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Home My WebLink About6977-zFO~M NO. 4 TOWN OF SOUTHOLD BUff.BING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupency No.Z.~.7.3.1 ....... Date ............./.,la~ ..... 1,0...., 19.~t~. THIS CERTIFIES that the building located at . .W®st~ .Cl'e~k .Ava ......... Street Map No... xx ....... Block No.x-v ........ Lot No. x~x .... C'gtehogua..N,!Io ....... conforms substantially to the Application for Building Permit heretofore fried in this office dated ...........Oct...31..., 19.73. pursuant to which B ding permit No..697.~ · dated .........Nov ..... 8 .... , 19. ?.~, was issued and coiforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is -----..~.,,is?ed is . ...~.i¥~.t.e.. 0p.e..falaily. ~l.~elling .................................... The certificate is issued to ...Dr., .Francis~o.. Salot~;o ..... Owner ................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .N., I~.* ............................... UNDERWRITERS CERTIFICATE No...pending .................................. HOUSE NUMBER ...290~. ...... Street ..... l~es.t .Creak. A.v$ ........ '... Building Inspe~r IPOUM NO. ~B 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) N? 6977 Z Date NOV 8 19~.3.... Permission is hereby granted to: D~.^..E~ ~.~.....~.~ ~..0.~.~.Q .......................... ...... ~......~.e..~..~.~..e. ........................................... ....Q~.~.....~.,.~.,......~..~.?.~E. .................... i ....... to .~ldl.ar~.~dd£t ~u...~..exis.t ~..d~eliin~ ............................................................... at premises located at ..... ~u~.~...W~,s.~...~3~P~..~.1~e ......................................................... Cutchogue N.Y. pursuant to application dated ....................... .0..~..~.....~.~ ................. , 19....~.~, and approved by the Building Inspector. Fee $,.].~.~). .......... ,' ( I'()W~ Ol,' $(HJTII()I,I) Certificate O~ Occupnncy No. Z5017 Feb 28 Date ... ... Tills CERTIFIES that the building located at ;'/.~st. C~,eek. AYe ........... Street Map No... ~.,.; ... Block No..~.x ....... Lot No. ~:X~.. ~q~pgq~ 1~ .~. rea ~irements fo~ on F ~ - , forJns substantially to the ~.,~,~_.~..:,m: _.~ - ~$-Y dwe. ].inz & houn~n~ Certificate of ~.. ~.for~..4pr$.[,. 23., 19.F7. Pursuant to which ~1~[~ No. Z50i7. · y dated ....... Feb .... G8 ..... , 1972.., was issued, and conforms to all oJ the require- meats of the applicable provisions oJ the law. The occupancy ~or which this certificate issued is.. R~lYate o~e farall), ~[~elllt~g Thc certificate is issued to . .[411dred' .O.. B~euer ...... ~,.mer. ' ' of the aforesaid building. (owner, lessee or tenant) Su[l'olk County Department oI Health ApProval · .~rgr..e;.:~.~$~g .................. t~M)I[RWRITEI{S CEI{TIFICATI~ No.. II()L;51. NUMBFI{ . ~9~0 Slre~.! West C~3 - ' ..................... ..... · ......... ~.' .~:... L~[ch~n= no shu~o~ a~ Sas ~an~e i~o w~ndox.t o~. mechanical ven~J, lation 215d ...... ~n.~rance-_i,[/Et no electric ., ~ .................. ~c.~r,,o~, - ~-.~ .... , . , switch ,' .o:u;t of e~t~.,s- ~29b one o~cu;an~) 2032 FORM TOWN OF SOuTHOLD Building Department Town Clerks Office Soul, hold, 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 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 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 ....../.~.,.L/,.....FI~L~, ?~ ........................... New Build ng . Additio- J Od r Pre xistin Bu Id / /*a ' ' ............... ......... ' ................ Owner Or Owners Of Propert~ ~..~..%....~..~..~......~...~.......~2.....~..~..~.q~j~p. ..................................................... Subd~v~s,o. ............................................... '~.'"'I ......... Lot No..,~.....,,ock No ...... ";"' ~"2~ ....... Permit No. ~.~.~ ~ Date Of Perm t /.l~...~7 ~'~ Appl cant ~),~., ...~....?~.. V~.~ Hoalth Dept. Approval ............................................ Lobar DOPt. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ....................................... Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ ....,.~.?...o. ................. /~ ' ConstruCtion on above described*~ilding ~d permit/ meets~-I~a_.ppl~ic~ ~and regulations. Sworn to :before me this ~ ~ ~ ........... .~.. day of .~....~. ;.../..~.~'~.. ........................... ~w~r~oPrkOr .al, Notary Public ~ County No. 30-4507127 Qualified in r~assou County Certificate filed in SuffoJk Count~" · ' FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) ess of owner or autho~zed agent o/f/owner) PLEASE TAKE NOTICE there exists o violation of: Zoning Ordinance Other Applicable Laws, Ordinances or Regulations .......................................... at premises hereinafter described in that ....~~,.,.....~.~.~,~'.~..~'~.~..~.~...~.......~..J....~..... (stat~_~haracter of violation) ..... ~ ...... .~.,...Y~.~.~..~. .................... ~./.......~..~,..~..~.~.. / in violation of ..:,,~X~-,, ....... ./..~..~.../.. ............................................................................................ (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 above mentioned forthwith in or--~,.~bef°re the ...... a . ~,~ .... ~ ..... :..~. ......... da~ of ~.~.~.....~. ...................... ,~./..~ The premises to which ~his ORDER TO REMEDY VIOLATION refers are situated at ,/--~L,~..~-,.~.~.~.,~......~w~,~.~/.~.,~....County of Suffolk, New York. FO.ilure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonm or both. Building Inspector 19.~.?.. Permit No. ~-~ 77.2~ Disapproved a/c .................................................. / APPLICATION FOR BUILDING PERMIT ~, Date ...... .(~. ,.. ~../. ..................... , 1,7..~.. ...... .~ INSTRUCTIONS .~ a. This application must be completely filled in by typewriter o¢. in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. C~ b. Plot p~an showing location of lot and of buildings on premises, relationship to adjoining premises or public st?ets o~ areas, and giving a detailed description of layout ofproperty must be drown on the diagram which is part of this apphcation.~,, 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 o Building Permit to the applicant. Such permit c~ 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 o Certificate of Occupancy/ shall have been gronted 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessajr~ inspections. ........................... nam..,,a co.rot,on, ....... ............ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general controctor, electrician, plumber or builder. .................................... ............. .................................................................................................................. Name of owner of premi~s~,......~...~..~....~...~.~...~.~...o.. ....... ~.~ ........................................................ ~ ...... ~;illl;... If applicant is a corporote, 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, propo~d wOrk will begone. MaR Nq.: ~.: ........ t(~ ....................... Lot No .....~ ........... Street and Number ..... ....lh~..~.......~...~....~..~.....~.......~....~-..,..~......~....~..~..c~...~.~..~.. Municipality State existing use and occupancy of premises and intended use and c~ccuponcy~of proposed construction: a. Exisiting use and occupancy ......... ..~'~..?...~ . 3. ............................. b. Intended use and occuponcy ................................................................................................................................ '3: ' Nature of work (check which applicable): New Budding .................. Addition,. .................. Alterahon ................. Repair .................. Removal .................. Demolition .................... Other War .... ~ ~ .e...~. ...... /~, ..~,./..~..~. (Description) 4. Estimated Cost ...,.: ........ .o...o..., ...................................... Fee .................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ ~ .............. Number of d~velling 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. Dimens OhS of ex st ng structures, if any: Front ....... ..~..o.~./. ............. Rear ....... ..~...O.:/. ............... Depth .....-~...~....~... ....... Height .....]...~..~. ........... Number of Stories ...................... .~ ..................................................................... ~' d., 0 / ' Dimensions of same structure with a terations or additions: Front .... ............... Rear ......'Z...:../. .............. Depth .......... .~..~,...~. ............ Height ........... /..~..: .......... Number of Stories ............./. .................. I ! 8. Dimensions of entire new construction: Front .......... ~/..~. ..................... Rear ........... /...~. ........... Depth ..... ./.....~...~ ........ Height .................... Number of Stories ...................................................................................................................... 9. S~ze of lot. Front ............ ,.~ t~, _~**°*~: .................................... Rear ........................................ ~-** Depth ................................ 10. Date of Purchase ..... .~/.~.t...I.~.7.~. ..................... Nome,of~ 1 Fc~ ,r~ner~ Owner ....'~....~'.~...~9..~.~? .................................. 11. Zone or use d str ct n wh ch rem sas ares tuated ~e~,t~--~, ~ 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ....... ...)~..~ .......................................... regraded .....,~ ..~.....~** ........ Will e~cess fill be removed from prep'ti, ses:( ) Yes (~'No 13. Will lot be 14. Nome of Owner of premises .~.~.,...,~'..:..~**e=,~.~...~..~ .................. Address)..'~.~-...~'...~G.~.~:...~Phone No.~,~..-~...°..~.~. .... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ..... i ........ ..~...~..J.~. ................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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 Nb'W. YO~I~,,~ COUNTY OF~ ...... ~'~ ~'.~ ...... -~.~ ............................................................... being duly sworn, deposes and says that he is the applicem (Name of individual signing contract) 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 make and file this application; that oil stateh~ents contained Jn this application are true to the best of his knowledge and belief; and thaz the work will be performed in the manner set forth in the application/~iled therewith. Sworn to before me this ;;;;;;; .................................. PAUL L HUSHIN / J~OTARY PUBLIC, Stata of New York No. 52-1906535 (~alifi~ in Suffolk County ]*~ ~ Match 30,