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HomeMy WebLinkAbout3879-zTOWN OF SOUTI-IOLD BUILDING DEPARTMENT TOWN CLERK°S OFFICE SOUTHOLD. N. Y. OEI;tTIFIOATE OP oor!.LII~ANO¥ No. ~' 3327 Date NOV .~!?-er 25, 1968 THIS CERTIFIES that the building located at Ca~.%~OS Neck ..... : ......... t ............... Street Map No. Block No. Lot No. Sou~:hold, New York conforms substantially to the Applicati, on for Building Permit heretofore filed in this office dated ......... .M?..y...1..3., ....... 19.~.~.. pu.rsuant to which Building Permit No..3.~.7..9..~.. dated ......... .1~..l~.' ..~.3.: ....... 19..~.~., was issued, and 'conforms to all of the require- ments .of the applicable provisions of the law. The occupancy for which this certificate is issned is .... p~ %y.a.~. e' .o..n.e...~.t.~.z.. ~e..x~ .t.n.~. ....... :: ................................ Frank ~l. Abra, The certificate is issued t.o ........................... ................................ (owner, lessee or tenant) of the aforesaid building. ,Suffolk County Department of Health Approval 1968, Robert Villa Building Inspector FORi~ NO. 2 TOWN O~ SOUTSOLD ~ ~UILD~NG DEPARTME~IT TOWN CLERK'S OFFIGE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3879 Z Building Inspector. .Fe .......... Permission is hereby_oront,~,~ee~'~ & ~0~ ~' ' ~ · Ab~ ~ ........................... ; ........... ~ ..................... ~ ................ at p~emlses I~oted ot ...,: ................ . ......................................... ~ l~ , ~ , 19 ~;, and approv~ by the pur~u~ to opplicofion dated .......................................... : ........ ~ .... ..;.. · S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Da~e~ Bldg. Pe:rmit No. TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located have been inspected by this department and found to be satisfactory. O~mer-Frank Abrams Sr. [~lilderO H, i~. Reeve and Sons~ IBc. District Engineer DiStrict Engineer TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .................................... ', 72 Approved .... It , 19 ........ Permit No ........~ ............... Application No......~....~...?.~.. ......... Disapproved a/c ................................................... (Building Inspector) 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 odjo n ng prem ses 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. A~PLICATION IS HEREBY MADE to the Building Department for the ssuance of a Bud ng 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, ord'nances, budding code and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder. Name of owner of premises ................... ~..m=~J~.IL~I~....~..t....A.~E.~I.~..~.......~.~,~., ................................................. If ~plica~ co~omte, signature of duly authorized officer. ..... (Name and title of co~omte offic~ 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ........................ Street and Number ....... IC~[~.~.J~,~.....II~.~I~,......~J~t .................... .~Jll~'~.Qkd~ ............................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......................V.~.(-&~.m.J'.......'-~.~.~/..~.l~.~...'r.~.....~...~.~.. ........................ b. Intended use and occupancy ....................... .~.l~J.~,~l~J~ ....... .r.~jl~i~Ji.le..~.....~.[~.j~[~,~. ................... 3. Nature of work (check which applicable): New Building .... ~ ...... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 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 ...................................... ~. ................................................................................................. i. ~ If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... ~ ................ ~1~ 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 ..... 7.~../.~..~ ........ Depth ...~l~../~JJ~. ...... I Height ..~.~...~ ..... Number of Stories ...............[.1~ .............................................................................................. 9. Size of lot: Front ...Jl.~l~.~..~. .......Rear ....... L~.~..,..I#~ ............ Depth .~.~.,..~1.1 ............. 10. Date of Purchase ................. J..~.~. ........................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .................................................. ~ .............................................. 12. Does proposed const~'uction violate any zoning law, ordinance or regulation? ......... ../~...~. ............................................. 13. Name of Owner of premises .~'.~l~,.....~,~/.,~ll. Address~ ...J..~.l~.~J.*J~/.~*.~/~ ............. Phone No.~,~.~..'.~.~.~.~ Name of Architect .................. I....; .............................. Address .............. ~ ........................ Phone No. -- Name of Contractor ~.~l~...~,tC~..~..S~/~.Address ....~.~)..~.~4.*l~.~,~ ........... Phone No. ~...'...~..~.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate alt set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF N~ YORK, COUN~ OF/ O ~ I~"~~l~""'~o'~' ...................... ...... (Name of individual signing application) above named. He is the ........................................ ~~....~.~.C~ ............................................. (Contractor, agent, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~:ke and file this application; that all statements contained in this application are t~e to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this ........................ ....... .... .................. lc ~ (S~gnat~e o~apphcant~- ~e~6~ ~ ~u~oZ~ Co~ HAROLD R. REEVT- &i',iD e'~',,r'':~,..~,,,~ BUiLDiNG C Di',13-1 ~{UC FION MA'FI'ITUCK, NEW YORK '1 L E X,(~T. IO/0' i FDOtOT " 3 2x 4 DBL,TOP PLATE '[HI<. BLOCk' FOLDIL)g DOOI~ HEAD D'F21AIL SCALE bATH M~STEFd IT-O' i zo, 5-s~ x BED ~Z iO,-O~ x ii,.~~ iX ,~, i~ ~Oll D ~-'- I01 4'-5 OPEMIMg X G" x 4%5" 4-'- (~'" F LOOF~ ----_. _AUk)D[ ll:7'~ ~'.&" L~LIWD~Y -~1 UK 4" co~;, por~14 -- ~LAC-WIX 1.3 5 ) coma, -~TEpf 1%'-0" z - ,5/0 x "fro NOTE - ALL LI k~TF-LS f 'LAMIM~.T=D 4. x I'~ ',D DOO~£ EPT WI4 E. 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