HomeMy WebLinkAbout4543-zFO~M NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z 3789 Date April 24 , 19
THIS CERTIFIES that the building located at Beebo Drive Street
.. Moose Cove
Map l~o ....... Block No. Lot No. 2
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .. N~V · 3. , 19 69 pursuant to which Building Permit No. 1+5~+~
dated NOV 6 , 19 69, 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 .Pr..ty.a.~.~...o.n.e..f .s4n%ly. dwelling
The certificate is issued to . Donald
of the aforesaid building.
Suffolk County Department of Health Approval
(owner, lessee or tenant)
April · .t3.. 1970...by. R.,, .Villa
aouse ~ 2~
I~OP~I NO. ~
TOWN OF SOUTHOLD
BUILDING DEFARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISF. S UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 45~3 Z
Date ............................ .~gOk~'~l~Z..6..., 19_ J~
Permission is hereby granted to:
.....~.~...,~.....,~/~..l~,,~..e:..~. ~
.................... ~e~.-P .lace ....... II~t~-~ .............
to ........... t)~4...n~.. ~.. tre~l~l~ ..~n~.~ ~ .........................................................................
at premises located at ................. ~1~..~ ........... ~JOOtI~..C~CJ~ ..........................................................
............... ; ......................... m/~....~..m~s~m ................... ~~ ....... ~, .................. :...
pursuon¢ to application doted ..............~ .......... ~ ...... .~j ................ , 19....j~J and opproYed by the
Fee $..~t~i(~j) ..........
~°~-~ ~he New ]~ork ;~oar~ of ~re Bn~er~ers
ak ~UREAU OF ELECTRICITY N793866
m B5 .JOHN STREET. NEW YORK, NEW YORK 10038
,,,,,,~areh ~, ~970 ,~,,,,~-,,,,,,,,,.-,,~,~ ~O0~SS N 793866
~hts ~e~t~s,
Donald Langan, e/side Beebe Drive, 173.30' s/o Eugenes Rd, ,Cutchogue,L. I
Job ~69
the
,~ ~,"'"'"~'"' Marc h 3, 197 0
~v., .~ ........
1
19 ,, 42
~ FURNACE ~TORS FUTURE
S~VICE nI~O~N~CT NO o~ S E V I C
EQUIP
~ 100~ CB ,
*Furnaces: OI1 1-1/8hp, 2-1/12hp
Haegele Assoc,Inc.,
P.O.Drawer H,
Port jefferson Station,
L.I. 11776
This ~ert,hcote must not be altered ,n any mannerj re+urn to the o~f,¢e o~ the Board ~f ~ncOrrect Inspector~ may be ~dentd,ed by their credcnhoJs
STATE SUPERINI~NDFNT
$-9
SCHD
SUFFOLK COUNTY DEPARTMENT OF HEALTH
Date Aoril 13, 1970
Bldg. Permit No. ~/)~
TO WHOM IT MAY CONCERN:
The sewage disposal facilities for a structure located
at MaD of Moose Cove~ Lot # 2. East side of Beehee Drive, 173.30 ft,
(Give deed location)
south of Eugene,s Road~ Cutcho~ue
have been inspected by this department and found to be satisfactory.
APR 1_ 3 1970
District Engincer
District Engineer
't
.50 ~.0 E.,
~55.85
AS r.i~,p NO, :3250.
C):I~ON PiPE
A~.,~ I:~V_..E.Y E P jt)r, iE 19,1%9
VAN TUYL,~S,ON
LICENSED LAND
~_~g_~ r-_t _pLpZ,~.J'~
N.'-t'~ 50
8
-.-~
INSTRUCTIbNS
a. This application must be completely filled in by typewriter or in ink and submitted tn duplicate to the
Building Inspecl~r.
b. P]~c plan showing location of lot and o~ buildings o n 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 oxq in part for any purpose whatever until a Certificate .of
Occupancy shall have been granted by the Building Inspects'.
APPLICATION IS pi~t~I~RY MADE to the Building Department for the issuance of a BUilding Permit pursuant
to the Building Zone Ordinance of the Town of Soathold, Suffolk County, New York, and other applicable Laws,
Ordinances or Regulations, for the construction of build ings, additions or alterations, or for removal or demo-
lition, as herein described. The applicant agrees to corn ply with all applicable laws, ordinances, building code,
housing code, and regulations.
RUSTIC ACRES t INC.
(Signature ~f applicant, or, name if a corporation)
Box 361, Hiller Place, New York
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or
builder ..... ~pplice.~.t. in. huilde~ ...................................... - .......................
Name of ,owner of premises Donald Jo & Ha.r~. Jane T.an~an .........................
If applicant is a corporate, signature of duly authorize d officer.
.N: ..........................
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Nap No...~2)0 ......... Lot No... 2 .........
Street and Number ..]$/~.B.$.e.]~$..])F~¥.e...1.7.~,~.0:. S/o...E.u.~ell~'s Road, ..E..aqt .Out~cho~..e
............... ~ikh'i~i~'~li~j ..............
an
2. State exmting use and oct p cy ,of premises and intended use and occupancy of proposed construction.
a. Existing use and occupancy ......... llane ......................................................
b. Intended use and occupancy . .o.n.q..f.~.i,.ly..r..eg.i..d.e.n..o.e. .......................................
3. Nature of work (check which applicable): New Building . .X .... Addition ........ Alteration ........
Repair ......... Removal ........ Demolition ........ Other Work (Describe) ......................
4. Estimated Cost . .32.~/+0,Q ...................... Fee ~3.0 .............................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ...1. ...... Number of dwelling units on each floor ..............
If garage, number of cars .... ~;lgO ..................................................................
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 .~dditions: Front .............. Rear ...............
Depth. ............... Height ................ Number of Steries .....................
8. Dimensions of entire new construction: Front,.56YS." .......... Rear 56.*8". ....... Depth .~.~.'.8...."...
Height ....2~...f.~.: Number of Stories . 2 ..................
9. Size of iot: Front .. ]-50..ft ..... Rear . 3.501~1.~ ,f~;~. Depth . .1.~.5.~.
10. Date of Purchase ............................... Name of Former Owner .............................
11. Zone ar use district in which premises are situated ....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? .. P~q .....................
13. Name of Owner.of premises .Dp.~..a.l.d....~.a, .n~..~.... Address .~.O.U..~.h. 9~-.d. ~..N.,~.~... Phone No.
........ HOwaxxl Pete~een Baypo~t, N.Y: No 472-0.7.11
~wame o~ Arcnnec~ ............................. Address ..................... Plume ..........
Name of Contractor .~..u~..~.$.C....A.~.~.9.~.,..~.n..c..... Address .N.~.]:..~.e.~.. ?.1..a.c.e..t .1~... Pkone No.
PLOT DIAGRAM
Locate clearly and distinctly all imfldings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and block number ar deseription acoording to deed, and show street names and
indicate whether interior or corner loL
please see attache~ 8u_~vey
STA'r'~: OF iVEW YORK, )S.S.
COUNTY OF .............. )
...... .~.~ ..~...~\~. ............................... being duly sworn, deposes arid say~hat he i~the appli.
(Name of individual signing application)
cant above named. He is the . .C.O..ll~.a.c.~.~)~. ....... ......................................................
(Oontractar, affent, o0~porate officer, etc.)
of said owner ar owners, and is duly authorized to per~rm or have performed the said work and to make and
file this application; that ali statements contained in this application are true to the best of his knowledge and
belief; and that the w~rk will be ~ed in the manner set fortl/in the application filed therewith.
Sworn to before me this
Notary Public ..................... County
-T-
,i'
,!