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Home My WebLink About7005-zFOKM NO. ~ TOWN OF SOUTHOL~ BUILDING DEPARTMENT Town Clerk's Office Southold, N. ¥. Certificnte Of Occupn cy No. ZT~§~ ...... ~ Date ...... ......... ga.r .... .28-., 1g.77. TI-IIS CERTIFIES that the building located at .pv~.!Rd. ~1~. '(9ogwoocl' 'La}' Street Map NoGa~. l~a~ .Ez~Block No ........... Lot No, 9~i&4~. 'E~zt'M~r$on' · 'I~ · · con£orms substantially to the Application for Building Permit heretofore filed in this office dated ............. l~oV' ' '28, 19. ~. pursuant to which Building Permit No. '?00'~. · dated ............. t~OV'' '2~., 19. ~, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. pl,:lva~e, o1~e '£am:[l~r-dwelling ~th '&ridS'ti. on' .................... The certificate is issued to .Mrs~ .Satin-. Se~l,&e'tt .~;~ lq~l,x*erA' .Sauarbaeh' · .Si, .... (oWner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval ~I,I1-,-..: ............................. UNDERWRITERS CERTIFICATE No... N~'~8~'~ ..... .~l*' · .~br. · ]c)~ ............. HOUSE NUMBER .... 2~ ...... Street .. ~t'l~ '~'$'' '(DO'g~OOff 'I;~) ........... Building Inspector I~ORNI NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT. TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 7005 Z Permission is hereby granted to: · l'.os~..]~%e~ .....~.. ~.rae3t:~ae~ ............. .................. &~ea~-po;~t ...................... ~ ................. pursuant to application dated ............. .1~.~ ......................... L...., 19..~.~:, and approved by the Building Inspector. Fee $.."J-,~IGO .......... F'"'r ~l~uilding Inspector "~ FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE~, SOUTNOLD~ N. Y. ORDER TO REMEDY VIOLATION Dot (owne~,or authorized agent of o,~. net) (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ~y; /~i .......... ~..~.<~.,~:~. ...... Other Applicable Laws, Ordinances or Regdotians ............................................ at premises hereinafter described in tha .... -- / -- (s!ate character of violation) ,n v,c, on of ............... (State section or paragraph of applicable Jaw, Ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions obove mentioned forthwith on or before the ........... i ............................................ day of_~....~r:~(.~..¢~.4/~. .............. , 19.Z.Z Zhe,~premises to which this ~RDER TO REMEDY VIOLATION refers are situated at --~/~Z~'~~'Z~""~~:'"C°unty of S,*folk, 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 br both. Building Inspector 'YORK BOARD. OF'~FiRE~'UNDERWRITERS WzllzamSerrell, Dogwood, Lane, East Marion, ~977 . andfoundtobe neo,~plance~ithth;erequ~rem*n~o thisBoard :(East:Marion,' N.Y. ,'; 11939: ,::: '- - ' . TOWN OF BUILDING DEPAKTMINT~ , ~l ~ TOWN CLERK'S OFFI~ ~, ~ SOU~D, N. Y. .............. ....... ...... , ..... Disapproved a/c ...~.-~ .................... - ................................ .7'Lo APPLICATION FOR BUILDING PERMIT ~ Date ................................................ , 19 ....... INSTRUCTIONS ~1 a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building~ Inspector, with 3 ~et~ ot~ 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 or areas, and giving (3 detailed description 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 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 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 laws, ordinances, builcling code, housing cede, and regulations, and to- admit authorized inspectors on premises and in buildings for necessary inspections. Jo se~.h Diaz (Signature of applicant, or name, if a corporation) Greenport (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ~.J$...~JJJ,~,Y.....~fi~.:~, ................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's L.ice~se No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ....G..a.r...d...i..n..e...r..s.....B..a.,Y. ...... Lot No. c)~ & 96 Street and Number ................. ...P~....t.....R..9..a..d.. ........... ..E..~.$..t.....M.~.~.°..~......N..t..~..: .......................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exisiting use and occupancy ....~lw~-'L[Lir~ ........................................................................................................ ~.tended use and occupancw ............ ~.a...m..e.....w.A~.h.....a..d...a..i..~.i.P.,n. ......................................................................... 3.~ 'l~ure of work (check which applicable): New Building .................. Addition ~ Alteration ~ ~ Repair .................. Removal .................. Demolitio~ .................... Other Work ...................................................... (Description) 6~000 + 4. Estimated Cost ........................... .m. .............................. Fee ..~.:..0...0. ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... O~e ............... 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 ................................................................................................................. 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~fi ...................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ....... ..~ .................. ....T~. ................... "A" dist 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .............. .~...O. ..................................... 13. Will lot be regraded' ....~..o. ................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .............. Address ..~a..~a~;J,g~ ........ Phone No. ...................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ..~^..~.;L~L~ ......................................... Address .....~.~.~.9.~..~ ...... Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from properh/ lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. see attached p~an ~. STATE OF NEW YORI~. i-- COUNTY OF ....... ........ ...................................... · T.o$.,...]).;Lc?i~ ..................................... being duly sworn, deposes and says that he is the applicant (Name of individual signi~g'contrecf) above named. c ontrac tor 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 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. Swam to before me this .................. o, .............. .......... , g Notary Public, .................................................... County .......... ./;~l::~-~C-~ .~:T.. ~.....~. ~.....~--~--__,~.~..~.,J ..................... · (~- /(Signature of applicant/