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Home My WebLink About3775-zTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. ~.£~TJFIOATE OW O001JP~NOY THIS CERTIFIES that the building located at . .~/..8....E.a..a.~?.rg.o.~...D.~.i.v.e. .... Street Ea~twood Estates see I Map No ............. Block No ............. Lot No..~3 .... .~.~tOhOgllO,..~1. ~.Y.~ ........ conforms substantially Lo the Applieati.0n for Building Permit heretofore filed in this office dated ........... F. eb.,.. ~,~ .... 19. h8 pursuant to which Building Permit No. 3~.~.~.... dated ........ F.~]~... 26 ....... 19.6t[[, was issued, and conforms to all of the require- merits .of the applicable provisions of the law. The .occupancy f. or which this certificate is issued is .. ~.~'~.Xr. r4~.O. .01~.~. ~',~!~l~[.]~y..~.~$g .............. [ .......................... The certificate is' issued ~:o ....2.0.1~.~.~.$..0.~0~..~19~.~..&...k{J~.f,e....0Mtge,* ...... , ......... (owner', lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval . ~.a.~... 5~. ~96p" R, V~lla Building Inspector 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) N? 3775 Z Permission is hereby granted to: .............. lilllar..~.l~a ....... II.,,l[,,...'l.t~f~ ..... to ~ .d... ~...~......;~.~,tl~...~l.~lli,u~, ................................................................................... at premises located at .~g~...~3 ....... ]~I~J~'~.Q~..JJSt ........................................................................ .............................. J/Ii.... F~mt~od.. ~l.va ........ ~teh~a .................................................... pursuan¢ to applicotion dated ............................. ,~,.,~,..,.....~,,..,~....., 19..(~ ,~., and approved by the Building Inspector. Fee Si...., ................ TITLE NO. S-61342 NOTE: LOT NUMBERS REFER TO MAP OF EAS TWOOD ES TATES, FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON NOV. 16~ 196~. AS MAP NO. 3683. · = MONUMENT SURVEY FOR ROBERT E. ~ CA ROL INE S. OVERDORFF FLEETS NECK TOWN OF $OUTHOLD SUFFOLK COUNTY~ SCA LE: 1'~'40' OCT. .5~ 1967 NOV. 2 I, 1967 MAR. 12,1968 APR. 16,1968 i G UA RA NTEED 70: HOME TITLE DIVISION,CHICA~ TITLE INSURANCE COMPANY. SOUTHOLD SAVINGS BANK LAND SURVEYOR N.Y.S, L/C, NO. 2B?EB RIVERHEAD, N.Y. S-9 SCHD Rustic Acres, Inc. Job # 439 SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at E/8 Eastwood Drive, 140' N/O South Cross Roadp Southo!dp New York (Give deed location) have been inspected by this department and found to be satisfactory. NOTE: LOT NUMBERS REFER TO MAP OF EAS TWOOD ESTATES, FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON NOV. I$~ 1962 AS MAP NO. · = MONUMENT SURVEY FOR ROBERT E. 8i CAROLINE S. OVERDORFF FLEETS NECK TOWN OF SOUTHOLD SUFFOLK COUNTY~ N.Y. GUARANTEED TO: HO ME TI 'IL E DI V I SiON CHI CAGO TITLE INSURANCE COMPANY, 5CA LE: I"= 40' OCT. 3, 1967 LAND SURVEYOR N,Y.S. LIC. N0.2872§ RIVERHEAD~ N.Y, TOWN OF $OUT BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. 7 Approved ........................................ , 19.:.:.... Permit No. Disapproved a/c APPLICATION FOR BUILDING PERMIT Application No. --~ '0 ~ ~' 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 adioinin~ 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 thie 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 o 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 b~speetor. APPLICATION IS HEREBY MADE to the t3uilding Department for the issuance of a Building Permit pursuant to lhe 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, ordinag~c. 98,~,~di~n~ ,c~gje, hp~4~ng code, <~nd regulations. ,h Vice Pres, · ......... ....................................................... (Signature ~applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................... D. ulld.~r ............................................................................................................................................ Name of owner of premises .~.~..~.~.~;.`.~..~...~.~...~]~..~.~`.~...~.~.'~.~...~..~...~.`~.~?. ....................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ~oe ~e~, 1. Location of land on which proposed work will be done. Map No.: ......... ~.~.~ ..................... Lot No.: ........ ~. ........... Street and Number .~..)~`~.~.~.~D:~.'...~`.~/.Q..~.~.~.~.~.~....(.~.g~).~....~9.~.~.~.~..~.t.~.t Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... [~Q...~.~,..~?~..~Q[O.~...~.9~.~..A..~.~.,.g.9.~.~:~,9.~ ............................... b. Intended use and occupancy ....~9...~FL?L.~]~¢~..}~g~....~.g...~g~:~g~.~ ............................................................ 3. Nature of work (check which applicable): New Building X Addition Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ...:~..2..~..,..1..0...0..~..0..0. ................................. 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 olterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... ~.0...~..8..~'. .................. Rear ....~..0..'...8.:[ ............ Depth ........................ Height ....:~.~. ........... Number of Stories ...... 2~ ............................................................................................................. 9. Size of lot: Front ..... ,3.~.,.0..Q ........... Rear ....~.~.5.,.~.Q .................. Depth ...~,.~.0.~..Q.Q.'. ............. ]0. Date of Purchase ...... .-. ................................................ Name of Former Owner ..... -. .................................................. 11. Zone or use district in which premises are situated ..,l:'.e.S,1,.0. ff=.~,~,], ....................................................................... 12. Does proposed construction violate any zoning law, ordinance ~.~u~[o.n? ....~...o. .................................................... 13. Name of Owner of premises 0:¢e.:z~oz!.:~. ..................Address o'a' .~..~,~...~.¢..~ ......... Phone No ................... ?A ~-2941 Name of Architect ...~..9.¥..~.,~.~1,...~.,....~..O.~.e.,l~..e.~ ......... Address ~P,,,X.i~,g~.,...~fL~...~'.]~... Phone No. ~ox Name of Contractor E.~.;~,T,g..~,.~-'~.~...[~T.C., .........Address .~.~..~..1..$.~.....~..1..n:..g..e.,....[.¢..:..~..... 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 and block number or description according to deed, and show street names and indicate whether interior or corner lot. I/.t0' _ STATE OF NEW YORK, 1.¢ c COUNTY OF ................................ ,f ~'~' ........ ~?~-~G~?~?~;~e~e~!~R~A~a~r~e~t~a~eing duly sworn, deposes and says that he is the applicant (Name of individual signing application) Vioe Pre~ · above named. He is the ..... .¥..l...o..e.....~.~.e.~..~..cl:.e...~..t.. ................................................................................................................. (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 t~lerewith. // Sworn to before me this RUS,_~J~4S'~ ~,~ ~6~//'Ii~LC'~ Notary Public, . ........................................................... County (Sight,Ire of applicant) Vtoe Pres. HOWARD C. pETERSEN OONSULTANT CHARLES J. iRWIN, AECHtTEGT J~ 8AYI~OI~? ~VE,,, ~AYPORT, ~, y, HR ~,0711 ri HOWARD C. PETERSEN I~HARLES J. I,RWIN i290 BAYPORT AVE., BAYFOR:i', N, Y, j HR ~-07~ d F HOWARD C. PFTERSEN COfJ~ULT~NT CHARLES J. IRWIN ~',R CHII'EC~ ~qO BAYPOIIT AVE., ~AYPfflRT. N. ~, HR 2-0711