The URL can be used to link to this page

Home My WebLink About3296-zFORM NO. 4. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BERTIFIE:ATE; ElF BBI3UPANP. Y No. Z 2887 Date .Oct;Ol;~e~ .20 ., 19 . .67 THIS CERTIFIES that the building located at l~in Ro~d ........ Street Map No. ~ Block No. ~ . . .Lot No.~X . .P~.c.°~n.i.~.:N:.Y.: ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated N.ovf~e~ 1, . , 19 66 pursuant to which Building Permit No..329[~ .~ dated NoVe~n~e~c 1 ,19. 66, was issued, and conforms to all of the require- ments of the apphcable provisions of the law. The occupancy for which this certificate is issued is a..ddit;.ion...~.o..o..n.c..£.~..i.~.y..~, e.l. ]. .i .n g. ........................... The certtficate is issued to l~.ry .S.~.~.C..~.O.~..&..%..o~.n..e.~. ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . , .N../~. .................. Building/fl~sp ec toY-~ FORM NO. ~ 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? 3296 Z Dote ....................... ~ O.F..#~b I~,1~.... ~1, ...... , 19...66. Permission is hereby granted to: at premises located at ..... 8/8..M~.~l.lg..~a~ ..................................................................................... .............................................. l~eeol~:~e ......... :~.~., ............................................................................... pursuan,t to application dated .......................... ~Olr.....1 ................... , 19...1~, and approved by the Building Inspector. Fee $....~ .................. Building Inspector / S-9 SCHD SUFFOLK COUNTY DEPARTHENT OF HEALTH Date Bldg, TO WHOM IT MAY CONCERN: at ~O~/~ ~ ~z~ ! The sewage disposal facilities for a structure (Give deed location) located have been inspected by this department and found to be satisfactory. AUG 2 8 D~rl ct District Engineer 3/9 z ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY 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 Other Applicable Laws, Ordinances or Regulations .......................................... at premises hereinafter described in that ......... ,....: ............................................................................... (state character of violation) Occ. uF>,~ ~lA.. o~.T ~ ~. ~. in violation of .................................... (State section or paragraph of applicable Iow, 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 ......................... ...~.....~.....~. · ................ 197.~.. The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ....................... ',~'~"~"1'7'17C".t~ ........................ County of Suffolk, New York. Fa,ilure to remedy the conditions aforesaid and to comply with the applicable provisions of Iow may constitute an offense punishable by fine or imprisonment or both. .... ./.:~C.~:&......~....z...../....~..~ ....... Building Inspector FOt~N[ NO. 1 TO~VN. OF SOUTHOLD BUILDING DEPARTMEHT TOWH CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........ ~....!. ............. 19...~..~ Approved ........................................ , 19 ........ Permit No ........... D,sapp roved a/c ..... ~..~i~i.. ....... Application No. ,,~....~....?.,..~. ........ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This applicahon must be completely filled in by typewriter or ~n ink and submitted in duplicate to the Buildin Inspector. b Plot plan showing location of lot and of buildings on premises, relationship to adimmng premises or public streets areas, and gwmg a detailed descnphon of layout of propertymust be drawn on the d~agram which is part of this applicat~o, c. The work covered by this apphcation may not be commenced before issuance of Building Permit. d. Upon approval of this applicahon, the Building Inspector will ~ssue a Building Permit to the applicant. Suc 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 m part for any purpose whatever until o Certificate of Occupan, shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tk Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulations, for the construction of buildings, additions or alterahons, or for removal or demolition, os herein descnbec The apphcant agrees to comply with all apphcable laws, ordinances, building code and regulohons. ............... ....................................................... (Signature of apphcant, or name, if a corporation) (Address of applicant) State whether apphcont is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Contracto~ . Name of owner of premises ....J/~:~'~..S~,,Zl~J~tk& ............................................................................................................. if applicant ~s a corporate, signature of duly authorized officer. (Name and t~tle of corporate officer) 1. Location of land on which proposed work will be done. Map No ....... ~ .............................. Lot ~ ................. Street and Number .~.E~. ...... ~.:LJ/..J{o&d .............. ~f~.~D~:~ ...................................................................... Municipahty 2. State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy ..... 1~.e~:~cl.el'~(~ ...................................................................................................... b Intended use and occupancy ......... llgJ~...~tJ'l,..tl,~¢~J~i,t~l%.&.~l,d~,~l,.t, lo~ ......................................... 3. Nature of work (check which applicable). New Building .................. Addition ....... ~ ..... Alteration ...~ ........ Repair .................... Removal .................... Demohtion .................... Other Work (Describe) .................................... 4. Estimated Cost .... ~.,.~.~...~.~ .................................. Fee ~ ..................................................................................... (to be prod on fihng th~s apphcation) 5 If dwelhng, number of dwelhng umts ..t:llll~ ..................Number of dwelling units on each floor ......................... If garage, number of cars ......................................................................................................................................... 6. If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use .............................. 7. D~mensions of ex~sting structures, ff any: Front .......................... Rear .......................... Depth .......................... Height ............................ Number of Stories ............................................................................................................. D~mens~ons of same structure w~th alterahons or additions: Front ................................ Rear .............................. Depth .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of enhre new construction' Front ....... ~ ................ Rear ......... ~ .............. Depth .J~ ...................... Hmght ............................ Number of Stories ~ ..................... 9. Size of lot' Front ............................ Rear ........................... Depth ................................ 10 Date of Purchase ........................................................ Name of Former Owner ...................................................... 11 Zone or use d~stnct in which premises are s~tuated..??~.~.~...d,~.~ ......................................................................... 12 Does proposed constructmn wolate any zoning law, ordinance or regulation;~ ..... ..~..~. .......................................... 13 Name of Owner of prem~ses~...~.~L~.~.~..~ .......... Address ...~.~f~)~;k~. ........................ Phone No ................... Name of Architect ...................................................... Address ............................................ Phone No ................... Name of Contracto¢~..O.~....~.~.~.. ............................. Address ...~.I~.~.~,1,0 .................... Phone No ................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether exmting or proposed, and Indicate all set-back dimensions froi property hnes. Give street and block numbers or descr,phon according to deed, and show street names and indica whether interior or corner lot. STATE OF NE~[~'~.]~ 1 S.S COUNTY OF ................................ · Tobit ~1~ ........... be ng duly sworn, deposes and says that he is the applic (Name of individual signing application) above named. He ~s the ................ .~...q.~...~...l~:....q,~...O.~. ........................................................................................................... (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 thru apphcation; that all statements contmned in this apphcahon are true to the best of his knowledge and bel and that the work wdl be performed in the manner set forth in the apphcation filed therewith. Sworn to before me this . ................. ..... ..... .............. Notary Publi~...~ .............. , .............. ::;:~:'~Otl'~"~q Y,, "/ ( 'g u e of applicant) I~OTARY ?U .......... NO 52 32~120