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Home My WebLink About4742-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at/..~..~.....~'.~?..~.. &.l.~..~.,. ~.'?~eet Map No. ~ Block No..~ ...... Lot No .................................. conforms substantially to the Application for B~d~g Pe~it heretofore ~ed ~ t~s office tl ~A Y t~ dat~ .......... ] ~... ~19.7~su~t to which B~g Permit ~o.~.e?.Z dat~ ........... ~ Y.. ~.~., 197~., was ~sued, ~d confo~s to ali of ~e r~uire- ments of the applicable pro~sio~ of the law. ~e ocCup~cy for which ~ ce~ica~ is i~u~ is .. ~... V~ ar ..... E~o. ~ z .y.. ~E~.l/ff.~ ......................... ~e ceg~icate ~ issu~ ~ .... ~/.~.~ ~. (Y~ .... ~ .... /V .Li f ~.~'.~ ~ .~ ........... (o~er, ~) of ~e afores~d b~ding. S~olk Cowry Department of He~th Approv~ ~ 7..~ ~.~..~ ~7. ~.~. ~.~ .... UNDERWRITERS CERTIFICATE No. '-'"' HOUSENUMBER../.~...~.~'. .... Street. ~s'/f~'AIFI'~ I~)Tn'll,"t?' Building Inspector 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? 742 Z Permission is hereby granted to: .......... &....stc~oc,L~u~e..~ ............................ ............... I~r~att ......... ~.3[& ............................ to .......... ~dF · 'b'i~" ~l~rll'..~e...f I~.~.. ~l~]:'].';~ll~ .................................................................. at premises located at ................. IJ-~.~I'.~..~F~V$ ............................................................. ................................................................. t~eto./.l~ueh ............. ~,,¥., ................................................. pursuant to application dated ........................... ~;4i~y .......... ~-1 ............ , 19....~O, and approved by the Building Inspector. Fee $..~Q.~ .......... FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. I~*~3 ...... Date ...........l~ee, .... 8 ....... , 19 .~. THIS CERTIFIES that the building located at . .ldoo~el~.f .I)1'- ........... Street Map No. ZZ ......... Block No..2~ ...... Lot No.~ .... l(&$tit~lOk ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ [[~dOllb~r..18 19...~q)pursuant to which Building Permit No... dated ....... llOp~; ...... ~J8 ·., 19..~0, wag 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 .. pl~lVa~o, o~e' family' ~lw®ll~ ..................................... The certificate is issued to 'Wl'lliam -lPdl~pl'eeh~ ...... 0wixer ....................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 8ep~;.. 2~.1973.. · b~..R...~.ill& .... Ho~Jo l~ '8~,~ /~') ~ ~'~ii~i'n~' ~ '" ~Insect- 't S-9 SCRD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Septmaber 27, 1971 Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located at N/S Woodcliff DriveI 160' W/O Grand AvenueI Nattituck (Give deed location) have been inspected by this department and found to be satisfactory. Chief of General Engineering Services~ SEP 2'7 1971 , L Examined ......... ...~..../~..:.. ....... t. ....... , 19 ........ Approved ........................................ , 19..~.:...'' Permit No. TOY/N OF soUTHOLD u/l~,~To BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~'//'~/? I SOUTHOLD, N. Y. Disapproved a/c ................................................................................. ~ ......................... '/,,//,~t / ? z..- ~./~'"~' ............................................................................. ~"~"7" ........ :"-- ~ ......~ /V ~/~.~ APPLICATION FOR BUILDING PERMI't ~/'ze/~ ,~ff~ ~ ~,to ....~,Z....~.... ........................ , ,,.D...D... ~ ^ ,~.,/rI INSTRUCTIONS, /, . ~ ~1. '~' a. This appl cat on must be completely fill~ n by ~ewr Per o~d 'in'~plicote to the Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o 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 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 build ngs, add t OhS or a terotions, or for remova or .demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. ......,,, ,,~¥'~""~ o como.t,on) ...................... (S'g atu · c applicant, ~ame, if .......... (Address of applicon/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ../6.~.....~...:....~ ............................................................................ If applicant is a corporate, signature of duly authorized officer. ~ ...... (~ame and '~'i~l;' 'of' c~r;~r~;;' ;~i~;~) ............... ~ ~ ~J ~. Location of land on Which proposed work will be done. Map No.: ....... /~.....~ ....................... Lot No.: ...1.....~:... .......... Street and Number .. ~...-....'~... ...~...O..~...~...~..~J...~....A:'.. ....... .,~....~.: .......... ..~..~7'T. ITI,~ I~ ............ 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 ond occuponcy ...t~.'~,~'~......~ .......................................... 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration '"~ '~ Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ N/ 4. Estimated Cost .......... ~.,..O..~..~. .................................. Fee .......................................................................................... (to be paid on fi!lng 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 ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... .......... · ~ .............. Rear 9. Size of lot: Front '7' ' .......... .~...~'....'. ............... Depth ....... .q~....~....~....: .......... 10. Dote of Purchase ......................... /..~. ................... Nome of Former Owner .................................................... 11. Zone or use district in which premises ore situated ..................................................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation? ............. .~.....~.. ..................................... 13. Name of Owner of premises 6U~L(.I.,9..M d.,'~u~Af£¢llrA,4~,.,,,, ~. ~.#~L ~ ~ ~yes.~.T m,,.,,,,, No. .~..fl/-Ol~o Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ........... ~ ................... Address ............................................ Phone No.~..~.~¥.P./.d.~.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all satdoack dimensions from property lines. Give street and block number or description according to deed, and show street names and Indicate whether Znterlor or corner lot. STATE OF N _E~J tee COUNTY OF, ..'~J~ ......... s,~..j ................. ~'Xi~....~.~ ........ ~ .................... being duly sworn, deposes and soys that he is the applicant (Name of ~ndividual st'gni~ application) above named. He is the .................................. ~ ............... '~ .............................................. (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 tha~ the work will be performed in the manner set forth in the application filed therewith. Swam to before me this ...... ...... o, ....... ............ . . ...... ....................... NOTARY PUBLIC, State of ~¥orll' No. 52.8t25850, Suffolk .Term Expires March 30, ii'OB,Bi NO. I TOWN Of S0UTHOLD BU4LDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, )4. Y. Disapproved a/c .................................................................. APPLICATION FOR BUILDING PERMIT Dote 1,t8.7 11 ~9 70 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 st.reets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this apphcation. 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 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 app cab · Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as here n descr bed. The applicant agrees to comply with oil applicable lows, 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. Name of owner of premises ..... .~;l,~].~,~.~.. ~l&l~.p~.~J3.~ .................................................. ~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. Map No.: ......... 3C3; .......................... Lot No.: ....... ~ ............ Street and Number ..................~/~.~...W.Qg.~.G~,:;J.[.~....~..~,I,~..~ ............... ..~..~.~.;1,.~.~g~ ................................................ ~l - / ~ / Munici~li~ St~ exi~ng u~ and ~cu~nw of premiss and intended use and ~cupancy of pr~ construction: o. ~J~l~ u~ and ~cupanw ....... ~.~.~..~ ................................................................................................ b. I~nd~ use and ~cupanw ........... ~...~Z~..~e~]~ ........................................................................ 3. Nature of work (check which applicable): New Bui,lding ..... ~ ........Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ...... 2~s~O~...'~. .................................. Fee ..... ~.O..,OQ .......................................................... (to be paid on filing this application) S. If dwelling, number of dwelling units ..~t3~ ................... Number of dwelling units on each floor ............................ If garage, number of cars ..........t,~/Q ............................................................................................................................ 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~ront ......... )+~ ...................... Rear ....... ~8 ................ Depth ....~.(~..~. .......... Height ..................... Number of Stories .......... Oz).e'. ................................................. ................................................... 9. Size of lot: Front .........~.,~. .............. Rear ............ .8..~. ................... Depth ....... 10. Date of Purchase -~i ......... .1.C~.~.9. .................................. Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....................~.....~,J.$.~ ............................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........... Z30 ............................................ 13. Name of Owner of premises .1~/..~..R!,l~:pZ'e,O]:l.t, .......... Address .......... ~.~s.s.e,~.~. .............. Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... sa~me Name of Contractor .................................................... Address .................................... ~ ....... Phone No ..................... PLOT DIAGRAM Locate cleorly and distinctly oil buildings, whether existing or proposed, and indicate oil set-bock dimensions from property lines. Give street and block number or description eccording to deed, ond show street nomes and indicate whether interior or corner lot. STATE OF NEW YORK COUNTY OF ........................... ~[~:L....Ru.~.~:~e.Q~t, ...................................... being duly sworn, deposes and says tha~ he is the applicant (Nome of individual signing application) ebove named. He is the ................. 4~)w~e~ .....]~.-T~e-]~ ................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in this application ore true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................. .U.. e:of ...... ................. , ,,....?..0.+/,,, · ZA ....... ~~.....~ .......................... ~r~l'~l:]~)~,,~, ~o~_n~y " mEEIZAB~3'H ANN N£¥1LLE ,, .....r.,-- -torCh 3o: 19~ NOTARY PUBLIC, State of New York No. 52-8125850, Suffolk Coun*v Serrn [¢pi~es ~arch 30, 0~0~ woODGLIFF SURVEY FOR WILL/AM A, RUPPRECHT AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNT¥~ N.Y. SCALE: I"= 40' FEB. 2~ 1970 REFERENCE= GUARANTEED TO: LAND SURVEYOR F' t , T~ C~