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Home My WebLink About3986-zlrOltM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ~[/B ¢0~ leek !~o~5 Street Map No. XX Block No. XX .Lot No. x-~ I~attit~ek conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... A~... 9..., 19..~.~. pursuant to which Building Permit No. dated .......... A~ .... ~...., 19..~.8., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy fo~ which this certificate is issued is l~ivate ~me family dwelll~lB The certificate is issued to .P.i~..!.~l~..&...~.1..~.o..1'#..~.0~[ .~... .....0~...~.~. ............. (owner, lessee or tenant) of the aforesaid building. [ Suffolk County Department of Health Approval A.~.g. .?~. ~.~.?0...\~'. ~ .¥.~.1..la. ....... UNDERWRITe. RS CERTIFICATE No.. p.~.ll~:~.l~. ........ : .....~ ................. HOUSE NUMBER ....2.2~. ...... Street...C.O..X..~.e.e.k' . .B~a...~ ........................ FOR~I NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 3986 Z Permission is hereby granted to: .............. . .1~'1~i~...&..,Ji,~z~../~JJJ ............. ....t~,,~. ....... ~.~..~,a ................................... ........... W~,.teat,~ ....... lt,3:,,......1.1.3~. ........... to .~ · ~.. ~ .. £~3~ ..~e,l,;l~ .................................................................................. at premises located at ............... W,~.JJ...l~..~e~l~.J~J~ .................................................................... ........................................................ ~...~.t..~.~.~..l~....~..,~ .................................................................. pursuan,t to application dated .......................... Jj,~i~....~l. .................. , 19...~, and approved by the Building Inspector. JJJJ~l ~,1_,~ t~ J~l ~e'li ~&~ll: that o%de of Itz~et, J~lo dvell4nf must oo~ply to pz~v~l~o~o of Fee $_...1.Q,...0~. ....... eode, FOI~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~l~O~ .... Date ............ 00.~ ..... ~1~ ....., 19. ~ THIS CERTIFIES that the building located at . W~t. Cox .Ii®ak ,l~a~ ...... Street Map No...~ ....... Block No...XX ...... Lot No.. :I~X. · · llatt~.tu~k...]1.]~.. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... &~l~ . .9 ........ , 19.68. pursuant to which Building Permit No...39[~Z dated ...... &~l~ ..... t~ ...... , 19.68, 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 ... PT~.~a~e. olxe..fa~t,l,y, dnll:[n~ ..................................... The certificate is issued to . .l~h,~.p. & llJ,~o~'e. · Hoga~ ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .Atl~ -7t..1.970. · .b~r. P~..¥~1~ ..... Building Inspel~tor S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date TO WHOM IT MAY CONCERN: at have been The sew,age disposal facilities for a structure located (Give-de~d lo~ation) inspected by this department and found to be satisfactory. Dletrict E~ineer District Engineer TOWN CLERK'S OFFICE ~ SOUTHOLD, N. Y, B~omined ......... ...':%..Z..T~..:..i..'~......., I~......~ .................................. ~'"'"'"m"E ................................... :": ...... u ...... ............................................. ...... ................................. ............. APPLICATION FOR BUILDI~ FERMIT' ~- INSTRUCTIONS ~. Thi~ ~pplic~tion mu~t b~ completdy fill.~ in ~y ~p.writ~r' Inspector. , b. Plot plan s~owing I~otion of lot ~nd of buildings on premises/rel~tions~i~ to ~d o{ni~g p~emises or pub [ struts or ~re~s, ~nd gMag ~ detailed description of Ioyo~ of prope~must be drown ~ t~e diagram w~ic~ is p~ of t[is ~pplic~tion. c. The work covered by t~is QpplicGtion m~y not be commenced befo~ issu~nce of Building Permit. d. Upon opprowl of t~is application, t~e Building Inspector will issue permit sN~ll be kept on t~e premises ~,~il~ble for in~ection t~raugNout t~e ~rag~Ss of the work. e. No building s[~ll be ~cupied or used in w~ole o~ in po~ for Gny pu~ose w~t~er until ~ Ce~ific~te of Occuponc~ shall have been granted by the Building Inspector. APPLICATION 15 HEREBY MADE to the Building Department for the issuance of o 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 d~molition, os herein described. The applicant agrees to comply with oil applicable laws, .0~t~"EJ'l~a~ building code ond'~gulotions. ~ (Sig~ure of applicant,~r name, if a corporation) 19c)-27 2~'t;h. Ave. Whiteotone N.I'. ............................... iX;i;/;;Z,..;;;..~.~;~ii.; ;;;~i. ~.z3.~/ ................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. PHILIP Name of owner of premises If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Refer to t,a~c bill 1. Location of land on which proposed work will be done. Map No:............................attached 12 ~...............24~ Lot No: .................... Street and Number COX Nec..k. Road Nattituckt Long Island, N.Y. · ................. ............................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~acal3.t bl Intended use and occupancy 1 family s,,mmer residence 3. Nature of work~check-~vhich applicable): New Building Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ..... .~.~,~.~.1~ ...................................... Fee $10o00 (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~...e..8..:J....d:..e..~.t'...~..a...~...9.D-1. 7. Dimensions of existing structures, if any: Front ......~....~..e. ............ Rear .......................... Depth ............................ Height ............................ Number of Stories: .............................................................................................................. Dimensions of same structure with alterations or additions: Front ..., ........................... Rear ..................... L....A... Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front ....~.~). ................... Rear ........ ,,~..I... ............ Depth .....~9..I....... .......... Height .]:.~.t.......]-......s..~..°...r~lumber of Stories ..... i...(~.3:.] ............. .......... ~. ..................................... Depth 9. Size of lot: F~ont '1~.].o ].! Rear $~.~,.~.2 .... ..~.~..:.~..~. ............. 10. Date of Purchase ...A.~.~]'.....]r..2..~....]:.~...6.7. ..................... Name of Former Owner ...~.~..]:.]:.~a~:.....A..?....~...~..~.~.a..a.~. ........... 11. Zone or use district Jn which premises are situated ................................................................................................. ' ' I ti n:~ NOt, t,O _.]~...o...~..]..~.e..d..g.e.. of 12. Does proposed construction violate any zoning law, orDinance or regu a o . A'jS~)~.~.~ ' .................. A lican~ 1 -2 A e on ~ .br. 6.7.~.~ 13. Name of Owner of premises ..... ~.~. .............................. Address ..~.~.....~.....2~.......~...a ........... Ph e N ............... ~/hites~ ne N~ 1135 . Name of Architect .....q);TR1...a~...~J~...~'.q~'~H .................. AddressgO,~O~-..~(~l..S~, ............. ' ~hone No ....... Q..~.. ~..O....(~..c~ ....... ressJa~aica 3.2.., ~. Phone N(J~../~..-.~.?.SO.. Nome of Contractor ..Ap~':t~.r~ ............................^aa l'g~'~:~"';~ X'~;~. "' PLOT DIAGRAM~it,est,one, NY Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from prol~erty lines. Give street and block numbers or description according to deed, and show street names and indicate Whether interior or corner lOt. ?5+ .I STATE OF N~ YORK. s.s. C P~ip ~. ~og~ bein~ dul~ sworn, deposes and says that he is the applic~t (Name of individual signing application) ~e~-Con~ae~o~ above ~med. He is the ......................................................................................................................................................... (Contractor, agent, co~orate officer, ~c.) of said ~ner or owne~ and is duly authoriz~ to perform or ~e performed ~he. said ~r~ ~nd t~ make ~qd ,f~!~ this app cat on; that a I state~nts contained in this ~*[~o~ ~r~ t~c~ and that the work w I be pe~ormed n the manner se 'n ~'c~' jl~ 'efi~. Swam to before me this ' ..... .... .{, ....... ........... ....... . ...................... ~oto Public .................. ......Coun~ [/ ~all~n K~gs C~nty V ~i~ ~]~ ~ ~, 197Q ' MAP 0';' LAND I:DN~L~P HOGAN