The URL can be used to link to this page

Home My WebLink About4082-zTOWN OF SOUTHOLD RUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. P.E:F~TIFI~.AT£ OF' OGr. UPANr. Y No... Z, .3465.. Date ............. May.....1., ......... 19.69. THIS CERTIFIES that the building located at .. 3t~l~llng. l~O~d ........... Street Map No ............. Block No ............. Lot No.. Cui;~h~<~ue,..1~ .~o~k ......... conforms substantially to the Application for Building Permit heretof, ore filed in this office dated ........ 0~t;Ol~r..10t .... 19.68. pursuant to which Building Permit No. 4l~ .~-. dated ........ O~G~o~..1.0~ .... 1968., was issued, and conforms to all of the require- ments .of the applicable provisions of the law. The .occupancy f. or which this certificate is issued is . .. pz:lv&~:e, one..£mtl.y · d~l~l~j ........................................ The certificate is issued t.o ....~:LI.I~d. ~.~.l:er~ce ................................... (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health App~ovalAl~rll. 9~. 1969~ .ROller. ~/113,& ...... Building InspeCtor FORM NO. ~ 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) 4082 Z Permission is hereby granted to: I,i/x~LAi~D /.A IYF~E l~l C k~ ............. ....................... to AtE Ill Z) Iv' L:'ZL I N ~/~,,, at premises located at ............................................................................................................................ ......................................................................................... ~..~...L.C.~...~....~....u....~. ............ Building Inspector. Fee $...,.,'. ................. Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTHENT OF HEALTH Date April 9, 1969 Bldg. Permit No. 40§2Z TO WHOM IT MAY CONCERN: The sewage disposal facilities at Sterling Road 300' w/o Bay ~venue, Cutchogue for a structure located (Give deed location) have been inspected by this department and found to be satisfactory. B~ilder - George Ahlers Owner - La~rence District ,Engineer Approved ............................. ~ .......... , ............................ 5 ~N OF SOUTHOL~ BUILDING DEPARTMENT TOWN CLERK S OFFI¢E Disapproved a/c ...... .'.:.;;....~.... ......................................................................... .............. ?.5: ........... (Building Inspector) APPLICATION FOR BUILDING PERMrI' Date ............... ....................... ............ 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 througkout 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.i~s;~ance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, 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 lows, ordinances, building code, housing code,~ ckpd regulations. State whether applicant is owner, lessee, agent, archer, en.c.'~e~r~ general contractor, electrician, plumber or builder. Name of owner of premises ........................... ...~/~ ............... ~ ............................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~Vt- / ~] 1. Location of land on which proposed work will be dcne. Map No.: ............................... ~ ....... Lot No.: ........................ RI - ._5~ o Street and Number ........... : .................... ~~....~..~ ...................... ~ ..................................... g Munici~i~ 2. State existing use and occupancy o~ premises and intended use and occupancy of propos~ construction: a. Existing use and occupancy .................................................... ".'7~ ................................................................... b. Intended use and occupancy ....................................... ...~....~ ...................................... i ........................ 3. Nature of work (check which applicable): New'Building ~ Addition Alteration Repair .................. Removal .................. Demolition ...... ; ........... Other Work (Describe) ........................................ 4. Estimated Cost ...... .~...~/...O...Q~.....(~.. .................................. 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 .......................... 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 ....... ~.....~...~. ................. Rear ...... ~..~.. .............. Depth .....~..~ .............. Height ...../..~.. ......... Number of Stories ............./. ........................................................................................................ ~). Size of lot: Front ....... ./.~..~.. ............ Rear ......... ./...~....(~.. ................. Depth ........... ./..~...~. ............. 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 law, ordinance or regulation? ........ ~ .............................................. 13. Name of Owner of premises ...../~..~././.¢.f~....~.~..~..r..qg¢.¢...Address .~...oR....~]....Z~.....~..S..~.....~.~...6:...... Phone No./."~..~....]..~...~..~ Name of Architect ................................................. :....Address ............................................ Phone No ..................... Name of Contractor ...~....~.... ~. ........................... Address ...~... .¢.9.C~... . YJ~hone 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 i'nterior or corner lot. STATE OF NEW YORK, I ¢ ¢ ....................... ~.....~ ()()"-k ................................... being duly sworn, deposes and soys that he is the applicam (Name of i~dividual signing application) above named. He is the ........................................................................... ~~ ........................................................ (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 contained 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 befgre me this MARION A. J~EGENI k/ ~o, 52-3233120 Suffolk Cou ]'~rm Expires t~arch 30~ 19~