The URL can be used to link to this page

Home My WebLink About5353-zTOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, !,1. Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5353 Z Date ........... ;, ................... ~",~/~ ......... ~.~, 19....~.] Permission is hereby granted to: R~a ~e;~...~,~Ee~.. ~; e ..-.&/~ ..~ i ~a~e~ ..... ....... a~....~e~see...~' ............... i .................. ......... ~;t~te~m ............................. , .......... to .,~J,],~..,~.~..~...£~L~.¥...~ze3J~; ....................... i .......................................................... at premises located at ............. ~b~,..~-~)....~.-~'~-~'.~'i .......................................................... ............................................ ~.t~a;L~;..~ .......... ~tt;Ltue~...i..~.~[. .............................................. pursuan¢ to application dated ....................... .~.~.e..-....t.~ ........... i ...... , 19..~.:1.., and approved by the Building Inspector. Fee $...1.0,.00 .......... Building Inspector FORM NO. 4 TOWS OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No, Z .Ii..~..~. ..... Date ...... . ...0¢.~. THIS CERTIFIES that the building located at ~'~W~" t .D~Y. ................ Street Map No..~.ap.~..K;~4 .l~ck No ........... Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ Jtme...%~, 19.?~i. pursuant to whiih Building Permit No.. ,~3.~3.z. . dated ...... Juaa ...~.~[ ....... , ~97~t.., 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 .. p.r.i..vg~;.e..~n.e..f..ara..i.~;Z..d.~.$1;~g ........ .. ......................... The certificate is issued to . .P. & .M. KatO~ ..... 0wn~r~: ............................ (oivner, lessee or tenant) ofthe aforesaid building. Suffolk County Departmentof Health Approval '~nderwriters Gert ~ House ~ ~0 S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTt{ Date ~eptember 28~ 1971 Bldg. P',ermit No. TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure located ~0 Map of Capt. Kidd Estates~ north half of Lot 80~iS/S Summit Dr.~ E~O Central (Give deed location) Mattituck~ Town of Southold have been inspected by this department' and fbund to be satisfactory. ohi'ef of ~e~eral Engineering Services SEP 2 8 1971 'rO~N OF SOUTHoLD ,~'~', ~'~ 'x~'~6~ //~0__,~ /~.- ~ BUILDING DEPARTMENT~ ~, / ~ ~~ - I S~THOLD, N.Y. ' ~ ~ ~amin~ .....~.~......L~......, 19~.L. ~ Amli~tion No ..... ~..~.~...~ .......... ~,aved ......................... :; ............. , ~,..:;.... ,e~mi~ No ..... ~..~.Ea"~ ~4 ~ ~ ~ Di~ppr~eda/c ..... ' - . '- ~ ~ /~ ~ ..... · .... ,,, ...................................................................................................... : ............... ~.. ~ ~' ~ ~,'~ ~,.,/~ , ........................ ~.~;;~;~j .................... ~ ~ /~. v APPLI~A'rlON FOR BUILDING PERMIT Date .......... ..J. ~..~...~......./...d~.. ............................ , 19~./. ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink und submitted irt duplicate to the Building ~, Inspector. b. Plot plan showing location of lot and of buildings on premises, relationship .to ac[jo n ng premiees or pub ¢ streets or areas~ and giving a detailed description of layout of property must be drawn on the d~agram which is Part of this application. c.-The work covered by this application may not be commenced before issuance of Buildir~ Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such 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 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 Bulldi.ng Permit pureuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for rero, aval or demo ition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, build, i~g/r~e, hou~ng code, and r~ulations. ~'gndture cf al~licant, or namE, if a corporation) ....-- -- ........ ---- .......,.. (Address of applicant) "'/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of-rems..~.~ ~ If applicant is o co,orate, s~gnature of duly authorized officer. .................. :::::::::::::::::::::::::::::::::::::::: ................... 1. L~ation of land on Which pmp~ed work will be done. Map No.~.~...~; ............... Lot N~.~.~ Stre~ and Number ................................................. ~ .................................... ~...~ ...................................... Municl~li~ 2. State existing u~ and ~cu~ncy of promises and intended use and occupancy of prap~ constmcti~: a. ~isting use a~ ~cupancy '~ ........ ~. ............... b. Intended use ond ~cupanc,' 3. Nature of work (check which applicable): New Building,................/ Addition .................. Alteration .................. Repair .................. RemOVal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ~..,~.~/....'~... ........................ ; ....... Fee ...(...O.., ..... (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 occupancyi specify nature and extent of each type of uN ............................ 7. Dimensions of existing structure~ if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................ ................................................ Dimensions of same structure with olterations or additlom: Front .................................... Rear ............................ Depth ................................ Height ............................ Num~ber of Storle~ .......... ., ~ ........... ' , 8: Dimensions of entire new construction: Front ............. ,~'¥~. ................. Rear ......... ~ .............. Depth .......~...~..~...?....CT.. Height / .................... Number of Stories ......................................................................................................... 9. Size of lot. Front ........ ~.~...~.. ........... Rear ........ J.~Z'~.~....~... .......... Depth ..../..~.../...?../.~. .......... 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ ~A~ ~,T ~ ' ! !. Zone or use district In which premiss em situated ..................................................................................................... ~. !2~ Do~s prpposed construction Vlol~e a~ny zoning I~w, e~dlr~nce ar regulatloo? ....... ..~...~..h~ ........................................... I$. Name of Owner of prem ses ~...'...~...~.~.~.~. ................. Addrms ......................... ...... Phone No ..................... Name of Architect ....... , .~..~,~ .~..~...~...~.?.~. .................... J~ddres~ ........................................... phone No ..................... Name of Contractor ................. ~&cldre,_s ....................................... ,... Phone No..................... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether exi?ting or prolx~d, and indicate all set-lxmk dlmer4tons from p~_ro~.r~ I!ne.s. Give street and block number or description according to deed, and ~ street narnm and Indicate wneraer interior or comer lOt. STATE OF NEW/~RJ~ .j. tee ............. ~.~.~ ......................... beh'~ duly ~'~mo ~ and ~ ~ he Is ~he applicant (Name of individual ~ flgnlng appllea~t~on) · ~ ~.) . n/~ above named. He is the ..................i .......... ~....~..,.,~..~..... ;~ of Said owner or owners, and Is duly authorize, to perform or have performed the said work and to make and file this application; that all statements contained m ,this app!lcatlon are true to the best of his knawleclge and belief; and 'orth In m, .that the ,work will be..parforme~ In the manner set f ~ application flle~Stherewlt~, ................... ............................. ..... Co.. ....... ............................. t ,,,c-a J il¸ --- 8-'o'I i- f /3'4," o 2 ILO"--- 7: ............................. dS-O ~ x2~ x/~ Pc _ Zo -0