HomeMy WebLinkAbout4215-z
FOR~[ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.~ .35". . . . . .
Date.. .
.. .J1I1f16.. ... , 19 ~9.
THIS CERTIFIES that the building located at 600. .-.,..t; .W. .~~~. '. Street
Map No. ."'~.1.0. . Block No. ..~.... .Lot No. 22..... .C1a~ho"". .I..~!......
conforms substantially to the Application for Building Permit heretofore filed in this office
dated
....rch. . 2S, 19.69. pursuant to which Building Permit No. ."'~~ ~ . .
dated
.March. . . 2!l , 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 .... .})r~~·~'. .~~. ~~:p.y. .#-!t.l.l~C.....................
I ..... -........
The certificate is issued to
~~. .144~......... .~J;........................
(owner, lessee or tenant)
of the aforesa,id building.
Suffolk County Department of Health Approval
. ..tul7 . .,. 1969. . bt. a... .'U'-;1A. .
Iftoe... nee4ec\ tor .1114.._
..... .f~.r~.c... .'~?:1""""'"
Building Inspecto"
FORM NO. %
TOWN OF SOUTH OLD
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?
4215
z
Dote ............................Na.t:Qh....21......, 19...69.
Permission is hereby granted to:
...BuaUc...A.cr.ea..A./.C... ..Bonald.. .ta~d.a. '"
..........1I6:a..36.1.... ........... .... ....... ............. ..... .... .....
..... .N.t.lJ.eI'.. .1?.1aoe........ ..L...l...........................
to ...........~~lq,..1.\1!!w...lmfl...f.UlllJ...«1W.U1nC.........................................................................
................................................................................................................................................................
at premises located at ..............J.ø.t..22.......JSaatwQQd..eatat....................................................
# bod
...... ..... ......... ... ... .... .E/S..... Eastw.ood..nrS,n... ..... ...... .... .CU·tcÀÐg\l...... .... .... '" ..... .... ... ....... ... ....
................................................................................................................................................................
pursuant to application dated ........................Mar..........25'............... 19.69.., and approved by the
Building Inspector.
BO!BI Permit issued subject to fil1ng af~;oved plans 4
saId plans conforming to ap'licable ord nee., codes etc
Fee $.1.0..00...........
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S-9
SCHD
JOB # 449
SUFFOLK COUNTY DEPARTMENT OF HEALTH
Date
I{~
Bldg. Permit No.
J./~ I ~ z
TO WHOM IT MAY CONCERN:
The sewage disposal facilities far a structure located
at Els Eastwood Dr., 135' 5/0 North Cross Rd., Cutchogue, New York
(Give deed location)
have been inspected by this department and found to be satisfactory.
7?~a·zI~
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Distriot Engineer
District Engineer
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,FORM NO. 1
Jús -# 44"1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N, Y.
Examined.. .l!j'~-:... c!?., 19Þ.,(
, . 4~/5Z-
Approved .~................,19 .... Permit No. .... ...............
. , , '?:r ¡' ,J;. éf.-,
Disapproved a, c ... . . "o/t' . Ir. . . . .. . µ. . ¡ . f. . . . . .... . .. . . . ..1. .
Application No. .'-J..J..; .I.:¿~ . . . . . .
e
¡I -:-
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........................ .............. ..............................
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I ÿ ',.R....A/. I
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o . . . . . . . . . . . . . . . . .".. . ~ . . . . . . .. ..............................
(Building InspectO'I')
APPLICATIO,N FOR BUILDING PERMIT
Date ..... March. 15... . . . . . . .. . . . . ... 1!~t..
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 1m and of buildings 0 n premises, relationship to adjoining premises or public
streets O'I' 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 applicatkrn may not be commenced before issuance of Building Permit.
d. Upon approval of this application. the Building In spector will issue a Building PeTmit to the applicant.
Such permit shall be kept 0'Il the premises available fo r inspection throughout the progress of the wark.
e. No building shall be occupied or used in whole 011 in part for any purpose whatever until a Certificate.of
Occupancy shall have been granted by the Building Inspec1xJr.
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 YO'I'k, and other applicable Laws,
Ordinances or Regulations, for the construction of build ings, additions or alterations, O'I' for removal or demo-
lition, as herein described. The applicant agrees to com ply with all applicable laws, -ordinances, building code,
housing code, and regulations. ~ ~ Q ----?
... (~;~ ~'~;~i~, ·o~~~j~~~ti~~)···
. .f..~ .-.~.~. ~'y'I. .5.~. .~/. f.;:~/l. f'.c:,~f.. 0':!-..
(Address of applicant)
State whether applicant is owner, lessee, agent, arch it ect, engineer, general contractor, electrician, plumber or
builder ..... . . . .. . CIWaaI:. . . . . . . . . . . . . . . . . .. .............................................................
Name -of owner of premises.... -.ald. .Lajda...... ..........................
..........................
If applicant is a oorporate, 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. .. .4110........ Lot No. .11.........
Street and Number .8/". IlUÞo...DI:.... .lS5.'. .8/.0... .CE'... . Rd... .CU~......... ....y.......
-Ff'- ~ (')-i) Mumclpallty
2. State existing use and occupancy ,of premises an d intended use and occupancy of proposed construction.
a. Existing use and occupancy ... ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Intended use and occupancy .. ......-oW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.
10.
11.
12.
13.
(check which applicable): New Building. X. . ... Addition........ Alteration........
Removal ........ Demoliti-on .. . .'. . .. Other Work (Describe) ......................
..salt.DOO..OO..... ............ Fee....................... ..........................
(to be paid on filing this application)
5. If dwelling, number of dwelling units .. J.. . . . . . . Number -of dwelling units on each floor .. ~ . . . . . . . . . .
If garage, number of cars ... .2....... . . . .... .. . . .. . . .... .. .. .. .. " .... .. . . .. .. .. .... .. ...... .. .....
6. If business, commercial .0'1' mixed occupancy, spec ify nature and extent of each type of use . . . . . . . . . . . . . .
7. Dimensions of existing structures, if any: FrC'nt . . . ~... . . . . .. Rear ............. Depth .............
Height ................ Number of Stories .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alteraUons or c.dditions: Front .............. Rear ...............
Depth ................ Height ................ Number of Stories .....................
8. Dimensions of entire new construction: Front.. . . 60~. ... . . . .. Rear... 60'" .. ... Depth .~!!5'........
Height . . . . . . . . . . .. Number -uf Stories .1....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Size of 10t: Front. . ~3.$. . .. . ..... Rear. .135.. . . .. ... Depth... ~5Q.. ., ...
Date of Purchase. . ..N4aY. .aø.. .1.M8. . . . . . . . . . . Name af Former Owner ~~. ._.~.t.e14 . . . . . .
Zone or use district in which premises are situated. . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Does proposed construction violate any ;¡¡~ing law, ·ordinance or regulation? .. ........... ·1'2].2')·····
N=, '" Own,,"' P"""'~ . _W...,... .. . Mdre~~J:"" .. .. Phon' N.... .......
Name of Architect............ ............... Address. ~Å:"'" Phcme N~n:007U.
Name of Contractor ~IC..AaU-r .DC.... Address .. ',; '1IiU_~.·. Phone No. "7~3U2
PLOT DIAGRAM Place. NY
3. Nature of work
Repair ... . . . . . .
4. Estimated C:Jst
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 de scription acoording to deed, and show street names and
indicate whether interior or c-orner 10t.
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ST ATE OF NEW YORK, ) 8.8.
COUNTY OF ..............)
. .. .. .... .. . ~-',;, FI.L,t;, . . f.:..A. .T P0... . . .. .. .. . being duly sworn, odeposes and says that he is the appli-
(Name of individual signing application)
cant above named. He is the ... D.l-Y. N.s:.!Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Oontractor, agent, ûorporate officer, etc.)
of said owner >or owners, and is duly authorized to perfa I'm or have perflarmed the said work and to make and
file this applicaUon; that all statements oontained in th is application are true to the best of his knowledge and
belief; and that the \\1ork will be perfOl!'I!1ed in the mann er set fortli in the application filed therewith.
Sworn to before me this
..... .~.J:.':YC. day of .. .t1l'?crd:-:-....... 19.¿f?
No1:ary PUbliC., .. .... /Â-;I/J&-.. .r£?' Oounty
~ mil 1. N,,;¡çr' . ';:'J.f!9--
NotarY Pl'!::::-", ~~'-" ..f f",:,w ""1 ·'V
I . .r ~:"'. :.~. -::- ~: ~ c:. - .;
QuaU:.:J ::- ~
Commi~;;;on ~¡..ij... Marc!J ¿:'u, 1......"
~~ ¿/--
. . . . . . . . . . . f/!;~«é!f:X. . .,;7(çr;¡A. . . . . . . . . . . .
(Signt of appl~ant)