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Home My WebLink About5499-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z. br6~.~. .... Date ..... /Y__t~__O . .~ , 1972 THIS CERTIFIES that the building located at ~ef~o~.& ~i~a ~rbor cove Map NoNassau po~lock No. . Lot No ..... Nassau Po~t. C~tcho~e conforms substantially to the Application for Building Permit heretofore filed in this office dated ... ~ept.. ~, 1~ pursuant to which Building Permit No. dated .. ~pt .~. , 19.~., was issued, and coniorms to all of the require- ments of the applicable provisio~ of the law. The occupancy for which this certificate is issued is Pt*i~rate..one family..dwelling The certificate is issued to Warren. Hal~ty . of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No ItOUSk NUMBER 1,t430 Street · · 0'~o~' ......... (owner, lessee or tenant) · peacing ................ Litile peaonic Bay Road .. Building Inlpector ~'. 19.72 · · by .~. ¥illa 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? 5499 Z Permission is hereby granted to: .~.:...~r..~...~......e.....e..~.~...~.,......~.~.....~ ~ o ...... ~1tt,~ .. ,~e~...olin ..~e.~t;t,~.. ~.~],!.~.~ag .............................................................................. at premises located at ........ ~l~:~t.~l~...l~4~l~e..~lr...~;.~...~.~A.t..Z~~ ............................. .............................................. Ii~eam~..~ ............. O~ebel~ ........................................................ pursuant to application dated ................................ Ittp.~ ....... ~ ........ , 19.~.~.., and approved by the Building Inspector. ~uilding ~nspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH JUN ~- 1~7~ Date ,ldg. Permit ,o. r/?? Z. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give de~d location~) have been inspected by this department and found to be satisfactory. DisaPProved a/c ............................................................................................ , APPLICATION FOR BUILDING PERMIT Date Sept 9 a. This a~lic~i~ must be completely fill~ in by ~writer or in ink and submitt~ in ~licate to ~ 8uildin~ Ins~tor. · b. Plot plan ~ing I~ation of lot and of buildin~ ~ ~mi~, relationship to adjoining premises.or public Mree~ ar~s, and givi~ a d~ail~ d~ripti~ of ~yo~ ofpr~ mu~ be drown on the diagram ~ich is ~ of this ~pli~tion~ c. ~e WOrk c~er~ by ~ a~licati~ may ~ ~ comme~ ~fore i~ua~e of Buildi~ Permit. - d. U~n :a~al of t~Js application, ~ Building Im~r will issue a Building Permit ~ t~ ~ leant. Such ~it shall be ~pt ~ ~e pmmm~ ~ailable ~r m~ theft the p~ress of ~e work. e. No buildi~ ~all be ~cupied or u~d in whole or in ~H for any pu~e whoever until a Ce~ificate of ~cupancy shall have ~ gmnt~ ~ the Building In~or. APPLICATI~ IS HEREBY ~DE to the Building ~ment for the issuance of a Building Permit pumuant to the Buildi~ Z~ O~inance of ~he T~ o~ ~ld, ~lk C~n~, New Yo~k, and other applicable ~, O~i~ R~ul~i~s, tar the comtr~tl~ of buildl~s, ~iti~s or al~mtions, or for mmo~l or de~liti~, as hem n ~r The applicant agr~s to comply with a I a~ icab · ~, o~inances, building c~e, h~sing c~e, a~ ~ul~ gene. fio= on Sons lne (Signature of a~licant, or ~me, if a co~mtion) (~m~ of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................................................... ................................................................................... Name of owner of premises ....~.~.~.?...e.D....~..~. ................................................................................................................... If applicant is a corporate, signature of duly authorized officer. Nass Pt Dese 1. Location of ~a~ on which p~:~osed work wi}~ be done. Mop No.: ........................................ ~ ~ ........................ Little Peco~c Bay ~ & Sailors la Strut ~d Numar .. ~.~ ...~ .................................................. Mun~i~i~ 2. State e~sting u~ and ~u~ncy of ~ises a~ inte~ed u~ o~ ~cu~y of p~ c~mct~: Yacht land a. ~isiting u~ e~ ~c~cy .................................................................................................................. ~ ............. one f~lly dwell~g b. Intend~ u~ and ~C~ ............................................................................................................................. 3. Nature of work (check which applicable): NewBuilding ~ Addition Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ............ .br.~e.0.0~.....-+- .......................... Fee .1..O..e...O..O. ............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... D,~e ................ Number of dwelling units on each floor ............................ If garage, number of cars ...... ~...C.D~. .................................................... ................... : ................................................... 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 ........ .~.6 ............... Depth ..... ~ .............. Height .................... Number of Stories ....Q~,e. ........................................................................................................... 9. Size of lot: Front ..... .1.00. ............... Rear ........... 2~8.~.../.6.~. ..... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ....... ?.,~..~.~...d~,S~, .......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .............. ..~.e. ........................................ 13. Name of Owner of premises ...N.~.~.~..e.7~....~..~...~..d.~. ......... Address ......~,.~.1~;[.~; ................ Phone No ..................... Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ...~...*....~...O.~..~.~....~.....~...O..~..S.....]:..~..Address ...... ~.e..~....~ .~.~.~...o...~.. ........... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-beck 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. · .!..O..T~..~l.~a~ fi'r~ "YO~"~'~I .~.:.ii~~ ......... being duly sworn, deposes a nd says that he is the oppli c~ / ant above named. He is the ........................ ~ ....... ~.~.Q~t,~'&~.~.Q= .............................................................................................. (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 end 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 applic~on filec~ thereWith. Swam to before me this /'~) ~,/ /] // f S.e. t, ~ 71 ................... 9.- o ............................. , 1 ........ · ................................. Notary Publi~l~l~,~,~Z.~.~~.... County ~~ (Si~n'at~ of applicant) -~ --m~C State of [~ew york -, Term EXgi[es March ~u, TEST BORIN6 10.5' SAND E~ GRAVEL NO WATER wuNNEWETA poND ELEVATIONS ARE ON ASSUMED DATUM, SURVEY FOR MURIEL A HARDY /tT I~IASSAU POII~T TOWN OF SOUTHOL D SUFFOLK COUNTY,, N, Y, SC/~LE : I"= 30'