The URL can be used to link to this page

Home My WebLink About5164-zFOR!~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z1+29~+ .. Date July 23 , 19 71 THIS CERTIFIES that the building located at Custer & ~ennett Street Map No. F. airview. PkBlock No .... Lot No. ~ Southolcl I; .I. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... i.,arch 12, 19.71 pursuant to which Building Permit No.~161+Z dated -;:az~ch 12 , 19 71 , was issued, and conforms to M1 of the require- ments of the applicable provisions of the law. The occupancy for which this certificate issued is .Frivate ~e f~il~ d~eL~ing ...................... The certificate is ~sued to Lawr~ce. & .~il~en Y~ ~ar~. ~wmers (owner, lessee or ten,t) of the aforesMd b~ding. Suffo~ Cowry Department of HeMth Approval July · .20,. $97~'' .by ;:, .V~.~a. · House ~ 2, 5 ~ennett ...... 795 Custer Bulldog Inspector ' l~OR~d NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 516t Z Permission is hereby granted to: ........... tlamo~p,~"t,. .............................................. to ...... .,~41,4..~a~...~a~...t~:t~.r...~I~.~,~,~ ............................................................................. at premises located at ........ ]~l~.t,..,,~.~.....~&~...~.a.~.l~ ................................................................ ............................................... ~eam~.~t,...~...~...~.~.~.~..&~. .............. ,,~at~, ........................ pursuca~t to application dotted ......................... ~.~3~t .......~2 .......... , 19.....~.] and approved by the Building Inspector. Fee $. j..l~.~.~. ......... Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure located ' f '~ (Give deed locati4~) .2 have been inspected by this department and found to be satisfactory. JUL 20 1971 ~ltef of General Engineering Services TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ...... Approved ........................................ , I9....:.'.. Permit No......~..,L..~.~...~.....~.,... Disapproved a/c .............................................................................................. APPLICATION FOR BUILDING FERMI3' I NSTRUCTI ON S ~ a. This application must be completely filled in by typewriter or in ink und submitted irt duphcate to the Buildin,_ Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship to adloining premises or public streets o areas, and giving a detailed description of layout of property must be drawn cn the diagram which is part of this applicahon 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 to the applicant. Such permi shall be kept on the premises available for inspechon throughout 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 Occupano shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuonce of o Baild~ng Permit pursuant to th, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcoble Laws, Ordinances o Regulations, for the construction of buildings, additions or alterahons, or for removal or demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations ............ ...................................................... (S~gnature cf applicant, or name, if a corporohon) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncton, plumber or builder Centractor Name of owner of premises ..~gtlg~.e~ce...~,..F~il.e.e~..~13We.:~, ....................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) 1. Location of land on whi~sed work wdl be done Map No ....... .~.;~'¥.:~.'~..~.{~.~¢. Lot No ....~ Street and Number .,C. us~e~...&...]~z3z~e.~t..-T,a. .............. ~¢.bo.].d ................................................................. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction' a. Existing use and occupancy ...... y..~...C..~...~..t. ............................................................................................................ b. Intended use and occupanc .............. ..e.~..e.....~..~..~..:~-,~L..~.~..e~.~,D~ ................................................................... 3. Nature of wo~k (check whicl~ applicable): New Budding ..... ~ ........Add,hun .................. Alterahon ........... Repair .................. Removal .................Demolition .................. Other Work (Describe) ............................... 4. Estirr. ated Cost ............... 2,.~.~.OiDO...~. ......................... Fee ..... .1.~.~.0.0. ........................................................... -- (to be pa~d on fi'lng th~s apphcat~on) 5 If dwetHng, number of dwelhng umts .... .e.~.e. ................ Number of dwelling umts on each floor ............................ If garage, number of cars ............ ei3.a .......................................................................................................................... 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use .......................... 7 D~mensions of exist!ng st'ructures, if any: Fron~ ........................... Rear ............................... Depth .................... Height ....................... Number of Storms ................................................................................................................. D~mensions of same structure with alterations or additions: Front ....................................Rear ........................... Depth ................................ Height ........................... Number of Stories ........................... 8. Dimensions of entire new construction' Front ....... (Z~) ........................ Rear .......... ~0 ............ Depth ~)-k.../...~.~. Height .................. Number of Stories ...I~Z3~ ................................................................ 9. S,ze of lot. Front ..... 1..1~ ................ Rear ............1...1.,,~ ............. Depth...1.6...0. .................. 10 Date of Purchase ...................................................... Name of Former Owner ............ .~...~.~.m...e..z'...~..~...~. ................. 11. Zone or use d~strict in which premises are s~tuated ...............~.~!.~...l].J.~.t~ ................................................................ 12 Does proposed construct,on violcte any zomng law, ordinance or regulahon;~ .......... D,~. ...................................... ]3 Name of Owner of premises ..~...&..~..J[n~16[ft,T..t~ ....... Address ............................................ Phone No ................... Name of Architect ................................................... Address ........................................ Phone No .................. Name of Contractor ,.T D:L~, .......... Address ........ *. ......................................................................... Phone No ................... PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and ~nd~cate all set-back dimensmns from property lines Gwe street and Nock number or description according to deed, and show street names and ind~ca,~ whether interior or corner Jot. STATE OF NEW YORK, ! e e COUNTY OF ..... ~_~f'~'l 1~ .......... ~""~' ................ ;Z ........... ~ .............. ~o~e~.~..]~.$.e:~'. ............... being duly sworn, deposes and says that he ~s the apphcan u'~ame or indwidual s~gnrhg apphcation) above named. He ,s the ................................ .~...~..~..~...~..~...0..~...~.?. ............................................................................................ (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and fll~ this application; that all statements contained in th~s apphcation are true to the best of his knowledge and behef; am thor the work wdl be performed m the rnanner set forth ~n the application filed therewith Swam to before me this ................. of ............... ............ , ,4, 1/}., ,~. _~ / ~t ' 1~ 1. ,/),~ .......... /..,~.:~..:~.::.~.;-..~.L.....<.C..~..~..-:.~..'.:..2 ...................... hlotor/ Public, L..~[~.,l~~.~. ~9~.~County~';-;7'" (Signature of appli~.~'t'Y' ~ ELIZABETH A~]N NE~'ILLE -~11~ ~ / NOTARY PUBLIC, State of New York U~ ~ ~ ~ No 52-8125850, Suffolk Cou,~.~ Term Expires March 30, 19,'./?. ·