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Home My WebLink About591-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at..~./..~....,O...~.~...~.~.~....~.~..l...~..~.~.~,..~..~,~..~..~t~'* Map No..O..]t~..~,~]'...®. ..... Block No ......................... -or No ..................................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................. ..J~..,~.~...~.....~. ...................... , 19..~'...9..., pursuant to which Building Permit No.....~.....~.?..~.. ............. dated ............................ ..J~....~,.~...~...~ ......... , 19.~..?.., 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 .............. ................................................ ............................................... ltol'aoe L. Thel, ien, m'me~, . This certificate is issued to ................................................................................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector HOWARD lvi, TERRY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS ~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ............. ~.r.~.h. ........ .g: ......................... 19~ .... Permission is hereby granted to: ~ont~.~-.-H~r~ .................................................................... ............ ~h+rt~y..-.L~-]~.,. .......................................... to ...~ufld..net~..duelling .................................................................................................................... at premises located at ..N/E....~I.~L~...-~.~.],e,,~).I~,e, ...................................................................................... ................................................ ~.tt~tuck~....N ~Y. .................................................... pursuant to application dated ................... ~.c,h.....~ ........................... 19.~9..., and approved by the Building Inspector Fee $].0o00 .............. 0ifehn In or ~ r,6.~ ~m,~.~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLAT~ON PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance . ~.-~-~/'.~.~~O'~// Other Applicable Laws, Ordinances or Regulations . .~..- ................................. at premises hereinafter described in that..~.....~~.~ , . (~t'at~ cha,ra ~,of violation) ,nv,o,at, (state section~or paragraph of applicab~ law, o~ance or regulation) C]' 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 ....... .L~ ......................... 19.....'~...~.... The premises to which this ORDER TO REMEDY VIOLATION refers are situated at .~ ~__/_,~' ................ ..~.~...~..~, ............. County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constHute an offense punishable by fine or imprisonment or both. Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOL~ N.Y. Approved ........................................ 19 ........ v'erm t No ............................... Disapproved a/c .......... ~ .......... -,.:~ ............... ;~ ................ ~,~. ......... ........ ........................... (Building Inspector) ~ Application No ..... .~...~.....~. ............ APPLICATION FOR BUILDING PERMIT Date ................ ~..~..~........'~..... 19_ .~. 1.. 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 adioining 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 IS HEREBY MADE to the Building Department for the issuanoe of a Building Permit pursuant to the Building Zone Ordinance of the Town of Sou'thold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations· ·" (~'gnat~re ~f' applicant, or n~me, if a corporation) ...... .................................. (Address of applicant) State whether applican~ is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· Nome of owner of premises ............. · ...................................................................................... If app[/jka~nt is a corporete,~.signature of duly authorized officer. ~ (Ix/~me--cf~d title of corporate officer) which proposed w rk ill be done M No' (-"q'J<")( ~'~"'"~ Lot No: ...... 1. Location of land on ~ aon~. ,v,j:k~ ....... Street and Number ....~.....~2 ~ ~.~."~~ '.~.'.~'~i /~/ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing useandoccupancy .................. °'/'- ~..~,.~..c?~....~,.....~.~ZZ~.......~... ............................................................. b. Intended use and occupancy...........,.k~./..~~ ....... ~~r .......................................................... 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Fstimated Cost....L..~.,,k.....~.... ....................................... Fee J ~ cr~ , (to be paid on filing this application) ! 5. If dwelling, number of dwelling units ................................ Number of dwelling units on each floor ............................ If~gqrage, 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......~Y~...~, ................ Rear ..... ../:~..~ ................. Depth ..,?~,..?. ................... Height ............................ Number of Stories ......~ ......... 9. Size of lot: Front ........ ~...~....~. ........... Rear ....... L.~.....O, .....Depth ../....~.~...,~...'. .......... 10. Date of Purchase ...... ~ ......... ~.~.~.~ ............. Na~'~' of Form~r~O~.wner ...J...':...~....~..~...~ ................ 1]. Zone or use district in which premises are situated ......................... ~, ................................................................. 12. Does proposed construction violate any zorj~g law, ordinance or regulation? .................................................... 13. Name of Owner of premlses.~.../.'..~Address ...../.~..6......'~......~...Phone NO ..................... Name of Architect....~..'~....~.....~..~..~..,..hf:..../. ............ Address ..... ~...~,....t:~... y ................. Phone NO ..................... Name of Contractor...~'~....L~....(....~.Address ...... .~~ ................ Phone NO ..................... PLOT DIAGRAM Locate clearly end distinctly all buildings, whether existing or proposed, and indicate all set-back 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..~- _ ~ /~,'hJ ~ L~ 35 ~ STATE OF NEW~YO~I/:t t~./ ) COUNTY OF .,~..~..,.....) S S. .................................................. ; .................................... be ng duly sworn, deposes and says that he is the applicant (Name of individual signing applicationh 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 application are true to thai be~t ~fe "hl~ k,~wledge and belief; and that the work will be performed in the manner Sworn to before me this ........................ ao~y ~-, ......... Notaq, Pubhc, .Z .. ........... Co.nt FORI~ NO. 1 TOWN OF SOUTHOLD I~UILDING DEPARTMEI~T TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ 19 ........ Permit No ............................... Disapproved o/c .............................................................................................. (Building Inspector) APPLICATION FOR BIJ~LDING PERMIT Date .................... ~... ff..t_ .y?..<.::.. d...% ....... ~&.. I ~....~...~... iNSTRUCTIONS o. This application must be campier, ely 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 o detailed description of layout of property must be drown on the diagram which is part of this location. c. The work cov, ered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Buildinfl Inspector wH[ issue ~ BuHdinfl Permit to the oppli~ont. Such permff $ho{[ be ~ept on the premises available ~or inspection ~hrou~hout ~he prooress o~ the work. e. No buildin~ shall b~ occupied or osed in whole or in 0 art ~or any purpose whatever until ,o Certificate o~ 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with oH applicable Jaws, ordinances and regulations. " (~gnat0re 6~ applicant,~-- --or nome, if o corporation) (Address of applicant) State whether applican:[' is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C ~ ~,~ 0 .- j?.~,~q...~.~ ....................... Name of owner of ~, ............................................................................................. If app~ca, nt is a corporate,~signature of duly authorized officer. ~ .......... 'O~'r~e ~d"t~;-;~'~orporate officer) 1. Location of land on which proposed w~rk will be done. ~gp No: ..~...~...(~7.]~<.... Lot No: .................... ................. ................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing usa on~ occupancy ................. :~; .................... ' ....... .~: .................................................................................. b, intended use and occupon~ ........................ '; ............................ ;': .......... ~ .......................................................... ~ 3. Nature of work (check which applicable): New Building ....... ~ .......Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Fstimated Cost....j...~...~..u~:~ ....................................... Fee / ~ ua . (to be paid on filing this application) I 5. If dwelling, number of dwelling units ................................ Number of dwelling units on each floor ............................ If garage, number of cars ............. k~..z..~.; .................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. Dimensions of existing st~Hctures, 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 /-,t ~ Depth Height ............................ Numl~er of Stories 9. Size of lot: Front ........J..~...~ ........... Rear ....... L~.F.-). .......... Depth ../..ff....G. ............ 10. Date of Purchase ...... .~e.~ ......... ./..~.~.'. ............. Name of Former Owner ~.?~ 11. Zone or use district in which premises are situated ........................................................................................... 12. Does proposed construction violate any xor~ng Iow, ordinance or regulation? ........... 13. Name of Owner of premises.~,~,...Z~.~...~t~xu.~Address// ...~.~..~...~5.....~.,.~:.~.~.;..~...~....Phone NO Nome of Architect...:~7~t~;,..¢~.~,,~,~....~../ ............. Address ....¢~.~,~_0~..~.~., ................. Phone NO ..................... Name of Contractar..~r.~.~.~..~.~....~.~L~[,~*..Address ...... ~,,~,~.1~.~,.~ ................ Phone NO PLOT DIAGRAM Lacate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back 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. ~, ]~ kl h COUNTY OF .......... '~'t)' ........... ) S S. .................................................................................... ..,. ........... being du~y sworn, deposes and says that he is the applicant (Name of individual signing application)("l.,k~, .:.'~-~,..~ . 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 application are true to the best of his ~owledge and belief; and that the work will be performed in the manner set forth in the app~therewith.// Sworn to be~re ~e this dav of .-- 19. '~.{~ ~ul~otk ~;~ [~l~e ot applicanT) ........................~ ~, ~ ~ ......... P,b ic