HomeMy WebLinkAbout5435-zTOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupnncy
THIS CERTIFIES that the building located at . .R,0,¥/,of.f.- ~1~ .gth 8~.. Street
Map No. ~ ...... Block No..1~ ...... Lot No.(~.
conforms subst~tially to the Application for Build~g Permit heretofore filed ~n this office
dated .......... ~.. ~0.., 1971.. pursuant to which Building Permit No. ~..
dated ........... ~.. ~0.., 19 ~.., was issued, ~d conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is P~lVa~ · ~ .f~ly. ~11~ ........................................
The certificate is issued to . ~t~ &. Fle~O~. $~a~ ...... ~erS ..........
(owner, lessee or tenant)
of the aforesad build~g~
Suffolk Co~ty Dep~ment of He~th Approval N~' ' ~ ' ~l · · ~ 'R~..Villa ....
Bulldog Inspector
FOEM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 5435 Z
Permission is hereby granted to:
..~..~...~ .t..e. ~ ..~ .o...~..... ~.~.e...v..e.~ .e~...~.e....a..~.,....N.
....... ~-3,eea~.~ ................................ : .................
to .~...a..~...o.~...~.a.~..x~...~ ...................................................................................
at premises located at ....Jb~t...~{.....fe~*-]S.)....--,~q3/-~..J~,,-O.,M,e...~k~'~.-~..~th..S~ .........................
............................................. .G~'.e ~,p~. ......... I~.,.~, ..........................................................................
pursuon¢ to epplication dated ........................... ~.~ .......... ~...~....., 19.~.~..., and approved by the
Building Inspector.
Fee $ ....e.,.~.e.~. ........
S-9
SCHD
SUFFOLK COUNTY DEPARTMENT OF HEALTH
Date NOV 1 8 1971
TO WHOM IT MAY CONCERN:
The sewage disposal facilities fo/ a structure
/ ¢Cive de~ location)// ~
located
have been inspected by this department and found to be satisfactory.
Chief of General E~glneering Servicee
NOV 1 8 1971
TOWN OF SOUTHOLD /~,~ ~ ~/--
BUILDING DEPARTMENT ~. ,~ ~, ,/k~,//
~ TOWN CLERK'S OFFICE
SOUTHOLD, N.Y. ~_~ ~ '
Examined ~~ ~ ~ ]9.~ ~plicotion No..~..~ ..........
.......
~isopprovod o/c ................
........................ .................................
~U~TlO~ ~OR 8~l~l~ ~R~IT
...................... .......
I ~STR~CTIO~S
~. This opplicotion must be complotel~ {iliad in by ~pewriter or in ink *nd submitted in duplic~to to th~ Buildin~
Inspoctor.
b. Plot plon Showino Iocotion o{ lot ond of buildinos on premises, relotionship to adjoinin~ premi*~s or public
aroas, ~nd ~ivin~ o dot~il~ description of Ioyout o{pr~ must be drown on tho di~orom which
c. The work covered b~ this opplicotion m~y not b~ comme~od bofore issuonce o{ Buildino Permit.
d. Upon opprovol o{ this opplic*tion, ~ Buildino Inspoctor will issue ~ Buildino Permit to tho opplic~nt. Such permit
sh~ll be kopt on th~ premises owiloblo for inspection throughout tho profess o{ th~ work.
e. ~o buildino sholl b~ ~cupiod or usod in wholo or in p*~ for ~ny pu~os~ whatov~r until o
sh~ll have be~n. omntod bg the Buildin0 Inspector.
APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of o Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described.
The applicant agrees to comply with oil applicable lows, ordinances, building code, housing code, and regulations.
Richter Home Improvement Ce
(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.
Contractor
Name of owner of premises ............................................................................
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.: ......~.~3,{~;~...~.1.t.~..~ ......... Lot No. ~
Street and Number R*.0..?..W..s....e..~...~ .Z~........c~.t;;h..$.~ ............ G/~emut:~r.t .....................................................
/,~ ,~'~_~ j Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy v&ca,D.t lot ..................................................................................
b. Intended use and occupancy ...... ~11e...fAl~L'L].~'..~/~.3,:[~'~ ............................................................................
3. Nature of work (check which applicable): New Building ~ Addition Alteration
Repair .................. Removal .................. Demolitior .................. Other Work (Describe) ........................................
4. Estimated Cost ........... .~.~0~O .................................. Fee ..... .1.0~.0~). ........................................................................
(to be paid on filing this application)
$. If dwelling, number of dwelling units ....... D/3,~ .............. 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 ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front ............ .~,, ................... Rear ..... .~, .................. Depth ....... ~.b(.. ............
Height .................... Number of Stories ....~..~..~. ...........................................................................................................
9. Size of lot: Front ...1..~1 .................. Rear ........... 1..~ .................. Depth ........ .~,~ ................
i0. Date of Purchase ........ ~.c).~.~). ...................................... Nome of Former Owner ........................................................
11~ Zone or use district in which premises are situated "Att d/st,
12. Does proposed construction violate any zoning law, ordinance or regulation? ....... )3,~ ................;;'.i: ..............
13. Name of Owner of premises .~..~;..~...~.¢i~..~,~.~Z.....Address ............................................ Phone No .....................
Name of Architect ..Ei...t.~..a..~.....~..~.~.e..s. ...................... Address ..~...~..d...b....g~........l~...~...s. .............. Phone No .....................
Name of Contractor Richter Home Tap~t Address Greenpert 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 NE~,yJD~g~, ! ¢ c
COUNTY OF ...~...'~....'...~...~.. ..............
.................................. ~¢~..~¢e~. ............................ ~ing duly ~orn, d~s and says t~ he is the applicant
(Name of individual signing application)
above named. He is the ........................... ~.~.~g~.~.~ ....................................................................................................
(~ntmctor, ag~t, co~rate officer, etc.)
of said owner or ~ners, and is duly authorized to perform or h~e perfo~ed the said work and to ~ke and file
this application; that all statements contained in this applic~i~ am t~ to the best of his ~owledge and belief; and
that the work will be performed in the manner ~t fo~h in the ~plic~i~ filed ther~ith.
Swam to before
.................
No'o~ Public,~~~ ...... ~i~no~;; of applicant)
ELIZA~H AN~ N~LLE
N~A~Y PUSLI~, State ~ New ?or~
~e. ~-~1~, Su~l~ ~ou~
FILL
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BOSTON POST RO,I~) SUDBURY, MASS
SHEET NO.
DRAWN
445-71
CHECKED
JNOTES .
THIS DRAWING IS THE PROPERTY OF STANMAR, INC. IT I$ NOT TO BE REPROOUCED,
DISCLOSED TO OTHERS, O'R OTHERWISE USED IN ANY MANNER EXCEPT AS AUTHOR-
IZED IN WRITING BY STANMAR, INC. UPON COMPLETION OF AUTHORIZED USE, IT IS
TO BE RETURNED PROMPTLY TO STANMAR, INC.
~) COPYRIGHT 1968
ARCH. NO.
PROW' POST
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BOSTON POST ROAD SUI~UR¥, MASS
DRAWN
CHECKED
INOTES
THIS DRAWING IS THE PROPERTY OF STANMAR, INC. IT IS NOT TO BE REPRODUCED,
DISCLOSED TO OTHERS, OR OTHERWISE USED IN ANY MANNER EXCEPT AS AUTHOR-
IZED IN WRITING BY STANMAR, INC. UPON COMPLETION OF AUTHORIZED USE, IT IS
TO BE RETURNED PROMPTLY TO STANMAR, INC.
~) COPYRIGHT 1968
l
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