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HomeMy WebLinkAbout5571-zFOB,M NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No...g69.~ ..... Date .............lpr:Ll....lg..., 19.76. THIS CERTIFIES that the building located at ... l~gsby. Road. ........... Street Map No. l~att. Pk .Prd~ock No ...........Lot No, .96. ~9~... l~attltu~k..I~,Z,... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...........0e.t .. ~8..., 19~.1.. pursuant to which Building Permit No... '~.~7~Z dated ...........0.e.t....~.8...., 197.3.., 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 .. P~ivate. one .family. dwellin~ .with .addltioa .................... The certificate is issued to . Amue.. ~laher. ty ......... (h~ne~ ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . I~.o21, .............................. UNDERWRITERS CERTIFICATE No ............................................. HOUSE NUMBER...l~.j ~. ....... Street ..... 3~.gsby. ~d ........................ Building Inspector FOR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWel CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 5571 Z Permission is hereby granted to: ................... ................. l~t ~L~tc~ ......................................... to :..~t&. ~.~4.~.~el~.. &.. ime.l~..~t.te~&~l~m~ .. eel., e~l~lJtJ~lt~t ..~l~kl.~ ............. at premises Iocoted at ,.Jl~lJl~..J~. .............. i.~.~J~.~J~..~..JJJl'~..~ ............................................... .................................... ~1~1~...ll~. ........... I'~.t~ta~ ................................................................ pursuon¢ to application dated ........................... ~'6 ....... ~J~J .............. , 19.*~.~..., and approved by ~tJ~e Building I nspecto~.r,. J:ee $....~,OJ~l .......... ORDER TO REMEDY VIOLATION · o.~.,X~,.,~ ........... ~o,~~~ .................... (owner or guthonzed agent o~f o~er) ...~z~..-....~.~,...:~~~L ~~-, (address of ow~ or authorized agent of owner) '/ PLEASE TAKE NOTICE there exists o violahon of Zoning Ordinance ~r7~'~4-,~ /C,'~. .......... ~....~..-' Other Applicable Laws, Ordinances or Regulahons .......................... ................. at premises hereinafter described in that ~.~..~'-,~...~..........~.~.~ (state character of violohon) ~.~.~;t..~..~.'-~....-z.~.z.._~-.,,b,,~z~., ..... ,~ ........ ,n v,olot,on of ..~...~ ...... /...~.....O....'T...../.....~.../.. .............................................................................. (State section or paragraph of applicable low, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law o_od to remedy the conditions above mentioned forthwith on or before the ..... . .~...~.~..~.~.... ....................... ~o~ o,..~~y ........... , ,~.~.. The pre~mises/to which this ORDER T.O REMEDY VIOLATION refers are situated at c~c4 ...... . ..~.../...~.--f..~~~~~...County of Suffo k, New York. Failure to remedy the condmons aforesaid and to comply with the applicable prowslons of law may constitute an offense punishable by fine or imprisonment or both. Building Inspector TOWN OF SOUTHOLD TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. Approved (Bui ding Inspecto~ APPLIGATION FOR BUmLDmNG FERMIT 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 adjoining premises or public streets or areas, and giving o detailed description of layout ofproperty 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 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, housing cede, and regulations. /(Address of al~plic~nt) State whethq~,applicont is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' n r ,, remise, ~.., owe o p ' s ............................. ~'"'/ "'~--- . .~...... ~. ~¢~'/.~...~... ...... ~~. J.~... ......................... Name of If applicant isa corporate, signature of duly authorized off, ri /~.,~_ll~ '~-/'~/*'r r~ TI/-4 £1 1. Location of land on which,~roposed rk will be~o~e. Map No..' ..~.[..~..-~.~..:..~.~/Lot~o ......................... Street and Number ...~.~l~.....,~..~...; ........................................... /V~.u..n.i;i.l~.(~ii~.u ...................................... 2. State existing use and occupancy of pre~ and inten, ded use and occupancy of proposed construction: a. Exisiting use and occupancy ........... ...~..~.~....,..v~ .......................................................................... 3. Nature of work (check which applicable): New Building .............. [... Addition / Alteration Repair .................. ~J~m°val .................. Demolitio~ .................. Other Wo~ (Describe) ............................ 4. Es;treated Cost , ~.......~..~ ~ Fee (to be paid 'on filing this application) 5. If dwelhng; number of dwelling units ............................ Number of dwelling units on each floor ..: ......................... If garage, number of cars ............................................................................................................................................. 6. If business, commercial ac 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 ~lterations or additions: Front .................................... Rear ............................ De~th ................................ Height ............................ Numbte~,of Stories ................................ / 8. Dimensiohs of~ntire n~ constr~ct on J:r0~nt ~".-~......~.... Rear ' D th ../..~ Height .....~'... .......... Number of Stories .......... ./.. ..................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ....... -: ........................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ -11. · Zone or use-district in which premises are situated ..................................................................................................... 12..DOes proposed const, ruction .violate any z~onig~ I~w, ordinance or maulatian? ......... ~....: ................ 13. ~ ~l.ar~e of Owner of premises ~.~..~.;Acldmss ~...~iiiiiiii. Phone N° ..................... . ~am~ o.f Archi_tect ....7~,~, ................................ (....Address ................... Phone No .. ~ ~ame or,antra'c?~ ~*.~.....: ........... Address.L'~,,<..~(..AX)..../,,,/'//d~..~.,.i..i:.... phone No. ~..~..~...~.?.'i~' ~/ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ex stina or or~osed and ra e I .... --" ' indicate all set-bock dimensions from p p rty mos. G~ve street and block number or description according to deed, and show street' names and Indicate whether interior or corner lot. STATE OF NEW~,~OIJ~,, ~,, COUNTY OF ...~..'~.. ._.f."-- ........................ ' ........ ~ ................................ Y 's the applicant (Name of individual signing above named. He is the ............................... ~~ ............................................................. (Contractor, agent,' corporate officer, etc.) of said owner or owners, and is duly authorized to pe[form: 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. Swam to be~ore me this ................ ....... ..... ....... No. 52-8]25850, Suffolk Co~.~¥q )'~m ~xpires March 30, 19,~