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Home My WebLink About4479-zFORM NO. ~ TOWN OF SOUTHOLD BUILI~ING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupnncy No.l .3 f~. ..... Date ............ THIS CERTIFIES that the building located at ~l'~l~tl~® · I~ ........... Street Map No. ~O~,..~,tS. ~ · Block No ........... Lot No. 33 .....8~ll, t~o~ .t .l~. ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...........~1o~; ' '~" 19 .~. pursuant to which Building Permit No...¥~. dated .........I~opt .... ~.., 19. ~, was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is ... Pr:[va~e 'o~ 'lairdly' ~el1~a~g '&' &o~es~ox'~' tn~X~H~ ........... The certificate is issued to . .M;[~$~ O!D~ ....... O~nor. .................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .~, ............................. Building Inspector FOB~ NOo ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..~. 3601 .... Date .....Oota~cmz · · 6., .......... , 19 69. THIS CERTIFIES that the building located at Blrlgantine. Drive ........ Street Map No. ~ ..... Block No ........... Lot No..3~ ..... a~old,..~, ~, ........ Llgh~ 'l~tatea, S~. l conio~s subst~ti~ly to the Applica~on ~or Building Pe~it heretofore filed in th~ office dated .. ~p~r.. ~9,..., 19.69. p~su~t to which B~lding Pe~it No. ~7~ dated .. Sa~r.. ~9~ .... , 19.69, was ~sued, and con~o~s to all of the requ~ merits of ~e applicable provisions of the law. The occupancy for which ~is ceg~icate is issued is ... ~lv&te. o~ .f~ly. ~ell~ .w/. ~e~ry. ~ulldhg .......... (t~l shed) The certificate is issued to ...~ll~ .~.. O.'~ ............................. (owner, lessee or ten~t) of the afores~d bMlding. Suffolk Co~ty Depmment o~ He~th Approv~ .................................... ........... B~lding Inspector FORM NO. 4 TOWN OF SOUTHOLD BUII.IHNG DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.. Z. 3667 .... Date .liovtmb~r..26, ............. , 19.69. THIS CERTIFIES that the building located at W/~. Stars. P, oad .......... Street Map No ............. Block No ........... Lot No..~t .Maz~to~,..l~m..York. ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... Fe~:a~uar~... 18,..., 19.59 pursuant to which Building Permit No.. 4].85. Z. dated .... Sel~t~. ].8 ..... , 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~v&te, om. ~ma~14~. d~l,~g .................................... The certificate is issued to .... Thoma~ .&. ~orotl~¥ .O;l~onneXl ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Hmm~ar. 25.,.. 1~.9,. ~O~'~:..V.:L~,].& Building Inspector Houle ~ 4325 J~l lP. oid FOBM NO. ~ TOWN O~ 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? z Permission is hereby granted to: ............ Ig~,~,t~z~ .,(~!~ egne~_t. .......................... ............... ~.~t~ol~.~ ............................................ Build an access ~g,J,lt:]~2 [T.~01..~9.Cl] .......... to .............................................. .9.~,3' ...... g, ........................................ at premises located at ....................... ..~..°...t....~,~.......H~...~..i~.g.~...~,F~.~.~.....~J.~.~..,~ ................................. .......................................... ~J,g~'%.$J~lX~..Dz~F.e ............ ~tholc~ ......... N. JZ.. ............................. pursuant to application dated ....................... ..~..e.~..~ .............. ~9 ........ , 19..~C~., and approved by the Building Inspector. F - ~.00 S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date NOV 2 5 Bldg. Permit No. TO WHOM at I IT MAY CONCERN: The sewage disposal facilities.~or a structure located (Give deed location) have been inspected by this department and found to be satisfactory. District Er~lnee~ District Engineer TOWN .CL~NU"S OFFIC3~ , Application No ................. Approved " ., 19 Permit NO. ~ I ~ ~-~ Disapp~v~ a/c ...... ~ ................. .............................. ......... .... .......... . ..... ........... (Buil~g I~p c~) ~PLICA~aN ~R BUILDING Da~e 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 o n premises, relationahip to adjoining premises or public streets or areas, and giving a detailed description of lay out 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 B~ilding Permit. d. Upon approval of this application, the Building In spector 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 or in part f~ any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspeetce. APPLICATION IS HE~I~I~y MADE to the Building Department for the issuance of a Building Permit pursuant to the 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 reraoval or demo~ lition, as herein described. The applicant agrees to cum ply with all applicable laws, ordinances, building code, housing code, amd regulations. Carls Mobil Homes (Signature of applicant, or name ff a corporation) Rt Riverhe. .. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ~ge~t of. owner. & .builder · · Name of owner of premises Tbnma$..& .Dor. otll~r. · 0 !Dorme.tl ........................................... If applicant is a oo¢/mrate, signature of duly authorize d officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No....S..t.a.r..s..0.D..A.. Lot No.; .~ ........ Street and Number W/S Stars Road Eas.'c 1/ar:Loll ......................................... ...... j~ ']' ''" Z~t'~'~ ~ ............... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy .... 'gacant. lalad. ................................................. b. Intended use and occupancy ...... 0D, fl. ~,lllJ,~.y..~H~I, JAlg .................................... 3. Nature of work (check which appiicable): New Building .. ~ Addition ........ Alteration ........ Repair ......... Removal ........ Demolition ........ Other Work (Describe) ...................... 4. Estimated Cost ..A21.000.._.+ .................. Fee 110.00 ............................ (to be paid on filing this application) 5. If ,dweiling, number of dwelling units . .O.~..e ..... Number of dwelling units on each floor .............. If garage, number of cars .......................................................................... 6. If business, eommercial 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 additions: Front .............. Rear ............... Depth ................ Height ................ Number of Steries ..................... 8. Dimensions of entire new construction: Frqnt .. 2be ............ Rear .... ~ .... 2.~. Depth ...b~ ...... Height ............ Number of Stories ... OIlO ...................................................... 9. Size of Lot: Front . .~0 ........... Rear ..... ~0 ........ Depth ...~137.~ ..... 10. Date of Purch,ase ........ ~J ~.~8 .................. Name of Former Owner ...I? ~..~..1'..1~1.~.~ ........... 11. Zone or use district in which premises are situated....~.A.~...d.~.S.~. ...................................... 12. Does proposed construction violate any z~ning law, ordinance or regulation? ..... ~10 ................... 13. Name of Owfierof premises . .T. A-. Il .0.~Dolltlel,~ddress ...................... Phone No ............ Name of Architect ............................. ~ddress ...................... Phone No ............ Name of Contractor . .O.a.:~l,~..]~Qb:i,1. ~,ql~l~%/... Address ...]~l.v.~.~ ....... Phone No ............ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give s~eet and block number or de scription according to deed, and show street names and indicate wh~ther interior or corner iot. -- !~~ ~ T STATE OF NEV{. Yp~qI~.. )S.S. COUNTY OF ..~.:.dff. i'..O..]~....) ................. ]te.'l.ell .~al~leaky ................. being duly sworn, deposes and says that he is the appli- (Name of individual signing application) cant above named. He is the ..... :~g~llt..oi'..¢ol3~r~l;ol'. ............................................. ((~ontractor, agent, o~r~o~ate officer, etc.) of said owner ~r ,owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statemenls contained in th is application are true to the best of his knowledge and belief; and that the w~rk will be p~ed in the mann er set fort~ in the application filed therewith. Sworn to before me this ............ 18.. d.ay of ....... Fabu~ar~. 19.6.c) ~ ,_'/~.'~/ignture MILDRED CHAPMAN NOTARY PUBLIC, State ol New York No. 52-0618100 Suifolk Count~ Oommission Exp~re~i March 30, 19_~ IUII. DIN~ DIPAITMINT TOWN GLERK'~ O~FI~E .?/~'-* '- " Approved ........................................ , 19 ........ Permit No~ ...... ' APPLICATION FOR BUILDING PERMIT r' r ~ INSTRUCTIONS a. This application must be completely filled in by tl~ewriter 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 adjoining premiees or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port 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 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 whale or in part for any purpose whatever until a Certificate of Occupancy 'shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town Of Southold, Suffolk County, New York, and other applic..able Laws, Ordinances or Regulations, for the construction of buildings, additions, or alteratiorm, or for removal or demolit~on~ as herein described. The applicant agrees to comply with all applicable Iaws, ordinances, build~g code, housing code, o~d regulaflons~, (Signature of ap~cant, or name, ifa corpor~lon) .B..r.i.~..a~...t.~...n?...D~...l:...v~.., Harbor Eights, Southold (Addre~ of applicant) Municipality 2. State existing use and occupancy of premises and intended use 'and occupancy of proposed construction: a. Existing w and occupancy .................................... ~O~.L.aq~b.e. Cl, ................................................................... \ S: ~ ' b. Intended use and occupancy ......................................... ~ ................................................................................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........................ .W~l;L~m.*T.o..D.!~n__n.~]_1. ................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Locati~.~f land on which propaeed work will be done. AAap No.: .............. 4~2 .................. Lot No.: ....;3,,3......; ........ st,,, and .............................................. ................ 3. Nature of work (check which applicable): New Building ....... ,~ ........ Addition .................. Alteration .................. iRepair .................. Removal .................. Demolifion~.....~ ........... Other Work (Describe) ........................................ 4. Estimated Cost . .......~.~,~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 .....~..~.t..; ..... Height .......... 6..:.t, ..... Number of Stories ............... 0...n.~. ........................................................................................... Dimensions of same structure with alterations or additions: Front ...~...~...e....n..s...~b..°..v..e. ........ Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .~a~1~e. as..aho,ve ......... Rear ............................ Depth ' Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ...... 1,~.~ ............... Rear ..... .1..0..3:. ........................ Depth .......... ~.~.0. ................ 10. Date of Purchase ...........~[u].}r....l~6.~ ......................... Name of Former Owner ....~.~..z~..~.d....~..e..e..s..e. ............................. 11. Zone or use district in which premises are situated ................~%]?.~..o~...~.~,gb,~. ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation.;) ................. NQ ............................ 13. Name of Owner of premises .~..~T.~..i3!.~QT~eli....~,..Address ~r.~:,azzf.~3a.4'~r~L,ze, ............Phone No.?.65=161 ..... Name of Architect ............... ~.al£ ............................... Address ............................................ Phone No ..................... Name of Contractor ................................... ~ ................ Address ............................................ 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 indic;ate whether interior or corner lot. ' As per attached plan sTATE O~EW YORK, [~c~' COUNTY OF ................................. ~ ~'~' .................................................. ; ...... ~.L ............. . ....................... being duly sworn, deposes and says thot he is the applicant (Name of individual .signing application) above named. He is the ..................................... ~ ................. . .................................................................................................. (Contractor, agent~ corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to mope end 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 perfor~ned in the manner set forth in the application filed therewith. Swam to before me this ........................ day of ............................................ , 19 ........ Notary Public, . ........................................................... Coun~ (Signature of applicant) J~(~l' d ' I01' 'S'hote~ ,, I.oI /.ot