The URL can be used to link to this page

Home My WebLink About3061-zl~q~ NO~ 4 TO~N OF SOI]THOLD BurLr~iN~ D~PART~k~qT Town Clerk'e O~ice Southold, N. Y. Certificete Of Occupency No. Z6.513 ...... Date .......... Jmle...6 ......... , THIS CERTIFIES that the bugrling located at '1~est. Lake. Ds-lye ........ ~ Street Map No. Cedar..Beae~l~P~ No ........... Lot No.. 1 ~2 .... 6o~tho~l...N,¥.. ....... conforms substantially to the Application for Building Permit heretofore filed in th~, office dated ...........&prtZ...22~ 196~. pursuant to which Building Permit No... dated ..........Apl~tl...22.., 1966., was issued, and conforms to all of the require. ments of the applicable provisions of the law. The occupancy for which tbs- certificate is ~sued is . P,~i~ate. one. family. ~welll~ ...................................... The certificate is issued to )~.i~hae.1..&. l~te. Costetlo ...... Owne~ .............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Depsrtment of Health Approval . J. un$...~...~.97~...by, t~' .¥~L~... UNDERWRITERS CERTIFICATE No. Il..~ .... ,~a~...~3.. 4.97~ .............. HOUSE NUMBER ..... ~ ~ ...... Street... ~t.Lalm. Dr. ..... 3o~th~l~ ......... Bui]&~g Inspectel- FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CL£RICS OFFICE $OUTHOLD, hi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT OKI THE PREMISES UKITIL FULL COMPLETIOKI OF THE WORK AUTHORIZED) N? 3061 z Date .......................... .~-;C..:['t .... 22 ............. 19..~.,~.. Permission is hereby granted to: ..~.tn:~h~.,.~'Lo.t,:e,~...~V....e.....A~...C....~,i.c.~.a..e..~,..C..~¢ei!~ ....... 3,700...~c~ut~..~l~l.g}~w~: .................. ...... ............ · ~te.~.~.e~.~ .......................... : .................... ~ to ....Bl~il.~..ne:~.....~a~..£~mil;~...~'~e4,~.~g ................................................................................ at premises located at ....... 3.~aL3;2~...C3~3.e~...~emch...~.~.[; ....................... ;:~ ............................... ..................... ,~,/~....:~'e~,..~.~ke..]~ ~.....~het4~....~,:~, ........ :. ................ · ...... ~: ....................... pursuont to opplicotion dated ............................. ,'~.t:~.~I.-.-.Z,~. ........ ]9~,~.., end approved by the Building Inspector Fee $...~i..O*..O0 ......... Budding Inspector s-R SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCE~: The sewage disposal facilities for a structure located at (Give deedlocation) have been inspected by this Department and found to be satisfactory, JUN 04 ~975 ~Ohief of .General E~ginsering Services District Engineer ~ FOI~M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y.~ Examined .................. 19 ........ Approved .......................... !.! ........... , 19..!.f.... Permit No.......... ~-~])~ ...... . j~ ........ '~ '~ ..., Application No...~....O....g..../.. ............ (Budding Inspe~/or) APPLICATION FOR BUILDING PERMIT Date .......................... ,A..~.r...i..1........2..2...: ......... , 19..0..6. ...... 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 qr 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 a BuiJding Permit pursuant to 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. Durable Homes Znc (Signature of applicant, or name, if a corporation) ...12.0.q.....Mon.~auk..H.~r..,...~.~.~lp.or.~ ............................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..~igb. a.el..~c.~az'.:Le...Cgs.%ell~ ........................................................................................ If applicant is a corporate, signature of duly authorized officer. T. Hermann (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: g..e..c]..~...~..e..~,.qh..~..~,~..k. Lot No.: ...~.2.~. .............. Street and Number ..~./.~q......~,~.~...~ake...Dz'.i.~.e~.....S.otzt~l~. ....................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ .~.a~.an.t..~.~d ................................................................................................ b. Intended use and occupancy ................ .0~¢,...~111~ ct..~.elli~ ............................................................ 3. Natlure of work (check which applicable): New Building ...... .~...~..~.. .... Addition .................. Alteration Rep~ r .................. Removal .................. Demolition .................. Other Work (Describe) ..................... ~ .... 4. Esti.~ated Cost .... ~..9..~....~...0..0.....~./.~ ............................. Fee 10 j '(to be paid on filing this application) 5. If d?elling, number of dwelling units ....... ~.e. .............. Number of dwelling units on each floor If g~rage, number of cars one 6. if b~usiness, 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 Dir~ensions of same structure with alterations or additions: Front .................................... Rear Dep}h ................................ Height ............................ Number of Stories ................................ 8. Dirrensions of entire new construction: Front .............. ~'~ ............. ',... Rear .......... ~. ............. Depth ...... ~.br ......... Hei:lht .................... Number of Stories ..... me ..................................................................... 9. Size of lot: Front ....ZLO~I ................ Rear ........ ].DO ..................... Depth ...],~..0...~../ .............. 10. Dot of Purchase .............. .].9~6 ................................ Name of Former Owner 11. Zon or use district in which premises are situated ....!!A!!...d:Ls.t 12. Doe proposed construction violate any zoning Iow, ordinance or regulation? .............. Na~e of Architect ..... T.,..~o~LID.$O .................... Address .....~....Is.ll.!~ ................... Phone No. Na~e of Contractor ....~,..~ ........................ Address ........ ~.~O.Q..~G~.~..~o. Durable Homes Ine PLOT DIAGRAM [.oc~t,~ cieorly end distinctly ~11 buildings, whether existing or proposed, ~nd indicate oll set-~ck dimensions property li~es. Give street end block number or description ~ccording to deed, ~nd show street homes ond whether in~ erior or corner lot.'.~'~ ~ STATE OF NEW Y , COUNTY OF ...... ~ .~ ~ ......... ~S.S. ............................... ~.....~e~a~ ......................................... being duly sworn, deposes and says that he is the applia (Name of individual signing application) (Contractor, agent, corporate officer, etc.) of said o~ner or owners, and is duly authorized to perform or have performed the said work and to make and this applic arian; that all statements contained 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 the~ewith.~ Sworn to b ,fore me this ~/ ,'-"~ Notary Public, ./~..~(...~~ ~ou~ty~ (Signature of applicant) ,t a~<% THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY r~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,,.,. ~.n,,.y ~..~, ~, ~.,~.,~.~o.o.~,. ~0~ N 139584 THIS CEEIFIE$ THAT ~y t~ ~t~ ~ut~t ~ ~sc~ ~ ~ i~t~ by t~ ~t ~ ~ t~ ~ ~a~um~r ~ t~ p~m~ of Nlcael d. Cos:ello, wes: baK~ Urlve. orr uayvlew fiXTURE [ EPTACLE I SWIT E I FIXTURES ~,/ I I~ , I . DRYERS I FURNACE MOTORS FuTuRE AI'~LIANC~ FEEDERS / RANGES *"T. K.W. SERVICE DISCONNECT NO. OF S .. c~E~. ,,o'2w ,~r~ 3~ 3~'4w ~.o~ cc. cc~o. ~Furnaces: Oil 1-1/8hp, 1-1/12bp COOKING DECKS OVENS DISH WASHERS MT. K.W. AMT. K.W. ~T, KEW. TIMEA/~T, CLOCKS. A~PS, TRANsBELL . ~UNIT HEATERS MULTI-OUT~TNo,SYSTEMSoF FEET V I C E EXHAUST FANS D~MMERS Peter Bogovic ~~l~ Main Road, Southold, L.I. ll9?l - COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNEL