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HomeMy WebLinkAbout6980-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y.. CertifiCate Of Occupancy Date .uT.e.n.u.~..zT..8.~. .......... 19.8.'1. THIS CERTIFIES that the buildin~ ............................................... . Location of Property 6'~ 35 TndJ. en Neck L~me~ Pecan.to House No. Street Hamlet County Tax Map No. 1000 ~eotion ... 1~.1~6 ..... Block .... .0.~ ........ Lot .... .0.~.~ ......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'led in this office dated .... S..e??.e.??.e?..T. .... ,19T..2. pursuant to which Building Permit No. 6980 Z dated ....N.O. ¥..e~.b..e..r..9. ............ 19~.., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .......... ~ .~.~.e~. ~..o.~., .~..~.z..o¢.n~..(q.~r~$?)..*.~.?~.r.o.¥ .e.~. ~o. ?.~., .A.??.e..~. ?..~?.e.~..~., The certificate is issued to A3.bert; 0'o mid ll:l. eanoz' ~ode~8~e:l_q of the aforesaid building. Suffolk County Department of Health Approval ....... N..~. ................................ U~ERwerrERSCEeTIE~CAT~NO .... .~/~ .......................................... Building Inspector R~ 4/79 FO~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6980 Z Date ........................ ,~ ~.'~ ....... ~. .............. , 19...~3. Permission is hereby granted to: · -.&~be~-~..&..&l.e~o~..]~glent~ .~ .............. ............. I ~l.~en...Neek....Lene ............................ to ...~ .u.~..J:.~...r.!.e.~.. ~.~..v..a..~.e....g.a...r..a. ~:.q ........ [i~.p.~.~.~. ~.~.. h~..~d...~k~/~ _~.. ~.l f~59.~ ............... et premises located ot ..~/,'~..TZII~4IJi..J~JC..~-a~,~ ......................................................................... ....................................... ~.,e~ans ~ ......... 1~.,~ ..................................................................................... pursuant to application dated ................................ ~.ep.l:.....~. ....... , 19.~.~..., and approved by the Building Inspector. Fee $.'t,O,o~ ........... - TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ 7' TOW~ CLERK'S OFFICE SOUTHOLD, N. Y. ........ .......... , T ............................. ........................ 3 ' /~' ~ ~ APP. LICATION FOR BUILDING PERMIT ~ Date ......... ~p.~.o....7. ....................... , 19r. s ~-.. ~..'~" t INSTRUCTIONS a. This application must be completely filled in by typewriter or n ink and submitted ~n triplicate tO the Building Inspector, wi~ 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 adjo n ng pram ses or public s{reets or areas givin'g a detailed description of layout of property must be drawn on ~iagram which is Dart of this application. c. The work covered by this application may not be commenced before issuance of Buildin9 Permit.. d Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such ~erm~t the premises available for inspection througnout 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 be~ granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit oursuan~ '[o me ~udding Zone Ordinance of the Town of Southold, Suffolk County, New York. and other applicable Laws, Ordinances or Regulations. [or tt~e construction of buildings additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable law'~ ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in bui d ngs for. necessary nspection~v ..I=.di~r~..l{.ack..L~.aa ,...I:.c.c.,:,x~.c ............... (Address of applicant) ,~ If applicant is a corporate, signature of duly authorized officer. (Nameand title of corporate officer) State' wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................. P.~.~r ....................................................................................................................... AlOert & Eleanor Bodenstezn, Andrc.~, Cl~f~cro. '. u~ .c ...... :.~.~,..; ..... Name of own~ of premiss ........................................................................................................................... 1. Location of land on which proposed work will be done. Map No.: .................... Lot No .............................................. Street and Number ...~J~.~...[:0.Q,:~,~%.,~.~c~..~w,q4~e, ............................... ~.e~,,o~.ic. .......... ~ ........................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposec construction: a. Existing use and occupancy ..... ~..~.E..Z..e.....~.~..m..~.~...~..~.~.~.q.~.D..~. .................................................................... .o'ara~e ....................................... ; .......... b. Intended use and occupancy ....... .~. ........ , ................................ Nature of work (check which ap[ ,.?ble) (, g .....~ ................ Ad ion ..................... Repair ..................... .... Removal ... ............. .... ..... Demolition ........................ Other Work (Descriptm~ Estimated r~n~ ~; ]_, ©'.)0 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 ................ 2. .......................................................................................................................... if business, commercial or mixed occupancy, specify nature and extent of each type of use ..................................... See d J.a6ra~ Dimensions of existing structures, if any: Front .....................I~ear ........................... Depth ................................... Height ........................................................... Number of Stories ..... ~. ........... '. .......................................................... Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth .......................................... ;.. Height ......................................... Number of Stories ........................................ Dimensions of entire new construction: Front ....,~ ................ Rear......~_u.................° ~ Depth ..... "'~ ......................... Height ........ ..l..0. ..................................... Number of Stories ..........J~ ............................................................................. ................................. ...... ........ ............... Sizeoflot: Front 105.,~7 .... Rear ..... ~..]:...~.0. ......................... Depth~ ~ ~' ~' ; ~ '' Height............... ..... .............. ,................. Number of Stories ...................................................................................... Date of Purchase ...... ~ ./..~/..~.~, ................ Name of Former Owner ..... ~m.~,~t~ ........................................................... Zone or use district in which premises are situated ............ ..A. ............................................... ~ ..................................... Does*proposed construction violate any zoning law, ordinance or regu~: ~,..~.~....,~C.'f~...2...~.,,; ................ Will lot be re~aded ........... !.~..o. .................. Will excess fill be removed from premises: [ ] Yes [ ] No Name of ~ of t~'emises J~Q~[~2.~.g~..~..,~-.~.....I.~d.~a~.-N£c~.. ~I~--'.~",","~f"',L'~'', ................ (Address) . (Phone r~o4 Name of Architect ......................................................................................................................... ~' ........................ (Address) (Phone No,) (Address) (Phone No.) PLOT DIAGRAM all buildings, whether existing or proposed and indicate all,set-back dimensic~[~s f[o ~r~ or description according to deed, and show street names and m.d ..~c~te wheth o interior 10. 11. 12. 13. 14.' STATE OF NEW..Y~)RK.. ~. ) coua Y ................ ) He ts the ................................................................................................................ '~: (Contractor, agent corporate offwer, etc.} ; ~ of said owner or owners,' an~.is duly authorized to pedorm or have perfumed the said work and te make and file this a, pplicat~on; that al!] i'" state--ts conteined in ~his aPPlication are true t~l[~l~'~¥d~ hflies,wkYn~ko~ge and belief; and thai the work will he performed in thee mah~e~ FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted i~ to the Building Inspec- tor 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 installa- tions, 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. 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling · ~-3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date..~%%.~,~.~ ........ New Building ..... ~{ ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 6135 I.n.d.i,a.n. Neck Lan.e Peconic House No. Street Ham/et Owner or Owners of Property ....... .B,O.D.E..N.S.T.E..I .N.,..A..L.B.E.R.T...J....&....J.U.N.E. ................... Cousins/Tax Map No. 1~ Section ...... 0. 8..6 ......Block ..... .0.6 ........ Lot 019 Subdivision .......... .X. ..................... Filed Map No ........... Lot No. ' Permit No..(-g.~...~.... Date of Permit ?~.~.l.~..i~...Applicant .... .A.l.b.e..r.t..J.....B.o.d.e..n.s.t.e.i..n ...... Health Dept. Approval ....... .N/.A. ............. Labor Dept. Approval .... N../.A ................. Underwriters Approval ....... .N./.A. ............. Planning Board Approval N/A Request for Temporary Certificate ..................... Final Certificate X Fee Submitted $...~ -. QP ...................... Construction on above described building and permit meets all aPDlicable cod~s and regulations. Rev. 10-10-78 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 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 Inspec- tor 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 featu res. 2. Final approval of Health Dept. of water supply and sewerage disposel-(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 or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, 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 buildings 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 3. Copy of certificate of occupancy $1.00 $5.00 Date ... ~..a~.u..a.~'~..7. !..1.~.8..'1 ..... New Building . ..~ .......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... ~.~.-~.. . ~[D.c[±azl .NecJ~ .L~3,6t, ......... ~.(~¢~)~J,~ ~. ~..¥~ ....... House No. Street Ham/et Owner or Owners of Property .... .A~.~..e.~..~....~.1~.~...~.e..a,_~..o.~..~..o.G.e.l~.S. ~.e~.~. ............... County Tax Map No. 1000 Section ...... .0.8. ~ ..... Block .... 0..~ ......... Lot....0.1 .c). ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..~c.)~)..~,. Date of Permit . .1. 1. ./.c)./.7..~Applicant....A.]..'o.e.~.~..~..o.......,.....,.......& ~,,lesz~_oz~ ~od. ezzst;e:[13. Health Dept. Approval ...~./.R. .................. Labor Dept. Approval ........................ Underwriters Approval ..... ~/'. ~ .............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ... ~ Fee Submitted $...~;o ~)~ ..................... Construction on above described building and ~err0it meets all,a~plicable codes and regulations. Applicant. ~,~'..~, .~,", , .~,~,, :. ,~,~,, ................... .~{~ FOR~! NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date Decembez~ lQ 19 80 (owner or authorized agent of owner) ] 5....z. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance .... .A..~..~ .......~..I..~ ..................... Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that .......... .~.~..l.~%..n..~..~.e....z~....i.~.,.~.....~.~.~.Q ............ (state character of violation) new permit. in violation of Sec. 100-~,.41 H' (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 on or before the sixSh day- of ......... .J..a...n..u..a..?.y. ............................ , 19,8.!.. The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at .~.j,~.~..~,i, 9~ .]~e..~].C...~...~q.e., P~.g.,o.~ig..~,....County of Suffolk, New York. Failure to remedy th~ conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine ar imprisonment or both. Building Inspector