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Home My WebLink About6069-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...zA036.8. ........ Date ..... ~.an..u..a~T...2.9., ............... 19.0.1 THIS CERTIFIES that the building ................................................ Location of Property ... ~..O.Q.b.:l..~.~...la N®ok Road, ..... 0.~..t.o.h.o./~. 9.,. I~,Y. ~ House I~lo. ' .............. .gtroet ........... h~/nl'e~ County Tax Map No. 1000 Section ... q..03.. ..... Block ..... .0.9. ....... Lot ..... .0.1.~ ........ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'fled in this office dated ..... AU&Lt~t;. 2~, .... 19 .7.2 pursuant to which Building Permit No .... ~069. Z .......... dated .... ~,tl&qla:b..:~2, ............ 19 .72., 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 ......... Add~.t~.on to D~®11in& The certificate is issued to ..... D/l:e:l. ~. F, oet~ '/o~'n'e'r'~ .................... of the aforesaid building. Suffolk County Department of Health Approval ...... I/I/ ................................ UNDERWRITERS CERTIFICATE NO ..... N/IR .......................................... Rw.l~l 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°. 6069 Z Permission is hereby granted to: ........ ~.o.~.j.~, ........... ~.~..~.Z.7..\. .............. ot premises ,located at ................ ,~.~.~..~. ......... L..I.."$~..I,~.~. ........ kl.[~..{~........~.O.,~..~ ................ ....................................................................................... ~. U...'I:.. ~..,u,..~ .~..~.,~': ................................ pursuant to application dated ................................. ~.~o~....~,j.j~,~., 1~..~....., and approved by the Building Inspector. Fee $...,J..~..~ ...... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1, Final survey of property with accurate location of all buildings, property lines, streets, and unusual nat~ ral or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property . ,~ .~..O..~. ........... ~. ! .~..~.~..../It/.~, .~.~.~.. ~.1~ ........... t~. (,~.?(~..~..~..~;.(,JL~ House No. Street Ham/et Owner or Owners of Property .... '~) .~. ~_~ .,~ ..... ~.. ....~?.~. ~. ~'..~...C(-.., ...................... County Tax Map No. 1000 Section .. ~/.~..~. ....... Block .. ~...¢ ....... Lot ..... ~'../..,~. ..... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No, ~...~. ~. ~-~ Date of Permit~..~..-~plicant..'.z~. ~... L~.,.. F~ ...... Health Dept. Approval .... ~ ................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ........ Fee Submitted $...~'~.~.~...(/7. ................... Construction on above described building and permit m~eets all applicable codes ~nd ~eg~lations. ....... , ..................................... FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) 3600 Little Neck Roa.d.~ Cutcho ue, NY (address of owner or authorized agent of owner) 11935 PLEASE TAKE NOTICE there exists o violation of: Zoning Ordinance ART. XIV Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that .......... .B...u..i...1..d..i...n.g...P..e....r~....i..t....~....~,0..6..9. ............................. (state character of violation) ...... .......... new permit. in violation of Sec. 100-1..~1H (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 mentioned forthwith on or before the .,,3,0.~ ......................................................... day of ........ ~.~.~.a...~.~'. ............................. , 19....8..1.. The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ~-~.~(~.~.t;.~fL~.~g.~.~.~.C...~..t.`9~.~..~..~.u...e~unty 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 imprisonment or both. TOWN OF ~OI~THOLD ~,~y'h.~ ~ r.Z-.'.z~<~z_ · - ~ BUILDING DE~RTMENT~ / ~ . / - '~ ~ TOWN CLnKS Omcu MUTH~D, N.Y. ~ ~ ' ~'/~," ~" ........................... '('~i[~'i~'~,"Jnspector) ~'~ ~ APPLICATION FOR BUILDING PERMIT ~ , I NSTRU~IONS ~ a. Thi~ a~plie~tion mu*t ~ eompl~t~l~ filled in b~ W~writer or in ink and submitted in tri~licat~ to the Buildin~ Inspector, wit 3 sets of plans, accurate plot plan to scale, flee a~ording to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship ~o adjoining premises or public s~ree~s or 3reas, an~ gJ~ing a de~ailed description of lavout of pro~rW mus~ be drnwn on diagram which is par~ of ~h{s application. c. The work ~vered b~ ~his application may no~ ~ commen~d ~fore issuance of Building Permit. ~ d. U~n approvag of this application, ~he Building Jns~c~or will issue a Building Permi~ ~o ~he applicant. ~uch ~rmit shall be kep~ o · e pmmJMs available ~or ins~cfion ~hroughou~ ~he work. e. No building shall ~ occupied or u~d in whole or in part for anv pur~o~ whe~ever un~Jl a Certificate of Occupencv shall have ~en gran~ by the Building Ins~c~o~. ~ APPLICATION IS HEREBY MADE ~o the ~uilding Department for ~he issuen~ of a Building Permit pursuent to the Building Zon OrdJnen~ of ~he Town of ~u~hoJd, Suffolk CounW, New York, and o~her applicable Laws, Ordinances or ~egulafions, for ~he ~ns~ru~ion of buildings, additions or alterations, or for removal or demolition, es herein des~Hbed. The applicant agrees to compJ? with all applicable Ja~. ordinances, building code, housing code, and regul3tions, and to admi~ au~h0rized inspectors on p~emises and in buildings for ne~ssarv iflspe~ions~ (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. Name of owner of premises ~.'~.~l,~ ...... .~.:....F...o.,~.ls,.-.le~....~ ......................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ..................................................... Lot No ............. Street and Number,.,~..~.~'.Z'~..~,~....~..~..~.,i...~t~-~..~/-~...°.~x~.4~T__ ............................................................. ~ ~,~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... /.~.....~ ............................................................................................................. b. Intended use and occupancy ...~..4~.~.~&.C.-....~J:.~./;)'........~...~..~..~Z~.j~ ............................................................ 3. Nature of work (check which applicable): New Building ....................... Addition,. ....... .~.........'. Alteration.....'....~ ...... Repair ......................... Removal ......................... Demolition ........................ Other Work ..........; ......................... (] o I Description) 4. Estimated Cost .....~..{~... ................................ Fee ............. ................................ :... (to be paid on filing this application) 5. If dwelling, number of dwelling units .................Number of dwelling umts on eecb f~or-. ............ ~ .......... ~,...,~:..:. 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 ....... 7...~...~.... Rear ...'....~...~..~. .......... Depth ....... ~.~..~. .................... Height ....? ...... , ....... J..7.[ ................................. Number of Stories ........./...~. ............................................................ , / Dimensions of same structure with alterations or additions: Front ...... ~..~..,r. .......... Rear ......~'...~...~ .......................... Depth ................... ..~.~..a/~.~. .............. Height ............ {...?..~. .................... Number of Stories ...... ~..L .......................... 8. Dimensions of entire new construction: Front ...... ,~;..~.. .......... Rear ...... . .~.....0.. ............ Depth ...... ~/. ................. Height ............... /.~... .................. : ......... Number of Stories ......................................................................................... Size of lot: Front ......Z..°~.~..'. ..................... Rear ...... /..0...~.9..'. ....................... Depth ...... Z.~.~.i ................................ Date of Purchase ......../..~...~..~. ................ Name of Former Owner ....~--.~ .F.~......"[~..7./~/.t,.gn ................................. Zone or use district in Which premises are situated ..................................................................................................... Does proposed construction violate any zoning law, ordinance or regulation: ......... ~/.~. ............................................ Will lot be regraded ......... .~....o. ............... ,. Will excess fill be removed from premises: [ ] Yes [¥] No Name of Owner of premises ~)~3.~J....~.r.~.~.E././,,~....~.~.~.T.z~..~,,.,~/.7~.~.~.(~..~~' ...... ~._~' (Address) (Phone No'.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) · Name 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 number or description according to deed, and show street names and indicate wheth- er interior or corner lot. 9, 10. 11. 12. '13. 14. STATE OF NEW YORK. ~'U' COUNTY OF ...................................................... ) . 0 I<'x being duly sworn, deposes and says that he is the applicant above named· (Name o£ i~di,idual ~t~ contract) He is the 0 (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. ,~UDITH T. BOKEN ........................ · .7....? notary Public,/~~..~..;.~...~;~. County ..... ~.....~....:.....~....~ ...................................... ' (S nature o£ap tcant) NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, ORDER TO REMEDY VIOLATION TO Doris P. Moeller (owner or authOrized agent of owner) 3~Q..Q .~ittle' Neck Road Cutchogue, NY (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance . Other Applicable Laws, Ordinances'or Regulations 11935 ART. XIV at premises hereinafter described in that ......... ..~...IR..:I:.]...~.~..~.~....?...el.zTLR~.9..~......6..0...6.?.. ........................... (state character of violation) ..~.a.~..e.~ ...... .8./..~g../.:Z.g .......... h~..~....e.~i~..~.~.e..g........g.o.~...~.r..q.:.~.e.a.~,~.~.~...~.~...e~a~..~:~...~...... ...n..e.~..~...e.~ ~.: ..................................................... i ............................................. . ................................ in violation of .......... §.e..~....1...0...0...:.1..~.l...fi. ......................................................................... ~ ....... i ............... - (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 mentioned forthwith on or before the ...,~.Q~ ......................................................... day of ....... .~.a.~l~...~.~ .............................. , 19....8..1.. The p/emises to which this ORDER TO REMEDY VIOLATION refers are situated at ..~Q~.~j`~..~G.~`~]~.~.~.~.~^~..C.~.~c~.h'~.'~...e.~...~C~unty of Suffolk, New York. Failure 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. Building Inspector~_