The URL can be used to link to this page

Home My WebLink About3891-zTOWN OF $OUTHOLD:, $OUTHOLD, N. Y. CERTIFICATe OF ocCUPANCY THIS CERTIFIES that the building located at lR~L.~il~I/~...~f.f..JJ/~J..~.:h~e..Ne.~:~..~reet Map No...:~,~: ............. Block No..~,~.,... ........ Lot No.....:~g~. ........ ~...~..~.~..O.~......~..~.~,.~ ................ conform~ substantially to the Application for Building Permit heretofore filed in this office dated ................................ J~,~ .......... .~.~ ............ , 19...t~J~ pursuant to which Building Permit No...3.~..9.~.Z... doted .......................... ~,~r. ...... .~,0. ........ , 19.~8.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ....... P~.i.v.a~..~e...famil~~. ..d~.ell~ng ........................................................................................ The certificate is issued to ....~C~t*~Z'~..}~,O~t~..~:..W.],~'~.....i..4..J)~k,~t~ ...................................... (owner, lessee or tenant) of the aforesaid building. 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 ^UTHORIZED) N? 3891 Z e ........................................................ , 19 ........ Permission is hereby granted to: ...~1~......9. ....... ~,.~L.~ .................................. .... !~.....~,~..~. ......................................... ....... ~.....~ ....................................... ~t ~e~ ,~ted ~ ...~e.~...~.~..~.....~.t.~.~...~.~ ................................................ .~.... ~ ~ ........ ~.q~.~..q.~.~.~.~.,.) ........................................................................... pursucm~ to application dated ..................... ~ ..........~.~ ................. , 19..~.~., and approved by the ~uilding Inspector. S-9 SCHD SUFFOLK COUNTY DEPARTMENT Om HEALTH Date Sep%em~er ~0~ 3-96~ Bldg, Pe!rmit No. 3891Z TO WHOM IT MAY CONCERN: at The sewage disposal facilitiels for a structure RiGht of Way off N~ Pine l~eck Rd, (Jockey Estates) (Give deed location) located Southold~ Southoldo have been inspected by this department and found to be satisfactory. Owner ~dward Koster Builder John aruent~erm ~trict Engineer FORM NO, 1 Town OF SOUT.OLD BUILDING DEPARTMENT I, TOWN CLERK'S OFFICE ........................................ , Permit No ....... Disapproved a/c .........~. ..... ~ ......................................... i. APPLICATION FOR BUILDING PIEPd~IT Date... ~. J~..~/../..~. ;..~. ..................................... 19.~...~. .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in irtk and submitted in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relatibnship to adjoining premises or public streets al areas, and giving a detailed description of layout of property must be drown oh the diagram which is port 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 wilt issue ~t 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 hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Y~rk, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or fsr removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, b~ildihg code, housing code, and regulations. [~/ (Signaturi~ of applican~or name, if a corporation) . (Address of applicafqt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... . ...... ................................ : .................. . ..................................................... Name of owner of premises . : ........... ./~.~.)C. ............................ If oppJicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) I, Location of land on which proposed work will be done. Map No.: ...... ~ ................................. Lot No.: ........................ Street and Number ! .9. Municipality 2. State existing use and occupancy of premises and intended use andioccupancy of proposed construction: a. Existing useand occupancy ..~.. b. Intended use and occupancy ..~,.o..)..~...~.. .... ...................................................... Approved ........................................ , 19...~.~.... Permit No ........................... FORM NO. 1 3'OWN OF SOUTHOLD BUILDING DEPARTMENT/2 ~..,,/ ~ ~/ ~'/.~,~-~ ~,'~ TOWN CLERK'S OFFICE S~TH~D, ". Y. ~ ~/~ ~, '/~ ........ Disapproved a/c .................................................................................. APPLICATION FOR BUILDING PERMIT Date ...~./~..~.. Z.~..~ ..................................... 19.~...~. .... INSTRUCTIONS o. 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 o 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 Jn 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 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, housing code, and regulations. U (Signature of appl, icantU, or na~e, if a cfrporation, (Address of applicaflt) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... ...... ......................................................................................................... Name of owner of premises .j/~..~.:.....~......~...~.~......~...~...L~.~.~...~......./f.O...~.....~..~..~... ............................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ........................ Street and Number ~.L~..lz .~...9.~......~.....~..~......~.~..~....~.~.. ...... ..~...~..~.~.~.../~J....~....O...~....~......~.9...o..."~.~..~..~.....~....~...~/~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... ~...~....c...~....~......~........~..~....~/.. .................................................................................. b. Intended use and occupancy ............ ~..../':~..~.. .................................................................................................... 3. Nature of work (check which applicable): New Building ..... ~ ......... Addition .................. Altera.tlon .................. Repair .................. *_ Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ..K...~...~.~...O...O. ...................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .....0....~..~ ............. Number of dwelling units on each floor ............................ If garage, number of cars ........~...~..O. ......................................................................... ; ....... "~; ..................................... 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 ............................ Denth ................................ Heiaht ............................ Number of Stories ................. ., ............. 8. D,~ens,ons of ent,re new const;uct,on. Front .......~..~...[ .................. Rear ...... ~..Z.~ ............ Depth ....~....~.. .............. Height ....~..o....*. ..... Number of Stories ...... L.![.I~....; ............................................. .~- ................................................ 9. Size of lot: Front ....... /~....O..:.~...~. ..... Rear ........ /..~...O. ................... Depth ......~..~ ................. 10. Date of Purchase ....... J...~.~..]. .................................... Name of Former Owner ~(.~.~ .~......~.:....~..~- -~--.~-.-~.-.~.. ......... 11. Zone or use district in which premises are situated ..................................................................................................... Does proposed cOnstructiOn violate any zoning law, ordinance or regulation;~ .. ~..O 12. . 2~ ~r~,u ~'7~.'~)~'7~" '~ .................... ~""'~_ :'~" ....... Name of Owner of premise~l:~.Y.It~A.,.-~.'.J:~".~).-~.-.....Addres` ~..~:~g._:~.~.~.~......;~l~;,.~.,._.... Phone No..~..Z~.. ...... 13. J~"_... ~/--' ~ ,.~,~,.~..~.-~5~l,,:,,~.,~.,'~L~.rg~ I'~ .,~e"' Name of Architect ~.?~.~..C~.:~/~--.~Y...~..-~..-c.'...~...~",...,'~ddress '~'~_',~'~..~'~,'~)~'~.'; Phone No. Name of Contractor Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street ond block number or description according to deed, and show street names and indicate whether i~terior or corner lot. STATE OF N~O~ ~ COUNW OF ........................ ~~....~.... being duly sworn, d~oses and says t~ he is the applicant (Nam~idual signingo~i~) ~ _ L above named. He is the .................. ~ ............. ~ ...................................................................................... (Contractor, agent, co,orate officer, etc,) of said owner or ~ners, and is duly authorized to perform or have performed the said work and to ~ke ~nd file this application; that all statements conta:ined in this application are ~rue to the best of his knowledge and belief; and that t~ work will ~ performed in the manner set fo~h in the application'~ filed therewith. Sw°m '° ~xe me this ~ .............. ~..~.. d~y of ........... ~...~.=..~ ........... , ~9 ........~, .. ~, · , 8~0~ ~- ~ ] .......................................... NOTARY PUgLIC, State of New Y0~ No. 52-3233120 Suffolk Coun)~_ o F~ONT o E, LE. VAT I O~ .I am~LT ELEVATIONI o wALL- ~ECTIONI F'EITICI~ · A · VOG~- A. LA. CAP - PLLIM ~11,,,1~2 o N o ?. L~,FT _ ° 5rDE - ELEV ° I I I:2IG~T o 51,OI5 ° CLE. V o 0 · .r-LLV. A ° 1~ I TCI4 E, NI o r' L~-V. 'F'-LF' VA T I 01,4 At:t. C3.~TE:CT $ r I~- 04 ~2 BR~IDE AV."NUE /..,, /: : ¢, CALD [L, ' ~y ' ~ :- · re¢Itered · pez~mytvo~ ° bA~E, MF-.NT ,, PLAN o O r~ T;.I-O NIA L A L.'T' E. ~I',JA'J" E, MAGTE. D. P~LD g.M. DINING ~M. Ib~'ST A~.F..A ' ' <'" ._ __ Z JJ;~']' _' ITC: t4 '~.N U R~ATH e ! i ° FI~GT o FL. O0~ o PLAN o FL,, MAID i '%% 'g-4' ' I1" ----t , 5ECOI~D o EL_O0~ . PLANI