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Home My WebLink About6972-zTOWN OF $OUTHOLD BUILDI~IG DEPARTMENT Town Cl~k', O~ice S~u~hold, N. Y. Certificate Of Occupancy No. z73o1~ .... Date .............. 0e.~....%~ .... ,19.76. THIS CERTIFIES that the buildiz~ located at .15~ ~SufCollr~ Ave.& Deel~ ~D~, Ck Map ~o.D. eep. ~[o~e.. Block No ........... Lot No..1~. ....l~£~k.. ~.~' ........ conforms substantiall7 to the Application for Bufldin~ Permit heretofore filed in tht~ office dated ...... ........ 19oI...~., 19.7.3 · pursuant to which Building Permit No. 69221.. dated ..........lqfl~r .... ~ .... , 19.7.3., 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 .I~r. i.v~.tq..OT~, l'0~li, ly..d.~iellJ.n~ .~.llti .an. e. cl, ilt±an.. ~..porah .enc,].osures) The certificate is issued to .. ,l. err~..Tot;alos .... u.m~e= ............................ (ow,~er, lessee or of the aforesaid building. Suffolk County Department of Health Approval . N..Xi o .............................. UNDERWRITEP~ CERTIFICATE No. li.~l ........................................ HOUSE NUMBER .... .7100 ..... Street .... l~e~ .a~r£<>lk. ~.ve ..... Na~i~aek. .... Building ln~or TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N~ Y. BUILDING PERMIT (THIS PEPu~IT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6972 Z Date ........................... ,]~; f~l;~ I~. · ....~, 19..~. Permission is hereby granted to: ~ ,es~,~,ee..~e~e~e$ .................................... · -Xetit~$~,'e~ ....................................................... to ~:l~t3,{L. ~ .m~Ltt,,~..m~..e~zt, et.~.~...~e3:.l.$e~.....~s~.~ ................................. at premises located at ~d~,.~.~......D~.e_~..TI3.~..E,,IL~e~..~.l~r~& ....................... , ......................... ....................... ~gv .. ~l,f.Co].k.. &lr~ ..&..1~... ~3e ®p~, oZe · 4)~.$.~1~ ............. J~t~i~$~a~J¢ ................ pursuant to application dated .............. ~O~ ....... .~: ......................... ]9~.~..., and approved by the Building In.~octor. Fee $.t~.*.eO ............ ~ '- Buildlt~ Inspec~Br T~N ~K~ ~FI~ ~ ~D, N.Y. ~ ~ov~ ....... ........................................ , ~ ~if ~o ..................................... IT ......... b. P~t p~ ~ing I~ation Of lot ~nd o{ bufldi~ ~ pr~mi~, rel~t on~h ~r~, ond flivi~ ~ detoil~ d~ripfi~ of I~ o~p~ mu~t be d~n on c; ~ wo~ cowred by thi~ ~licofion m~ ~ ~ eom~m~ before i~u~nc~ d. H~ ~ppmwl o{ ~i~ ~lic~ti~, ~ 8uildi~ In~or ~ill iss~ a Building ~rmit shall be ~t ~ ~e premi~ ~ail~le ~r in~ti~ ~h~ ~ ~rk. e. No building shall be ~cupi~ or u~ in whole or in pa ~ for any pu~se what,er until a Ce~ificate of ~c~ncy shall have ~n granted ~ ~e Building Ink,tar. 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 herei.n described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulat.ons, and to admit authorized inspectors on premises and in buildings for necessary inspecti, ~ ican~ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premiSes ............ ~ ['"~' '"[~'"' ..~..../~......~.,. ~,,..~.. ~)i_~LO....,:~ .................................................................. If applicant is a corporate, signature o'f duly authorized officer. Plumber's License No ........................... Electrician's License No ....................... ~ ............... Other Trade's License No ........................... ...e~.. ,..;~ ......... 1. Location of land on which, proposed v~rk will b.e d~'~. Map No..'~._~s.~.....~. Lot No.."~'..i.i( ............... Street and NUmber ....... ~..q~,~.....~...~....~.~,_...~,~~...JD~~,...~L~..~....~. ................... MunicipallY/ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........ ~,' ~/~'~'[~"~'i ~ '~;['."':'."~" ~' b. Intended. use and occupancy ..................................... ~.(..^...~a.~.~......~Z,..~~~ ~' 3. ~tu~e-of work (check which applicable): New Buil~ling :.~. .......... ::~ ................ Alteration Repair .................. Removal .................. Demolition .................... Other Work ................................................ . ..... (Description) 4. Estimated Cost ............. ~......~...~.~.~..~,~. ..........Fee · ' (to be paid on filing this application) §. 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 ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...................... ~.~. .......... Rear ....... ~.~., ................ Depth ...J..~... ............. Height .................... Number of Stories ......................... ~..~.~ ...................................................................... 9~ Size of lot: Front ........................................................ Rear .......................................... Depth ................................ I0. Date of Purchase ........................................................ Name of Fo,,r/nex Ov/~er ........................................................ ~"~ 11. Zone or use district in which premises are situated ............................. ~.~... ................................................. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ - 13. Will lot be regraded ........... .~.~. .......Will excess f~ll be removed from premises: ( ) Yes ( ) No i4. Nome of Owner of premises ......~.~.~.....~.Q..~...b.J ..... Address "/~"~',~*~"/'.r ..... PiSano No....~..~...~../../..~ Nome of Architect ................~ .............. ! .......................... Address .~.~d~.~,.~...~........~/~[/~--/~ Phone N° Name of Contractor ............................................... Address ..../........J.J..~....c~. 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 shew street names and indicate · whether interior or corner lot. STATE OF NEW YOlk,/~ / o.- couN'rY ,, .................. "..~....~. ¢.~.~.,~.....:'.:"..S .................. being duly sworn, deposes and says that he is the applicon, (Nar~ of indi~,idual signing'~contract~ ' above named. He is the .......................... : ........................ .~...~ ....... ,~....~~..'. .................... .:..~ ............................ (Contrac.tor, agent~ .co]parade officer, etc.) of said owner or owners, and is duly authorized to perform or havQ 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; tha~ the work. will be performed in the manner set forth in the application filed therewith. 'Swam to be:[gl~me this m -- ~ \ ................. ./ ......................... C2X ..., ........................ No. 52-0344963 Suffolk Coun~ ~emml~ien ~pim~ Ma~¢~ 30, 19~f.~' FOEM NO. $ TOWN OF $OUTHOLD , Building Department Town Clerks Office 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 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 dispasal--(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.of 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 $5.00 3. Copy of certificate of occupancy $1.00 Date ........................... 7 .................... Add'" New Building ................ man ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property -7/120 I~l~. l~/ ~,'u FFOL..~. .~..V'_F~ Owner Or Owners Of Property ',J E ~'~ ..~ ,~ -Z/~ TO ~..~,,~{P HOLE /5TA TR.5 Lot Pr'7 Subdivision No. Block No ........ :.... mouse r~o ............. Health Dept. Approval ........................ ...~.....~... .......... Labor Dept. Approval /v', / Underwriters Approval .............................................. Planning Bo~rd Approval ....... .-~.,'..,.~.....- ................... Request For Temporary Cert ficate ............... Fin~ Certificate Fe u ' · S bm,tted $ .......~ ........................ Construction on above described building and permit n~eets~~ee codes and regulations. Applicant .... .Z~...~-- c~.., // /. /I, ..~..~£.~......(~. Notary Public ,.. County FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. TO (address of owner o/authorized agent of owner~ ' ORDER TO REMEDY VIOLATION Date (owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in that~'.'~..Z.~,,-~.~':..~.....~','~..~,.~.~.~...z..~4~,'j,~.... ..... ,~/ / , , , . (state character of violati0~) . ...... (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions a~,,ove mentioned forthwith on or before the .................. .~../....~. ......................................... day of ... ~...~....~,...'~.-.~'~'/' .................... , 19 ..~...~.. ]'he premises to which this ORDER TO REMEDY VIOLATION refers are situated at '~.:~,.~.~..../~.~.,.~'.~.....~4.~.-..,~../.,/~,~/~,-...~..~.,/~n',/,,.,~./~/~ounty of Suffolk, 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 or both. " f'"~m"'"Building Inspector