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Home My WebLink About2705-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at .. N/.$. l~.o. rth. ~aa. Dr. lvo... Street Map No....x~. ........ Block No....xX ...... Lot No.. X~... ~.o.~h.o~cl.. ~. :¥, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... AI~'$1... ]. 3, 19.6.~. pursuant to which Building Permit No. 2.7.0~Z.. dated ........ April...2~ .... , 19.(~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . ,!~r..~y.~.~;e., .o.n.#. ~'~.m.~..ly..d.w..~.1.1..~r~.g .... (~..u~..e.r...o.c. qu. p.a.n.c.y..o~,y) ....... The certificate is issued to . J. Qhn. ~ ·. D~.bblo ........0~rner ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . ,~ar~...16. ~.97~- · .by. R,..V:[L],a .... UNDERWRITERS CERTIFICATE No. p. end~ng ................................... HOUSE NUMBER .... .52~ ...... Street ..... ~0r$;l'~ .Sea. ~.ri.v~ .................. '" ........... 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? 2705 Z Date .............................. ij. pl,~..'l......'l.] ........ , ]9..6.~ Permission is hereby granted to: ........... 5o~thot6 .............................. : .................. to ...... Bulld..a~..otae..$~s~i.l.y...d~e.l.l.i~ ............................................................ ~ .................... at premises located at ...l~'.~.....~01..l;h..~l~U.~.~ ........................................................................... ................................................... ~q ~at ~o.ld.~.. · .. N ~..Y ~. .......................................................................... pursuant to application dated ............................. .Ap~.~.~ ....... .'1..~ ........ 19...6~', and approved by the Building Inspector Fee $.10,130 ........... Building Inspefor SCHD SUFFOLK COUNTY DEPARTHENT OF HEALTH JAN 1 § 1975 Date ~lds. Fer~it No. TO WHOM IT HAY CONCERN: The sewage disposal facilities for a structure located at~-w~ ire deed loca ion) have b.~en inspected by this 'department and found to be satisfactory. NO./~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO RF.J~EDY VIOLATION (owner or authorized agent of owner) (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ~.,..'T.,. ~ ,,.,~;...~,.... ,. ~.~ ..... Other Applicable Laws, Ordinances or R~ulotions .......................................... premises hereinafter described in that ~~....~~,~....~~ / (state character of violation) ~o~on o~ ..... ,~F.....~ ........ ~.:./e~......,~..~(.Z~..~. ........................ (State section or paragroph of appHcaD~e ~, orainance or regumtion) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and, to remedy.~,...~ ,the conditions above mentioned forthwith in or before the ....~.~V'~.g.~......~.~.~'..~, ...... day ............ The premises to which this ORDER TO REMEDY VIOLATION refers are situated at '~I"~.(,;~-'...~/~....;;,~__Z~,/..~.~... ..... .~,~,.7'./f,,d~,,Z.L.~.....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 imprisonrt)e~r both. · '/J'~Buil~Jing/Inspector '~ ~ORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ ~...[.....~. ....... 19....~..~'- Application No. ~......~....d....,~.. ........ Approved ...................... ~ ........... 19....:.~..Perm t No. c~..12....~.....~...~.. /, / ~/- ~ ' ,~- , , ~I~//7-1-- D'sapproved a/c ................. ~ ................... ~ ......................................... ~ -~. - -.Z . ./ _ / ~' ............................................................................................................ ~,; ......... ................... (B'~i'~'~i i ................................. APPLICATION FOR BUILDING PERMIT ..................... .................... INSTRUCTIONS a. This application must be completel~,,filled in by typewriter or in ink and submitted Jn 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 Bui,lding Permit to the applicant. Such permit shall be kept on the premises available for inspectio, n throughout the progress of the work. e. No building shall be occupied or used in whole or i~port for any pu?pose 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .~ .~Z-.~.~.~ ........................................................................................................................................................... Name of owner of premises........~...~.¢~....~..:.....~.~'.~,..~'. ........................... i .............................................................. ii ..... If applicant is a corporate, signature of duly authorized officer. .... ....... ./..,. ........ :..J .............. ~' (Name and title of corporate officer) ,~ 1. Location of land on which proposed work will be done. Map No: ..... .(~.~.../../...~..~.'~.. ................ Lot No: :~...... Street and Number ..... ~.~'~......~'4~'-~.....~1.~...~...~.-~.. ............. ,,....~..~-.~...~....~.. ......................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy.....,Z~/~)~r..~'...... ............................................................................................................... b. Intended use and occupancy...~.(,/~./~.~. ..... ~-~/~..<;;~.~ ............................................................ 3. Nature of work (check which applicable): New Building ............... Addition .................... Alteration Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost.....~./~.~.~-rf'~.l....~?. .............................. Fee~..//~..'....~... ........................... ~ .............................................. ! (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 ..........,X/64~..~ ..................................................... i..., ....................................................... 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 ....~..~...~ ............ Depth .~...~....~. ............... Height ....... ./.~. ............... Number of Stories ......... ./ ................ 11. Zone or use district in which premises are situated...~>~E~..(.~.~,t~4.~ ............................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? .~..o......-~.. ..................................... Name of Architect ........................................................ Address ............................................ Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frbm 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 NEW YORK, ) S S. COUNTY OF ........................... ;) . . ~..~.~....~... ....... ~....~...z:...Z~,....-~-.../~.....J.4~'~. ........................... be ng duly sworn, deposes and says that he is the applicant (Name of individda[ signing applicati~) 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 fife this application; ~at all st~ements contained in this applicati~ are true to the ~st of his ~owledge and belief; and that the work will be performed in the ~nner set fo~h in the application filed therewith. Sworn to ~fore m this ~ , - , I .[.~ ......... da, o' .~~ 19...~.~... ,OtARY p~~~reof ~~applicant, ..... ' ' ' ~0. 52-~331~ Suffolk C0u~i ~'