HomeMy WebLinkAbout6202-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Occupancy
No..Z..~ .0.3.9. 1 ......... Date ...F..e.b?.u.a. rY..1.8. ~ ................ 19 .8.1.
THIS CERTIFIES that the building ................................................
Location of Property .....~..~ 0 5..~. ~ ,..?.q~: O~.:L~. ~.a.y. ]~.].y.d. ~, ....... .L.q~ r.~.~. ~. ~...g. · .....
Nouse No. Street Ham/et
County Tax Map No. i000 Section .... 1.~ ..... Block ...0.3. .......... Lot ..... 0. ! 9 .........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Buiiding Permit heretofore f'fled in this office dated
.... .O.c.t.o.b. ?..2.6., .... ,19..7.2pursuant to which Building Permit No .... 6..29.2..~ ...........
dated . .O?. } .o.b.e.r.. ~..7., .............. 197...2., 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 .........
/~ddtl;lon t;o D,aell~.n~
The certificate is issued to ...... glo~.d, g,..and. Lo t;l;/.a.F...,Ionea ...................
(o writ., ~e_o~ ~,~.~_.
of the aforesaid building.
Suffolk County Department of Health ApprovaJ ... ~./.~ ...................................
UNDERWRTTERS CERTIFICATE NO ........ ~/I~ .......................................
FORM NO. 6
TOWN OF SOUTHOLD
Building Depar (n~ent
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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
natural or topographic features.
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: p~o
1. Accurate survey of party 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.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pm-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date..~/Y..5.0...'..~../ .......
New Building ..... , ~ ...... Old or Pre-existing Building ........... '. Vacant Land .............
Location of Property ~..~..~....~-~'C~/~./.¢...~..~.~;..~.../~'~... .......... Z,~7.G/./~:.~_~r
~o~1~_~ ./ Street Han~let
Owner or Owners of Property . ./,TT~.y4~. ~.....~'.. ZO.~'. 7~.,: ~ .A~'..~. ..................
County Tax Map No. 1000 Section ../.Z...~ ........ Block (~7 ~' Lot .C~./. ~.
Subdivision .......... ~ ............ ~ ....... Filed Map No ......... Lot No .... ' 2. ........
"
Permit No.~--~=~"Z~ . . Date of Permit4~..Z/~'.~.7.~..Applicant ;Z~,~.."~./4~'..~-...~'~'~5~'. ..........
Health Dept. Approval ... ~/~ .............. Labor Dept. Approval ...,4~/t~,: .............
Underwriters Approval / Planning Board Approval ./~././~..'. ....
Request for Temporary Certificate ..................... Final Certificate ....................
Fee Submitted $..~.. ~... .....................
C°nstructi°n °n ab°va described building a~nd/~)ermit meets aU aP};dic. ~'[~ /~("~ ~'?~[~' ~1~i~0[ . ,
able codes and regulations.
Applicant .~- ~:~ r~. ~L~/.. ........... ~..
FORM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
(owner or authorized agent of owner)
..4~..0. ,~.[..G. ~ .e..a..~ .. ~.e.g..o.g.$..q....~...~',.. ~.~y.,~..; .,...~ ~.~..z, e l,
(address of owner or authorized agent of owner)
11948
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
ART. XIV
Other Applicable Laws, Ordinances'or Regulations ............ : ...............................
at premises hereinafter described in that ......... ..B.~.~..~.~...q~...?..e....z~...~.'9...~...~.~..O.~. ..............................
(state character of violation)
..~ ~..e. ~ .....~...0./.E.?./. ?.g .......... ~ ~..~....e. ,~...~.~.e..~........~p. ~ .. ~.~.e.... ~..e...~ ~,.~.~....~ .~...~,~.,. ~.~ ..~ .....
new permit.
in ~iolotion of .......... .s..e..~...J..0...0.:J..~.~.~
(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 ....9.~?..~.~.. .................................. ~ ...................
day of .,.~...e~..u....n.,L".y. ................................... 19.~..1 ....
The premises to which this ORDER TO REMEDY VIOLATION refers are situated et
~60~.. Great ?econic Ba_v Blvd., C~,, ~,
................................................................................ nt, of Suffolk, New York.
Laure 1
Failure to remedy th~ conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
Building Inspector
FO~M NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, ti. Y.
ORDER TO REMEDY VIOLATION
Date January. 21 19. 81
TO Mr. & Mrs. Flo~.d E. Jones
(owner or authorized agent of owner)
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance .... .A..R...T....,, .,X. ~. ,V. .....................
? Other Applicable Laws, Ordinances'or Regulations .................................. 4 .........
at premises hereinafter described in that Buildin& Pez~nit # 6202
(state character of violation)
dated 10./.2.7/.~2 has ex ired. You are e
.......................................................... P. ..................................... ~'.~..q .'4.~, ~'.~. ~....~ .o... ~.~ ~.,1,y.,. ,.e. ~ r... a .....
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 ' ' nin.$h .....
day of ......F..e...b..r...u.~..r.y. .............................. , 19...8.J..
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
4..~..O-~....G..~.e...a.~...~..~.Q.°.~..c...~..9,~r...]~.Z.~.:..~ ........... County of Suffolk, New York.
Mattituck, (your application listed the location as
4545 Peconic Bay Blvd., Laurel)
Failure to remedy th~ conditions aforesaid end to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
Building Inspector
//I/r"///,'*// //*'~'J//t?/('l,// ~/././ ? //? /
L
'-ff k- C v ^l ~
INSTRUCTIONS ~
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Pict plan showing location of lot and of buildings on premises, relationship to adjoin ng prem see or public streets or areas, an~~
giving a detailed description of layout of property must be drawn on diagram which is part of this application, t~
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 perm t shall be kept o~
the premises available for inspection throughout 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 Bui ding ;~
Ordinance of the Town of Southo d, SuffotI~ County, New York, and other applicable Laws, Ordinances or Regulations, for the constructi
or.cT
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 code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builderL
............. ..... ................................
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 ~..~.....o..~.l..c..Z~..~.....~....~...d'~..; ........................................... ~,..~....~...E~...~..t..Z~..Z.~ ...................
~,~"~ ~) ~ ' Municipality
2. State existing use and occupancy of premises and intended use and occupancy of propOsed construction:
a. E Xlstlng u se an d occu pansy .....f..~'~.F. Z~.F. ~,. J/~?~/~/~/~;~T~?~;~c~p~ ....................
b. Intended use and occupancy .................... : .................. r~...,..i.~........-~....~. ......... .9.~' ./o~...~ ......................
'~ · c ' ' able" lid* ' i ' '
· t pp I. g ....................... ,Add o,n ........... T:;'"' Alteration ...........
(Description)
4. Estimated Cost ....................................... 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 ............................................................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of usa ................... ~ .................
7. Dimensions of existing structures, if any: Front .....~....o?..~.. Rear ..,...~....~.....~...r. ...... Depth ..~.....-~.....~.~./.~. ...............
Height ............. ~...~........~:...T..: ............................. Number of Stories .......... ~ ...... (..~. ~'/~-~. ............
Dimensions of same structure with alterations or additions: Front ...... ..~....~'.....~...~.... Rear ..... ~.~.~..~.7~-.. ....................
Depth ....~...~..~..~....~......~.../~..~... Height ...~.--~..~ ........................... Number of Stories ......~-;'.. ...... ~..o...~..¢/. ..............
8. Dimensions of entire new construction: Front .......... ~ .........Rear ............ .. .............. Depth ........ ~ ...................
Height ................................................. Number of Stories .........................................................................................
9. Size of lot: Front ......... ~...¢....~...../~....~. .......... ~ ~-~' .... x~...¢..~....~..~....' ..........................
Rear ................ .,~.¢. ..................... Depth
Height ........................ '......., .................... Number of Stories ...................
Date of Purchase ........./..~'......~.~. ................ Name of Former Owner ...~..v~..:.~.:....~.~..~..~...~..~..~ .......................
Zone or usa district in which premises are situated .....~....~.~.~./.~:..c..T.....~..~.../. ............................................
Does proposed construction violate any zoning law, ordinance or regulation: ........ ...~...O.. ............................................
Will lot be regraded ................ .~....~.. ............ ,J/ £.~-~ ./ ~_ ~ ~Will excess fill be removed frog~ premises: [~ Yes~,,~ ¢,-~¢r/[ ],No
(Addres,~~,~)/ (Phone No.)
Name of Architect .....................................................................................................................................................
/ ~ (Address) (Phone No.)
(Addressi (Phone No.)
10.
11.
12.
13.
14.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all sat-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.
STATE OF NEW YORK, )
COUNTY OF ................ ~.~.~.~ ~ .......... )
(Contractor, e~t, corporate o[~cer, etc.)
of said owner or owners, and is duly authorized to ~orm or ha~ ~rformed the said wot[and to make and file this appli~tion; that all
statements contained in this application are true to t~ ~~~f;~n~t~t the work will ~ ~or~ in the ~n~r
set forth in the application filed therewith.