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Home My WebLink About5151-zFORM NO. 4 TOWN OF SOUTltOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z 1+.2.88. . Date ,YUly .19.. , 19 2'1 THIS CERTIFIES that the building located at Ruth Reael Street Map No. $~.~llzBlock No. II Lot No. 9 ~ttltuck N,Y, conforms substantially to the Application for Building Permit heretofore filed in this office dated blar ~ , 1971 pursuant to which Building Permit No.. ~1 ~IZ dated l. iar ., 8 , 19 71 , was issued, and conforms to all of the require- ments of the applicable provisions of the taw. The occupancy for which this certificate is issued is .Pri.vat~ ~r~e.. fa~ily d.w. elling The certificate is issued to Luland. Homes. of the aforesaid building. .... Owner. (owner, lessee or tenant) Suffolk County Department of Health Approval June . 2~ 1991.. b~' R.. Villa. Building Inspector/ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 5151 Z Permission is hereby granted to: ................ ~3~-...ltl~l~e..~mt~..~ ..... ....................... · 14Ae~ ...... ~-~ ......................... to .... tmt;~'~'~"~"~~ ................................................................................ at premises located at ............. ~11~.-~ ...... ~141~[~....~*iI1111~.-1~1~;~1~ ........................................... ....................... llsst~..l~ ......... ~t4.~ ...... It ,'/~, ........................................................................ pursuc~t to application dated ......................... ~ ............~ ............ , 19..~JL, and approved by the Building Inspector. S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located (Give d~ed locati~n~ .~ ~/ have been inspected by this department and found to be satisfactory. Chief of General Engineering Services JUN ~. 5 r BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ......... 1923, .............. , 19 ............ 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?ets or areas, and giving a detailed description of layout of property must be drown 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 app. lication, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises avadable for inspection throug~h._gut ~he_progres~ of the work. e. No building shall be occupied or Used in ~vh01e or in part for any purlSose 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 buildings, additionSor.alterations~ or for removal or demolition, as herein described The app cant agrees to comply w~th all apphcable laws, ordnances, bud ng code, housing code, and regulations. (Signature of applicant, or name, if a corporation) (Address of apl~licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If ~plicant is a co~omte, signature of duly authoriz~ officer~ ............................ (Name and title of corporate officer) 2 Location of land on which proposed work will be done. Map No~tZGe~tL. ITnQ1 1 S.....~l~.gLot No.: ...... ~../,J3J. J:tJi. Street and Number ......... ~,t),~]P,..~.~.~ ....... ~JP.~.~.~..q~...~..~...... ............................ :~ ........... : ........ : ...................... )~:::)J _ ~ /.~,.~' Municipality State existing use and ~cu~ncy of premises and intend~ u~ and ~cu~nw of pr~ constmctim: Existing use and occupancy ................................................................................................................................... Intended use and occupancy ......... ~...:~1,~.;],~....~W.{).~,],~,~J~ ............................................................................. ; 3. Nature,~f work (check which applicable): New Building ........ ~, ...... Addition ......... ~ ....... Alterotion ............. ~q~.. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ..... ~..~..~..,~..O.O.O.a..O...O. .............................. Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........... .~ .............. Number of dwelling units on each floor ............................ f 1 If garage, number o 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 olterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....~fl,,~! ......................... Rear ...... 5.~, ................. Depth .~.0..~..~..:. .......... Height ....~.~.. ........... Number of Stories ................. .~ .................................................................................................. 9. Size of lot: Front ..... ..Z..O..O.. ............... Rear .....~.0...0. ........................ Depth ...... ..~.O...Q .................. ~'ne V' 10. Date of Purchase .~.?..O..0. e...B.~....O.~..~...U~...~-.J~.~.~...Name of Former Owner ...~.~lp~.~..~ ........ .~.-~-~..~.......s...~.~ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction wolate any zoning law, ordinance or regulation.;) ............... 1~....o. ........................................ 13. Name of Owner of premises ...T.~....]'.~....l~..0~e. 8...~T~.q. Address~e,13, e...~.t ................... Phone Name of Architect ................... ~ ............. .'. ........... ?......Address " e Phone No. # " Name of Contractor .................................................... Address ............................................ Phone No." n 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. lOP i STATE OF NEW_YO, LP~K, ! c c COUNTy OF ....~..q~..~.9.~1~...~ ....... ~""~' ............ ~g~e~.~..~...~ ......................... ~. ........ ~ ........... being duly sworn, d~oses and says t~t he is the applicant (Name of individual signing application) above named. He is the ~.~...~...~P~..~O~e~..$~ ................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have 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 in the manner set fo~h in the application' filed therewith. ~ Sworn to before me this, ~~. _/'~ ............o, ...... ....... .............................