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HomeMy WebLinkAbout41-zFOE~! NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CbERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ...E/~.,~a.~..~o.~.F/t...Hoad ............ Street Map No. Na,?,s~u...po.~,t~%..p.r~o, ck No ...... · .X~K.~)~.~v~.~ ......... , Lot No../~..~ ........................... conforms substantially to the Application for Bui!ding Permit heretofore filed in this office dated ...................... ,.T~/1.~...:~1,O .............. 19..~?..., pursuant to which Building Permit No ......... 7...4~. .......... , dated ........................ ,Tull....10 ............. 19....~?., was issued, and con forms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ............ ............................................ PI~ ]~-A~'~ -. D~/F~L~I.~G .............................................................................. This certificate is issued to ..Ood.f. reF....Heid~.e.t.eh ............ (..~e.z'.) ................................... (owner, lessee or tenant) of the aforesaid building. FOB, M No. 5 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION ~ (owner ~ authorized agent of owner)~ PLEAS ETAKE NOTICE there exists o violation Of:zoning Ordinance ..~..: Other AppliCable Laws, Ordinances or Regular'. ns .......... :..:.i:.L.....i ................ ' premises hereinofter described in thor ...... '.~..~.: ..................... (store cho~octer of viobtion) ' in rio a 'on o .................................................. ~,, ................................................................................. (state section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the "- ) conditions above mentioned forthwith in or before the ........ .~.~..-~/. ............ ~.. ............ day of ......... ~ ...................... 19.~....7.. The premises to which this ORDER TO REMEDY VIOLATION refers ere situated at ...~..~...¢Z?~..c;%.....~..?..~.~..(~....~.~...~t;9--~'"'..¢,..... County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Building Inspector / ~ ~* '" ' ~ FOEM[I NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined...:. :' . ...... ./..~ ........ 19~i .~.. pp v~u ........................................ I¥ ........ Permit .,u ................................. Disapproved O/C ................ ./.....// ......... x. ......... z: ........ ,..l. ...... /....Z... ....................................... Z.. ....... ,." ....... (Building Inspector) Application No..~....~....( ........... APPLICATION FOR BUILDING PERMIT Date ..~? l/d) 19-'c' ~.. 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 premise~, 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 location. 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 purpos~whatever antil 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 and regulations. .................. (Signature of al~pJ4cant, or name, fl' a corporation) .............. ...... I.k.{.ff.,. ....................... \~ (AddresS' of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. .................... ...... .............. , ......................... Name of owner of premises rvh~. ~; i'~l~o ' ~-:~O~l:~-~.'/~ L,.,......~....I~..I...I~,.~...LJ...~..i~.J.~J~ 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 ................................... Block .................................. Street and Number ....~ ........ ~~....~..~. :.7...../..~...~.?..~:.t?,~/ ...... d'.%....~.~:.,.~,.~,.~ ,~,,,:m.,.._/.k~.~..~..~ ............. 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: o. Existing use and occupancy ........... .V...~....C_.~...~...i~....,...~...~..?.~.~..~.;.r.:."~. b. Intended use and occupa cv .................................. .~... ' 3. Nature of work (check which a~p[icable): New Building .................... Addition .................... Alteration ...... Repair .................... Removal .................... Demolition. ................... Other Work (Describe) .................... 4. Estimated Cost ......... !.?.,~...'~"_.~..O...:..*.-'.~ ....................... Fee ./.0...:..(~J ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units.....~... .................. Number of dwelling units on eoch floor ............................ If garage, number of cars ......... ~;~.~1.'~,~ ................................................................................................................... 6. If business, commerlcal 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 Cructure with alterations o~ additions: Front ................................ Rear ............ : ................... Depth .............................. Height .............................. Number of Stories ................................ 8, Dimensions of entire new construction: Front....~.~.~. ......... Rear .....~.~'z.(~ ....... Depth ...~.'z.~.;; ........... Height ....~.~. ........... Number of Sto~ies .....~.~.~. ............ 9. Size of lot: Front ...(.~ ................ Rear ..... ~.~ .............. Depth ............................ 10. Zone or use district in which premises are situated ................................................................................................ 11. Does proposed construction violate any zoning law, ordinance or regulation? ....... ..1~....o. ..................................... 12. Nome of Owner of premises..~.o.P.E'K-rf.~..~.4..~...~:..M/~.~;~/Address I~I~.~Y.....Y.~..~...~.....~.!..T..~. ......... Phone NO.~¥.I..-...~..'...~...~..! .o Name of Architect..,.,~!.4..~.~.....~..:..?,?.~?....~,,....~..:..Addri~ss .'XV.-.,I'4~I~.~.~-~.~,...~).~,-,,l~..Phone NO.¢'..,~,.,~.;:..,~...~,,?.O Name of ' 'iV ' Contractor...~,..17,~¥.....~¥.....¢.~../%.l~, ........... Address ~¢2¢.'1~....~...~..../r~.~ .~..°...~..3'. ...... Phone NO~J~.-..~.%.~..~..~...'~ PLOT DIAGRAM ~ocote clearly ond distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from prop~.rty lines. Give street and block numbers or description occording to deed, and show street names and indicote whether interior or corner lot. STATE OF NEW YORK, above na (Z~.m~e°~ .~d~.l..~.~i.~g..~l.~.~i,~.~t~ ' ................................................................................................................ (Contractor, agent, cor~rate officer, etc.) of said owner or owners, 6nd is duly authorized to perform or have performed the said work and to make and file this application; that all 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. ........................ day of ........................................ 19 ............ t (Singafu~ of applicant) Notary Public,. ............................................................. County FORI~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE sOUTHOLD, N.Y. (Building Inspector) Application No ............................ APPLICATION FOR BUILDING PERMIT Dote 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 location. 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 (S 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 and regulations. ........ .g p?. "; ............... ........ ................. i.A~ress of ap~icoi~i ..................... State whether applicant is owner, lessee, agent, architect, engineer, generaJ contractor, electrican, plumber or builder. 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 ................................... Block_ .................................. 2. State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ..U..~...~..~..iMI...T,.' .., .~..[~...o..~, .~,..~.~..~. ............................................................ b. Intended use and occupancy .~..[~ ~..A...~.~ 3. Nature of work (check which applicable): New Building ....i..~.. ........... Addition ' ' ~ ~ .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... [.9..~....4..f~......~ .......................... Fee ../...0,.!..~ ....................................................................... (to be paid on filing this application) If dwelling, number of dwelling units........(~... ................. Number of dwelling units on each floor ............................ If garage, number of cars ........ .O. b4...~*.. ..................................................................................................................... 6. If business, commerical 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 5C~',tO Depth ...'.~....z. ................ Height ..... .~...!.'.-..~;~...". ....... Number of Stories .....c?...~....~.~. ............. 9. Size of lot: Front ...I.~...Q~. ................ Rear loc-) t Depth 10. Zone or use district in which premises are situated ............... ..~........~ ................................................. 11. Does proposed construction violate any zoning law, ordinance or regulation? ............... ...~...~.~.~ ......................... 12. Name of Owner' of premises.Cif~RE..~.~.~...L4.¢.l.9~-~,-~Address .i~.~..~...~.O.l~......~-..l...T~.. ........ Phone NO.~V..L--~..'...~..?.!.?.. Name of Architect....C,,l.-IA~L~..~.......A...,..~.V..o....o...~. ........ Address~//.~l~.l~..$..T.....t~l.~,it.4~.O...Phone NO?.~..-l...-...~...4.~.f~ Name of Contractor..~IA.~.~,..~....~.¥..t~.~..~.~,..~.. ......... Address .S~.O.~.H....~14~r~C;~'~.~.~.....Phone NO.dA:f~.':.~.~..;~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sehback dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF N['W YORK, ) COUNTY OF ............................ ) ................................................................................................ being duly sworn, deposes and says that he is the applicant (Name of individual signing application) ' above named· He is the ............ -~L~ ............................................................................... ~ (Contrac o~, agent, corporate officer, etc.) of said owner or owners, and is duly//afftF]orized to perform or have performed the said work and to make and file this application; that all 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, z Sworn to befqre me this ~/~ ,~/~t~/~,,~~ day of ........................................ 1 9 ............ (SingattYre of applican!) Notary Public,. ............................................................. County