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Home My WebLink About8201-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DE?ARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No. 3.1.!.5.8) .......... Date .......... &p. r.i.1..5. ............... 198..3. THIS CERTIFIES that the building ................................................ Location of Property 19375 Soundview Avenue Southold House No. Street Hamlet County Tax Map No. 1000 Section .. 05.1 ....... Block . .Q ! ........... Lot .... .0.2.0. ......... Subdivision... X. ........................... Filed Map No.. X. ...... Lot No, X conforms substantially to the Application for Building Permit heretofore filed in this office dated · .S.e.p.t..e .m.b.e.r.. J .9 ....... 197.5.. pursuant to which Building Permit No. 820 ! Z dated ....S.e. p .t .e.m.b. ~ .r..1.9. .......... 19.7. 5., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... one-family dwelling* The certificate is issued to IRENE MEISSNEST (also known as Irene Miller) ..................... io'Z,.'o;.:d~d-,i,-'.tZd~',fd ..................... of the aforesaid building. Suffolk County Department of Health Approval . .n../.a ..................................... UNDERWRITERS CERTIFICATE NO ......... n / a *This certificate is for the addition and the building built and used prior to April 1957, as a one-family dwelling. .......... ..... Building Inspector Rev. 1/81 FORH NO. 2 TOWN OF SOUTHOLD BUILDIt4G D~PARTMEI~T TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8201 Z Permission is hereby granted to: ~.~.~.~...Z~.~.~b.~.....~.ZC.;[~.n~,...~AIle~. .......... .............. P..~.¢o~£¢ ................................................. at premises located at ...... ,~./.~....~.°,~..~..v..~...e..~..A.Y..e. ............................................................................. ............................................................. ~..o.~..%h..~. ~......~.~;.~.,. ................................................................. pursuant to application dated ..................... ~.~.~......~.~.. ............... , lC)~.~..i.'., and approved by the Building Inspector. Fee $...~..*. ~ .......... FORK NO. Y ��Q LG U cc✓, �Gr/v�/h �- a�S TOWN OF SOUTHOLD BUILDING DEPARTMENT ��I7(o I 15) �! ! TOWN -CLERKS OFFICE � � � ;w hla f/Z1SOUTHOLD, N. Y. r1 Examined !CA ` .1. 197 i Application No. . ' Approved .....:....................�..f........., 19 5... Permit No. . �"o I Disapproved a/ ... ................ .... ................!=�........ ............... . .,�`.............. . ........... .........................�.. :........9 p............... ........................ Buildin' Ins actor) APPLICATION FOR BUILDIN PERMIT Date .....C:.��......�... ............. \J( INSTRUCTIONS V a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building U Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.• c b. Plot plan•showing location of lot and of'buildings on premises, relationship to adjoining premises or public streets or z areas,and-giving a detailed description of layout of property must be drawn on the,diagram which is part of this application. t 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 permit shall be kept on the premises available for inspection throughout the work. r 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 6 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. r The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. l Z" CC. ,,� ....... .. ............... .........:.. ...... - (Signature of licont, or name, if a corporation) A - - 76 �QD 4 C, ...... ... .. .... . I (Address of applicant) t State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricion, plumber or builder. :........................... . ................. ...... ............................... ............................... Name of owner of premise e ................... ... ........................... ................................................................................................. If applicant is a corporate, signature of duly authorized officer. . ... ................. ........ r... .... .... ....... .... (Name and title of ciiorpora^tte officer) Builder's License No. ......l... j./.. .. ..'.................... 1 `p - _ Plumber's License ,No: ....................:..........:..........:..... . a q. Electrician's License No. ........................................ OtherTrades License No. ................................... '` ' p� 1. Location of land on which roposed work will be do e. Map No.: ........�..`...... ..... :+......... Lot,No....<................. Streetand Num ber ...r il`.dl',e:�.?..... . . ............... ............................................................................ 'Municipality 2. State existing use and occupancy-of pre 'ses and intended use and occupancy;of proposed construction: a. Exisiting,use and occupancy ..... .......... ......... ....................... .... ................... b. Intended use and occupancy ..................... ...ld`: ............................................................ C • 1 1„ 3. Nature of work (check which applicable): New Building' .................. Addition .....P!!�...... Alteration .?I. .......,...., Repair Removal Demolition:................... Other Work................. .................. (Description) 4. Estimated Cost Fee /............................................................ . ........................................................................................... (to be paid on filing this application) 5. If-dwelling; number of.dwelling units ..:...�� `ti`'.......;..Number of dwelling units on each floor" If garage, number of oars 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 some structure with alterations or additions' Front .................................... Rear ............................ Depth ............................. Height ...............................Number•of Stories ................................ 8. Dimensions of entire new construction: Front ........C' ..........:........ Rear ......27`f............ Depth ................. Height .................... Number of Stories ....... ................................... 9. Size of lot: Front .... .................................................... Rear ............................................ Deptly�. .................... 10. Date of Purchase .......... ..................................... .../.Name of Former Owner...?.�....'..............�........................ 11. Zone or use district in which premises are situated .lam ...... .�.51 ..........................�......................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..../.. .............................................. 13. Will lot be regraded. ........ c7............ Will excessff ff fill be removed fro ) Yes ( ) No 14. Name of Owner of premises .. .................. .� ...!........ Address .... ....................... Phone,No. ......... ......... Name of Architect ................... ......................................... Address ................................ •Phone No. ...................... Name of Contractor .��'�? (s-. '�""o...................... Address A C-S Phone No. ...................... VVV 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. �®C9 ors 09 '& V. a STATE OF NE I S.S COUNTY OF _ .. ...j . ....... .. : ................... � e ......................... .. .being duly sworn, deposes and says that he is he applicant (Nam o indivi signing contrd'ct) above named. ............ ............... .................................................................................................. He is the ................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this applicotion 'are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this �7 ................. .. day of ............... ...... 19...l.! Notary Public. ................... ... County ..t ........ � ................................................... gnature-of applicant) tLItABETI N NEVILL �d0ay PUBLIC, State of Ne York No, 82-8125850. Suffolk Coulgy Term Expires March 30, 19LG I~'OBM NO, ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~UTHOLD, N. Y. ...... ~proved ................ (.~ ........ Z~....., 192J.]-Permit No. ~./..~ ...... ................. ................................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or" in ink and submitted in triplicate to the 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 of property must be drawn on the diagram which is part of this application. 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 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 MADE 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 code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary 'inspections. (Signature of~c~licant, or name, if a corporation) .............. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. /..~/ ~.-- XJ j .. Plumber's License No ................................................. Electrician's License No ............................................. Other Trede's License No ............................................... ~,~ 1. Location of land on whic~.groposed workrwill be do e Map No · ' Lot No ~ iiii .;; Zi'ii '; ......... Z .... Street and Number ....a~:;~...~.~ ............................ Municipality 2. State existing use and occupancy of prem/4fes and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... ~.~,..~..z..~....~..,'~.~..~',--,,-~ ............ w ................................................................ b. Intended use and occupancy ..................... '.! ........... .**..~//~.~,.....~.~ ............................................................ 3. Nature of work (check which applicable): New Building.. ................. Addition /~ Alteration ~'~ Repair .................. Removal .................. Demoiitior. .................... Other Work .................................................... (Description) 4. Estimated Cast ............................................................ Fee ,L!/..,.~: ............................................................................ (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 ............................ 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 ...... ..'~.S.Z ............. Depth ...2~..... ................. Height .................... Number of Stories 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ...................................................... .Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .~L'......?...!...b....L ....................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ..~....~. ......................................... 13. Wild lot be regraded ..........~..~.0. ........... WilLexcess~fill be removed fro~: ~ ) Yes ( ) No 14. Nome of Owner of premises..~ ....... [....~..'..~' ....... Address ~- -~ .-- ...... Phone No ....................... Name of Architect ............................................................ Address ...~. .......................... Phone No ....................... Nome of Contractor ....... !.. .~.....~...~.'.~.! ................... Address ~...~,,r..~..~, Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines. Give street and block numbe/ o? description ~Lccording to deed, and show street names and indicate whether interior or corner lot.. ~,. p STATE OF NEW/'~(i~, /'~ ,, [~ COUNTY OF .~r-/~'~.~,..,.~ (Name'/of indivi~kg~ signing contract) above named. He is the ................................... (:~ ................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ali statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~-~ .................. .f...fdoy of ...... .............. ...... ............................................. Te m Expires March 30, J rop s Page No. of Pages NORTH SHORE CANVAS PRODUCTS Box 1115 PECONIC, ~ Y. 11958 Tel. 765-24g~k~,~, PROPOSAL SUBMITTED TO STREET PHONE JOB NAME. ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: ~Je ~£1]pOl~ hereby to furnish material and labor -- complete in accordance with above specifications, for the sum of: dollars ($ ). Payment to be made as follows: Authorized Signature ' Note: This prpposal may be withdraWn by us if nut accepted within ~r~e ~ ~ll~r~l~ls~d --The a~ve prices, ,~cifications Date of Acce~ance: Signature days: TEL. 7 5-180 00 O� TOWN OF SOUTHOLD �G OFFICE OF BUILDING INSPECTOR TOWN HALL 0 ® O� SOUTHOLD, N. Y. 11971 • col � y� August 5, 1980 Fred. Jacobs Middle Road Peconic, New York Dear Mr. Jacobs: This is to advise you that the job under Building Permit No. 8201Z issued to Irene Miller on . Sept. 19, 1975 for a i ion appears to be completed as of our last inspection. Before you can legally use or occupy this structure a Certificate of Occupancy must be issued. Please fill out the enclosed form and return same to the above office. There is a fee of $5.00 for a Certificate of Occupancy Thank. you for your prompt attention. \ Very truly yours, GEORGE H. FISHER - Sr. Building Inspector encl.