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Home My WebLink About4968-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy N~. 4247 ...... Date ..... May. .... 25° ........... , lg~/1 THIS CERTIFIES that the building located at Ii/B. Soundv$m~. &v~nue .... Street Map No...~: ..... Block No.:I~X ....... Lot NoXXX ..... J~tt~ttuck,..New..York. conforms substantially to the Application for Building Pemit heretofore filed in this office dated ... Be~z...16..., 19~0.. pursuant to which Building Permit No..4968. Z dated ... Beptmaber...22,..., 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 ~ The certificate is issued to ... Robe~. &. J~n. L~umer ............................ (owner, lessee or tenant) of the aforesaid building. I I Suffolk County Department of Health Approval . .-/..v.~.~. ..... ......... Building Inspector[ Bouse # 3925 8oundv&e~ Avenue I~ORM NO. ~ 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? 4968 Z Permission is hereby granted to: e~r.e~n..~e_.~..A~...l~b.~..&..jm ~ ............. J.l~.. ~t~.telxeg~.. ~ml, ....................... ............. ~f~ ..,~f. er~m~..l[~ ....................... to ........ ~..l..d... ~..~....f..e~t.~...~..~.3,~ ............................................................................ at premises located at ............ ?....1~..~...~..~...~.~.~...~..~.~..~.~.~.~...~.~.~1~1~.~[~.~ ....................... ............................................. ~&t:t~t;~e,k ...... ~I,,Y... ......................................... ' ................................... pursucm,t to application dated ...................... J~ll~.t,,. ......... .~ .............. , 19...~, and approved by the Building Inspector. F. ~....!..O..-~ ........ .......................... b. PI.at .pi.an showing location of lot and of bu.ildings on premises, mlatlo~hlp to ~ljoinlag premiere or _l~bll~ ~treet~ area~, aha glwng a ama,md c .fl~c. rlptlon of layout of property must be drown on. the diagram which c. The work covered by this application may not be commenced before muance of Building Pormlt, d.. Upon. app.r?al of this application, the Building Inspector will Issue a Building Permit to the al~llamt ~uch permit~j~ shall De Kept an me premises available for inspection throughout the pragres~ of the work. e. No building shall be occupied or used In whole or in part for any purpose whatever until a Certificate of OocupanCy~~' shall have been granted by the Building Inspector. ' R~ege. A..P. PLI_CATION .!S HEREB. Y MADE to the Building Deportment for the Issuance of a Building _Permit IX~'euont to the u,a~ng z. ar~. ur?,nance of ~e Town of Southold, Suffolk County, New York, and o. ther .applkkzble Lewl, OMinencm m matkms, tar the construction of buildings, additions or alterations, or for removal or dernolltkm, et he,tn dsecribed. applicant agrees to comply with all applicable laws, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, ilectrlclan, plumber or builder. ~uilder Name of owner of premim ~"~R~.~.~.~e~'d'~'~'e~.'.a~.~.~.n.'~z'~'e~`~'~C~.~a~'~a~.']'~R~9A~'~~Xa ................. If applicant Is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) State existing use a.nd ~x:¢uponcy of premises and Intended use and occupancy of propmed comtmotlan: a. ~istlng use and occupan~ ................................................................................................................................... b. Intended use and occupant, one family residenoe N S So ~v ew e Street and Number_......~....._......~......:~ ...... .~.Y...qAg...,....¥~.~-.~;Ir.~.g.9~ ............ ,.., ...................................................... 7r' ! ,-- ~ ~ ~. -~ ' ' ' Municipality Location of land on which proposed work will be done. Map No.: ........................................Lot No.: ...................... ~ 3, Nature of wo~k (check which applicable): New Building ..... ~ .......... Addition .................. Alteration ............. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... 4. Estimated Cost ...... 33.r. QO.0 ....................................... Fee ........................................................................................ (to be paid on fi)lng this application) 5. If dwelllng, number of dwelling units .....[. ...................... Number of dwelling units on each floor ............................ If garage, number Of cars .........2 .................................................................................................................................. 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 ................................ 81' 0" .... B.I...D. .............. Depth .2~ .*. D..". ........... 8. Dimensions of entire new construction: Front .................................... Rear Height ....,.~..~.~..~.:~.... Number of Stories ....... .2. ............................................................................................................. 9. Size of lot: Front ...... ~.,,~.0. ............... Rear ............ ~,~0. ................ Depth §~, ......................... 10. Date of Purchase ...........~1,~.6.9. ................................... Nome of Former Owner ........................................................ 11. Zone or use district in which premises are situated ........... ?..~.'.~ .................................................................................... 12. Does proposed construction violate any zoning law, or~iinance or regulation? .......... ; /.....~Q ................................... 13. Name of Owner of premises ...P~J;;l~,~..~..,I~'....Address ..[~.Q;~.~..~.:~l~..~.q..n,...~..t;.aphone No ..................... Name of Architect ....... .~.I~IP~...D.,...~.~..~.].~. ........ Address ..~.ll~.~,~'X1~...~.t..~.~ ...... Phone No. 7..~.~..'T.7..8..~..8,. Name of Contractor ...(~,l,~,~.~.I~t~..~.~.Ia..e...s.....X..n..o.....Address .P..~.lCI;:...~.~.~..~..e..~...e..o...n....S...~..a.. Phone No..4..7...3..-...3..[..3...0. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, end 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 comer lot. STATE OF NE~..~-Q[K~, t e e: COUNTY OF ..~...~...~.~....~.. ............... J'~'~' ................... .O...O..~...~....~.........~...C~....~..~.~.¥.. ......................................... being ul~sy swo'm,~epgele$ a~ says tho, he is the applicant (Nome of individual signing application) ~,~,~j~ ~,, ~ above named. He is the ......... ..C..o..n...~..z'...a..c.~.o..~.. ..................... ~~~~~;'-"-'-'"'-':'-'~ of said owner or owners, and is duly authorized to~~-~-'~ -- '- ' -'--~v~and''t°' make and file this application; that all statements contained in this(..~tion~ best of h/~ knowledge and belief; and thor the work will be performeg~in the manner set forth in the application filed therewith. Swam to before me this [/ ~ ~.~ ~/' ........ · ./~.~.... day of .....~.~.~ ........ , 19..~..0... Notary Public, . ..................... ~~ ........ County l~ef, s~ Public, -- FORM NO. 4 TOWN OF SOUTHOLD~ BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupal cy No,~i 4247 ...... Date ..... lsJalz .... 2.5, ........... , 1971. THIS CERTIFIES that the building located at N/S. t~o.undview. Avenue . . Street Map No... X~X .... Block No.XXX ..... Lot NoXXX . .... l~att.t.tuck.,..blew..York. conforms substantially to the Application for Building Permit heretofore filed in this office dated September...16.. , 1970.. pursuant to whicb Building Permit No..4968. Z dated . September...22,.. , 19.70, was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is . .. pl;iva.te, one · family. ~wellin9 .................................... The certificate is issued to ... Robert. &. Jean. Le.nznet: ............................ (oWner, lessee or tenant) of the aforesaid building. . Suffolk County Department of Health Approval ~uilding Inspector ( House ~ 3925 Soundview Avenue sOUN° ~o~e ~o~~ SURVEY FOR ROBERT /~A T T/ TUCK ~ .JEA~,,,~ LENZNER TOWN OF SUFFOLK SCALE.'/ SEP~ I~, /~ SURVEY.F~R ROBERT TO~N OF SUFFOLK JEAh LENZNER 0'-4" If,,ITG PI g . . . ~". up I0:' ,¢'UT. ~ ? 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