HomeMy WebLinkAbout3398-zFOlh3% 1~O. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
'I'OWN CLERK'S OFFICE
SOUTHOLD, N. Y,
CERTIFICATE OF OCCUPANCY
No. Z.. 3398 ..... Date ............ De. cember .. ~l., 19.68.
THIS CERTIFIES that the building located at ]~C!%S. ,~ .V.i¢t~Pt~%-~)-~ ....... Street
Map No.. ~ ...... Block No. · .X~X ....... Lot No. ~ ... ~o%%tho~ld..-. N.Y.~ ......
conforms substantially to the Applicati,on for Building Permit heretofore filed in this office
dated ............ Mal~Ch.. 8 , 19./~. pursuant to which Building Permit No..339&~..
dated .......... ,~:areh .... 1 ~ ' 19.67' was issued, and conforms to all of the require-
ments ,of the applicable prowsions of the law. The occupancy for which this certificate is
issued is . .P. ri. va:be, one- .fam-ily..dwelt.l. ng. .......................................
The certificate is issued to ~-iii.ia~-.~ l~amtt.%Ol~ ........... (~rieI' ....................
(owner, lessee or tenant)
of the aforesaid building.
.Suffolk County Department of Health Approval . .Jlktle .21 %96~. by. ~i. Villa ......
S-9
SCHD
SUFFOLK COUNTY DEPARTMENT OF HEALTH
TO WHOM IT MAY CONCERN:
at
Date May ~ 1967
Bldg. Permit No. ~98 Z
H.D.Ref. No. S0-378
The sewage disposal facilities for a structure located
Victoria Drive & Eds Road, Soubhold
(Give deed location)
have been inspected by this department and found to be satisfactory.
1967
District Engineer
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. Z 2~32 Date .June 26 , 19 67.
THIS CERTIFIES that the building ]oc~ted at Ed ~s Rd & Victeri~ .Dr Street
Map No. Z3m: Block No. ~ : ~ Lot No~. Southo!dw. .N.X, .........
conforms substanbally to the Application for Building Permit heretofore filed in this office
dated ~h . 8 , 1967. pursuant to which Building Permit No. 3398 .Z
dated ~h l~ , 1967 , was issued, and conforms to all of the require-
ments of the applicable provisions of the laW. The occupancy for which th~s certificate is
issued is Pri~ata one. f~-~-y, d~el!~g ..................................
The certificate is issued to Wi~t~-~ ~e_mli-%em (owner~ee,~¢~s
- ' ....... e~ .......... o~'ten~nt)
of the aforesaid building. ,,~
Suffolk County Department of Health Approval ~e 2~ ~9~-by R~..V~...
~OTE: ~ve o~er apply for f~t C/O upon completion of ~terlor
work to be done by B~m or others.
FOR,.,'Vl ~0. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOIYI'HOLD. N. Y.
ROTZCE OF DZSAPPROVAL
File .No . Date March 10 67
......... ttonkonkoma~..L,,.~.,, ..N. :~.: ............
PLEASE TAKE NOTICE that your application dated .............. Ma~ch
for permit to construct ....d.~..~..!...i.~.-~ ............... at thc pr~m~ses located at V~ctor~la Dx.
& .F.~.~a. 1~O~ ........................................ Street Southold ~
~ap ..... TT,.;t,.d..d,,~, ................... Block ............. ~ ................ Lot ...~ .................................... is
returned herewith and disapproved on the fol]owin? grounds ........... ~:~.~0..~.P..1..~..~...~....~.!...0..~....~IO'D'
................. Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
.... ......... ,
D,sapp rayed a/c ...... ~...~..~... ~....~.../~ ........
............ ......
................................ .................................
APPLICATION FOR BUILDING PERMIT
Application No ...........................
Date March 8 19 67 ..
INSTRUCTIONS
a Th~s application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildinc
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoming premises or public streets o,
areas, and gwing a detailed description of layout of propertymust be drawn on the d,agrom 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 Budding Inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the premmes available for inspection throughout the progress of the work.
e No bu, ld~ng shall be occupied or used in whole or m part for any purpose whatever until (3 Certificate of Occupancy
shall have been granted by the Budding Inspector.
APPLICATION IS HEREBY MADE to the Buddmg Department for the issuance of a BuHdmg Permit pursuant to the
Bu,lding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construct,on of buddings, addit,ons or alterations, or for removal or demolition, as herein described.
The apphcant agrees to comply with all apphcable laws, ordnances, building code and regulations.
(S,gnature of apphoant, or name, ff <3 corporotson)
10/+ Win±£red Dr±ye
........... .............................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Owner
Name of owner of prem,ses W~.~.~..iam Hamilton
if applicant is a corporate, signature of duly authorized officer.
(Name and t,tle of corporate officer)
Book No. 138
1. Location of land on wh,ch proposed work will be done. Map No' .~'£1a..N.o .... 2..-.D.~.85 ....... Lot No~.:....~.1....~....2.~
Street and Number Southold
Mumcipality
2. State ex~sting use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...................................................................................................................................
b. Intended use and occupancy ....................... QD.~....~3Jri3,~,1.Y....c],w.~.~I,,1,.~D~ ..........................................................
3. Nature of work (check which applicable): New Building x Addition .................. aklteration ................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................................
4. Est,mated Cost .... .~.~.,.~.~3..2..:..0..0.. ............................... Fee ........................................................................................
(to be paid on filing this application)
5. If dwelhng, number of dwelling units ..... ] ...................... Number of dwelling units on each floor ..........................
If garage, number of cars 2.
6 If busmess, commercial or mixed occupancy, specify nature and extent of each type of use ..............................
7. D~mensions of ex~sting structures, if any: Front ......... ~ ......... Rear .......... ..-~.....-. ........ Depth ....--Z......'....-. ...........
Height ....~.-.;.~ ............. Number of Stories - -
D~mens~ons of same structure w~th alterations or additions: Front .............. -. ................. Rear
Depth ........... .-. ................. Height ....... ;;.....:~-7 ............. Number of Stories ..... ~ ....... ~ ...................
8. Dimensions of entire new constru(~tion: Front ...~. .....................Rear ....... ~.~...t. .............. Depth ..~..8..t. .................
Height ....... ~..~..t. .............. Number of Stories ..... J ..................... (irreEular )
9. Size of lot: Front ..... ..~....~...~'... .......... Rear ....... .~....~..~. .......... Depth ....... ..~...~.....~... .......... {.described below)
10. Date of Purchase ........................................................ Name of Former Owner .....................................................
11. Zone or use district in which prom,sos are situated ...............................................................................................
12. /Does proposed construction violate any zoning law, or&nonce or regulation? ..... 13.Q .........................................
13 Name of Owner of premises ........................................ Address ............................................ Phone No ..................
Name of Architect ...................................................... Address ............................................ Phone No ..................
289 Vets.Hwy.
Name of Contractor ..~.~..g.~.......9.~k~.~. .......................... Address~2~8~6fiE~..~.:T.j ......... Phone No.~Tg...~..-.~.~(~
PLOT DIAGRAM
Locate clearly and d,stinctly oil buildings, whether ex~sting or proposed, and indicate all set-back dimensions fro
property lines. Give street and block numbers or descriptiqn accord,rig to deed, and show street names and ind,ca
whether interior or corner lot.
/
-- ~L_.__, ~o,. _.
s,,,,., :. ['"' .. *"/'; ""'
STATE OF NEW YORK, ] S.S. ~ i
COUNTY OF ...............
........................................................................................ oe,ng duly sworn, deposes and says that he is the appli
(Name of individua sign ng app cat on)
above nome& He ,s the ..................................................................................................................................................
(Contractor, agent, corpbrate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and
this application, that all statements contained in this application are true to the best of his knowledge and b-'
and that the work wdl be performed in the manner set forth in the application filed therewith.
Sworn to before,~ ~ ~:/'~ ~/~, '(/._/me this ¥~//~z ~_~ z/,,~ ~ ' JJ~/~-- "~/ .'~,~. ~ -,~7'"~~...x.~~~ ~, ,
.... ..~..:~.c( ........... day of ....~...~...~..7:....4;.7~,.~19..-i/7.....
~ I~ A pr~.~ R [ · , .,.~. ........ d..J..~.l~Z..v.. . ' .*: .....................
L r ·
LAC~Y HOMES
3289 Vst~ran,~s Memorial HighwNt
RONKONKOMIA, N. Y, 11779
JUl 8,'1864
LACY HOMES
3289 Veterans Memoriar Highway
RONKONKOMA, N, Y, 11779
JU 8-1864
HOWARD C. PETERSEN
CONSULIAN~
CHARLES J. IRWIN
~ BAYP~gT AVE,, BAYPORT, N. Y,
lACY
3289 Veterans Memorial Highway -
RONKONKOMA, N. Y.
JU 8-1864
HOWARD C. RETERSEN
CONSULTANT
CHARLES J. IRWIN
,~r259 Veterans Nlemorid Highw~
ROtCKoNKON~A N. ¥,
LACY HOMES
Veterar~s MemoriaJ Righter
RONKONKOMA, N. Y. 11779
JU 8.1864
HOWARD C. PETERSEN
CONSULT^N[
OHARLES J. IRWIN
ARCHITECT
[~0 BAYPOI~( AVE., BAYPORT, N. Y.
HR 2-071I
I
, '~ '~ ~} ! ,~ ;' ,, ,. ,,: , L'
..... , ,.::; ., ~, ,, ~__ ~2~9 ~terans ~emorial Bighwa~
, ......... ,..,. ,..((~.~ .... ~ .~ ~ ......
PETERSEN
, : , ,,,,:,, , , ,,,~,, ;,y.~ ,,
~, , ~, .,. ,,, , ':'.,,r ,:* ,*.' ........." '" ' '" OHA~LES IRWIN
...... ,',, ~-~ J.
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% ...... ,,~ , ~ , ,t t ..... ,,,~, ,, , ~¢ HR 2-0711