The URL can be used to link to this page

Home My WebLink About4381-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy ,,,~ THIS CERTIFIES that the building located at .. flt~ey, l~O&d ........... Street Map No. ~.e.~; .l~l~X~ll~ck No. ~. l ...Lot No .... ~ ....... ~tti~... conforms subst~ti&ly to the Application for B~d~g Pemit heretofore filed ~ t~s office dated .........J~ ..... ~.., 19 .~. p~su~t to w~ch B~l~g Permit No.. dated ..........~...~..., 19.$9, was issued, ~d confoms to ~1 of ~e requ~ ments of the applicable pro~sions of the law. The occup~cy for which t~ ce~fficate issu~ is ... ~.~..~n~..~. ~ ..................................... The certificate ~ issued to ...C~.ter. & .El~be~ .~ef~ ....... ~ ~r~ ......... (o~er, less~ or ten~t) of the ~ores&d b~d~g. S~olk County Dep~ment of He~ Approv~ . .~pr~... ~,. ~.~0...b~. R....~ B~d~g In~p~t~ ~e ~ 1~ FOI~I NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISE~ COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL N? 381 Z Permission is hereby granted to: ...... .t.e..~.f..~...~..~l.e. ge.;L.../b~.....[~.~ez..~ Eltzebet~. ~ret'o~ ........... Monte~ ..F~,,~ .......................................... .............. F~u~t o~ _B~.y.~ ..................................... to .............. b.~ld..n~...one...£amil~..~lwzl 1~ ............ i ......................................................... at premises located at ............... ~,~l~-.~-....-~.'~q~e~..~l~lO~.~S-"i ......................................................... .............................................. N/~..- · ~ ~a.n~Ley-..l~oa¢l .......... l~%t~tuek ...... -I~;.¥-~ ......................... pursuan¢ to application dated ............................. ~t~,~ ....... -~. ........... , 19.~.., and approved by the Building Inspector. , Fee $'~'0.0(~ .......... Building Inspector TOWN OF $OUTHOLD ~ ~7,~ ~-,-~-f ~ ~ H"~' BUILDIN~ DEP~TMENT ' TOWN CLERK'S OFFICE '/~ . SOUTHOLD, N. Y; ....... , ,o. ......... Approv~cl .................................... ' l~ ....... ', N .... ...... ~ N ~ Disapproved o/c ............................................................................................ ......................................................... ~:"~ ........... ' ...................................... ~ ~.~/~' '~ .: /-.' ... .................................. ~, ~,, APPLICATION IS HEREBY /V~DE to the Building Deportment for t~e issuance of o Build Building Zone Ordinance o2 the Town of Southold, Suf~lk County, New ~¥ork, and other appl a. This application must be completely filled in by typewriter Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of prepertymust be drawn on the diagram which is port 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 pre/~ises available for inspection throughogt ~e-pro~~ ' e. No building shall be occupi{d or used in whole o~ in port for any p~rpose whatever until ~ Certificate of Occupancy shall have been granted by the Building Inspector. ng Perml{ Pu~u,ant to the cable Laws,' Ordinances or Regulations, for the constrp, ction of buildings, additions or alterations, or for removal or demo lition, as herein described. The applicant agrees to co~ply with~ all applicable aws, ordinan~ces, buildir~-c~de and regul.i 'ions~ fl , ' ~i.~.~ r~ ?, i.f o co~t~). Name of owner of premises ...~ ................ 0 ............................... l .......................................................... ~ If applicant is o corporate, signature of duly authorized officer. ~ .................................................................................................(Name and title of corporate officer) ~u<L~ ~ I. Location of land on which proposed work ,ill be done. Map No: ...... ..~'....O....'~/..~.....i:....i..ii ...... Lot No: ....~... ............. ~ Street and Number ...~../..~....~..~.t..~..~'.~../....~.l..~.~.~...~...~.....~. ' ~'~ __ '/.~ 0 d V~unicipolity ~ (J 2. State existing uae and occupancy of/~,/~n~ intended use and occupancy of proposed construction: o. ~xi.ing us, and occ~an~ ........ ~~ .......................................................................................... b. Intended use and occupancy ...... ~r:~:~=~.==.~....~..~, ......................................................................................... 3.~ature of work (check which applicable): New Buikfing .....~. ....... 'Addition .................. Alteration .................. o-n · .. ...~. _o~%~11~* pa~r .................... Removal .................... Demohhon .............. Other Work (Descr be) ......... ~ 4. Estimated Cost ...... ,.~../...~.~. .............................. ...... 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 C~e ...~....~ .......... 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 ....'...L.~...~. .......... Depth Height ......... J.....~.. ......... i. Number of Stories ...... /. .................... 9. Size of lot: F~ont ! · ../...~. .................. Rear ..... /.~.~. ............... Depth ........ ~..~..~ .......... 10. Date of Purchase ...... ./..~..~.~ ...................................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................................................................................................. 12.. Do~s proposed construction~ violate any~ zgning law, ordinance or reaulcttlon? ...~...~.......~ ....................... ... ......... ·13. Name of Owner of premises .~--,~.l~'.~...'~r'~.-..~ A,i,~r,,,~,.i~L~ e~ m,,~. ~ ~ ..... ~. ................................... ~..,,~ ...... ,,.~. ....... ~..s.~ Name of Arch tect ................. ~ ........ . ~ / ....................... ~"~aaress ............................ · '22~' ,~ . ..~ . .~ ...........~ ~.,. Phone No ..................... Name of Contract~.lf..~~....Address .~~ Phone No~.~.~L.~'..7/~o. PLOT DIAGRAM Locate clearly and distinctly al buil.dJngs, whist, he.r .e. xisting or proposed, and indicate all sat-back dimensions from property ines. Give street and block numoers or aescr,phon according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW Y~:~,~ ~/.,~ [ c'c :.. ~ (Na~ of ,nd,vidual s,gnmg apphc~ion) ~ _ ,-~ ~ ~e ~med. He is the ......................... ~ .......................... ~ ...... (C~tractor, agent, co~e officer, ~c.) ~f.~id ~n~ o~ ~e~ a~ is ~y a~riz~, to ~rfo~ or ~e~ ~6r~ t~ ~id work a~ to ~ ~ file ~,~ ~ ~, ~na~,~l_sro~ ~aln~ ,n m,s.a~pl~a~,~. ~e t~ ~o ~ ~ of his ~l~e and ~lief; ~na mai me wor~ WlII.,De ~O~ m me m~ner ~ ~o~n .l~e a~l~Vl~ Hl~ ~ith. owom to ~fore me th~s _ ~ ~ ........ te. ..... ...... .................... .................. SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH ~a~. ~/~/~ Eldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilitiels for a structure located have been inspected by this department and found to be satisfactory. ~P~ 2 ? 1971] District Engineer TITLE NO. S.354.3BB LOT ~ __ S.BT'II'E. I10.00' GABRIEL LOT 85.00' N. 8?elI'W. STANLEY ROAD ~I~¥EY FOR ~TER B ELIZABETH ,, T~'O'F: SOUTHOLD S~F~OLK COUN*.TY, N. Y. SCALE: I'= 40' · JL/LYJl, 1969 JULY 2~, 1969 AUGUST 2 I, 1969 TREFON REFERENCE: MAP OF SUNSET KNOLLS FILED JAN~S, 19SS, FILE NO. 5023 GUARANTEED TO, UNION SAVINGS BANK CUSTER · ELIZABETH TREFON SECURITY TITLE8 GUARANTY LAND SURVEYOR -ct-'