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HomeMy WebLinkAbout3687-zFORNI NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Cerfi[icate O[ Occupancy No...Z. 35.09... Date ........ ~.une .... 19., ........ , 1969.. THIS CERTIFIES that the building located at .Hath. or. Lights. Drive... Street Map No..Harbor .... Block No ........... Lot No. 1.9,. Sauthold,. Naw. Yoxk ..... Lights conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ J~lly ..... 5,.., 19.68. pursuant to which Building Permit No.. 3.687. Z revised dated ........ J~t].Ir ..... 5,..., 19.68., 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 ... pz. iv~.t.e..oae..~m~-llf. ~.Q],l~ng. .................................... The certificate is issued to . ~lEz.e. cl. Vinbe~cgs. .................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 2pztl .14,..1969.,..Rob. or.t..V, llla.. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ' SOUTNOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK 'AUTHORIZED) N? 3687 Z Permission is hereby granted to: a~..l~...~.....~..T.,.~,j~. to .... ,~..~..e~...e.~.e..:..f.~....a.~ ................................. : ............... pursuance to application dated ............................ ~.~.........~.~ ............... , 19.....~..., and approved by the Building Inspector. Building Inspector S-9 SCHD SUFFOLK COUNTY RECEIVED O~. ~ ..... T OF HEALTH DEPARTMENT OF HEALTH Date Bldg. Permit No. ,~P~ l 4 1969 TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure (Give deed location) 3 located have been inspected by this department and found to be satisfactory. Dist~iot Engineer ' District Engineer TOWN OF SOUTHOLD "UILDING DEPARTMENT T~ CLERK'S OFFICE S~HOLD, N. Y. ~ ~ Examined ....~ ....... ~ ....... , 19...~....~. Approved tt '~ 19../q...~.. Permit No..~....(a...~....~..~m'~ ~/2~,/~? ~ ~ r~ ~ T~ ~ ~ ~ Di~ppr~ed a/c ............ ~ ~ ............................ ~//~/~~ ~ '~ ~- ~ ~'~' ."e ~ ' ~ ~ ........................................................................... .......... ...................... / ~ (~ ~' /~1 ',. /1'~ I~,~ L _~ ..................... ~ ......... ~.;:....:.....~ .................................... ~ ~ ~ ~ (~uilding Ins~tor) ~, ~ ~ ~ ~ ~, APFLICATION FOR BUILDING PERMIT INSTRUCTIONS o. 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 on premises, relationship 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 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 o 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 Jn whole or in port 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 applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remove or demo ition, as herein described. The applicant agrees to comply 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, engin'eer, general contractor, electrician, plumber or builder. ................ .c..~.~.t.~ ~.~..~.o.~ ......................... Name of owner of premises .....A..~..~,,.~.(~...V.~T),~,T'.gS ............................................................................ i ............................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ...H.,a.r...b..°...r....L...i.g..h..t.~. ...... Lot No.: ....1.~. ................ Street ond Number S/S Harbor Lights Drive Southold Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy vacant land b. Intended use and occupancy ........... .o..n.,e.....f..a.?...i..1...y....~...~..e...1..1...i.n..g. ........................................................................ 3. Nature of ~wpzk' (c~eck which applicable): New Building ...,x..x.,.,x,x. .....Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ...].9.~.QO.0. .......................................... Fee ..,.~aid..~/..J~,e~r~.+_,..-~...~6.7.8Z ................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .o.b.e. ............... Number oF dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature end 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 Stories ................................ 8. Dimensions of entire new construction: Front ........... ~. ..................... Rear ......... ~( .............. Depth ........ 2.~t ........... Height .................... Number of Stories .... .o...~..e. ........................................................................................................... 9. Size of lot: Front ...... 'J.0D. ............... Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........ .R..e..9..s,.e.....B...r..o...s. ....................... 11. Zone or use district in which premises are situated ........ I.l..~,.t.t.,.,,d,,i,,~,.'~, .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulationP ............ ~P ........................................... ~ ~.n ~ , Jackson Hts 13. Name of Owner of premises ...A...1.:f...r..e.~...V...i..n...b..e..r..g.s...Address ..~;./-.?...q....,.o.~..s.T,. ................ Phor~e No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..L.:....~.l...1..e. ................................. Address .....A...q.g..e..~..o.g.~. .................. Phone No ..................... PLOT DIAGRAM Locate dearly 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 etreet names and indicate whether interior or corner lot. STATE OF NEW~OR~, COUNTY OF ..,.~..~..Z..Z...O.~ ........... ~.o. L. File ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) obow,~ named. He is the ............... .g..qTk.~.~..~.g.~.q~ .................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that o11 statements contained ]n this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application' filed therewith. Sworn to before me this .................. ~.... day of, ................... :.~.~...1.y. .............. , 19.,...6..8. Notary Public, ..--~,.~'~.....k.,~l~,,.~h-~... County ~,~c~/~ (Signature of applicant) FOP~V~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, Examined ....... ~.....~... 7...., 19..~..7 19 ........ Permit No. ................................ Ap~.roved ........................................ , Application No....."~.....~.....~.....~.. ....... Disapproved APPLICATION FOR BUILDING PERMIT Date .............. 0,etahe~...27 ....................... 19__62 ........ 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 on premises, relationship to adjoining premises or public strebts 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 Perrnit 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been gr.anted 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 Southotd, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Sign~3ture of applicant, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ', ................................................................. ~eue~:~l..Contr~¢to~' ......................... i .................................................................. Name of owner of prbmises .................... .~..~...~.e...4..¥.e.~.l?...b...~gL~.. ................................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I. kooo¢ion of land on which proposed work will be done. Map No'l~'b°r L:Lghts Es~:a~:es Lo{ No: 19 Street and N 1~ ~ ................................................................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b, Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building ..../~':....~/. ....... Addition .................. Afferation .................. Repair .................... Removal .................... Demolition .................... Other Work /Describe) ........................ 4. Estimated Cost ........................................................... Fe ....................................................................................... (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 .............................. 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 ..~....~..:...c..~ ............ Depth .......~...~..~..~.,7...~7.. Height ............................ Number of Stories .................................. 9. S ze of lot: Front ..... /~ .4..~,.....25r .......... Rear t(...(_,~, f) ~ Depth 11. Zone or use district in which premises are situated.......~..[i.....~..~ ............................................................ 12. Does proposed construction violate any zoning law, ordinance or ragu at on? .... ../..,.l~..~..z...~ 13. Name of Owner of pm' s c,~,~x~.....~'./..~...Address .~.*Z.'L...~. ....... ~.. ............ .~J.~... Phone No Name of Architect ...................................................... / Address ............................................ Phone No ..................... Name of Contractor ...~..~.~;.~...,~...~ .............. Address ..... ./.~' ......... '/~c:..'~.., Phone No ..................... PLOT DIAGRA,M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner Iot. STATE OF NEW,~¥OP>I~,.~/~ ) ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application)~ above nameo, ne ~s the ..................... .-:v. cZV=..: .......... I ........................................................................................................... / (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and 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 performed in the ~r ~rq~orth in the application filed therewith. ~OT~Ry PUBLI~ Sworn to before me this '~'~ , s~,~ ................ ~.¢, day of ........... ~,~,,%.~.~(~,~t(~,~r4~3~.~ ~ ~... ~~ . FOB~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ...... ........ , Approved ............. '.: ......................... , 19~.~. Permit No. Applic&tlon No. ,~G c:- ~ APPLICATION FOR BUILDING PERMIT Date ................................ ~'.t!.]:.Z ....... ..~. ........ , 19..6...8. ..... INSTRUCTIONS o. 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 tot and of buildings on premises, relationship 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 work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall hove 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 applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, attar removal or demolition, as herein described. The applicant agrees to comply 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. .............................................................. (;.on.g~e~c .~ ........................................................................................................... Nome of owner of premises ..... JL,'L,~.Z~.~L...¥.~L'~0.~gS. .......................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ....~..8,.?..~.O..Z.:,.~$g,,~.~,,~. ..... Lot No.: ....,1..~. ............... Street and Number ........ ,~.?..~..,....~..?..~...~..0.?....,~..~.~.h...~.~...-.D...~.?:.V..?. ........................... .~..O...U:,~.,,h.o.~..~. ..................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~?.,.~.~j:~...~...e...~...~. .................................................................................................... b. Intended use and occupancy ............ .o.~.e....~..m.~:]:~....~..~...e.?:,~.J:~.~j ....................................................................... 3. Nature of work (check which applicable): New Building ...~ ...... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ....1.~1D00 .......................................... Fee-,,~>~;~.,~/..~.e~'~;t,l;..~...~{~.8~ ................................ (to be paid on filing this application) ............................ Number of dwelling units on each floor ............................ 5. If dwelling, number of dwelling units O13.e If garage, number of cars ............................................................................................................................................. 6. [f business, commercial 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 o,lterotions or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ........... 6:~ ..................... Rear ......... 6~ .............. Depth ........ ;~.6 ........... Height .................... Number of Stories .....O..~ ........................................................................................................... 9. Size of lot: Front ...... 1.00 ............... Rear .................................... Depth ................................ 10. Dote of Purchase ........................................................ Nome of Former Owner ........ ,,~.e...e..s...e....~..:~]p.~. ....................... 11. Zone or use district in which premises are situated ........ ~.~.~:!!....(1.$,8,~ .......................................................................... or regulation? .......... ,.v~ D. ......................................... 12. Does proposed construction violate any zoning Iow, ordinance --)+~ ~,,~.~C~SO13. ~I~ i3. Name of Owner of premises ,..~..~.~.e.~..Y.:.~t.)..e..~g.~l..Address ..,~:l. ............ P.~....'~. ............... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..~,,.....~.;~,'kf~ ................................. Address ......~f~,~..t)..qgl~.~ .................. Phone No ..................... PLOT DIAGRAM Locate clearly and distinc~rly 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. STATE OF NEW ~..O~,F ts s COUNTY OF .... !~.~....~..6..3...~. ........... ,f .. ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing application) abow,~ named. He is the ............... ..C..O.~.t,.~..a~.O...~..O..Z'.. ................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that oil statements contained in this application are true to the best of his knawledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .................. ~.... ?y of ..~ ................. ~..~..]:~.. ............. , 19.....~... Not°r, Pub,,c, Coun ............................. ~ ........................... y ~~' g PP NOTARy proWLeR,£D CNApM,qltI ~IOTAR¥ PUBHG, State al FOEI~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT,O,D, N. ¥. Examined ...................................... , ........ ,, ,, Approved ........................................ , ]9 ........ Permit No ................................. Application No ............................. Disapproved a/c ........ :9 .................. ~,-~......%.-~. ............... ~.~.. C~.~~ APPLICATION FOR BUILDING PERMIT~ Dote ............. ..0.~:.t:.o~.e.r...~.l ...................... , 19....67 ........ 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 on p remises, relationship 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 work. e. No building shall be occupied or used in whole or in pa rt 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 art 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) ROUTE 24,Hampton Bays (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Alfred Veinber~s Name of owner of premmes ................................................ r~ ................................................................................................... applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) , 1. Location of land on which proposed work will be done. Map No'Harb°r LiBhts Est:aCes Lot No: ...... ~.9. .......... Street and Numb:'~,~.~r.b.or. ~b,~s.. ~.1~o ~ ;I.0(~.. W,~£..~';~B~,-~.~;~B.e..D.~.,.,. ~.o...~.~.h..9..~.~' ...................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building ...~-.....~.. ...... Addition .................. Alteration .................. Repair ................... ~,Removal .................... Demolition ........ . ........ Other Work (Describe) ........................ 4. Estimated Cost ....... Z.~./......t~......-~.. ............................... 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. Il~ business, commercial 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 Stories ........................................ ...................... 8. Dimensions of entire new construction: Front ........... ........ Rear ...... Depth .... ~... ................ Height ............................Number of Stories ....... ~ ............ 9. Size of lot: Front ..... .~...~... ................. Rear .......~...~..~......~... Depth .....~.~ ................. 10. Date of Purchase ~. ~. ~ .~ Name of Former Owner ../....~......~.~.....~'...?~.... .'.4." 11. Zone or use district in which premises are s tuated .................................................................................... ]2. Does proposed construct on v o ate any zoning law ordinance or reau at on~ ~ 13. Name of Owner of prem.ses ~.(.......'.~.~."~,,~ddress ..~.~.....~....~.......o~..~....~...:::i~hone ~ ................ Name of Architect ...................................................... Address ............................................ Phone No ..................... - Name of Contractor ....'~.z.~ ....... ~..'¢:~... ...........Address ..../..M.~..':~:....t.~.t.*'~?P..... 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 numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF b~EW~O,R~K, f)~,~ ) /-- .................................................................................................. being duly.sworn, deposes and so~)s ~thot he is the applicant (Name of individual signing application) above named. He is the ................ 0 (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and 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 performed in the manner set forth in the application filed therewith. Sworn to before me this N ~iAR]ON A, RECENT ~ ,~ . ~] doyof ................. Ter~ ...........~:PJ~', ~'"ff /- ~ ~ ~ .................... ~ ' ' . ' /,n~xptres ~rc~ 30. 19~'.~' ~ [~.~.:..7~ .~.X ........ ~... ..... Co,4t ......................... ............................. ii ' I · I '1 FOU,Y.~A 7/0?4 T