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HomeMy WebLinkAbout3772-zTOWN OF SOo-r~OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. r.E:RTIFIr. ATE nF Dr.r. UPANCY No. Z '3~$3 .... Date .................. ~eb .... 5 ....,19.69 THIS CERTIFIES that the building located at . .Reeve-&-:W&~eerest. ...... Street Mapl~olt~t;Lre. ~;~:t~lt~k No ............. Lot No..1~.~ ..... Ma&tt.%uek....N.g., ..... conforms substantially to the Applicati, on for Building Permit heretofore filed in this office dated .......... l~b .... ~7 .... , 19~. p~rsuant to which Building Permit No.. ]~..~ dated .......... F~b .... ~. .... , 19.~, was issued, and conforms to all of the require- merits of the .applicable provisions of the la w. The .occupancy for which this certificate is issued is . P~iv~'~- ~r 'family' · dwe~Tl~'g .......................................... The certificate is issued t.o · 'He~r~, '~u?z .......... ~hee~,, '1~ '~ 't~) ........... of the aforesaid building. Suffolk County Department of Health Approval .. ',~aIl'¶~' ~76~'' b~"R~ 'V~.~I~ ..... House # 2160 Reeve Ave ~uilding inspector ~ TOWN OF SOUTHOLD ,BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BEKEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ,N°.., 3772 'Z Permission is hereby granted to: .................................. .~. ............. ~.~ ....... pursuqn,t '0 application dated '! i ........... i ........... 19...~..~., and approved by the Building Inspector. Building Inspector $-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for ast~ucture a~ (Give deed location) located have been inspected by this department and found to be satisfactory. District Engineer TOWN OF SOUTHOLD TOTAL F.O~RMER OWNER '~ RES.2I0 S~S. VL. ~ND MP. PROPERTY RECORD ]STREET VI LLAGE S W : SUB. BUILDING FARM COMM. CB. MICS. Mkt. Value DATE REMARKS BUILDING CONDITION AGE NEW NORMAL BELOW ABOVE FARM Acre Value Per Volue Acre Tillable FRONTAGE ON WATER Woodland Meadowland House Plot Total FRONTAGE ON ROAD DEPTH BULKHEAD DOCK ' COLOR TRIM .... . M. Bldg. Extension Extension Extension Porch c [ .s~ ~orch ~ pf~ >aria I'otal ~.~_ 3vq Foundation Basement ¥ ~. Ext. Walls q ,~- Fire Place / O,~Ot Type Roof Recreation Dormer ~ ~,, Bath Floors interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Driveway TOWN OF 5OLtYHOLD PliOPl!!lilTY lill!COliD CAltD OWNER tSTRE~r i W'LAGE t D~ST'i SUB.LOT FORMER OWNER N E W TYPE OF BUILDING RES. SEAS. COMM. CB. MICS. Mkt. V~luo ~ , .. :~:~ IMP. J REMARKS - LAND FArM T I ~b,e VL. FARM TOTAL DATE AGE BUILDING CONDITION NBA~ NORMAL BELOW ABOVE ; Acre V~lue Volue Per Ac re FRONTAGE ON WATER Woodland FRONTAGE ON ROAD /~6;' Meadowlo~d DEPTH House Plot ~ BULKHEAD ~,~.'? DOCK Totol SURVEY FOR HENRY K LUTZ LOT 45 "SALTAIRE ESTATES" MATTITUCK TOWN OF SOUTHOLD SUFF. CO., N.Y. eU~I~NTEED TO ~F.~J~ITY TITLE SCALE, I" ,, 40' MAY 7, 1968 MAR. 31, 1969 BCOMMONWEALTH LAND TITLE INSURANCE COMPANY A Reliance Group Holdings Company 209W. MAtN STREET, P.O. BOX 419, RIVERHEAD, NEW YORK 11901 TOLL FREE (800) 832-7711 EASTERN SUFFOLK: 516-727-7760 ANDREA RIVE Assistant V~ce President Branch Manager ATT: BUILDING DEPARTMENT Re: Title No. C-~ LO'LO ~QO--~_~ Premises: '-F~c~(~) J~LI~_U-~.. ~/ t~ ~/~o ~ Built Approx: Original Owner: Present Owner: GENTLEMEN: We have enclosed a check in the amount of $ l '~) for Certification as to whether a Certificate of Occupancy and/or Building Permit is available for the above captioned premises. If so, the date thereof and limitations of occupancy. Yerty truly yours, COMMONWEALTH LAND TITLE INSURANCE COMPANY Andrea Rive Branch Manager A R/dal encl. District tO~)O Section cool, 0oo ©Oa TITLE INSURANCE SINCE 1876 Examined ............. (..2 ......... ,19 .... Approved ........................................ , 19 ........ Permit No............................. -~ :~ 7 ~ ~ APPLICATION FOR BUILDING PERMIT 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 Jot 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 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 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 wilh all applicable laws, ordinances, building code, housing code, and regulations. .... L ,:,f?,'-..~'~..~....L .. :..~?..~?.¢?;f:.C..~..~,...~.~% .., .................... (Signature of applicant, or name, if a corporation) ........................ / (Address of applicant")~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................................... ...... ................................................................... Name of owner of premises ..................................... f ..................... ...................................................................................... If op, pJicant is o corporate, signature of duly outho~zed officer. '/ , ,2 -d- '-- ~ ... ............... ................. ............... ........ (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: L:; .... N; ....... ' ........ L,ot No.: ........................ Street and ................................................. : .............................................................. ,, ............. % ....................... ~'~ -- ~"~--\ (s 0 Municipality 2. State existing use and occupancy of pFemises and intended use and occupancy of proposed construction: a. Existing use and occupancy ¢~¥~ J~¢~':'~ ' b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .......... ........ Rel~j~val/~.~/, ~--~ ~ .................. Demolition ............ .~,/~__ ~Other Work (Describe) ............................. i.,I ......... 4. Estimated Cost .......... ...~.~.~,....~.. ........................... Fee ...... L..~...'...~[7.~. ......................................................... i~ ......... (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 ................. 5 ......... 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 ........ ~g...~ ............. Depth ......~..~.-~...!.. .......... Height ~_r (~ ~ Number of Stories ~ ............. L .... f). Size of lot: Front ....... .~.'.../..~...f ......... Rear .......... .~,.../M.~....~ ............ Depth ........ ./,,,~.,;~...z. ........... 10. Date of Purchase ........................................................ Name of Former Owner ....; ........................................ i. .......... 11. Zone or use district in which premises are situated ............ '.¢".~....,r'~-...~.~'.~.~r. .......... ~.,: ...................................... t ........... 12. Does proposed construction violate any zoning,~l~, ordinance or regulation? ..... ...'~.~ 13. Name of Owner of premises ..... '.?~.~./~...~f..~ .......Address ... ,-~.~.~...~T~...,.~.,..'.~.f. Phone No ......... Name oF Architect ..... ,~,~}~,,,.,,,~/...w~r.'z:z::~<~.~...~ ......... Address .~.~,/_~ ......................... ~ ......... Phone No ..................... Name of Contractor .~h..~,.~./~.~'..~.~.~..~.~..Address ~<'~ £..,...~.~...,a~-*.Z .,~,. Phone No. '.~.,.'~..~.:.-.~...J.~,, PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and ihdicate whether interior or carrier lot. ~.o/ STAT'E OF NEW YORK, COU NT~'~ OF ................................ fo'~' ........... .............................. beingr ' J ~('~'-~m'T ~" duly sworn, deposes and says that he is the applicant (Name of individual signing application) f/~-/,/:__:/_i 3) ~ ' abow,~ named. He is the .................................................... ..~..~'r.-~..?¢'Z~,~.~.~'~ ................................................................ .... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or bave performed the said work and to re.aka (~nd file this application; that oil 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 before me this , ~, .Cl. ,.xJ~ of .................... Y'/~ ' ' '.~"~'~':'~' ' :,~." ~ ...................... C-- ,:/2,,'~,'/~z., .L...:'L ~~ ..... Notory pub,,c, ........................... ...........................