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Home My WebLink About7425-zFO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No..Z. 63.~ ..... Date ............. F. eb...2.8 ......., 19.~.~. THIS CERTIFIES that the building located at ~alt, a~.relmy .............. Street Map No. Sal%&lr.e..l~lock No ........... Lot No. 29 .... .l~t.tltuck....~,.Y.~ ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... ~Iul2... 17- · -, 19.7~. pursuant to which Building Permit No. 7~2.~Z.. dated ........... Jl~l~.....1.7.., 197.~.., 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 . Pr~Ta~.e.. (&¢.e.e$~.o~r). J.W:tm.l~g .POO;L ............................... The certificate is issued to .. James. ]~.gon~ ....... Owner. .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...~.:R.: ............................. UNDERWRITERS CERTIFICATE No.. N.1.7.891 ~ ..... k~g.. 26.. 19.7.bt .............. HOUSE NUMBER ... 1000 ...... Street .... ~a3..ta~re~a3r ......................... Building Inspector ~ TOWN OF SOUTHOLO BUILDING DEPARTMEKT TOWN CLERK'S OFFICE SOUTHOLD, ~ Y. ~JILDING I~RMIT (THIS PERMIT MUST BE KEPT ON THE PP, ENtiSES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7 25 Z Permission is hereby granted to: ..~5o.....c,~..~ ...... , ............................................ to ..~...~ ..~....~.~...~.t.x...n r~-~t;L,x~,..pm~l...~,Lt~ .~ee-eu ~A ..~.....' .............. at premises located at .Lo[..2.~ ....... ~B,~t,&~te..J~&t,~.t,4& ............................................................. ............................... ........... ~m,l.t~o.,.W~ ......... )l~t~ ....... ~.~.. ......................................... pursuant to application dated ................................. ~T.~.7.....~r~..., 19..~L1,~, and approved by the Fee $..~i5,,.Q0 .......... NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~:LERK'S OFFICE SOUTHOLD, N. Y. Disapproved a~~: .......... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No..,'....: ........................ ~, o. This application must be completely filled in by typewriter oe in ink, and submitted in triplicate to t~e Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this applicatiop may not be commenced before issuance of Bqilding Permit. d. Upon approval of this application, the Building InspectO~ ,~ill,issue a Building'Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout 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 NLADE 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, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building.code, housing cede, and regulations, and to admit authorized inspectors on premises and in buildings for h~e~a~ Ir~ecfions. (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. ................ ~.u:l..1.d ~.z ................................................................................................................................................................. Nome of owner of premises ..~*,IB~,m..]~I.~OB.m ..................................................................................................................... If applicant is o carpal'ate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map I~o.: ........................................I~ot No..2.9.~i ................ Street and Number ~J&lfr~.:l.~'~...~&~v..~&t,f~:Ltuotr~...~w...~e~'tr ...................................i ............ ~ ................. Municipality State existing use and occupancy of premises ond intended use and occupancy of proposed construction: o. Exislting use and occupancy ....d.~0111~1~ .................................................. ./~i~i .......................... ~ ............ b. Intended use and occupancy dve11~UlG G ~vJ. Inm~.u.~. pool 3. Nature of work (check which applicable): New Building Addition ............ : ..... ................. Repair .................. Removal Demolition .................... Other Work ....~.w;I.~,l~lr,..t~.ee,~, ............ ~ .... .................. (Description) 4. Estimated Cost ............. Fee ....................................................................................... (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 occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ....~0.! .................. Rear ..... ~.0!. .................... Depth .2~.~! ........ 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 ...... ~6 ................. Depth ...... [G ............. Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front .... I~Q ............................................. Rear ....... .10ID. ........................... Depth ......... 2~1{} ................ 10. Date of Purchase ................... : .................................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..A ............................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .Ne .................................................. 13. Will lot be regraded ........... }I~. ............ Will excess fill be removed from premises: ( ) Yes (1[) No 14. Name of Owner of premises*l'~ll..~iXle~a ........................ ^ddress~&~/itei~, .......... Phone No ....................... Name of Architect .............................................................. Address ................................Phone No ....................... Name of Contractor ~k~,a~lr...I~lLlEe~l.~rZ"e, .......... Address C,,t, elLe&ae ........... 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. S~ A'rrACiiE~ ............ STATE OF NEW_YORK, ! c c COUNTY OF ..~.~.e,l~ ............. f °'~ .~1~.~.~1 ~ [~.~ .......................... being duly sworn, d~oses and says that he is the applicant (Name of i~ividuol signing contrac~ above named. He is the ......... ~.~ ................................................................................................................................................... (Contractor, agent, co~orate officer, ~c.) 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 a~.true to the best of his knowledge and belief; and that the work will be performed in the manner set foffh in the application filed therewith. Swam to before me this ~ ....... ...................... ' C~n '~'~'~ ........... Nota~ Public, ..~~ ............. ~- ~ -' ...... '~'"~"~'"' 7'" , ..... ;:" '~7 ............................. 0 NOTE: · = MONUMENT SUSDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON AUG. ~t 1966 AS MAP NO. 46S~. '50 ¢o~ SURVEY FOR LOTTHOMAS 29 J' CAHILL :?/7~ /~ "SALTAIRE ESTATES MATTITUCK TOWN OF SOUTHOLD SUFF. CO., N.Y. ~A~ANTE[O TO, INTER-COUNTY TITLE GUARANTY SCALE: 1"=40' ~ MORTGAGE ¢0. RIVERHEAD SAVINGS SANK JUNE 15, 1967 ER ,&ND LM~ID SURV EYOR, N.Y,6. LIC. NO. RIVERHEAD I N.Y. · ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK. NEW YORK 10038 THIS CE~IFIES THAT in the follotv;ng locatio.; [] Basement [] l~t n. [] ~.d ~. outaSde Section Block Lot wez examined on August 21R 197~ and found to be in compliance wlth the requirements of thi# Board. DRYERs FUENACE MOTORs FUTURE APPUANC, B r~mBDffllS SPECIAL~,EC'PT T~CLO~I($ BELL ~ MULTI-O4JTLET SysTEMS 1 I[ SERRCE DISCONNECT NO. OF 5 E R V I C OF NEUTRAL OTHER APPARATUS: (Swimming Pool) This cel'tlflcate cove~ compllance at the date of inspection only. Because of UnUEU&i environments tt IS advisable to have frequent test and/of' I'epal~'s made by a qualified person. Glenn R. Bradley Hort on Avenue ~,attituck, L.I. 11952 DEPARTMENT. THIS COPY OF ~cER,TIFICATE MUST NOT BE ALTERED IN ,Ally MANNER.