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Home My WebLink About2981-zFORM 1~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT '~'OWN CLERK'S OFFICE SOUTHOLD, N. CERTIFICATE DF O001JPANOY No. Z 2588 Date O~tober 2.7 19.66 THIS CERTIFIES that ~he building located ~ .~. ~. .............. S~ree~ Map No. ~ Block No. ~ ...Lot No. conforms substantially ~o the Application for Building Permit heretofore filed in this office dated ....... ~ .~ ..... 19..~ pursuant to whi~ Building Permit No.. ~.~8~. dated ....... ~'~Y..~ ..... , 19.~., ~vas issued, and conforms to all of the require- ments ,of the .applicable provisions of the law. The occupancy f~r which issued is ..... ~.!gP ~O .90~. ~!3.Y .~e.%~!n~ ................................ The certificate is issued 9o .... ~g .&..~Oq~. ~O~I$Z~& ............................ (owner, lessee or tenant) of the aforesaid building, .Suffolk County Department of Health App.r,oval ......................................... Building Inspect~l- FOI~H NO. ~ TOWN OF SOUTNOLD 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? 2981 z Permission is hereby granted to: the t .O~o~Sk;~....~/.C..... J~ha .:a..~... ~o~ole sk~ .......... ~u~eg~e.....,,. ......... ....... : .................. ....~ to ~U~.& ..~ ..a~d.i.t ~.on...o~ .. ~.. ex~'e ¢.i.n~ .,8~e.~tl.ng.i,....~ ........ .......:~ ..................... ~ ........... at premises located at .....~/~.....Se,~l.~v~..:..:....;,,~,, ~ ,,~, , :" ,' ......... .;.Mt;... :....~;.....i , - , .......~ , ] : ~.~.~ue~...:.~ ~.~..;.:....-~,.::.,-..~,.~-.-;.,;;~:~?,,~;~:,..~....~..~,, ................. ;.., pursuant t0 application da{ed nt [ ..t...::.:L2.; ?: ~;;¢ e Building Inspector ' ? :~':~; ': Fee $.~e~a ............. Building !nspeCfor t ' FO~M ~0, 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) ..... Sound..A~.e,.~.....Mat.t~l,~ck~.....~.,.Y., ..... (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance A~'t; V][~ ~O0'~i(~11'-'~(~,,~ ................... Other Applicable Laws, Ordinances or Regulations .......................................... et premises hereinafter described in that .....a~..a41.d-i.~,~...,~..~3e.~.i~,~...b~t,~.t~..ori..Gn. .............. ~state character 8f v~olation) ..... ext. s.t,~.mg., dwe3. t.~.ng., w~..t, heut~...$..t.~, z.t...ze e.u~&ng.., e..bu-~.l~.~.ng...l~e~m~. ~ .............. in violation of (State section or paragraph of applicable law, ordinance or regulation) of YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith in or before the .............. ~..43d ......................... ~ ................... day of ............ ~'aPl'~la~/'.~ ........................... 19.~. The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at N/5.....~4)t~d...A~r~,.....l~.t,t~,.t~zck,~ ................... County of Suffolk, New York. x\ Fa,ilure 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. Application forms enclosed Building Inspector FOI~M ~0. I TOWN OF SOUTHOLD BUILDING DEPARTMEI~IT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. Approved I\ 19.....~.Permit No. ~....~..~./.. ~ Disapproved a/c ............... ~r..-~ ................... ; ..... ~ ..........::~- .~.....~.~ .......... (Building Inspecto~/ API~LICATION FOR BUILDING PERMIT Date .. ]...~..~ ..'~....,., .'"~... .................................. INSTRUCTIONS Application No ............................. a. ~his 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 adjojniag premises or public streets or areas, and giving a detailed description of layout of propertymust 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 agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) ........... ............................ (Ad,ess of applicar~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .....~. ~.....~.....V~..~:~......./..~.'.~~:'.-- '~" ............................................................... // If applicant is a corporate, sigh&ture of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed work will be done. yap No: ....... c ................................... Lot No: .................... Street and Number ....~¢~.....~..~......~m..........~.~.~-~...?....-)~...;:....~....: ............................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... J..~.,.?~ .......................................................................................................... b. intended use and occupancy ....~ ................. ~ .................... .~ ........... .] .................................................. 3. Nature of work (check which applicable): New Building .................. Addition .........'6~ ....... Alteration .................. Repair .................... Re, oval .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ............. ~ 3..~...'~...~...c~... ................... Fee ............ .~-~..I...~(~. ............................................................ (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 ........... ~ .............................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front ....... ..~...0.. ........... Rear ....... ..'~'....O. ............ Depth .......~.......2r~C... ........... Height ......... ~T...¥....] ........ Numbe.r of Stories ......(......"/.~, ............................................................................................ Dimensions of same structure with alterations or aad't'ons Front ..... ...~....~ ................. Rear ..... ..~....O. ................... Depth ....--1...0....~..../, ......... Height ....... ]~ .............Number of Stories ....... ~....~.....~---~.. 8. Dimensions of entire new construction: Front ............................Rear ............................ Depth ............................ Height ............................ Number of Stories ............................ t 9. Size of lot: Front .......~....¢ ....... Rear ......... ~..~ ....... Depth ......... ~ ............ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ or use district in which premises are situated...../~...~.,..~..../. ........................... 11. Zone 12, Does proposed construction violate any zoning law, ordinance or regulation? ............. k?~......~. ............................ 13. Name of Owner of premises/~.t.~./~..'..l.~.~!~,~ddress'~ ....~..~~.......~...'.~'F~hone--~----'' No Name of Architect ...................................................... Address ......................................... Phone No ..................... Nome of Contractor ........... Address ............... , ..... Phone No ..................... 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 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 ................................ (Name of individual signing applicatlon) above named, lie is the ........... a ................................................................................................................... (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 Jn the application filed therewith. Sworn to before me thism ........ ~...'.~ .......... day ~"~, ,f/A ~ /"' ?/~ n ...... ~~....~~ .......................... Notary Public, ~'~l~.",~.~.~ounty ~,J/~' (Signature of applicant)