 4 Estimated Cost ....... ,/.~.~..~.. .......................... Fee ................................................................ (to be paid on filing this apphcation) 5 If dwelhng, number of dwelling umts .......... Number of dwelhng un,ts 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 D~mens~ons of existing structures, if any Front . .~q~. t Rear ~'~' Depth .... .~...~...( He,ght¢/q/2.; ../~-¢ Number of Star,es /, ! Dimens,ons of same structure w,th alterations or addit,ons Front ....... ~.?. ...... Rear .... .~....~...~ ............. Depth ........ .~..~.' ........ Height 9'~":' .............../}! ..Number of Star,es ...... / .......................... 8 Dimensions of ent,re new construction Front ..... ~;~¢¢.f-. . .. Rear ...... .?¢.(¢~. ..........Depth .... .~....~....~. ............ Height .,~4/~..:.../~...~. ...... Number of Stories ................... 9 S~ze of lot' Front /.¢~¢ , ¢ot Rear /~¢~ · ....................... ................................ Depth .. ~', ~ ' 10 Date of Purchase .............. ~ ..................... Name of Former Owner ........ //.~....~..~.~.~ ......................... 11 Zone or use district ,n which prem,ses are s,tuated ..... (..~'~.~z~..O....~.,....~'~..>.. ~..~.~... .............................. 12 Does proposed construction wolate any Tatung law, ordinance qr regulation:~ ..... /~'~..o. ......................... 13. N a me of Owner of p remises//~.~'.~/.£.7..(.. ', .~:. ?/¢./1) U ~"'?~'Jclress .. 7 .~¢'. ~d...~.../~./4'...~".. *. ...... Phone No ............ Name of Architect ............................................ Address ...................................... Phone No ................ Name of Contractor ...dO/~..4~..../~/¢~ ~/~tp.~.//~. Address//f~/4//~/~r./~?¢'~ .~/.(~'.../-.¢...~'.¢¢/4'...-~'.... Phone PLOT DIAGRAM Locate clearly and d~st~nctly all buddings, whether exishng or proposed, and ind~cate ail set-back d~mens~ons fro~ street names and Jnd~cat whether mtenor or corner lot STATE OF NEW YORK, ) COUNTY OF .................. ) S S ................................................................................. being duly sworn, deposes and says that he ~s the applicor (Name of md~wdual s~gning apphcahon) above named He ~s the ................................... of sa~d owner or owners, and ~s duly authonzed to perform or hove performed the sa~d work and to make and fil this apphcahon, that all statements contained m th~s application are true to the best of his knowledge and belie and that the work w~ll be performed ~n the manner set forth in the apphcot~on fded therewith Sworn to before me this ..~...~... /~ .................... day of .................................. , 19 Notary Pubhc, . ................................... County .... :(S~gnature ...................................... of applicant)