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HomeMy WebLinkAbout5952-zFO~M NO. ~ TOWN OF SOUTHOLD BETH.DING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . .R..,.0.;~.. 0.f.f..~~l~eet Map No.. ~ ........ Block No... ~ ..... Lot No..XX .... .1~..t.t.~...tJ~k......ll;.Y.; ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ ..... .J..mi..e..~.~., 19.7~ pursuant to which Building Permit No. '..~..~..~.. dated ....... :..J~ .19 ..... , 1~.2..., 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~i~te m~lm~ing pool with fence & accessories The certificate is issued to . .~/.~.1.~..aa...]~...s.o.~.a. ........ .0~.~. ).~. ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N. :.R... ............................... UNDERWRITERS CERTIFICATE No....N.~.~.~..~.~.8 ..... .D.e.e....~...~. ~.7.~.. ' HOUSE NUMBER ~l~0 Street West Nl].~. Road iiatt~tuek FOII. M NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5952 Z Permission is hereby granted to: .............. I~,~Mallltlr~ ........................................... pursuant to application dated jll~ ¶9 19 ~ and approved by the Building Inspector. Building Inspector / FORM ~O. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorixed agent of owner) '"i~ddress of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists ~ ~ /~O -- - Zoning Ordinance .......................... -~?- --~-. ....... Other Applicable Laws, Ordlnance, s or Regulations ............. ; .............................. at premises hereinafter described in that ~... ,~.....~...~-..... _ ~///' (sta.~e'character of vj~slation) in violation of ...]~../.~2.~2.....-T../...?./..~... ....... ~c.../.-~./-.,/...~../..~....~.....~../. ............................ (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply~he Iow and to remedy the conditions above mentioned forthwith on or before the .............. ~ ...................................... day of .~~ .................. 19/.~... The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 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. Building Inspector THE NEW YORK BOAR~D OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY [--- S5 JOHN STREET, NEW YO4~K. NEW YORK IOO38 ~,,,-December 7, 1916 App,,c.t,o. No.o.~,. 590275 N 315518 THIS CERTIFIES THAT ~n~y ~he el~ctrica~ m~u~prn~nt as des~rib~d bel~w and in~r~duced by ~ ~t ~ ~n t~ ~ ~l~t~ num~r ~n t~ ~m~ ~ 1' i 1 DRYERS I mRNA~ MOTO~ I ~U~ A~ANCE FEVERS ~KCIALRK'PT~ TIMECL~KS I BELL ~NITHEATEU M~TI~T~ III 1I 1 . SERVICE ~l NO.~ S E R V I C E OTHER APPARATUS:. i Transformer 1 G.F.C.I. (Swimming Pool) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. EXHAUST FANS DIMMERS John P. Engel, Jr., Lower Rocky Point Rd. Miller Place, L.I. Per D ~ This certificate must not be altered in any manner; return to the office of the Board ,f incorrect. Inspectors may be ident,f,ed by t~l~ir cre?.nt,~ls. FORM NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ~>~ &"'f'~' ~ ORDER TO REMEDY VIOLATION Date ...~ ......... ~..~ ................ (owner or outhorized o~ent o{ owner) (address of owner or authorized agent of owner) PLEASE TAKE NOTICE t~ere exists a violation of: Zoning Ordinance ~ /~ ..~..~...~... Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in ,hat~~.~...~.~.~.~... ~st~e character of viola~n) o, .................... (Store section or poro~roph o{ ~p~licoble Iow, ordinonce or re~ubtion) YOU ARE THEREFORE DIRECTED AND ORDERED t~.~p~w~ith the~w/._?~ and to remedy the conditions ab/olve mentioned forthwith on or before the s.-~.~..~.....~.~:::~..,/ The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 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. ~ >f/7~ Building Inspector Examined ...~..!....~ ........... , Approved ~ TOWN OF SOUTHOLD '~'-~ 3" : .~c~J'P~ BUILDING DEPARTMENT ~ ~ ~ TOWN CLERK'S OFFICE ~ ~ ~'~-~ ~UTHOLD,.N.Y. 5~~4 - ~ ~ ~~ 192.~ Application No .............. ~ ............ 19.~.. Pemit No..~.~..~...: ........... ~/~ ~ ~ 7~ ~ ...................................................................... ............. ...................... ......... APPLICATION FOR BUILDING PERMIT 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. 'L~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and~ giving a detailed description of layout of property must be drawn on 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 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.l~een~ 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, Suffo|k 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 code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. C (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 prem~m$ ..................................................................................................... If apPlicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposedwork will be done. Map No.: ...c. ........................................ ~... Jot No ............. Street and Number ...~..~..g.....~~..~....~..,~ ...~.........~....; ...... ..~....j~..' .............. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: .. ~ a. Existing use and occupancy ...~C~ .......................... , ................................................................................. b Intended use and occ (-J~/ ~(~ ~/'//~ ~ ,. · upancy .............. .~./.,.,...~...~. ............. /~. ............................................................................... 3. Natureof work (check which applicable): New Building ...... f.: .............. Addition ..................... Alteration...~..~,...~. Repair ............ .. .......... .. Removal ............. . . ......... . Demolition ........................ Other Work ..................... ,,.,~ .......... ~ Description) 4. Estimated Cost ........... ...'~....~...0....0. ..................... 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 use ..................................... 7. Dimensions of existing structures, if any: Front .....................Rear ........................... Depth ................................... Height .................. Number of stOries ..i,~ .......... ' ............................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth Height i Number of Stories ................ 8. Dimensions of entire new construction: Front ......................... Rear ............................ Depth ................................. Height Number of Stories ............................................................ Size of lot: Front ~.. 0-O Rear Depth Date of Purchase ..................................... Name of Former Owner ........................................ ;,....:,, ........................... Zone or use district in which premises are situated ..................................................................................................... Does proposed construction violate any zoning law, ordinance or regulation: ...... ~.O,. ....................... Will lot be regraded ....... _.~..?;.~.....' .............. Will excess fill b9 removed from premises: [ ] Yes .................. " ......... : ................................ '~'": ............. i~dr~"s;i ........................i~'~;"~';:i~ ' '' Name of Architect ....................... i ............................................................................................................................. ~ .a~.~* ,I ~) I (Addt:ess) ~' t __ ~ o (PhoneNo.) ',*-, ~ ~o-,,, e,-~,~ go ~ ~ ~e.,..~'~.~.. ................. Name of Contractor ...H.. ......................... ~ .................. ~..c. .................................................. ~ ................ (Address) (Phone~No.) PLOT DIAGRAM · I~ocate 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 accqrding to deed, and show street names and indicate wheth- er interior or corner lot. 11. 12. 13. 14. STATE OF NEW YORK, ) COUNTY OF ...................................................... ) (Name of individual signing contract) {Contractor, agent, corporate oflTcer, 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 31i~l~li-p~frhi~l#ll~vledg~ and belief; and that the work will be performed in the manner set forth in the application filed therewith. M {~gnaO~re of applicant}