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Home My WebLink About4197-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certi~icnte O~ Occupnncy THIS CERTIFIES that the building located at . .l~.el'. P~. & .P.].e~al~t~ ~]~eet Map No.~.~..~rr .W~.t.e.r~ock no ........... ~,ot No.. ~. ..... ~?.~?.~.~. ~!:.~: ........ conforms substantially to the Application for Bui]ding Permit heretofore filed in this office dated ......... 1~¢l~ .... ~.., 19 .~'~). pursuant to which Building Permit No...~.~.~S... dated ......... l~&l~h... 45..., 19.G9., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy ~or which this certificate is issued is .. P~J.v.¢ tO..o~0..~C.~:l].~. ~.~t.~.~. ~ ~g ...................................... The certificate is issued to ...,l~l~e~. ~.~WaX'g ........ 0t~e~ ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~.Ug..1.3 ~. ~ ~).69....by. 1t~..Vi[lla ..... ..... .......... Building Inspector ~ llouse #~0 ~aanb~ It~1 FORM NO. ~ TOWN OF $OUTHOLD 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.o 1197 Z Permission is hereby granted to: ..._~,~ .~,~.. ~..A~.....,T~e~. ~.t~m~ at premiss located at ...........J~J.t,..,~.....~ll~'J~L ..~.a:~l~"~ ................................................................ ....................... ~"....llaJ3~..aea4..&..l~3~a~mJt-.l~3u~ee ........................................................... .......................... ?-,.:.~., ............................. 114mt, h~4 ....... I~,t/., ......................................................... pursuc~n¢ to application dated ................................... ~.a,~jlj.....~-...., 19..~i~, and approved by the Building l~spector. : Fee $...~J~e.~).....~?~. Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit~o. / TO WHOM IT MAY ! CONCERN: The sewage disposal facilities for a structure located (Give deed location) / have been inspected by this department and found to be satisfactory. Dl~triot Engineer District Engineer 4o). lO~ SURV£ ¥ FOR ~EFERENCE , JAMES S. ~ MARY K. STEWART AT BAYW£W ? :')WN OF SOUTHOLD SUFFOLK COUNTY~ N,Y. SCALIE: I": 30' JAN. ~0~ 1969 MAP OF TERRY WATERS FILED DEC. E~9~ 19,58, FILE NO. ;2901 {~UARAN'rEED TO: SOUTHOLD SAVINGS BANK SECURITY TITLE B GUARANTY COMPANY LAND SURVEYOR N.Y~, LtC. NO, ;~87E~5 ,NO. TOWN OF SOUTHOLD BUILDING DEI~ARTMENT TOWN CLE:RK'S OFFICE SOUTHOLD. N. ¥. Examined 6~ 19 Appr,oYefl ' ,19 .... Permit N,o ....... (Buff,ding Insp ct,~r) Application NO. g~] .~. ~? APPLICATIO, N FOR BUILDING PERMIT Date ...... ~1'011 ~- 19 69 INSTRUCTIONS a. This application must be c.ompletely filled in by typewriter or in ink and .submitted in duplicate to the Building Inspector. b. Plot plan showing 1.ocation of ~t and :of buildings o n premises, relati,on~hip to adjoining p~emises or public streets ~r sa-eas, and giving a detailed descripti,on of layout of property must be drawn .on the diagram which is part of this application. c. The work covered by tbis application may n,ol b e commenced before issuance of Building Permit. ~d. Upon approval of this applicati.yn, the Building Inspec~o~ will issue a Building Permit to the applicant. Such permit shall be kept ~an ~e premises available for inspectiofl throughout ihe progress ef the ~ork. e. No building shall be occupied or used in whole o~ in pa~ ~ ~y purpose whatever until a Certificate ~ Occupancy shall have been granted by the Building Inspects. APPLICATION IS ~BY MADE to the Building Department for the issuance of a Building Pemit pursuant ~o the Building Zone Ordinance of the ~wn of S~uthold., Suf~lk ~unty, New ~k, and o~er a~licable Laws, Ordiaances .or Regulati,ons, for the co~st~cti.on .~ buildings, additiofls ~r alterations, ~ f.or removal or demo- lit[on, as h6rein desdribed. The applicant agrees Vo corn ply with all applicable laws, ,ordinances, building code, housing code, an~d regulations. (Signatu*e ~ applicant, m~ name if a ~o~ati,on) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contract~, electrician, plumber or Builder builder ................................................................................................... Name .of .owner of premis~ ............................................................................... If applicant is a eorpa~ate, signature of duly authorized ~ficer. (Name and title of corporate officer) 1. Location ~of land ~n which proposed w, ork ~vill be done. ~l.ap No ~2e~:'x/y ~]at¢,.:o~ Lot No. Street and Number i~/~q Co~ne~ o£ tea~,ant Place ~ Ha~!e,p .................. .............................. ixi h'ih 'ailt'½ .................... 2. State existing use and ,occupancy ,of premises an d intended use and ,occupancy of proposed construction. a. Existing use and occupancy ............................. ....................................... 1 Pamily b. Intended use and ~o,ccupancy ................................................................... 3. Nature of work (check which applicable): New Building ...~[... Additi,on ........ Alteration ......... Repair ......... Removal ........ Demolition ........ Other Work (Describe) ...................... 4. Estimated C3.st .27.~.001~ ....................... Fee ................................................ (to be paid ,on filing this application) 5. If ,dwelling, number ,of dwelling units .......... Nnmber of dwelling unigs on each floor .... 4. ....... if garage, number .of cars ...2 ..................................................................... 6. If business, commercial ~r 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 Sgovies ..................... ~. Dimensions ,of entire new construction: Fro~t . .(~J-?.~0?. ....... Rear .(~.~.0.? ..... Depth .. ]4] ....... Height ... ~(~ ...... Number ,*f S~ories . ~ .......................................................... 9. Size of }et: Front . ~LP.-~ .......... Rear . .&9,[~ ....... Depth .. l~O. ........ 10. Date of Purchase ............................... Name ~f Former Owner ............................. 11. Zone .or use district in which premises are situated .................................................... ~2. Does proposed con.struction v~olafe any z,~ning law, ,ordinance or regulati~n? ...N.O. .................... 13. Name ~of Owner.o.f premises .~1, ~te~t~'.~. A~ddress ~O ~laPlllalrl Ave o . Ph,~ne No. ................. u~/ra~'fi ' 0'~t~ .......... Name of Architect .(~¢.t~...A.~..~'.~ .......... ~ddress ...................... Phone No ............ Name .of Contractor ]~l~.2r~ ..?f¥t~ ,~.~.. ~C, .... Address ...~.~.d.o.~ ............ Ph,o~e No.?~.~'..~??. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ex~sting or proposed, and indicate all set-back dimensi.ons from property lines. Give st,feet an~ block number ~ar deserlpt~on acoording to deed, and sh,ow street names and indicate whether interio~ ,or corner l~ot. STA~/~ OF NEW YORI~, )S.S. COUNTY OF ~'~1'~ ..... ) ....... ~ ................ . ......... ,deposes and cant above named. He is the ................ 0_~~_~ .......................................... (Oontractor, agent, em~,o~ate officer, etc.) of said owner .or ~owners, a~d i.s duly authorized ~o pe.rf,~rm or have perfiormed the said w~k and to make and file this application; that all statements oontainod in th is application are true to the best of his knowledge and belief; .and that the w,~k will be performed in the mann er set ~orth~ in the applicatio~ filed therewith. Sworn to before me this ....... .... - ~L~TAB~H ~NN N~ILLE APPLICATIO~ FOR BUILDING PERMIT Date ...... .......M~,...c.h.. ~ ............... 19..6.9. INSTRU~-i'iONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building. Lnspector. b. Plot plan showing location of lot and of buildings o n premises, relat~nship 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 world. e. No building shall be occupied or used in whole o~ in part tbr any purpose whatever until a Certificate of Occupancy shall have been granted by the Building InspeciX~. APPLICATION IS I-ll~-~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 ~mnty, New York, and other aPPlicable Laws, Ordinances or Regulations, for the construction of buildings, 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. (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 Bu. ilde~' ...... Name of owner of premises ...~l~. ~..S. ,..~$.eb/$1'.l~ ...................................................... If aPPlicant is a oorporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which propo~ work will be done. Map No. T.arr3.l~t~e~'s Lot No...~ ........ Street and Number .N.,/~...O.o.~..n.e.~...of..P.],9~.q~.t..P.[.s, qg..~..R.s~]~l, 9~'..~.¢a ......................... "~/ ,-~5~-~ /'fl ~5oMumcjvality 2. ~tate existing use and occupancy of premise~s an d intended use and occupancy of proposed construction. a. Existing use and occupancy .................................................................... b. Intended use and occupancy . ..1..F.~_~i.~...E~..e.],~.ii~g ........................................... 3. Nature of work (check which applicable): New Building ... ~... Addition ...... Alteration ........ Repair ......... -'Removal ........ Demolition ........ Other Work (Describe) ...................... 4. Estimated Cost . 2.7.,00.(] ....................... Fee ................................................. (to be paid ~n filing this application) 5. If dwelling, number .of dwelling units .......... Number .of dwelling units on each floor .... ~ ........ If garage, number ,of cars ...2 ...................................................................... 6. If business, commercial ,~r mixed occupancy, specify nature and extent of each type of use .............. 7. Dimensions of existing structures, if any: Fr~t .............. Rear '. ............ Depth ............. Height ................ Number of Stories ........................................................ Dimensions of same structure with alterations nr additions: Front .............. Rear ............... Depth ................ Height ................ Number of Sbories ..................... 8. Dimensions of entire new construction: Front .. {~1.~.10.". ....... Rear . 62. ! 1.07 ..... Depth .. b~3 ....... Height . ...2.0. ...... Number of Stories . ~, .......................................................... 9. Size of Lot: Front . J,2~ .......... Rear . .~c)ob~'~ ....... Depth .. i~D. ........ 10. Date of Purclaase ............................... Name of Former Owner ............................. 11. Zone ,or use district in which premises are situated ..................................................... 12. Does proposed construction violate any ~ning law, .ordinance or regulation? ...~0 ..................... 13. Name of Owner.of premises J. Stewart Address 3~0 Harman Ave.. Phone No. ...................... ~Jrd~'fi ' C'i~ ..... Name of Architect .G..o.?.d..o.n..A...h~.e..r.~. .......... A, ddress ...................... Phone No ............ Name .of Contractor ~..rj_~...a~..d...H. ~/~ S~.. ~[/1C. ....Address .. ~.e~ld~e~l;1 ............ Phone No.732-.2177. 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 indicate whether interior ,or corner lot. STA'~ OF NEW YORK. ) S.S. COUNTY OF ~.-~. .... ) ~./~..... ~ ............ .......... being duly sworn, ,deposes and says that he is the appli- (Name of individual si~ning application) cant above named. He is the ................ ~ .......................................... ((~ontractor, agent, ~r~rate officer, etc.) of said owner ov owne~, a~d is duly auth,erized to pe~3rm or have pe~o~ ~e ~id w~k ~d ~ make and file thh applicati.on; that all statements oontain~ in th is application ~ t~e to the best of his knowledge and belief; and ~at the ~k will be pe~m~ in the mann er set for~ in the application filed therewith. Sworn to before me ....... ~... day of ...~~ .... 19.~.~ ~ Public~nty ~{~ ............... ~i~[~~ ............. l LEFT , F-~kJT .F_.LF_.V,6,T!~Li.. il 4 t '1 -t 4 9