The URL can be used to link to this page

Home My WebLink About5450-zFO~M NO. 4 TOWN OF SOUTHOLI BUILDING DEPARTMEI~T Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ZI+~;~O ...... Date ...... ........ ,T&I~,..2.~. .... , 19.72. THIS CERTIFIES that the building located at .. '$~nle~r 'Roaa .......... Street Map Noalu, l.,. .Knols · Block No... l['I ...... Lot No...1 - ..... 14a.tt;ituek~. t~,¥i ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ AUg.. 10., 19.F~. pursuant to whidh Building Permit No.. dated ............ Attg .-. 10-, 19. ~, was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private 'one' .fam~..~.~.ctwelling .......... i ............................. The certificate is issued to -I~i~.(t.hae.~- Evanz;... Ow~ie~ ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .' ~l'all.]'l.~..19~ .. by 'R~' Villa...- House ~ 1060 ~tanley Rd :/~ .~. ) ..... ~ Building Inspector f TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISE COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL N? 5~50 Z Permission is hereby gronted to: · .~q~...L~-'.~...~....~ ./.~...~..e.~..e.~ ..~......~. ~ ...... ~3~.....~.41~...~.~.~t~:..R~.. ~ ................. ......... .~..e. ~;~.~L...~.~..,. L,. ........................ ~ ................. to ...~.~i,~... ~t~.~....~....g~.~,l~:..L~ ~:~.0,i ;b~ .................................................................................. pursuon,t to application dated .............................. ftM~ ........... t,~........., 19..~..~.., and approved by the Building Inspector. Fee $..,!,~ ~.[..~.. .......... -- Building Inspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT O:F HEALTH Bldg. Permit No. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure · (Give deed loca{i~n) J located have been inspected by this department and found to be satisfactory. nzez o£ Ge~ez'al J'~tneerl~ Sezw-~e~ '{'OWN OF soUTHoLD BUILDING DEPARTMEN{T TOWN CLERK'S OFFH:E SOUTitOLD, N, Y. Approved ~ {9..,~/,.... Permit No. ~''-~ '~' ~ . ~ ' Spector) ~ ' ' ~ (Budding In ~ APPLICATION FOK BUILDINGiPERMI'{' ~ Dote .,...,,/.,r..,~,.. ,,. ,.. ............... , INSTRUCTIONS ~ ~, a, This opplicotion must be completely filled in by typewriter or in ink und submitted in duplicote to the Building Inspector,~ b. Plot plan showing location of lot and of bu,ld,ngs on prem,ses, relCit,onsh,p t.oadloin,ng pram,sas or public streets areas, and giving a detailed description of layout of property must be drawh on the d,agram which is part of this application. c. The work covered by this application may not be commence.d, before issuance of BuHdir~' Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to tho applicant. Such permit shall be kept on the premises available for inspection throughout the pro~ress of the work. e. No building shall be occupied or used in whole or in part for any ~urpose whatever until a Certificate of Occupancy~ shall hove been granted by the Building Inspector. '" APPLICATION IS HEREBY MADE to the Building Deportment for thei 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 Of' for remOVal or demolition, as herein described. . The app cant agrees to comp y w th o app cable aws, .ordlnonces, bu!lding cede, housing code, and regulations. (Signd~ture of applicant, or name, if o corporat on) . (Address of applicant). ' ~.-- State whether applicant is owner, lessee, agent, architect, engineer, genelrot contraator~ electrician, plumber or builder. . ._. ..... 'Y~ ~4 ~+~.~.~. ., .~ .~ .. , -, ........ /t4. /~..U ~. ~.tJ~ ........................ !, ............... ;; .................... .~..~. .......................... .oma or owner ............................... ? '-"-- i ' If applicant s o~cgrporgte,, slgnatu.~e of duly outllor~ed officer. . ' / _ , .... ............... . ( / .) (Nome and title'of corporate officer) ' ~ ~ J ~, ~, Lo~otio. of ~ond on which proposed work w~ be do.e, Mop NoJ~N,Y,~}.:,,.,,.,, ~ot No.: ~ ........... Sire. and N.mb., ,,~Z.A~.~ .................... .y,, , . .~....,.,.,.,~).~,,<,:T./.Z,,.,m_ . .................................................. /~ ~0 ;~-~' i Muncpalh/ . 2. State existing use and occupancy of premises and intended u~se .~nd occupancy of prop~, consf~ction: ~i.i.,. .. ..d ~.pa.~ .... ~.~,~ ....... ~,~, ......... , ..................... , ..................................... · l~ ~ ~ Intended use and ~upanc, ....... ~.....~..~ ......................... b.,.w;.,.,,,., ....... , .................................................... 3, ' Nature of walk (check which applicable): F, ,v Budding .................. Addition ................. Alterahon ............ Repair .................. Removal .................. Demolition..., ...............Other Work (Describe) ................................. 4. Estimated Cost ~ .................... Fee (to be paid on fi.lng this application) 5. If dwelling, number of dwelling umts ........ / ................ Number ~f dwelling units on each floor ....................... If garage, number of cars .................... .~. .................................... '"'9'; .............................. ~ ................... : ................... ;'" 6. If business, commercial or mixed occupancy, specify nature ~nd extent of,each type of use ............................ 7. Dimensions of existing structures, if any: Front ......... ; ..................ear . ............................... --' ' Depth ............ ' Height ~ ~ Number of Stories ......... ~.. ......................................... .................................. Dimensions of same structure with alterations or a~ld!tions:, Front ....................... ; ............ Rear ......................... Depth ................................Height .....................: ..... Number .ofiStories ................................ 8. Dimensions of entire new construction: "~ont ..... ~..~ .............. i ..... Rear .......~.....~......; ..... Depth ....~ .......... Height ...J. 4~. ......... Number of Stories ~/ '. .................. ; ............................. :.i .......... 10. Date of Purchase ............ /.~..7.~,~ ............................. Nome of Fbrmer Owner ....................................................... 11. Zone or use district in which premises are situated ...... ' ................. , .............................................................................. 12. Does proposed construct;on violate any zoning law, ordinance or i~egulation? ..... ~...~. .......................................... ~.. Nome of Architect ...................................................... Address .~,~.~.~...~.~..~...~ ........ Phone No .................... Name of Contractor ~Jv~..~l J~J~.~ ....... Address 'PLOT DIAGRAM Locate clearly and d~stmctly oll buddmgs, whether exJshng or prol~osed, and md~cate all set-back dimensions from property nee Gl'va street and block number' or descnphan according to deed~ and 'show street names and mdicate whether interior or corner Jot, STATE OF NEW YO~(,,'~ ~ couNTY oF ....... ~W,,~,?' "'"' ~.,-~ ' ' ~worn, deposes and says that he is the applicant ..... ~ ~,~J~,..~ ........................... bemg duly (Name of individual slgm~g opplicoHon) ~ o~o~, .om~O. H. ~ ,~, ............. ~~~ ............................ L..~.........~A~!~.~....~4~:~i ....................... (Contractor, agent, corporate afficer, etc.) of sa d owner or owners, and is du y author zed to per~orm or have ~ ~rformed the said ~ork and to ~ke ~nd file this aop icot on; that all statements contained in this opplicaHon?re ' 'u~ to the best of h~s knowledge and b.h~; ~hat th'e work will be performed in the manner set fo~h in the apphcati~ filed therewith. Swam to ~fore m. this ~ ~ ~ ~ ~ ~ ~ ...... · /o. , ,,. z. ..... ..... . .. ........ ~.~ ~m m , .~ ..... ~ . ................. k,.t..~ .-hli- ...... /.~[L~~ ..... Cou.W ~ (signature of applicant) ue~, l~d with N.Y, ~o. ~11~. & ~ ~ FORM ~70. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at .. 'B~.e]r 'RO~ .......... Street Map No~,..]~. Block No... ZX' ..... Lot No...1 ...... Ma-~t~tq,'~k~-I~,Y, ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ &~.. 10., 19. ~. pursuant to which Building Permit No.. ~l~j~. dated ............ &~... 10., 19. ~$, 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~va~;e .olae. '~-]~.5~].].:l~g ....................................... The certificate is issued to .M~h&e].- ~ .... O~e~ ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval '-~. ] 1¥ .19~ "b~' 'R~. ¥$].].& .... l~ou.. ' 10~0 atanl.y It~ ~ ~ ....... ........... Building Inspector [ S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date JAN 1 1 1977 TO WHOM IT MAY CONCERN: at The sewage disposal facilities for a structure (Give deed loca{i'~n) ~ located have been inspected by this department and found to be satisfactory. Chief of General Er. glneerlng Servlcee JAN 1 1 1972 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFIGI SOUTHOLD, N. Y. ........ ' ............ P.,.,, AI)PLIGATION.. FOR IUILDIN4 I)EBMI? · ' ,~... Date ....... ~.~.~, .......................................... 0 19. INSTRUCTIONS a. This application must be completely filled In by typewriter or in ink und submitted In duplicate to the Building~ Inspector, . b. Plot plan showing Iocatio~ of lot and of buildings on premises, relationship to adjoining premises or public streets Q~ areas, and giving a detailed description of layout of property must be drown an the diagram whlch is part of thle ~ppllcation. c. The work covered by this application may not be commenced blfore issuance of Bulldlr~g Permit. d. Upon ap~ rova of this application, the Building nspector will .Issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection ~roughout the progress of the work. e. No building shall be occupied or used in whole or in paFt for any purpose whatever until a Certificate of OccupancY, shall have been granted by the Building Inspector. · .A. PPLICATION IS HEREBY MADE to the Building Department for the issuance of 'a Building Permit pursuant to the' Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applic.Q, ble Regu at om, for the construction of buildings, additions or al!erations, or f.or ,rem.ova. I or' .demall.hon, a.I nam. ln..aeKrlbed. Th~ applicant agrees to comply with all applicable laws, .ordinances, butld~ng coae, n~us~ng caae, aaa regutormns. (Signature cf applicant, or name, If a corporation) · .([~...mr~, ~...'~....,~ ~ e~ ...~..~.~.. ......... .~t ...... ........ c~,.. of ~,ic~) ~. ~ State whether applicant is ovmeF, lessee, agent, 0rchltec~, engineer, genarel contractor, eleCtrician, plumber or builder. .... n~. ~.~..~ ................... ~,. ...... ...... ......... ,, ......... ..,...i~._... ............. riame at owner O, premises ..................... . . . , If applica.nt Is q.r, erpargte, slgnatu)e of duly autbor, r~ed officer. · ' / _ ..~:::~a,,,,.~,~,..... ........... 16..:P.....:..... . ( (Name and title 'of corporate officer) ' done Ma No~.....~..~.!....~.. ............... LOt No ......... I Location of land on which prepmed work w be . p . st~.t 'and N.m~r ...C.~&~ ~... ~ '~' +..,.~.,....~.,~.,T..e.~ .................................................. 2, Stoto existing use and OCcupancy of premises and intended use and OCcupancy of prapmed comtructlon: o. Existing.use and OCcupancy ,..,., .............. ~'"~t~'"'""""'"""" ............ " .................. · ~.. ,(,..,'.,' · b.' Intended uae and eccupan~ .,,.. riel. . . '~, . , . '11. !12. 13. 3/ Nature at wo~k (check'which aPplicable): Nw Building .~..' .... Addition ................. Alteration . , Repair .................. Removal .................. Demolition..: ............... Other Work (Describe) .................................... Estimated Cost ............... ~..~. ....... ' ..................... ;.....Fee .............. ~.. ~......~,~.~.. ............ ~ ............... ~... .................... (to be paid on filing this application) If dwelllng, number of dwelling units ........ / ............Number of dWelling units on each floor ....................... If garage, number of cars .................... ~.. ............................................................................................ : ...................... If business, commercial or mixed occupancy, specify nature and extent of: each'type of use ......... ~..~..:.;: .......... Dimensions of existing structures, if any. Front .~ ......~.~,~ ............. Rear · . ~..~:.... Depth .., - ~, ...... .Height ~...~;,~.. ..... Number of Stories ......... /..~...: ...... ..* ....................... -.'..;...;...'- ...................... ; ........... Front .. ...................... ;,...: ....... Rear ......................... DimensionS.of;sarne strUCture with alterations or a~ldi'tions.'. : ' Depth ................................ Height ................... ..: ..... Number of Stories ........... ...................... Dimensions of entire new construction: Ff~t ..... ~IlL.~..~..' .............. Rear ,..,.~..'.~....;.;.~;~. Depth ....~.. .......... Height ...~.~.., ...... Number of Stories ........... .~... .................................................................................................... Size of lot: Front ...~..~..a .............. Rear .,:.:~.[~.~..:".....' ...... Depth ..;...:/..~..:..~...'~'..: .......... Date 'of Purchase ...... '.....Z~...7.(.~ ............................. Nome of Former Ovme, ............... · ........................................ Zone or use district in which premises are s~tuated ..... .. ................................................................................................ Does proposed construction violate any zoning law, ordinance or ~egulation? ....~...~. .......................................... '., Name of Owner of premises ,l~L.'.J~..l~..~.~,,~ .............AddreSs .I..~'/~0.~.~..D/~#.~...~.,~.,..~. ...... Phone No ..................... Name of Architect: ........ ............................................. Address .~,~.,~..~...,~... Phone No. Name of Centmctor ~d¢4~..,1.-4~1~.~1..,~'~/~ ...... Address ................. ; ................ ~....,.... Phone Na.?.~.~.'.~!.].'/. · PLOT DIAGRAM Loco.t.e,clearly and distinctly oll buildings, whether existing or pr..~. ,..and indicate all m-back dimens!C~, s.?om I,nes. street a~ black number, or description accera~ng to deed, and IP~v/street__name., gna inamate property lines. Give whether Interim' er carnet lot. STATE OF NEWY /~ ,J !ce COUNTY OF ....... ~.:~ "~' ........ ' . . ~ .... ;: ............................ being duly sworn, deposes and soys that he is the applicant (Name of individual signing ap~l. icati.an) L.. o ov, ,°med. He is the ............. ......................... ....................... · (Contractor, agent, corporate efficer, etc.) of said owner or owners, and Is duly authorized to perform or hove performed the said work and to. make omi file this application; that all statements contained in .this app!ication..ar?, tru.e..to. ~e be.st..of hii knowledge and belief; and that the work will be performed In the manner ~et torth in the appl,Cm~en t,,ea merew,m. ~, MI r. C ..?,.[ ' ........ .,,... · /,/' , ':.~TA~'~2',,~,.r,7,.T, ~ .... ~. _wa~e~..._.:;.;.~_,...,~.....~ ................. ..... cnu , s,0...re