HomeMy WebLinkAbout4274-zl~O~M NO. ¢
TOW~N OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z. 369~. .... Date .............. .D.e¢ .... ~ ..... , 1969..
THIS CERTIFIES that the building located at .. l~ass&u .Po~r~t. ~q~ ....... Street
Map No. Na. ~sa.U .P~..P~l~k No ........... Lot No...~.7. ..... .c.u.~.c.ho. g~t..e .... N...~: ....
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .......May. .... 2 ....., 19.69. pursuant to which Building Permit No. ~27~. ;~
dated .............~/a~,....~.., 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 . .accesso~.y .bu£1dlr~ .. (..cottage) ..................................
The certificate is issued to .... ~,..~.Lehmer ...... ~zner ............................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval ........N ,R. .......................
Building Inspector
POEM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. ¥,
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 427 Z
Permission is hereby granted to:
.. ~.,...!~.~lm~l,..&~...$.dtJ~.tz ............
............ ~a~t:Ltu~ ........... I~,~.~ ........................
at premises located at ................ ~1~..~ ....... ]ll&s~&~.~l~t..~l,l~..~ ................................
........................................... ,l~....la~.~t..~ ........... e~tml~e ............................
pursuant to application dated ............................... ~ ....... ~ ............ , 19...~.~., and approved by the
Building Inspector.
App~gved " ., 19" Permit No..~ ~l -/~/ ~-
Disapproved a?c .. ..................................................
APPLICATI(IN FOR BUILDING PI~RMIT
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 tot and of buildings o n premises, relatimaship 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 b e commenced before issuance of Building Permit.
d. Upon aplyroval of this application, the Building Inspector will issue a Building Permit to the applicant.
Such permit shall be kept on the premises available fo r inspection throughout the progress of the work.
e. N~) building shall be occupied or used in whole o2 in part for any purpose whatever until a Certificate ~f
Occupancy shall have been granted by the Building Ins pector.
APPLICATION IS I-IE~F~Y MADE to the Building Department for the issuance of a Building Permit pursuant
t.o the Building Zone Ordinance of the Town of Soathold, Suffolk County, New York, and other applioable Laws,
Ordinances or Regulations, for the construction of build ings, addithyns or alterations, or for removal or demo-
lition, as herein described. The applicant agrees to eom ply with all applicable laws, ordirmnces, building code,
h~yusing code, a~d regulations~
...,T.. 9.s.e.p.h..D..e.e. rko. ~ ............................
(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 ........................ C alq/;r~¢ f~ol' ..............................................................
Name of ,owner of premises .... ioI~,Behror .............................................................
If applicant is a eorl~orate, signature of duly authorize d .officer.
(Name 'and title of corporate officer)
1. Location of ]an(l on which ]~l'Ol:~ed work will be done. M.ap No..~..~/~....a~...~..~.~.'~~Ot N0. '.'~"~'- .....
Strut and Numar ........... Nassau. Po~t. ~d ......... Cuta .ae ..........................
2. State existing use and occup~cy of premi~ ~ d intend~ ~e ~d oc~p~ of ~ ~tmction.
a. ~isting use and ~p~cy ..... ~CC~S~.~rY. hldg ............................................
b. Intended ~ ~ ~cup~cy ........ ~a~a .~i.~. ~dd~ti~ ...................................
3. Nature of work (check which applicable): New Building ........ Addition . .:x~ · · · Alteration .. XX...
Repair ......... Removal ........ Demolition ........ Other Work (Describe) ......................
4. Estimated Cost ~'o'-* £ .. Fee ~.~0O
(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, spec ify nature and extent of each type of use ..............
7. Dimensions of existing structures, ff any: Front .............. Rear ............. Depth .............
Height ................ Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Frent .............. Rear ...............
Depth ................ Height ................ Number of S~ries .....................
8. Dimensions of entire new construction: Front ....~-.~. ......... Rear .... 6~ ...... Depth .. ~,3 .....
Height ............ Number of Stories .... .Ql~e .....................................................
9. Size of lot: Front ................ Rear ............... Depth ...............
10. Date of Purcl~ase ............................... Name cC Former Owner .............................
11. Zone or use district in which premises are situated .... .".A. '.'..d.;tR~ .....................................
12. Does proposed construction violate any ~ning law, ordinance or regulation? ..... 1~o ...................
13. Name of Owner.of premises A .l¢.,13el:k~e~. ....... Address . G.~'~el~..~.l~y. ...... Phone No ............
Name of Architect ............................. -~ddress ...................... Phone No ............
Name of Contractor .~.O.~.~]~..D.~;r~:0~l ..... Address .. I~K~;I.~;II¢lc ....... Phone No ............
PLOT DIAGRAi~
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give s .treet and block number or description according to deed, and show street names and
indicate whether interior or corner lot. ~,L ·
STATE OF NEW YORK, ) S.S.
COUNTY OF . $~affnlk ... )
............. Jo .~.1~ .De~r.k~ski .................. being duly sworn, deposes and says that he is the appll-
(Name of individual signing application)
cant .above named. He is the ...... C~n.t~aotor. ........................................................
(Oontractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and
file this application; that all statements contained in this application are true to the best of his knowledge and
belief; and that the work will be performed in the mann er set fort~ in the application filed therewith.
Sworn to before me this
blic, ......... ,. ......... ounty .............................
,(t~. ~_A.~.~ . ~ ~...7~ ~ ~ ~ (Si~ of applic~t)
~"~ ' l~ ~__. ~[I~UH ANN NEVILL~
~ / ~IARY ?8LlO, State of New York
No. 52 8~.25850, Suff~ .
Term Exp,res Mar~ 3~ [~
TUTHILL -ROAD
~ LOT 66
N. S2O 00'00" E.
.* ~ o ~ ~ ' ' ~'~
/ Prepared in a~ordan~ wit~ the minimu,~
~ standards for title su~eys as establiJh LO~
~he LLA. LS. and '~pproved and aa.,
for such u~ by The New Yor~ State
T/tie ~ciation.
P.O. B OX 909
MAIN ROAD
SOUTHOLD , N.Y. 11971 ; REVISION
CERTIFIED TO; Si'~iRV~.¥~,...
ARNOLD BLAIR
KAREN HUDSON BLAIR
TERRA MARE AB$ TRA CT~ I NC.
$OUTHOLO SAVINGS BANK
AUG. 13,1987
LOT NUMBERS R, EFER TO:aAMENDED
MAP 'A'OF NASSAU POINT"FILED
AUG. I$, 1922 IN THE OFFICE OFTHE
SUFFOLK cOUNTY CLERK AS J',tAP N0.156
OF PROPERTY
AT
'NASSAU POINT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.
I000 - 118 04 -
'SCALE 1"= 40'
MAY 11, 1987
87 - 58 5