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Home My WebLink About5577-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ZD¢6~ .... Date THIS CERTIFIES that the building located at Map No. ~u~$et Enol]~l~ck No. I~ Lot No. ....... J'~e. I ,19.72 &farley .Road.. Street 15'..- Natti~uck, N.Y, conforms substantially to the Application for Building Permit heretofore filed in this office dated , -Oat · 20, 19 . ~rl pursuant to which Building Permit No. ~?TZ dated ...... 0o.t; 20 , 19 7t., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is · PriYat;e .one. £ami.~.y ~lweil~rtg ........................ The certificate is issued to ~..$.~ Oomstruct~on .Corp- · .0~no~ · (owner, lessee or tenant) of the aforesaid building. I~.eb. · 1.?,. ~972. by R. Villa. Stanley Roa~ Building Inspector Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No.. 1¢.7378 ·. ttOUSE NUMBER 1 9(:~O Street TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDIHG PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5577 Z Permission is hereby granted to: at premises located at .......... J~Dt'"~ ...... ~JJ:J~t-'Jr~lMJ~L-~j'-jtal~Sj~l~.-~jJ:. .................................. ................................................... Ii. teld.,'T...~ .............. llat,.t,:LteJlr ....... I,,11[ ............................. pursuant to application dated ........................... J)~.....:~t ................ , 19...~J, and approved by the Building Inspector. Bu,ldmg ~Inspector ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~1~) BUREAU OF ELECTRIC;FrY: ~ 85 JOHN STREET, NEW YORK. NEW:~YORK 10038 D, te Ootober 23, 197~ Appii~Gtlon~Vo. on/i~561~O~, i: '~ :* - ~- N189516 THIS CE~IFIES THAT ~ly the e~t~ ~u~nt ~ ~sc~ ~ ~ int~ ~ t~ ~l~nt M~ ~ t~ ~ ~l~ ~um~r in t~ p~m~s of ~ exami~d on Oet~ er 22, 197 ~ ~dyo,~ to be in compliance with the requirements.of th~ B~rd. RXTURE [ [ [ RXTURES [ ~NGES - [~ING ~S [ OVENS ~ WASHERS EXHAUST FANS ~s ~E~A~SI SWBT~HES I'~'~1 ~ I ~ I ~' I ~'~ ~ ~' I~' I~' I ~.w, I ~' I ~,w, ~' I "-"' DRYE~ I ~RNACE MOTO~ I ~TURE A~ANCE HEDERS S~ALRK,. TIMEC~KS ~ ~ ~ MULTI~UT~T DIMMERS : SYST~S ~T. K.W. OIL H.P. GAS H.P. ~T. ~. A.W.G. ~T. ~P. ~7..~ ~K. ~. ~' P' NO. OF KET ~T. W*T~ ~o° ~ x 1 2 1 ~THER A~ARATU$: 'Furnace/s: 0t1. 1-1/8bp 1-1/15bp Ronald R.Enntn Box 20~ F.t ddle Inland, S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH 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. 1972 I0 bo~ 9 .or 15 scl. ft. b.. ~0005 Area sTgN REVISIONS YOUNG 400 OSTR.4NDER ,4VENUE~ ALOEN · YOUNG L ~ND SUHVEYOR~NKS, LIC. ~1~84~ YOUNG HOWARD ~. YOUNG (.AND SURVL~'~DR SURVEY FO£ M, ~, E CONSTRUCTION CORP. LOT I,.~ "SUNSET KNOLL.°" SECTION 2 TOWN OF I MA TT1 FUCK j $OI. ITNOLD SUF~. CO, ~l ~. eY 1"=40' DATE NOV. 2?,I~70 ENO. 70-422 IGB~ NO. I 'TOWN OF soUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. 5-7-7.7- o~f- ?1 ,~/ Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMrt aZ Date ................. , 19 INSTRUCTIONS ~ a. This application must be completely filled in by typewriter or in ink und submitted in d~plicate to the Buildi~ Inspector. g b. Plo, t .pi.an sho.w!n.I;j I .oc.atJon of lot ?.nd of bu.ildings on premises, relationship to adjoining premises or public streets or~ areas, ana g~wng a aetailea aescriptlon at layout of property must be drawn on the diagram whlch Ii part of thll appllcatiart~ 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 islue a Building Permit to the appl cant. 'Such perm shall be kept on the premises available for inspection t~rougl~out 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 Occupanc[_, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Build ng Permit pureuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other app cab e Lawl, Ordlnancel or Regulations, for the construction of buildings, additions or alterations, or for remove or demol tion, al herein de~cr I~ed The applicant agrees '° c°mply with al' applicable laws' °rdinance~{/°~°u~g ~e'Z ~. ~/~,/~,., ~.~.~ ....... ?,,..? ......... .-...~., .... ....... ,Signature cf applicant, or nam~'l~/a' ¢orp~'~'~'~'~'/~ / ........... ............. ......... ............. (~dress of applicant) I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ar builder. c o /v ~' ~ ~ ~ -r~ .. .~.. ......................................................... If applicant is a corporate, signature of duly authorized officer. ~'~ .................. i'l~ ~'' '-'~ "t'i~;~' :~';' '~'r~;~;~' '~';;i~;';; ................... ~' ~u~ ~O~L~ Stre~ and Number ...... .. ~NL~ ~ ~I?UC~ / ~ ~ ~ Munlcl~ll~ 2. State existing u~ and occu~ncy of premises and intended use and occupancy of ptop~ ¢o~lt~tlo~: ~. Existing use and ~cupancy ~ ~ b. Intended use and ~cupan:', 0~ ~/~ ~C ~ ~' 3. Nature of work (check which applicable): New Building ~ ................. Addition .................. Alteration ............ ~ . Repair .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... · 4. Est,mated Cost ................. .~...~.. ................................... Fee ................................................................................. (to be paid on filing 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 ............................ Nt~mber of Stories ............ e.~ ............... 8. Dimensions of entire new construction: Front ......... .?....~... ................. Rear ..... .?'....~... ............. Depth~.?....T.<. ......... · 0 / Height .................... Number of Stories ........ ~ .................. .~. ........................................................... ..~. ..................... 9. Size of lot: Front ......../...;"'~...~ .......... Rear .............. ./...'~...../. ............ Depth ...... ./....~.....~.. .............. 10. Date of Purchase ...................../?....7...~...-'/-~ ................. Nome of Former Owner .....~'..?...~ ....... .~./..C ....................... 11. Zone or use district in which premises are situated .................. ...~,.~.~...~.../....-~... .............................................................. 12. Does proposed construction violate any zoning Iow, ordinance or regulation? 13. Name of Owner of premises .~..~:..-~.:....~...~....C~..,- ............... Address /I//A/£O/- A Phone No. Name of Architectnt~'~,~'~',',.'~'USSEL'A''L/q ...................................................... ~'OAI'$T Address ,." ~L'~' ...;......~...~... Phone ;3'/~ 5 ' ~' c) ~' o.N° ..................... Name of Co ............................................................. ^aaress .......................................... Phone No ................... PLOT DIAGRAM Locate clearly and distinctly oil 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 NL:W/~OR~_,~[ IS.S. COUNTY OF ..a~-~,~. ......... ,[ ,~LI~I,A] F# ~'~ ~ bein ................................................................................................. g duly sworn, d~es and says t~t he is the applicant (Name of individual signing application) above n~med. He is the ...................~.~.~.~.~.~. ....................................... :~ ....................................................... (~ntmctor, ~t, calorie officer, ~c.) of said owner or owners, and is duly authorized to pe~orm or h~e perfo~ t~ ~id work a~ to ~ke ~d file this application; that all statements contained in this application are tree to the best of his ~wl~ge a~ ~lief~ and tha~ the work will ~ perfor~d in the manner set fo~h in the applicati~ fil~r~i~,~ Swam to ~fore ~ ~is ~ . ~ - ~ I/// // ~ ................ o, ........................... . / ..... . ...... ..................................... No~a~ Fumic,~.~ ................. ~ ........ ~.~ ...... ~ ....... ~ ~n~a/~ (Sig~a~re of a~licont) ~ -~ ..... ~'~'~ ~-~ NOTARY PUBLIC, State of New York . ~, 52-812~50, ~ulfolk Cou~ ~e~m ~pi[es ~rcb 30, [~ TOWN OF SoI~THoLD BUILDING DEFAETMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ~ ~:~ 19TM Application No. · .~...~.? Approved ........................................ , 19....~..~...Pemit No.....~'~'............. ...... ,,op,,oved .......... ...7 .................... .................................. ................................. , ......................... ................................... . Z/ Date ~...~.....:g.~a~.~,....~,olg....~a.... INSTRUCTIONS./ L~' ~ o. This application must be completely ~lled i~by,~p~iter~r in ink ond ~u~i~ed~U¢~c~t~ In,ector. ~ ~ ~'~ ~ ~ ~ ~~ b. Plot plan showing Iocotion of lot and of buildings on premises, rel~tio~s~ip~o~ing pr~ ereas, end giving ~ detailed description of Ioyout ofproper~ must be drown on the d~ic~ o~~ion. c. The work covered by this epplic~tion moy not be comme~ed before issuonce of Building Permit. d. Upon oPprovol of tNis Qpplicotion, the Building Insp~tor will issue e Building Permit to the opplicant. Such permit sholl be kept on the premises ~oil~ble for inspection t~roughout the profess of the work. e. No building sholl be ~cupied or used in w~ole or in port for ony purpose wNatever until ~ Ce~ificote of shell hove been gronted 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 buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinances, building code, housing code, and regulations. M.S.T. Construction Corp (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. ............................................ .c...o.~,~s.~.o..r .....~ ......................................................................................................... Name of owner of premises ...~..$-'~'v..C(~S'~rL~01~.'"O0?I~ ....................................................................................... 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.: ..... .~....u~....s..e...t...~.°...~..~..s.....~L-T'ot No. 1...~. .................. .~ Street and Number ............... S.tn~le.;F..~oa4], ......... ~8.:0~.J..~u. el¢ ......................................................................... ./,~, ~ Municipolity 2. State existing use aha occupancy of Premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .....l[..n~,a. ll~...la.l~d .................................................................................................. b. Intended use and occupancy ............ .O..~...e.....~.~.~..~.]:.~...~..~..~,,~,-q,g. ...................................................................... 3. Nature of work (check which applicable): New Building .................. ~,~dition .................. Alteration .................. Repair .................. Removal .................. Demolitio~ .................. Other Work (Describe) ~ 4. Estimated Cost ..... 20~.QOD. ........................................ Fee ....~1..0....0...0. .......................................................................... (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 ........ lO'De .............................................................................................................................. 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 .......... ..b~ ............. Depth .......... 2.br. ......... Height .................... Number of Stories ...... .1..~ ........................................................................................................... 9. Size of lot.' Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ............ ~.....~L;J.~.~ ................................. 12. Does proposed construction violate any zoning law, ordinance or regulation.;> ....... ~ ................................................ 13. Name of Owner of premises H.S .T. Constr C.o.X~ress H~eo~,.a. Phone No'7~(~-''3''7 -~ Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of'Contractor ....... J.~ .................................. 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 YORK, t - - J COUNTY _OF ...S~1~ ............ ~5.5 \ -- I ~ /' , c - .......... ~ .......~ ..................................................... ~ln dui ~orn d~es and says t~t he is the applicant (Name of md~wdual s~gmng apphcatmn) above named. He is the ....... ~.. ~ DW~e~ .......................................................................................... (Contractor, agar, co~orate officer, etc.) of said owner or owners, and is duly authorized to perform or h~e peffo~ed the said work and to ~ke and f e this application; that all statements contained in this applic~i~e to the best of his ~owledge and bel el; and that the work will be performed in the manner ~t fo~h in the ~F rcati~)fi~ther~ith. Swam to before me this ~ .................. 0, .......... ....... .... _ ....... ....... Nota~ ~U~llC~-~~ ..... CounW ~ v ~LIZABETH kN~ ~V~LLE ~' TARY pUBL ~, Sl~e of New yo~k NO c~ e125850 Suitol~ Co~ I I ~/° '3Jz IZ i/:6" /0'0" ~1o ~' ds