HomeMy WebLinkAbout5504-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the,buildin~located at .. E/.$. Y~. in BlVd Street
Peeonie Bay Estates ...............
Map No..A~m...e.n.d.e.~... Block No ........... Lot No. ~ 6reenport N.Y.
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ............. $.ep.~....1.0, 19.7!. pursuant to which Building Permit No..~.~.C~..Z..
dated ......... 5.e.l~.t...!3 .... , 197!.., 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 Private one family dwelling
The certificate is issued to .H. 0d.o~...C0~s.~..c.t..~.o.~..C..o ....... . .0~..e.r. .................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Dep~tmant of Health Approval .~.ay... 22...~..9.7~.. b~. ?. :. Y.~.I..la ....
UNDERWRITERS CERTIFICATE No..N..1~.~.793 .... .Ap.r. 1..1..2.~., .1~..~. ..............
HOUSE NUMBER .... 69.~ ...... Street .... Y~rw. in. ~.d .........................
Building InspectorI
· OEI~ NO. ~
?OWN OF $OUTNOLD
BUILDING DEPARTMENT
TOWN GLERK'S OFFICE
SOUTHOLD, N, Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NV 5504 Z
Permission is hereby granted to: ~;1t~ ~ ~
........... ~l~e~t..~e~....ll,Z., ..... ~ .$!r~ ..........
to .... ~..mw~...mmm...~...~33,~t ...............................................................................
pursucm¢ to opplication dated ............................ f.l~llip~...~O ............ , 19..~.~., and approved by the
Building Inspector.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ BW 85 JOHN STREET. NEW YORK, NEW. YORK 10038
THIS CER'rlFIE$ THAT
was examined o~ Ap :/-1 S ~[
Ist FI.
[] 2~ ri. outside Section Block Lot
and found to be in compliance with the requirements of this Board.
,,xFURE I'
12 27 16
DRYERS I FU"NACE MOTORS I FUTURE
SERVICE DISCONNECT I NO. Of I
METER
1 100 CB~
RANGES
,MT. K. W,
~,EC~At REt'PT
1 50
R
ICOOKING DECKS OVENS DISH WASHERS
A~T, K, W. [ AMT. K.W. ~AT. K, W,
TIMECLOCKS $ELL UNIT HEATERS MULTI-OUTLET
~?. f A~p$. TRANS:~ SYSTEMS
NO. OF FEET
V I C
Of: CC. CC)ND, OF HI-LEG
#Furnaces: 1-1/ShPs 1-1/15hp
EXHAUST FANS
DIMMERS
OF NEUTRAL
Sapan&ro & Mlneo, Inc,
102 Oak Ave.
Shirley, New York 11967
COPY ~r~OR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
0~
0
UNAUTHORIZED ALTERATION OR ADDITION TO
2he sewage disposal and water supply
f~o~)!tlos for this location have been
inspected by this department and found
Chief of General Engineering
Services
NOT~
~ -- MOI~UMEI~T
REVISIONS
APR 25, 1974.
YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W YOUNG HOWARD W. YOUNG
SURVEY FOR:
LOUIS HODOR
AT
ARSHAMOMOQUE
TOWN OFSOUTHOLD
SUFFOLK CO., N.Y.
SCALE: - R.i DATE:
FOII, M NO. 1
TOWN OF MUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
~TH~D, N.Y. ~//~;
~od ........ ~...(..% ........ ~.~..L
~pro~ed ......................... ~ ........... , ~9..Z. ~m~ NO.
APPLICATION FOR BUILDING PERMIT
iNSTRUCTiONS! ~:~
a. This application must be completely filial in by typewriter or in ink and submitted in duplic~e to the Building ~
Inspector. -.
b. Plat 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 ofproperty 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 tothe applicant. ~uch 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 o 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 ofher applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein deSCribed.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations,
(Address of applicant)
\
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elect'riciafl, plumber or builder.
. Q~./?..~'~'- ,~u/z.O..~-"-~, ........
re es.~Ooj~z~j-/ ..,.~.O, UI~.~,.,.~.. ~.,,.~.... ~,J~,d Z~,d .~,~,dT/-//~l ~4 ~Ic~n l-d.~' aU -
Nome of owner of p ms ........................................... ............ ...... /..../.,.......,.¢..~.......~.. 7~...~ ......
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
1.
Mo
Location of land on which proposed work will be done. p No..' ........................................ Let No .........................
Street and Number ...~.,/~.... ~c~/~x~4/~Z~-~/~/~-x~~~ ...................
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ..~/.~. ¢ ./~.. ~ 7~ ~,,~ .~, ~
b. Intended use and occupancy ..... ./........~...~...../..~..~ ...... ~....~...~.../..././...~....(~;~.... .........................................................
Nature of work (check which applicable): New Building ...... ~ ....... Addition .................. Alteration ........... .~ .....
Repair .................. Removal .................. _ ~emoliti°n"~ ............... Other Work (Describe) ........................................
4.
Estimated
Cost ........... ~...7...~...~ .......................... Fee ..........................................................................................
- .' .-~ /~/~r//5 (to be paid on filing this application)
5. If dwelling, number of dwelling units 3'/t'oo~S~- / ;, 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 ............................
.... A~C_ . . . ¢ / -
7. ~lrnenslons or __-.:_.~g s~rucrures, ir any: Front ......... ff. ................ Rear ....~..~. ..................... Depth
Height .....Z.Sz.....~. .......... Number of Stories ...... /....~..~.4...~.JZ
Dimensions of same structure with alterations or additions: Front ....................................Rear ............................
/
Depth ................................ Height ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front .....'/.~..f. ....................... Rear .z~...~. .............. Depth ..?..~. ..............
Height ...?..~..../. ........ Number of Stories/...~.~..q~.~C..) ''/~'~''' .... "~;~;~"~,~,~7'"'~'~Zj') ................................
9. Size of lot: Front ..... ../..~....~..../. .......... Rear .................................... ,.__ .~ ..............................
10. Date of Purchase ...~.?...~,. ...... ./.~. .......... ./,~.~...~. ............ Name of Former Owner ...~....~...~.~.,~.~......./._~...~ ...................
1 !. Zone or use district in which premises are situated ..... .~...~...~.(..~..~...~..~./..~..~,~ ............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ...... ..~.~ ................................
13. Name of Owner of premises ~'...~.~.~..~...~....'~.....~...~ ........ Address ..~.../.~.~..4~......~...~...~.....7~.. ....... Phone No.~/~.~./.Z..~..~.....~:~
Name of Arch tect ,~
...................................................... ~aaress ............ ~ ........................... Phone No .....................
Name of Contractor .......... ..~'.~....~....~;.. ............ Address ................ '.~...'....../../.?...~...~. ..... 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 or corner lot.
STATE OF NEW' ¥ORJ~ . ~ I. ~-
..................................................................................................... ~ duly sworn, d~oses ond says that h~ (Name of individuol signin~ op~licotion}
above named. He is the ...................... ~ ........ .~ ........................................................................................................
(Contractor, agar, co~orate officer, etc.)
of ~id ~ner or owners, and is duly authorized to perform or h~e performed the said work and to ~ke 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 Jn the manner set forth in the applicati~ filed therewith.
Swam to before me this
........ ........... ...... .......... ,
' pu' ~ ' ~' ~ - /~ ' ' ............ ~~ .......... ~<~'"'~ ..............
Nma~ ~ 'c,. ........ ~....c..r~ ............ CounW ~ignature of opplicant)
N~ ~ ~A~ ~ ~w ~
N~ 52-21~0
THE CLINTON
Spacious--Practical
Designed for spacious and comfortable living. The covered porch is not only a mark of beauty but protects the front entrance
from the weather. In the three bedroom Plan 1, note the dining area with floor-to-ceiling window and living room in the rear
overlooking the garden. Write for specifications. %,~ ,j
.I,,,,i ST, j '.--.;
PRAISE ALADDIN
Dear Sir:
We feel the home which
we purchased from you is all
that you said it w~s and we
are completely satisfied w~th
everything. This we do want
you to know and also the
rest of your staff. Your Com-
pany has given us complete
satisfaction. Your kind atten-
tion, interest, and honesty,
we feel, is what the people
wont and like.
Our home is rea;{y becam-
THE ALAMO
Modified Ranch
This modern, hip roof design is available in three floor
plans, any one of which will result in the appearance as
shown in above picture. Note the large scenic window
with side lights which harmonize with the horizontal lights
in all other windows. The brick work in front is o separate
planter and may be omitted without detracting from the
appearance of this charming home. The outside walls
are illustrated with Shake Shingles. You may have 8'~
siding if you prefer. Write for specifications.