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Home My WebLink About3393-z FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No,Z 38~9 . , Date Jul7 11+ .. ,19 ?O THIS CERTIFIES that the building located at W/S sixth St Street Map NO'G.I.Tuth111Block No. , , Lot No. 37 Laurel, li.'Y,.. conforms substantially to the Application for Building Permit heretofore filed in this office dated 'Feb " 14 ' 19 6'7 pursuant to which Building Permit No. 3393Z dated "~rch 9 ' 19 67 ' 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 'Pri vate' one' fa1tlly 'dwelling' , .. ................... The certificate is issued to Helmut 'l';andl' . . . . . . . . , .. Owne-r...., .... . , , (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N.B.. . .' ,. . .. . liOTE: Final inspection July 13, 1970 4h cG7 ..... . uilding Inspector House # 300 ~ FORM NO.2 TOWN OF 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~ 3393 Z .. )1anb <<1 6'1 : Date ,...,..................................................., 19........ , Permission is hereby granted to: '> .,...............li.~~W;y,t...~nf}..*..............................,.,. .................~':':..J9.....;t~3.m;...~~......................., ...................,J~lh.i~"t...N...y..................,.......,.. to ..;oui1d..an...aM1M.QX\...o.n...an...Q~1>>.t~. .~...P.~);'.~~;!M~..~9J1.Ph!.~fl:..~~J!.~.!I. ..........................~............................................................... ..................................................,...................................... at premis~s I~ated at ..W/S.....6.tb...St...;(.,e).t..,............9.AI,..~~ll.U.l..~..~:~t.......~...,.. ............~,.....,' ..........,....,..,..........;1;:~~.+.ll,....~.'!.!. '!'.................,.......................,............'......................... 4 .............................................................................................................................................................................. - pur~uc;mi\" to application dated .............................r..~~.'!.....t~............, 19...~.1., and approved by the ~.'<. ... 110!2& .lpPtO'Y.d 1>7 IH.rG of APP4tal. .-' -'\;.' ,;;;,;" _' ,Building Il1Spector. ;;GY4'." ~~ -r- . , ~ , !_;~." l .. ,_ ""l< ~, < J=ee $.5.0.Q.............. ~> "j/,...~,..; ..,.l-~...t ~> ~ '",,,", c ~ - - < c,,>.P ,--. I., .........l~.~..L..~.~t........... I~",,*. Building Inspector """-, - ~ --;;Jl- _0 I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold., N. Y. Certificate Of Occupancy No. .I..lS1-3 ... Date.,.. . . .., Auau81;. 26- . ,1969. THIS CERTIFIES that the building located at . ,illS. 6th at,. ., . . Street Map No,G.I...!uthillBlock No. n., " . . .Lot No. 3'1, . Laural. . ....1.,. " ...., . . , I conform~ substantially to the Application for Building Permit heretofore filed in this office , dated '. '.. . . . .'.1>- . . ,1*-, 19 67. pursuant to which Building Permit No. . .33931 dated .. . ~. " . .)(a1'ell, ,9., 19. 67, 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 ...... .Print., .one. tam1l:1,dwoU1nC. . '. .,.,...'...... ............ . The certificate is issued to . . .iIe:1clUt Manul......... '~1" ....,.,.............. (owner, lessee or tenant) of the aforesaid building. \ Suffolk County. Department of Health Approval .I..L.. .... . ...... ............ , .....Id.~<Fa-.t.~~.HH lowut 130011 Building Inspector , 1 I I t ! \ \ . \ I ! i . . ,--- FORM NO. 1 r TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH OLD, N. Y. . ~ (5" ~7 Application No. ...........,........,...... Examined .....................,.............,...., 19......., Approved .....'............'................'...., 19....,... Permit No. .....,....,...........,..... Disapproved alc ..~.~.?:...~.:~/.'-......v:.~,~':::'::'::. :-:-:-~... .....V~,.~..~....,[y=.~.....2J.t..~.,~...~..z............:.. ..,....,.."..,.......tr<~~~:zp~~t~~)....,..,......,...............,.. APPLICATION FOR BUILDING PERMIT Date ....'.'.............'.......'.....................,........., 19.......... Feb. 14, 67 INSTRUCTIONS a This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildlnr Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets 0 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 permi 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 Occupanc' 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 0 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, building code and regulations, '0. ............................................................................................ (Signature of applicant, or name, if a corporation) M':..:r~.....l'S~r.({..i;i..~~~;r~~i.lr~'Y.~....... . ......... State whether applicant IS owner, lessee, agent, architect, eng ineer, general contractor, electriCian, plumber or builder '0.......................... ........ ................................. ............ .... 0..... . ... ...................... ........................................................ pwJ1er Name of owner of premises .....ruiaii:t..&;..i4ar1.....K8.ndl.. .............,........ ........,..... ... ..,.............................................. 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 f(./ .......... ...............,............. Lot No . ........,... .......... 3'1 Street and Number ,..................... ..,....,................... ................. ,..,.. ............................................................................ If( - '300 6th Street Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction' a Existmg use and occupancy......................... ....... ..,.........................................,..,..,..........,.................................. none b. Intended use and occupancy....................... . ...............................................................,....,..........,...................... one fam11v d.o1l1tg IS: !!laC. garage 3, NoM. of ~,k kh".XU"bl'" N~ Build,ng ........"........,tI"" .................. AIt.",tI"" ................ Repair ...............,.. Removal.................. Demolition.. .....,......... Other Work (Describe) .........,......,..............,......, 4 Estimated Cost .......... ,t5.~.OOO..............,......."""""" .Fee ...............,..........,.., .................."....................,.......,........, (to be paid on filmg this application) 5. If dwellmg, number of dwelling Units ........J..,...............,Number of dwelling Units on each floor ..............,1......,.. If garage, number of cars ...................,.C);n$,...(.J.. )..,........... ...........,..................................,..........,.....,.........,............ 6. If busmess, 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 ..'...23.t......'................. Rear ."38.'.................'.. Depth ......4'7.,...... ... Height ......"]:2"....'.. Number of Stories ...............'1'...................,...................... ............... -. ......... .......... ....., 9. Size of lot: Front ...'1'0;;6"6.........'... Rear ......t15.~..nt..'............. Dept1eU~0'........,............, 10. Date of Purchase .............ltOT.'..1;.;...1866..............Name of Former Owner ....'l.;...~Sl!fl:1Ir..'..............,....... 11. Zone or use district in which premises are situated ,........,...........,.....................,..,..,....,.....................,........,..... ..... . 12 Does proposed construction violate any zoning law, ordmance or regulation:> ..........:11!ls........$:lde...ya'l'd.........,.. 13. Name of Owner of premises He"l'll1\Xt"a;..Jta:rt&...~ss "6~'':':1~''''!a:s''';':;'ir;''''''''' Phone No. ..;m"'B-4\ii Name of Architect ......,.............l1otX1!I'........,....,......,..Address .......,..........................,......... Phone No .................. Name of Contractor ....,..........''OW6X''......... .............Address ..,.,.................,.................,... Phone No, ........,......... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and mdicate all set-bock dimenSions frol property lines. Give street and block number or description according to deed, and show street names and indica; whether interior or comer lot. l., '. d A: , ! 1& "t ~i e '//'11\ c' /-- - N. IS' U(,....o '\'\1 '" I ,.t.. 15" .1"i .4 L / "'l - 66,' fi> nT (;... lL Q. .." ~ Vt ..u . "" <" ..........)( C; <:c <ft ..... , I- i C/', -: ,"' - c..J I ..I..;: \iZ L>. --l':t /'<--- 2.",:'-; V1 - :l .0:. ~ , "'. '" :--l~ rt\ .... & .J;1 1'3 t\ " ').'"/ (.~ $, 2...}"'tb' $I)"C, " ...{ '..J ~AJ 0 .......t') 1"' ,T/ V -f .... ,;- ORK~ 'S' :n l 5.5. .... ................,... ,~...5 I- ..................iN.~';;,. ~f",~di~id~~1 ~~!8~~~~dl............belng duly sworn, deposes and says that he IS the applic'J above named H is the ........:...,......................,.....", .,.... .... .......,......... ........ ...........,...............................................,.......... owner ~ contractor (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 f this application; that 011 statements contamed in thiS application are true to the best of hiS knowledge and belief; a that the work wall be performed in the manner set forth in the application filed th~rewlt~)y ~ Sworn to before me this t. ~ c - . ............Ir.....da~..... ..,........ ......,...., 19.....7 . " ~ . ~ ,11~D C'Ii\Pl1A 7..... .. . ..'.........: ..'...............'.....: ..........'..,...,.........,.... Notary Public, ...... .. .. . .,....... ...... ... !Jt:\ty , (Signature of applicant) No 52-0618100 Su,:LIk Comm'sslon Expires March 30, 1; ~