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HomeMy WebLinkAbout4276-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No ~,~'~8 ...... Date ............ I~.~ .... ~ ...... , 19~.. THIS CERTIFIES that the building located at . .~/8 · .80~d. ~'~ew. AWI~.. Street Map No..Sal.t 'AU Block No ........... Lot No. I~ .... Matti.t~k.. 11,~ ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ Ma~ ..... ~ .... , 19 ~. pursuant to which Building Permit No...~.. dated .......... ~ .... ~ ...., 19.$~, 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 .. ~A~at~ .me..fa~t.l.y · d~l],~ ..................................... The certificate is issued to . .Ja~e$. I~,..~/llb~ ....... IB~e~ ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .~ep%.. 2~.~. ~.. b~..1~,..V, ill&... FORI~ NO. 2 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? 4276 Z Building Inspector. Fee $.,,,~,,.e..,.~,. ........... Permission is hereby granted to: ..... llast,~.,l~zeo....~ ..~'aa~o...¥13.1~,.. .......... Illliez..~.~ ...... 11~I:~ ....................... to ............ ~H~%~.. a~.. ~.. ~]r...~II~L%~ ....................................................................... at premises located at .............. ~¢l~..~....~,.....~l~l.t,~L~e..~lt~t~ll ................................................. ...................................... ~o,m~ .~le~..IV~ ............ ~a f.t£tuek ....... l~,I., ..................................... pursuan¢ to application dated ................................. ~1~ ....... ~, ......... , 19...~, and approved by the To Building i;;;pector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 i --'i , ~;-;3G. DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, end submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic feature& 2. Final approval of Health Del)t. of water supply and sewerage disposal-(S-9 form or equal),' 3. Approval of electrical installation from Board of Fire Underwritem 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and Installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Nonconforming uses, or buildings and "pre-existing" lend uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings~ 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of. ..occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date 4~% 13, 1986 New Building ............. Old ~~ ...x ........ Vacant Land ............. (No ~/) Sound ¥~V ~V¢~ue Ma~i~uck rotation of ProperW ................................................ House No. ~met Hamlet Originally Casbor, Inc. now of James H. Wilbur Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section .....100. . ........ Block ..07; ........... Lot..2.5 ............. Subdivision ~;.a.l~:~-T~, ~t:~t:~ ................. Filed Map No ........... Lot Ho...4, .......... 4276Z Date of Permit Applicant Permit No ....................................................... Health Dept; Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporaw Ce~iflcate ..................... F~nal Certif,cate ............ ~ · i ......... Fee Submitted $., OO ..... ..~.~. .....///~'/../../ .~' ~,f/ . . Construction on above descr,bed building and pe/fm~m~/~l~P/~/a~/~nd regulat,on~ App,..nt ' ...................... Rw. 1010-7~ THANK YOU VERY MUCHI~f - / _ ~he ~ew ~ ~ ~ ~re Bn~erwr~ers James Wilbur, s/s Soundvlew AYe., 66.ag'e/o Soundvlew Ave. Mattttuck, L.I. Estates) Lot #a ...... ,.,, September 29.1969 ~J~-.,,.,~' ..... v ........................... :..~.,~;,,.,~ i/0 P ~ 0 .'DPaWe r - ~. Port Jefferson Station. L,I~.11776 S-9 SCHD RUSTIC ACRES, INC.SUFFOLK COUNTY JOB # 463 :, ;!.;IT OF: ~iEALTH DEPARTMENT OF "EALTH Date ~p 3 4 1969 Bldg. Permit No. ~Y~ TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at S/S Suund View Dr.~ 66.49' E/O Sound View Dr., Mattituck, N.Y. (Give deed location) have been inspected by this department and found to be satisfactory. 1969 District Engineer District Engineer APPLICATION FOR BUILDING PERMIT ate ........... INSTRUc-riONS 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 o n premises, relati~ship to ad}oining premises or public streets or area& 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 r~ot b e commenced before issuance of Building Permit. d. Upon approval of this application, the Building In specter 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 o~ in pmec for any purBose whatever until a Certificate .o~ Occupancy shall have been granted by the Building Inspector. APPLICATION IS I-IEI~_I~I~Y MADE to the Building Department for the issuance of a Building Permit pursuant to the Building ~one Ordinance of the Town of ~athold., Suffolk Oounty, 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 hewein described. The applicant agrees to corn ply with all applicable laws, ordinances, building cede, housing cede, a~d regulations. ............... Cgntatu~e 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 Oi~rier ~-~ Name of ,owner of premises James H. Wilbur If applicant is a e~rporate, signature of duly authorize d officer. (Name and title of corporate officer) 1. l_~ation'of land on which proposed work will be done. Map No ................. Lot No ..... .4.. ...... Street and Number .~../.~..~. 9.u.n. ·d. .V..i.e.w.. Av.~...,. ~.6.~4~.'.. Iii/.0. ~o~lr~d..View. Drive,..Ma.rtl.tuck. · ~-~ ! - ~ 00 Municipality 2. State existing use and occupancy of premises an d intended use and occupancy of proposed construction. a. Existing use and occupancy ....... V~,q~.t; ..................................................... Household b. Intended use .and occupancy ................................................................... 3. Nature of work (check which applicable): New Building . .X ..... Addition ........ Alteration ........ Repair ......... Removal ........ Demolition ........ Other Werk (Describe) ...................... 4. Estimated Cost .... $.2..7.,,Q.~.0. .................. Fee ................................................. (to be paid on filing this application) 5. If ,dweLlin.g, number of dweiling units ...1. ...... Number of dwelling units on each floor .. 3. .......... If g. arage, number of cars ............. l~ ............................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use..-. ........... 7. Dimensions of existing structures, if any: Front .. lq. Ql~ ...... Rear ............. Depth ............. Height ................ Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front .............. Rear ............... Depth ................ Height ................ Number of Six,ties ..................... 8. Dimensions ,of entire new construction: Front .... .6.5 .......... Rear .. fi2 ......... Depth .3..9 ......... Height ...... 24 .... Number of Six)ties ........ l .................................................... 9. Size of lot: Front ...1.2..8 ......... Rear ...1,~.4 ......... Depth ..... 2A3 ...... 10. Date of Purchase ............................... Name of Former Owner .... -. ........................ 11. Zone or use district in which premises are situated.- ................................................... 12. Does proposed conm. ruction violate ._a~.y zoning law, ordina~ice_or reguli~tion? ...n..9 ..................... .... z~ KUSCO~:., -- - HA 3-6456 13. Name of Owner,of premises ?..a~..e.s..w..1AD..u.r' ..... Address Hun.tin~ttol% ......... k'none ~NO .......... ...... Address . .YP. .... ............. Phone No~72.-.(17J~l. Name of Architect . .I:I~.~rl:], .Pe.teraer~ Ba orr Name of Contractx~r ...R.U.~.?.I..C...A.C..1~..S. ,. ~.lq.~.... Address Box..361,. l~LtlLer... Phone No.47. 3. .-. .3. .~ .3. 2. · Place, N.Y. 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 acoording to deed, and show street names and indicate whether interior or corner lot. SEE ATTACHED SURVEYS PLEASE! STATE OF ~/.-~..~, s, )S.S. ........... ........................ bei , au y swo , aepo. (Name of ~ld~ signing applicat~n) c~t a~ve n~ed. He is the .~'~...~ ' . (~a~r, a~t, ~ate ~icer, ~.) of ~id.owner ~ e~m~:and ~ ~ly,'aut~ed ~ p~o~,or ~ve ~,~e ~d ~k ~d ~ m~e ~d file th~ applica~n; ~at ~1 sta~me~ ~n~n~ in ~is applicon ~ ~e to ~e ~st of h~ ~wl~ge ~d ~lief; and ~at ~e ~k will be p~ ~ ~e mann er set f~ ~ the applicatMn filed ~e~. Sw0m ~ ~f~ me ~is Notary PubIic, .~. nty ~iotary Public, State of New York No. 52-0021062 Qualified in Suffolk County Commission Expires March 30, 1971 (Signture of applicant) L.o4 ~ SURVEY FOR dAMES H. WlLBUR ~ ADELAIDE D. WILBUR LOT NO. 4 "SALTAIRE ESTATES" eUAnANTEED TO, MATTITUCK eUARANTEED TITLE DIVISION OP' Alien IGAN TITLE INBUEANC~ TOWN OF SOUTHOLD DO. RtVERHEAD SAVII~ BANK SUFF. CO., N.Y. SCALE'~ '!" ' 50' APR i ~ '!966 dULY ~t?~, 1969 PII~FEU I0 N &l~Jll~ IN EAIR AND LAND ~URVEYOR, IL Y. $.'L1¢. NO. I Ze 45 IlIYER#EAO, N.Y. SEI~T. 18,1969 NOTE: · = MONUMENT f i 'h T