Loading...
HomeMy WebLinkAboutColonial Village MR 177SUPERVISOR'S OFFICE 16 South Street Greenporf, N. Y. Tel. ~reenport 7-0550 BUILDING I'NSPECTOR'S OFFICE BUILDING DEPARTMENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. C0L0]IIAL ¥ILIAGg BLDG f CEI TIFICATE OF OCCUPANCY TOW'N CLERK'S OFFICE Idaln Street Seutho]d, N. Y. TeL Southold 5-3783 No. 182 Date Sept 23 1968 THIS CERTIFIES that the building located e+ ]>~t ]~,0,~/, l/8 ]e&~LZt St (&tqnlB Map No. Fe ~Oh . , B~ck No. ~ , Lot No. ~ 8outhol~l in the Town of So~oM, conforms substantially to the approved plans and specifications heretofore fi~d in o~ce with Appli~fion for Building Permit dated ~ ~1 19~ pursuant to which Building Permit No. ~e~e !~ dat~ ~ 31 ~ ~, was issued, and conforms to ,11 of the require- ments of the appllcabb provisions of ~e law. ~e occupan~ for ~ich this certificate is ~ssued is ~tt~le ~,tdenee . ~ent oecup~e7 This ce~ificate is issued to Colonial Village Ina (Fred ~eh) ~e~ Iowner, le$1ee or +enact) o~ the a{ore~id building. 1~+, 1968 by R. Vllla~_. (The Certificate of Occupancy will be issued only after the Building Inspector is convinced of the completion of the construction in compliance w~th the k~ultiple Residence L~w and with other laws, ordinances.or regulations affecting the premises, and in conformity with the approved p~ans and specifications.) SUFFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York Building Permit No. TYPE OR PRINT LEGIBLY IN INK ~ ~ ~, Health Department Flan No. Application for Approval of Commercial Sewage Dis~fal System TO: The Suffolk County Department of Health Application for approval of commercial sewage disposal sy~6em is hereby requested. (Name and side.of street,~name and distance to nearest intersect'lng street Village I hereby certify that this commercial sewage disposal system has been con- structed in accordance with plans approved by the Suffolk County Department of Health on (date) and with all the requirements of the latest bulletins on sewage disposal of the Suffolk County/Department of Health. Applicant's Signature~ ~~/~,~-z~ Title/~ Address. ~/~4/~' Tele. No. Ready for inspection FOR USE OF HEALTH DEPARTM~.NT ONLY Inspected by -~ !~ Date ? '//3-~ Installation satisfactory - Yes /~ $ No Based on the information stated hereon by the applicant and other information made available, it is the opinion of this Department that this system with proper maintenance can be expected to function satisfactorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structural features are not included. Date SCHD - s-13 6/58 Dlstrlct ~~,_ ]LrOR~f NO, J. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, Disapproved a/c ........~ ....................... ~ .......................... ~ .......... Applicotion No...'.....~....£ .............. APPLICATION FOR BUILDING PERMIT Dat ... Z ............................. , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 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 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 to comply with all applicable laws, agrees ordinances building code, housi,~/code, and regulations. (Signat~/re of applicant, or name, if a corporation) ....... ........................... State whether applicant is owne~ lessee, agent, architect, engineer, general contractor, electrician, plumber dr' ~ufLd.e.r.. ....... ................................ (Name and title of corporate officer)~ 1. Location of land on which proposed work will be done. Map No.~~ot No.: ........................ Street ond Number ~~...~.~ ......... ~.6..~,~,,,,. .................................... / Municipalqty 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~~ ............................................................................................. b. Intended use and occupancy ...~..~ .......................................................... / 3. Nature of work (check which applicable): New Building ..1~....... ....... Addition .................. Alteration .................. Repair .................. Removal ................ Demolitian .................. Other Work (Describe) ........................................ 4. Estimated Cost ........ .~..~.~....~.~.. ................................ ~ Fee .......................................................................................... (to bepaidon filing this application) §. If dwelling, 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 ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....................... Rear ................. Depth ...~..~.. ............... Height ..J.~ ............ Number of Stories ....1~,~,-~... ............................................. .; ................................................... Size of lot: Front .~, .~..1~....~ ............ Rear ...~.~....~ ................. Depth ...~'...~...~..~. ............. Date of Purchase ........................................................ Name of Former Owner ........................................................ Zone or use district in which premises are situated ....~-~ .........................................................................'~ Does proposed construction violate any zoning law, ordinance or regMlation?~,~ ................................................ Name of Owner of premise~~/,~....~. Address ..~-.~!...~.'.... Phone No ..................... Name of Architect_,~'~,~,,/,/~.~:~"'~ .................. ~2j~..-,~-~. ........... Address i~iiiiiiiiii PhonePh°ne NoN° ..................... Name of Contracto~,~.~.~.~..r...~~...Address ..................... 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. 10. 12. STATE OF NEW YORK, COUNTY OF ................................ ................... ~~: ................. being duly sworn, deposes and says that he is the applicant above named. Ne 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 ail 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~x~. ~ ~ ~me this ~_~ ............ af ...... ................... , - appJican't'i NOTARY PUBLIC, St~'.o J/ New York CommNi~ioSn2'~.xplr es / FORM NO. 5 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Afl:idavit: of Final Cost: ot: Const:ruct:ion STATE OF NEW YORK ~ ss.: COUNTY OF ....$....1~...~...0.~ ........................... ~ ........... ..~..~...~..D..]$.~...I.(.~....~........~..Z...D..~.. ................................................ , being duly sworn, deposes and says: (applicant or agent) that he (~) is the applicant (or agent of the applicant) named in the Application. for Building Permit dated .................... ..]~...~'.....3..1: ........... 19...6..~. ..... relating to construction or other work to be known as the Jeremiah Vail House performed on, or in connection with, the premises/located at ....~.¥~'..Road..m~f...~Z~....M..~.~,....B.t ..~..~....l~...l_~....~..~.~..)....$..O...U:.~..h..O..,]'~hat the estimated cost stated in said application, of the construction or other work described therein was ........ F...o.?...t.~.....~...:~...~....~..h.o_~.~...i~....~. .................................................. Dollars ($..i~.~.t~0 ................. ); that the actual final cost of such construction or other work was ~ ........ ,~)~.~..-.~,i~e,..~2LO. LtS~Z3~1. ............................... Dollars ($...~cJ.,.0..0.Q....0.0. ....... ) and that the said construction or other work was performed in accordance with the applicable provisions of law./ (applicant or agent) Sworn to before me th s ..'~'.../. ,. ~fsloy of.~.~.~ff~l~..e.~.~ ....... 19~. ........................ ......................... Permit No. ]~ e..~..,....1..~. ~.. ............. Filed Cost $.~1'.~ ~ I~DO ............. Permit Fee Paid $...1...1.~.~..0~... ........... Final Cost $, ~l,9..~ .O..0..Q .: .O..0. ..... Additional Fee $ ........................... (Costs for the work described in the Application for Building Permit include the cost of all o~ the construction and other work done in connection therewith, exclusive of the cost of the land. If the final cost is less than the estimated cost stated in the Application for Building Permit, no portion of the fee paid upon the filing of the application will be refunded.) TOWN OF $OUTHOLD Multiple Residence Law Permit PERMIT NO. 1'~ F~I~y 31 196~ APPLICATION No.'J~J~] J~' 31 19 ~ LOCATION l~l~ate Road off )i~ l~n St~et (~ I~a~-) Sou~*h_~ld Application having been made on ~ --~'J , 19 (~ , for a permit covering construction on a (new, altered, or conve~ed) multiple residence building, by or in behalf of CO~ O~ ~o~d N.~ , for a dwelling located as above sfa~d, and the said application havin~ been exami~d and recommended for approval on ~ ~1 , 19~, a PERMIT ;s hereby issued for the pe~ormance of the (architectural, structural, mechanical, etc.) work described ;n the above numbered application and any accompanying plans and specifi~tions. I~ no work is p~Hormed wffh;n one yea~/from the time o~ its issuance, this PERMIT shall expire by I;mlfafiee. Approved. 19 ~ Fl1~ estlmate S ,ooo E~f~rcemenf ~ Fee l~J.d TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT PURSUANT TO MULTIPLE RESIDENCE LAW New Multiple Residence Building APPLICATION NO. May 31 I~. 68 LOCATION Pvt Road N/S Main Road Southlld House Number Street Height: one story Area: (I) Type of Occupancy Mult Ret Perm~uent occuoanc¥ apt$ (Permanent or -Tra ns;el{f ) (2) Type of Consh'ucfion (Fireproof or Non-fireproof) [3) Estimated Cost of Construction $br9..GOO (4) State what disposition will be made of waste and sewage (Public sewer, private sewer, cesspool, etc.) Private system (5) Occupancy (in detail) as follows: Story (include Cellar & Persons fo be Basement} Apartments Rooms Accommodated CorB Second Th;rd Fourth Fifth Sixth Seventh TOTAL ~ 20 DIAGRAM. The sald mend and premises are situated es follows: N see filed plans The north point of the diagram MUST agree with the arrow Page I -t ii¸