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Home My WebLink About7004-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMEI~T Office of the Building InSpeCtor Town Hall Southold, N.Y. Certificate Of Occupancy Ja~uazT 27, 81 Date ....... ~ ......................... 19 ... THIS CERTIFIES that the building ................. ~ .............................. Location of Property ~.96 Main Bayview Road (on ~/0/~) '8ou~hold, N,Y, County Tax Map No. 1000 Section . .9.7.8. ...... Block....0.~. ....... : .Lot .'...~7. ........... Subdivision ............................... Filed Map N9 ......... Lot ~o .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Novembe~ 27, 197...3. pursuant to which Building Permit No. 7004Z dated }Iovembe~e 27, 1973 , was issued, ahd conforms to all of the requirements of the applicable provisions of the law. The occupancy for whict~ this certificate is issued is ......... Addl~ion t~o Dwelling The certificate is issued to Miohael Nox~kelllns of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO.../..~ ............................................. Building Inspector Rev. 1/81 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) No. 700~1 Z Permission is hereby granted to: ............ S~'a~hold ................................................. pursuant to applic[~tion dated ,Netg ~ ....... i...., ]9...~.~., and approved by the Building Inspector. Fee $ JJ.~'~,.O0. ........... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF O;CCUPANCY 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 buildinCs, 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 orlEngineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conformingluses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 bui{dings or~ premises, or other pertinent informa- tion required to prepare a certificate. 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 Date January 27, 1981 New Building ............. Old or Pre-existing Building . .~. .... ' ..... Vacant Land ............. Location of Property ~..4-~.~..~!~. $.~, .~.~.~.~.i.e?., .~.o,~: .~..(.o.~.. ~./.0.~. !, .S.o..~?~.o.~..~.,. ?....~: ......... House No, Street Hamlet Owner or Owners of Property . . .~.i.c.~.~. ,e.1..~o..z'.[ff~,~.~..~.zT... .................................. County Tax Map No. 1000 Section 0?8 Block0 .~ Lot 03? Subdivision ................................. Filed Map No. ~ ......... Lot No .............. Permit No. '?.0.0.~..~ .... Date of Permit .1.1/.2.? ./.7.~,Appiicant' ?..~.~ .h.~.e.~...~.o.~...~..~...,.` .J.~., ......... Health Dept. Approval ........................ Labor Dept. Approval ... ..................... Underwriters Approval ........................ Planning Board ~pproval ...................... Request for Temporary Certificate ..................... Final Ceitificate ., .~. ................... Fee Submitted $ ~...Q0 ......................... Construction on above described' building' and permit meets all appJ~s{blej;pdes and~,egu,~atior~s. / Rev, 10-10-78 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICF.. SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) .... 5..4 9.6.... (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists o violation of: Zoning Ordinance .... .~..~..~.:....~.,Z..V. ..................... Other Applicable Laws, Ordinances'or Regulations ..: .......................................... at premises hereinafter described in that .......... .B...u:~..1..d..'.l.gg....P..,O...r~...~..g....~....T.O...O..~. ............................. (st6te character of violation) dated 11/2~/7~ h~s e,x,p, ired. You are rg.q~.~ed ~.q) ~P.~ly, ~.0~. ~ new permit. in violation of .......... ....................................... ] ......................................................... (State section or paragraph of applicable law, o~dinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to com~ly with the law and to remedy the conditions above mentioned forthwith on or before the .s..~x~h day of ........... ~..~.~9.~.~. .......................... , 19.~.1.... The premises to which this ORDER TO REMEDY VIOLATICN,, refers are situated at .~...k?.~...~...a..~...n...`B..~X~.9.?!....R..~....~...~.qu.g..h..p..]..d..~...C~unt¥ of Sud:aik, New York. Failure to remedy the conditions aforesaid and to comply ¢ith the applicable provisions of low may constitute on offense punishable by fine or imprisonment c~r both. :Building Inspector ~=~/~ c_ Approved ............... .~......:.: ............... , 19..i.'.... Permit No....~...~....0....~...~.....~Z/.~/,7'3"- ~'~~/,~'~ (Building Inspector) APPLICATION FOR BUILDING INSTRUCTIONS ~4 a. This application must be completely filled in by typewriter o~ in ir~k and submitted in triplicate to the Building~ Inspector, with 3 sets of Plans, accurate plot plan to scale. Fee according to schedule. b; Plot plan shOWing location of lot and of buildings on premises, relationship to adjoining premises or public streets of ,~ areas, end giying a deta ed descr pt on 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 approvoI of this application, the Building Inspector will issue o BuildingPermit to the applicant. Such permit~ shall be kept on the premises available for inspection throughout the work. L~ e. No building shall be OCCUpied or used Jn 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 lows, ordinances, building code, housing code, and regulations, and to! admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of apl~ant, or name, if a co(~6ratlon) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner of premises ..~.....~,.:..~..~..~...: ............................................................. Name of ' If applicant is o corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No. ~ Electrician's License No .... ~ ................... Other Trade's License No ............................................... Location of land on which proposed work will be done. ~ap No.: .......... ../...~.. ...................... ,L~ No~ .....~, ................. Street and Numbe ...... ..~w~,,~....~w~l~lx,....Q.~LJ,~J......~....,...l:3.~ ........ ~---~~. u Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...~ .............. ;w ...................................................................................... b. Intended use and occupancy ...~.....~.Z.~......~..~ ...................................................................... 3. Nature af work (check which applicable): New Building .................. Addition ....... ~ ..... Alteration .....~...~l~......S- Repair . . Removal .................. Demolition .................... Other Work ................................................. (Description) 4. Estimated Cost ........ !...~.j....O..o....O. ............................. :.....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 ~ars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing~, structures, if any: Front ......~...~.....'~J~....~ Rear ....q~..~....~ ..... Depth ....~.Q..~ Height ......J..~.....'91~h~. Number of Stories ........... 1...~(;~---..~ ............................................................................... _g Dimensions same structure with alterations or additions: Front .......... ~..L...~e~n..... Rear ...~..~.....J~. .... of Depth ....... ..~....O.......~l,~.. Height ........ J.~.....-~..Number of Siories ....I..~M,L ....... 8. Dimensions of entire new construction: Front ............... · ~ ,'""~'~" Rear ...... ~..~....~j.,~,,t~. Depth Height ...... L.~'...'~ Number of Stories ......... J,..~.,~.~l~..........' ......................................................................... ~ ... 9. Size of lot: Front .............. ]..~........~. ................... Rear ....... I.~.~e.,...~.~. ................. Depth 10. Date of Purchase ................................. I.' s .C.l.~e..~....; ...... Name of Former Owner ..~.....~ ! 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........... ..~...o. ..................................... 13. V~till lot be regraded ......J~...Q....., .......... Will excess fill be removed froth_ premises: ( /~r'Yes ( ) No · 14. Name of Owner of premises .~.(~:..~.~..~: Address .~... Phone No. ,~.~..~...-..~.~.~..,,~ Name of Architect .............................................................. Address ................................ Phone No ....................... · ..'-~......~.~ ........... Address .....~..~ ....... Phone No. Name of Contractor PLOT DIAGRAM Loca.te clea~rly and dJstinct!y,a, II buildings, whether existing or proposed, and indicate all set-back ~i~nensions from property lines. ~ive street ana mock number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NE'W.~.~p COUNTY ............. ......................... ~..~. ............................ ................................ ,...being duly sworn,;deposes and says that he is the applicanl (Na~e of individual signing contracf) above named. He is the ...................... ~ ......................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to n~ke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set forth in the application filed therewith. Swam to before me this ................ Notary Pub '~..~ - ..... nfy ... ~...~........~:f~-e~q~m~_ ...~ .,.. ~.._. ~2-.~...~, ...... . . // --JUDITH T. BOKEN (Si~'fatore of applicant) C/ Ngtory Public, State of New York \ No. 52-0344.963 Suffolk County~.f t Commission Expires March 80~