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Home My WebLink About5966-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. ~.1.1.~ 1 .4 ......... Date ... June 7 ., 198..3. THIS CERTIFIES that the buJldh~g ................................................ Location of Property ...3.2.4.0. ............. Stillwater Avenue Cutchogue House No. S~reet Hamlet County Tax Map No. 1000 Section 136 ...Block 0 .2 .Lot 013 Subdivision..l~.:.S....H..a.n.d.,...S,e.c.~.: 2 . . .Filed Map No. 1280 .Lot No. .4.4. .&. ?.5. conforms substantially to the Application for Building Permit heretofore f'ded, in this office dated ..... J..u.n.e..2..3 ........ ,19.7.2. pursuant to which Building Permit Ho...59.5.6...z ............. dated ...J.u.n.e...2.3 .................. 19.7.2., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which th/s certificate is issued is ......... .... a., .~.e.c.k., .a.~.~.t. ~..t.o.n..~.9..e.x.t..~.k~.q ~. ,~e, ~, ,~,~, ............................. ~... The cer'dficate is issued to ......................................................... Kennegh W~egan.d. and hi.~ ~J. fe (owner, I~eme. er-mm~J of the afore.~ald building. n/r Suffolk County Department of Health Approval .......................................... UNDERWRrrERS CERTIFICATE NO ............ .nAr. .................................. R~. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT ('rillS PERMIT MUST BE KEPT ON THE ffREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) / N? 5966 Z Permission is hereby granted to: ..... £e~.~lL ..t, lit~l~g)~ul, ...................................... ............ · ~llw~te~..A~e .................................. ~o ...~..~%~,~. ~ a~.~...~..~,~.%~g...~.W.~ll~g at premises located at ....Z~tal.0~t...~3,l~.,.~.~....l~,~,~ ...................................................... ........................................... W~C&. ~l.~llwa~..A.~ ............ ¢.~.{dm4m~a ....... IL,¥., ....................... pursuant to application dated ..~4. ........................ ~TL1zII~.....~-,~ ........ 19...~, and approved by the Building Inspector. Fee $..~..~..e....O~.. ........... 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 natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposel--(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 3. Copy of certificate of occupancy $1.00 $5.00 Date .... : I ..... ~' ~'~ J~ . ~ ~ .(:.~.(... Old or Pre-existing Building ...J;~--~ ...... Vacant Land ............. Location of Property.-..~. j !.:{; .L?.~. ~.-- .~. ):r~._./Z~ V./.~ .~.V./.~...)... ~ !~ '~.~.~ Owner or Owners of Prope~ ..~,..~..~.~...~1~.~ ..... ~... _. County Tax Map No. 1000 Section ... J ........... Block ....... ~ ~,.. Lot .... [~. Subdivision .... ~J .,. ~:,..B~'! ~..:. ~.~. ~ .Filed Map No. ~.~P .... Lot No. ~.~. Permit No~ ~ .... Date of Permit ..... t .-.~Applicant . .~ ~[~...-. ~. · · .~ · ~ · · · Health Dept. Approval / ...... Labor Dept. Approval Unde~riters Approval ........................ Planning Board Approval ...................... Reque~ for Tempora~ Ce~ifi~te .. .... ~ ........ Final Ce~ificate ....................... fioo Submitted $ ............. Construction on above described building and permit meets a~l applicable cod.es and regulations. Rev. 10-10-78 FORM NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance .... ~.~......X..Z.~ ..................... Other Applicable Laws, Ordinances'or Regulations ............... ~ .................... , ......... at premises hereinafter described in that ......... ,,~...g:.:J:..]..,~..~..~.[..?...e...z~.....~.,~....~....~..?.~..~. ............................. (state character of violation) ..~..e. ~.....6./...R 3/..7..?. ............. ~ .a...e....e..~...~.~.e...a.........Z.o. M ...a..~..e.... ~...e..~.~,=.~. ~...~ .g...~.~p~.,. ~.~...~ ..... , ~ ?. ~...p...e.~.i..t.... ...................................................................................................................................... in violation of .......... ~.e...°..:.'l...0..0.-.J.~.l...~. ................................................................................................. (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Iow and to remedy the conditions above mentioned forthwith on or before the ....... ~.'.z.~..b: ................................................... day of ......... The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ..... ~.~..O.....S.~.$.~..Z..~.a.~.e..~...A..y..e..,.a....O.~.c.~.o.~.q.e..,County 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 ~,~ }t"// TOWN oF SouTHOLD ')l r/~ ' BUILDING DEPARTMENT 'T~,o ~ ~ 'I) TOWNsouTHOLD,CLERK'SN.OFFICEy. /i1 Examined .~....~.......~.. ......... ,19..?...? pprav ........................................ . ,'.rm,t No. Disappraved a/c .............................................................. ' "~ APPLICATION ' . '~ ..... ' ' ' FOR BUILDING PERMIT · (I ' Date '"';'i"¥ ................... -~/ ' ........... - INSTRUCTIONS ._ "i'~ ;;'' a. This application must' be completely filled in by typewriter or in ink und submitted in duplicate to the Building~ Inspector. . b. Plot plan showing location of lot and of bu.ildmgs on premises, relationship to adjoining premiers or public streets areas, and giving a detailed description of layout at property must be drawn on the dlngra~,wl~lch Is part of thle application. c. The work covered bY this appllcati°n may not be commenc~cl before iss~al~:e of B,~Ir~l~ng 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 JS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable I.aw~, Ordinances or Regulations, for the construction of buildings, additions or alterations, or f.or removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bulld~amg code,aa, housing Code, ,and regulations. (Signature cf applicant, or na~, If a corparatlon) (Address o? appllcan, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................................................................................................................................................................... Name of owner of premises. .~.~... ~. ............................................................................................ (Name and title 'of corporate officer) F { 2.-~/c) , ~ ~' ~/''/- ~/~ ~ 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ........................ '*' ......................... Street and Number ~ ~._ ~/'~.~ v qViunlclpallty 2. State existing use and occupancy of premises and Intended use and occupancy of proposed constru~t'lon: b. Intended use and occupancy. ................................................................................................................................ · · o. ,'~arure-o? work (cneck which applicable): New Bud ng .................. Addition .................. Alteration ...... Repair .................. Removal .................. Demolition .................. Other Work (Describe) 4. Estimated Cost ..~...~..~..~.:~0 ........................................ · ......................................... Fee .......................... · (to be paid on fi!lng this application) 5. If dwelllng, 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 e×isting str~ctures, if any: Front. ........................... Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......................... ~ .......... Rear ............................ DePth ........................ Height .................... Number of Stories .......................................... . ......... 9. Size of lot: Front .......~1~..~. .......... Rear .................................... Depth ................................ 10. Date of Purchase .-.1..~..~.~ ....................................... Name of Former Owner .~l~.~t.&~'...~ll~J~.~.~..~... ..... ! 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation> ~..~...A~.~[' 13. Name of Owner of premises ....... .~'~.~,~.. .................... 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 whether interior or corner lat. STATE OF NEW ~,01~1~, ~' ................. ...... above named. He is the ................... ~.. . . ... (Contractor, agent, co~orate officer, etc.) . of said owner or owners, and is duly authorized to perform or hove performed the said work a~ to ~ke ~d file this application; that~ all statements c~tai~ -in this applicdtion are true to f~e best of his knowledge and belief; and tha~ the work will be performe~ in the manner set fo~h in the application filed~erewith. Swam to before me this ( ................. of ...... .:.x ....... of ........................... ~,r:~. So, o_~ ~ 5o 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE I NSPECT_GR.~-~------