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Home My WebLink About4653-zFOBM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 2J+3 2 ..... Date .............. Attgu~t.. ~4~-, lg. -7.1 THIS CERTIFIES that the building located at . ~ayvi.ew. l)r..&. ~.e.d&r..A.v.e Street Map No. G.a~ ~..~. ~.. Block No ........... Lot No. p.t..1.0.8.,.~07.1.1.0...S.~...~..~.!.ea....1~,~[, conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... ldardh..24~.., 19.. 70 pursuant to which Building Permit No...1+65~Z dated ........... .Pla.r .... .23.., 19. ?0., 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..f.a~l.l.y .~lw®tlLug ....................................... The certificate is issued to Rev.,..Paul .Thiel® ...... 0nwe~ ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .Atlg .39...1~73...by. R, .Villa ..... H.us. , 6~ ~ayview Ave '~'~ "'"'~ , / .,~..~./,~ 1675 Cedar La .............. ! ~' Building Inspeeto~ 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? 4653 Z Permission is hereby granted to: ............................... e.a4~,...t,,,. &..]lal,~,~..~J~l,~. ......... mast....aez~oa .................................. pursua:n¢ to application dated ............................. JJll~ ...... ~ ........... , 19...~, and approved by the Building Inspector. TOWN OF SOUTHOLD ~- .,~,~ BUILDING DEPARTMENT 7'~ .,'~-~'-'~-' TOWN CLERK'S OFFICE ~ SOUTH~D, N.Y. I . .............................. , ........ Appli~tion No ............................. A~roved . ~ 19..~... Permit No. ~ 5~ ~ ~W~ Dimpprowd ~/c ....... ~ ........ ~ ....... ~ ............................ ~ ............... ........... .......... .............................. {Buildin~ Inspector~ ~ ................................ ~c~'~ APPLICATION FOR BUILDING PE~IT ~ ................... ....... ................. , ~. Thi, opplicotion mu~t be compl~t~lv fill~d in by ~owrit~r or in ink ond ~ubmi~tod in ~plic~t~ to th~ 8uildin~ I~ctor. ~. Plot plon showin~ I~otion of lot ~nd o{ buildin~ on pr~mises, r~l~tionship to adjo n n~ pr~m ar~, ~nd flivlnO o d~oiled d~ript~on of Ioy~t o{pm~ most be dr~wn on tho dioomm which i~ c. Tbe work covered by this opplic*tion moy not be commenced before i~u~ce o{ ~uildino ~it. d. Opon opprowl o{ thb opplic~ti~, tbe Buildin~ ln~p*ctor will i~u* ~ Buildin~ ~rm t to th~ ~pplicant. Such sh~ll be k~pt on the pr~mise, ~wilob~o for insp*ction through'out th~ pr~r~ o{ ~h~ work. e. ~o buildin~ ~11 be occupied or used in whol~ or in part {or ~n~ pu~os~ whatever until ~ C~i{ic~t~ shell have been granted by the Building Insp~tor. APPLICATION IS HEREBY M/kDE 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, Ordirmnces or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, end regulations. Fred Gord~ (Signature of applicant, or name, if a corporati~)'~) .... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C ontrac tot Name of owner of premises ...... ~..~.e...~.e,l~,..~,.~,~],.Q ..... _ ..... 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.: ..G...B;.~..~....~..a..~....E.?...~' . Lot No.: 110,109, ~)t, ................. 1'08 Street and Number .......... .~.a..YJ('J,0~..~O.....~..{~.e~%z..Lajl30 ....... ~a,s.~ ...~,&~;LO)3. ..... ~f ~-:$-- ~ ~'/--/~,7,5 ~ Municilx~lity ............ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ......... .~..8~,a~.t ...................... b. Intended use and occupancy .................... .o..~...e.....~...a~...~.~.~.....~..w..~.~.:;l,~3~ ............................... 3. Nature of work (check which applicable): New Building ..~ ......... Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ......... .1...6..~1....0...0..0...+~,, ............................ Fee ....1...0..t-.0.C.).. ........................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... .o..~...e. ........... 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, Jf 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 ..... 2~.-.~ ..................... Rear ........ 2~.-..8 .......... Depth ....... 3~..-.8. ...... Height .................... Number of Stories ...Qlq_e. ........................................................................................................... 9. Size of lot: Front ....... 20.~. ............. Rear ........ .1.~6. .................... Depth ......... .12~. ............... 10. Date of Purchase ........................................................ Name of Former Owner ..... ..~.~.w'.~.l..e.. ............................ 1 I. Zone or use district in which premises are situated .......... !!~..~.~....~.1; ........................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... D,Q ................................................ 13. Name of Owner of premisesP~.lZ.~...~L.e~ .............. Address ........ ~eOZ~..No,T.~ ........... Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ...~..I'...e..~.....G..9.~..~..9.~. ....................... Address ........ .~'.f~.~,10.O.~.~. ............. Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and 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 corner lot. .............. .' ............................. ~.z~e~..D. or~l, o31 .......................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ............................. .~.D~.l;.~..~t$~.~O,~ ................................................................................................... (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 that the work will be performed in the manner set forth in the application~ filed therewith. Sworn to before me this ti /~ , /~ ................. day of .......... ,r,n._ f · .............. . .......... ....... Notary Public,~.l.,/v)~t.,/..~,u,-Z,~ ........ County~A<~_~ (Signature of applicant) (~' ELtZABL/TH ANN NEVILLE ' ~' #~' . NOTARY pU~L C, State of New York o. 52~8125850, -Suffolk CountY ~errn Expires March 30, 197~a S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date Bldg. Permit No. .TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located ~(Give deed location) ~ have been inspected by this department and found to be satisfactory. General ]lagineering Ssrvicsm