The URL can be used to link to this page

Home My WebLink About4921-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z..1~103 ..... Date ......... J. an .... !3 .... , 19.70. THIS CERTIFIES that the building located at .1~/~. t~Iortll2teld..Lane .... Street Map No.. Sayre ..... Block No..~ ...... Lot No...~ .... Southol~..N,X., ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... &ug.. .2~.. , 197Q . pursuant to which Building Permit No..~9~!~. dated ........ ~g .... 2~.. , 19..70, 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 . P~ivate. on~ .family. ~.~ell~g The certificate is issued to .William .E ,. lo~ge~ ..... ~ner ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...~a~. ;..~. ~9.~1.. ~Y. R... .~..~.':~ :~.~ ~. ..... < ~¢..: ~. ~ ............. Building InspeCtor FOR~I NO, ~ TOWN OF SOUTHQLD, TOWN CLERK'S OFFICE SOUTHOLD, N. ¥, BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREM SdS UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ............. ............. g,...~,~..~g....: ............. ,.....~ ................. ............... ~e~' ............. ~'"':"'"~ ............ ,-" to ........ ~u~.~&..~,~..~,.~,~ ..~eJ~.~m~ ................ ;~ .............. ,.~ ....................................... ot premises I~otod ot .............. .~¢.-go~.~el~.;.~--..{:.:-,.:...-.~:~.~ ............... : ....................... pursu~ to opplication ~ed ............................. ~.~..,.,..~.~..~., 19,,.~. ~Bd OPprov~ by tho Fee $..l.g.e.Q~ .......... , ~iJd SC~D SUFFOLK COUMI~ DEPARTMENT OF HEALTH The s~age di~osal facilitie~ for a st~ctu~ located at hive been inspoc%ed by t~r~ Dopa~ment and f~d to ~ satisfao%o~, THE NEW YORK BOARD OF FIRE UNDERWRh'ER$ BUREAU OF ELECTRICITY' 85 JOI-IN STREET, NE~ YORK, NEW YORK 1OO3B December 29~ 197o ,~,~i~,~,,,o,~/~ ~598~9 Mr. Wllllam ,~:ounge_e~ n/s Northfleld Lan~ 280~ e/o D~0n~Rd~ .;,,~ t, · ~;0, ~ ~ ~ ~,,~,.,,,~,.~ ~ ;~, ~'~. [] ~,m ~;.. Out side ' *Furnace/s: Oil~ t~l/8hp l~,l/12hp Piot or/s ,', l~l/2hp Towlo & Sons Znc~ 33 L:I neO].n OWN OF $OUTHOLD BUILDING DEPARTM ENT°"~ "e~; 0 TOWN CLERK'S OFFICE APPLICATI~)N FOR BUILDING PERMIT ~ Date ........................................................ , 10 ................ ; INSTRUCTIONS · - a. This application must be completely filled in by typewriter or in ink and submitted.in duplicate to the Building Inspector. b. Plot plan showing location of lot and of buildings on premises, relationsE . areas, and giving a detailed description of layout of property must be drawn on tl~e diagram which c. The work'covered by this application may not be commenced before issuance of Budding k~rm~t. d. Upon approval of this application, the Building Inspector will issue permit shall be kept on the premises available for inspection throughout the progress of the work. ~ e. No building shall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy shall have,been~ granted by the Building Inspector. r ' APPLI~,'~ION IS HEREBY MADE to the Building Department for the issuance of a Building Permit p~suont to tl~e Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, C~nances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os he~eJt~'i~lescril~J. The applicant agrees to comply with all applicable laws, ordinances and regu at ans. /~-~. t / ~I £ t,/, (Signature of (~lic.~, or narn$; if a corporation) ...... ~-~or~ ,,~. /, L/ · AqNam, iii. lira, e, LT. (Address of appricont)'~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. f remi ~ II, ~'~ Name of owner o p ses .................................................. 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. Mop No: ............................................ Lot No: .....~.. ............. Street and Number I/I I.'~ltilll 14., Iit* I/0 ~ ~lJ~.'' ................................................................................... 4. · .~..~ ......... ~. .................. ~ ................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed const'rUction: a. Existing use and occupancy .?.~ .~ . b. Intended use and occupancy ....1~.......1~.....~....~...~.~..~. ~.~..~...1~., .; ................................ 3. Nature of work (check which applicable): New Building ..... ..X. .......... Addition .................. Alteration .................. Repair .................... Removal ............ z~ ..... Demolition ............ .~ ...... ..~O~her Work (Describe) ........................ 4. Estimated Cost ....... ,J,,..,~,,,,..,,O,,.?,..?,,.,, ~,,. ..................... Fee ..../..,,CA),..,,~,,...''', .................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... 1. ...................... Number of dwelling units on each floor If garage, number of cars ,.~ ......................................................................................................................................... 6. If business, comrrmrcial 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 47~ Rear 47~ Depth 2~ Height .............. .2..1..'. ........ Number of atories .................................. 9. Size of lot: Front 140' Rear 1:~0~ Depth ..... .l.~.~, .............. ' ............. 10. Date of Purchase ........................................................ Name of Former Owner 11. Zone or use district in which premises are s tuated ......................... :,. .............. 12. Does proposed construction violate any zoning law, ordinance or regulation? ...................................................... 13. Name of Owner of p ....... .[. ~.,.,^aa ess ............................................ F~one No ..................... Name of Architect Ir~.~'.~.~,.~...~.,..~.~.e.~,~. ..................... Address ...Ell,.ve:t'llee.~..l~....~ ........... Phone' No, Name of Contractor ...... ~.r.~..~..~..~..?.,~.....l.?.~:....Address ,.~.~?.~.h,~.8.~....~.:.~..,. ............. Phone N6: .?.~,.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimehsions 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 NEW YORK, COUNTY OF ............................ S.S. hi............................................................................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing and that e w k w' e p ' e~/~r~rlt ' ~p_~, ' ' ' . Sworn to befgre me this gOt^trY pUBLiC State 0[ New ~ ~ o 52-3233120 Suffolk County. // ............................... ~ ~ ..................... ~_ ~ r~l 1~ , ~ ......... ~f.. ............ ~_~.f...~.;~.._.;.~ ..................... Notary PubJic,/%1C/,~-,,~.,~-,~.....~. ...... /%,~-,-r~M(.'~.. ...... Count,/ r / (Signature of' UppJJcant) SURV£Y WILLIAM E. ~ CHARLOTTE YOUNGER AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY~ N.Y. SCALE: AUGUST 18~ 1970 SURVEY FOR WILLIAM E. 8~ CHARLOTTE YOUNGER AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY~ N.Y. SCALE ~"= 40' AUGUST 18~ 1970 JAN. 8~ 1971 LAND SURVEYOR N. YS, LIC. NO. E87E5 RIVERHEADI N. Y. F y' r £$ , ~' /!