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Home My WebLink About7025-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupa:ncy THIS CERTIFIES that the building located at]~/.~.~..~.g.S.t:~..e.~..[ .0F~. Street Map No. ~ Block No. ~ .Lot No, ~ ....................... conforms substantially to the Application for Building Permit heretofore filed in dated ~0~ .~ ........ , 19.73. pursuant to which Building Permit No. dated ~C~mbs~ .7~ .......... , 19.7~, was issued, and conforms to ~1 of the require- ments of the applicable provisions of the law. The occup~cy for which this certificate is issued is ............... ~. ..... ~ ........................ of the aforesaid building. Suffolk County Department of Health Approval ...... . ............................ UNDEEWEITEES CEETIFICATE No. N21~$~ (~ Bffilding Inspector TOWN OF SOUTHOLD BUILDING DEPARTNiEN1 TOWN CLERK'S OFFICE SOUTHOLD, N. Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT OKI THE P~EMI$~S UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ........ O.~& ~t. ....................................... , ................. to ...~..o.?e... ~..x..x...s.~..n.~....q~,e. ~. ~g...~.o....,n.,.e,~.., .~..o..c...~, .~,,o.~....! ......................................................... at premises located at .................................................................. 'i ......................................................... ................................................ g~.~.~3~ ......... ~Z, ..................... i ......................................................... pursuant to application dated ................. ]~1~i~ ......................... iL-.-.~ ]g.~.., and approved by the Building Inspector. Fee $..~.~.R ..~... ........... Buildin~ THE NEW YORK BOARD' OF FIRE UNDERWRITERS BUREAU OF EI.~CTRIClTY 88 JOHN ~TRBffT, NBW YORK. ~W YORK 100~ ~ TOWH OF SOUTHOLD Building Department Town Clerks Office Southold, H. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instrucflonl A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector 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 installations, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey o~ property 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 in- formation 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 SB.00 Date ....~.~..~ ~.. ~ ...~.~.~..~. ............. New Building ..~, ............ Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ...~/~..~I.D.I~...S~/,.~IBP,,J;.~...I~,13.~s..~...~'.~ ........................................................ Owner Or Owners Of Property ....~/l~,~..~l~e...l~;&r~ll~ ............................................................... Subdivision ..~( ...................................................... Lot No. ~(~.... Block No. ~ ..... House No...~..~...6.~. Permit No....~.~)2,~ ..... Date Of Permit ..... ~..~..l~/TA3pplicant .0...~.~..e...~..~.....~..~.~....~l:..~....~.....C..o...~.~.?,.e. ........ Health Dept. Approval ...?~..~.lk/.~...,~,D.~.~.~...~.~.~bor Dept. Approval ..~.~ ....................................... Underwriters Approval .... ~{2.1,~.1~.C)~. ........................ Planning Board Approval ...~1~, ............................. Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ ..~.~0~. ........................ Construction on above described building a~~t~ J~l appl~e codes and regulations. me this Applica~~"'~":'"" "~'"' / ~'*~ ......... Sworn to before {~ ................ day of ............................................ (stamp or seal) ~,. Notary Public .................................... County FOl~dl NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION / wn~ or outhorized o~ent ~ owner) o~ owner or outhorizeO o~ent o{ owner) ~ PE[AS[ TAK[ ~OTIC[ there exists ~ violoti~n of: Zoning Ordinonce ~....~ ................ 9.ZZ Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in tha~.....~~.....~~..~ / (state character of violation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the above ~nentioned forthwith on or before the .......... ~'~.....~/.?...~.) ...................... conditions day of ...... '~'~'~~7~ ....... ,19..~..,~.. ! The p,,~emises 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. Bu~Id,ng Inspector SUFFOLK COUNTY DEPARTMENT OF HEALTH EASTERN DISTRICT, RIVERHEAD,N.Y. APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS H.D.Reference No ~ f~--/~- construct said Approval to _ ~ systems is requested,pertinent data herewith: l-App±mcan% b-Sub div ~/~C~A~,-~ Address ~./~, F~- ~e/, ~. ~';' '7-Section Z~ 2-Detailed p~pe~y location~w~T~ ~Y~$ N~, 8-Lot No. Hamlet ~y~ ' To~ f~ ~ 9-Private well? ~ 3-~blic ~ter supply ~me ~,~ Distance to nearest ~in~ 4-Lot Size: Wtdt~ft. Length~ft. (also enter on center plot plan below:). 5-~elli~: Single Family~T~ Family7 / /Cellar? ~Slab? ; ~Crawl S~ce? / / 10-Pro~s~ syst~: Septic ~ank ~Precast~Cess~o~Shallow ~ols / /Other / / il-Septic ta~ inside dimensions: ~ol~a~s. Length~ft. Width~ft. Liquid depth~ft. 12-Precast sections: ~Number~q~re Ft. Cesspools: Block sizeL zncs. D ~s.H ins. Total blocks below inlet-'~: ~1 ~2 $3 ~T PLAN ~apacity~als. P.M. /~ Street ~' Ind5 The Understgn~ CERTIF~S: "Const~ction of authorized installati~ ~ill be in accolade wit) the Suffolk County Health De~rtments' current Standa~s, Bulletins, amendment,)thereto, covering Pri~ate Semge Dis~sal Systems". FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this Plot. Date [ ~/~ Signed (10/65 Revis. ) s-15 Disapproved a/c ~..] ............................. ~ ~ & ~ ~ ............................. /.~....V ....... .,v....':TJ ................ Z .................... --~ ~ ~ ~-~ c. V~~- ......... -/.,, (Bu,ld,~:)--'-- 7-" ~ APPLICATI°N FOR BUILDING ~ERMIT ~ Date 1~+ November 19..V...3. ...... ~ k~,~ ',~ '~..~ 04 ~ b INSTRUCTIONS Ink,tar, with 3 ~ of p~s, accurate ~ plan to ~ale. F~ ~co~i~ to ~h~ule. b. Plot plan sh~i~ I~at~ of lot and of ~ildin~ ~ premiss, relationship to ~joining premiss or public str~ o~. ar~s, and givi~ a d~ai~ d~ripti~ of I~t ofp~ must ~ drown on the diagram which is ~ of ~is ~licati~. ~ c; ~e wo~ c~er~ ~ this a~licati~ may nm be Comme~ ~fore i~e of Buildi~ Pe~it. ~ d;.. U~ a~val of this applicati~, the Buildj~ im~tor will Jss~ a Building Permit to the applicant. S~h pe~ t ~ sna ~ K~t ~ me premi~ ~ailable ~r in~t~ ~h~ ~ work. ~ e. No buildi~ shall be ~cupi~ or u~ in whole or Jn ~ for any pu~ whatever until a ~ificate of ~c~ncy ~. shall have ~en gmnt~ by the Buildi~ In~t0r. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or · Regulations, for the cor=truction of buildings, ack:lJtJons or alterations, or for removal or demolition, as herein clescribed.*~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing cede, and regulations, and ~ admit authorized inspectors on premises and in buildings for necessary inspections. ~ Orient Trucking & Construction Co (Signature of applicant, or name, if a corporation) Orient N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Name of owner of premises Pierre Andre Gazarla= If applicant is a 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. Map No.: ]C}{~ Lot No. ~ Nu~m~e~r~.. E/S King Street Orien Street and ............................................................... .~ ................................................................................. MuniciPality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy vacant b. Intended use and occupancy one famil~ dwelling 3. Nature of work (check which applicable): New Building.· ................. Addition .................. Alteration.. ............... Repair .................. Removal .................. Demolition .................... Other Work ..~..o.~.e.....e..~..~.s.~...~.o...~..s..e.... ..... ' ~...~....~... 0 0 (Description) 4. Estimated Cost ...................................................... Fee . ............................................................................ (to be paid on filing thi~,applicotion) 5. If dwelling, number of dwelling units ....... .o...~..e. .............. Number of dwelling units on each floor ............................ If garage, number of cars ........................................................................... ~i ................................................................ 6. If business, commercial or mixed occupancy,' specify nature and extent of each type of use ...~..e..$.~..e..~...~..:l:.?....~. 7. Dimensions of existing structures, if any: Front ....... ~.~ ................ Rear ....... ~..6. ..................... Depth 28 . 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 ........ 2.00 ......................................... Rear ......... ..2..1.0. .......................... Depth ..1..8.~..../....~.1..~. ......... 10. Date of Purchase ........................................................ Name of Former Owner .$.~..~.....~a..~..o...r....~...s.~. ....................... 11. Zone or use district in which premises are situated "A" dist 12. Does proposed construction violate any zoning law, ordinance or regulation: ........... .~.0. ........................................ 13. V~/ill lot be regrade~ ........ ~.e& ............ Will excess fill be removed from premises: ( ~ Yes ( ) No 14. Name of Owner of remises ~.~f~.~.~..~, 'G.~.z.a.r..i. an Addr~_.~- ~'~¢~,e/~ f~/~. piiOrte No. Name of Architect .............................................................. Address ..'~..:~.: ....... ./..?.~...z:..~... Phone No ....................... Name of Contractor ..J~=;Le, T~T,..~.I~I.g~;J~,F~...~.....C..9..~..S..~ Address ....... .0...~.~.e...~.~. .......... Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether exJ.~ting 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 lot. STATE OF NEW Y_OR.~ '"'J',. ,. '"'-- ......... --. COUNTY OF ......................... ~q~.~.~..t~.....-T...*....~...o..~.~..a...s..s.. ............................ being duly sworn, deposes and Jjlpys at he is the applicant (Name of individual signing contractO above named. ..... Co~'c~ac r~e ~s me .................................................................................................................................... ~ ........................................ (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 aPJ~tic~ati0n filed therewith. Swam to before me this ............... do, o, ..................... Notary Public, County~ . ........ ~.~-....~.:.~,.t .............. .................................................... fao~ltio~ for this location ~ve bee~ inspe~thi ~ de~rt~ent {~ ~e sa ~ Chief ,o~enera~ ~r~a t 40,/$1 ~.