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Home My WebLink About1685-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Zq (I 6.g.7 .... Date ....... F~a.y .3. .................... 198.3. THIS CERTIFIES that the building . .~..?w...Z~...o. 1..J_.:i..~.g. ................................ Location of Property .. 3.~0.0..~.a.~..~..R.o.a..4 ................. ~.a?.~...PI.a?.5:.o..~ ............ House No Street Ham/et County Tax Map No. 1000 Section . .2..2 ........ Block .... .2 .......... Lot .... ?.~ ........... Subdivision .............................. Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... . .~az-.e.k 2.2. ....... 19 .6.2. pursuant to which Building Permit No..q..6~.5.Z. .............. dated ....Fi??o.t~...3.] ................ 19.6.~. ,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 ......... ............ For..a. new .~ne fam.i, ly. ~welii~ ................................ The certificate is issued to . .t~.e.~ .~.e¢.2..m.~..~ .......................................... (owner, lessee or tenant) of the aforesaid building Suffolk County Department of Health Approval . .o.k..'J 9.6.3. ................................ UNDERWRITERS CERTIFICATE N0.~59.0.'!.? 5 ......................................... ................... ~q./. './...--~24¢...4-. ....... Building Inspector Rev. 1/81 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 1685, Z Date ....................... J~l~.¢~.... ,~ ............. 19..~...~... Permission is hereby granted to: ..He~r..~..l~l~um .............................................. ....... · ~(~)0- ~19x*-tn&...~vd ............................... ........... Zozfl~ez,a....33t..."r,~¥,~ ............................... to B%t.t..~.cl. · .ney. · .o~e...~am:l, ~. · ~tv~l~.1.n~ ..................................................................................... at premises located at ...~/~.....L~.t,~l'.S..RO&d~ ........F.a~$.t~.....~.~,.~..~. ................................................. pursuant to application dated ......................... ~G]~....~'~. ................. 19.~..., and approved by the Building Inspector Fee $..1 ~.~1~0 .......... Building Inspector / FOI~M NO. 1 BUILDING D E PA RTM E N T,,~,~-'~,~ ~.~_~.. TOWN CLERK'S OFFICE SOUTHOLD, N.Y. ~~ ~"'~ Examined ~ ~ ~ / 19..~.~ Approved ........................................ , 19 ........ Permit No ......... Disapproved a/c APPLICATION FOR BUILDING ~ERMIT ~ ~ ~ . ~u0 INSTRUCTIONS g~ a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin 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 pa rt 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,4 Building Zone Ordinance of the Town of Southold, Suffolk County, New Yo~k, 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. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. iName or owner oT premises ....................................... :..I. 1.?. .............................................................................. If applicant is a corporate, signature of duly authorized officer.~ (Name and title of corporate officer) I. Locotion of Iond on which proposed work will be done. Mop No: ............ 2 .............................. kot No: ............. Street and Number .............. ..~:-.....~,. .............. .~..~ ........................................ Municipality 2. State existing use and occupancy of premises ond intended use and occupancy of proposed construction: a. Existing use and occuponcy ....................................... . ................................. ~. ......................................................... ntended use and occupancy ~.~.. ~4.J ~ LL / IU k- .~. ~ ~_ ~ /~ I L ~., b. 3. Nature of work (check which apphcable): New Budding ............ Add,ban .................. Alterahon ......... .~..~ .... (to be paid on filing this application) 5. I{ dwellino, number o{ dwellin0 units .... : ................ ~umber of dwellin~ units on eoch floor If Ooro~o, number o{ cots ............................................................................................................................................. 6. I{ businoss, com~rciol or mixod occuponcy, spocify noture~nd extent o{ eoch type o{ uso ................................ 7. Dimensions of existing structures,if' any'. E~+. .............................. ~0~ Rear ..........................Depth ............ L ................. Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ............................ Height ................................ Number of Stories ........................................ ~4 ' ~0' ..... .~:.~. ............. 8. Dimensions of entire new construction: Front ......... ~ ................ Rear .......................... Depth Height ..~....l~.J--' ........... Number of Stories ........ ~ ......................... 9. Size of lot: Front ...... ~.~.~L.~. ........... Rear ....... ~.~.~L~.( .......... Depth ...~.~.~.:~....~....L~JL~.~. 10. Date of Purchase ....~.~.~.~....~.~.L(D.~ ......................... Name of Former ~ner ..~.~/J.~.......~.~ .......................... 11. Zone or use district in which premises are situated ........... ~ .................................................................................. 12. Does pr~osed construction violate any zoning law, ordinance or regulation? ..... .~f~. ......................................... 13. Name of Owner of premises .~r.../~.~....Address .................... : ....................... Phonff No. ~.~}.[]?~.~.~. Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ~?.~.L~R.~....~.~%...~.~ ...... Address ......... ..........-..._._...,........ ..... Phone No ..................... PLOT DIAG~M Locate 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. ~ey eo~O ~ ~ STATE Of NEWc--Y-O~, d~ ) - ~ COUNTY Of ~~....) ~'~' .. :/ ........... ' ................. ....... sworn, h. ,he (Name of individual ~gn~pp~ati~) 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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. JUDITH T. BOKEN Sworn to before me this ~" ~rv Public, State f New York ~.~. ~ o, .............. ~.~.~ ~'~ [~0 ~ ~oto~ .................. Public, ~., ..~....~~ . ...... Count '[ ..................... (Si~noture: .................................................................. of opplicont) NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date Novembe~ 26 19...8..0... .3~^~ (o.~.ner or..autbonzed agent of owner) OUU ;~ ~.k..~.x.~.o..~......~.:.~.: ....................................... (address of owner or authorized agent o~ owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ART. XIV Other Applicable Laws, Ordinances'or Regulations ............... j ............................. at premises hereinafter described in that ......... ..~..~.~.l...a.~..~.g...?..e....z~....i.~...~...1...6..8..~.~. ............................ (state character of violat~an) ,..a.~.?, ~....,3,.,/..3. j,/,.6,.~ ............. ~,.~,..?.~ ~,~_..z:~.,a. :, ..... ,z. p,~.. ~,~,e..,,~..e,.~;,~,~,~,~...~.~,,, ~,;;z~.,. ~.~ z,...~, ..... .?.~..~.?.~.:. ..................................................................................................................................... in violation of .......... ~.e...°..:.?..O..9..~.J...b¢]..~. ................................................................................................ (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 ment,oned forthwith on or before the 12th day of ............ ?...e.9. ?. · .~..b. · .e. ~ ........................ 19...8...0,. The premises to which this OR,DER TO REMEDY VIOLATION refers are situated at ......... ~L....~..~y...~.,~..,c,~-~7 .......... County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the apphcable provisions of law may constitute an offense punishable by fine or imprisonment or both. .... ,4~f~. '~'f~'~' u,ld,ng Inspector AQtJAVI~)N U J d ,4 t EAST