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Home My WebLink About6971-zlv'O,w-'~v NO. 4 TO~T OF $OUTHOLD BUI~.DING DEPART~R~ Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No.*~(........ Date .... ~../.'~'" /~7~'". 19 ~ ~o. :...~... ~o~ ~o..~ ~ ..... co.om subst~ti~ ~ ~e App~ca~on for B~ding Pe~t heretofore ~ ~ ~ office /~ -- ~ ' da~ed ............... ~.~..% 1~7i., was ~su~, ~d eo~om~ ~ ~ of ~e ~ men~ of ~e app~eable pro,iota of ~e law. ~he oeeup~ey for w~ ~ ee~e~ ~ ~sued ~ ~~~ ~ .... ~. . (o~er, less~ or ~n~t ) of ~e ~ores~d b~d~g. S~o~ Co~ty Dep~ment of He~ Approv~ .~ .............................. HOUSE ~ER.../.~.2~.~T.. S~t .~ ~. ~. ~... I~OBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6971 Z Dote ~O~elllll~A' ~ '9 ~3 Permission is hereby granted to: pursuant to application dated ......................~.1;~ ........ ~ ................. , 19~.~..., and approved by the Building Inr~:tor. Fee $....~.Q,.QO ......... THE THIS CERTIFIES THAT NEW YORK BOARD OF FiRE UNDERWRITERS BUnS~u OF E-ECTmCr~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 1974 App~ic,,i~,~o.o,/i~ 707683 N 166574 RXTURE I~XTURES P, AHOIS OVENS D(SH WASHERS EXHAUST FANS OUTI~I'S SWITCHES FWC~ESCE~T 10 13 9 10 DRYERS FURNACE MOTORS ~'UTURE AI'~UAHCl SERVICE DISCONNECT OTHER APPARATUS~ Water Heaters: S E R V I C E .o,o~ cc. co.,~. *.w.o. .o.o~ ,~o ^.w.G. ^. w. O. oF cc. co.t c~ H,-~-~ 3/0 1/o 1-4.SKW Electric Room Heaters: 1-2.0KW 1-1.75KW 1-1.SKW 1-1.25KW 1-1.0KW 1-.75KW W.B.Ruland Mattituck, L.I. cOPY I~R BU~ILDING DEPARTMENT. THIS COPY OF CERTIFICATE M~ NOT BE ALTERED IN ANY ~ ' .~ ~ FOI~I NO. 5 * TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ORDER TO REMEDY VIO~TION TO .. k[ari oD... C.Q'LZ~ o~a o.un~is ........................ (owner or authorized agent of owner) 19225. 8.Q~fl.v..~,.~SZ ~ye~ outnold: (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Chapter i00 ......... XI.V. ........................... Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in that ...~.12~]~.~1`~'r~g...¢.Q~..~.~`.B.q.~.e...~......L~...~...e.?.....~.~.J:~.~g ..... (state character of violation) .... P.e.=mi~...~f6$~.lZ.,...~a~e.d...J. ul.. y....8.,.. 19.7.0...b ~.i~zg...~.d.. ~,.n.~.. g..c..c...u.p..i..~ .d.. ,....c..9..n...s..t' rue t i on ..... ~P.D ~.a r~....c..o.m.~ 1.~..~.~....-....~p....C..~.~l~,.~.~ .e..& .t.~....q~...Q ~.qBp.~.qZ..~ ~.~ ~.~ ............................. in violation of ....i~fl.o,~'i QiO,..~O.O.-..~,.b~:...~,...-....~ .................................................................................. (State section or paragraph of applicable [aw, 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 ...~],~..~.~;..J,¢.&.h.....(.~..0.). .................................. day of ..&~l.g.~s.~ ..................................... , 19..~.5.. The premises to which this ORDER TO REMEDY VIOLATION refers are situated at .T~.~...~.c~.V,~.~Y.~.~..~L..~kKe..,.~, ~.o.~.h...o..~..d..~ ...... County 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 orimprisonm.~~B~.~mprisonm~rr both.~~ ~ ng nspector ' FO~,M NO, ~ TOWN OF $OUTHOLD , Building Depo~tment 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 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 ]957), 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: ]. Certificate of occupancy $§,00 2. Certificate of occupancy on pre-existing dwelling or land use $$.00 3. Copy of certificote of occupancy $1,00 Date ..Se.p~.er~e;r...8.,...,]..92.~, ..... New Building X Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ..... ]~/..~....$.Q.~,[1~.y.~,D..~...A.~.e..i3..u....e' ...................................... Owner Or Owners Of Property ..... .V.£~.,~o,],41..£o,r.p ..................................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No......~9~.2 $ Permit No...7.ZO.g2 ....... Dote Of Permit ...,.~./..7../.7..4...Applicant ~a~.iD~q...Col~lD.t~£.O. HIk~].5. ................ Health Dept. Approval .............. .~ ........................... Labor Dept. Approval ............;. .................................. Underwriters Approval ............................................. Planning Board Approval ......... r .............................. Request For Temporary Certificate ........................................ FinoJ Certificate ......X .................................. Fee Submitted $ ..... ~-D.0. ..................... Construction on above described building and permit meets all applicable codes and regulations. Applicont .... ..r~; ~ ~: c~_~_~ Swgm,,to before me this~ · .~...?..~.... day of ,~..,~.~../~/ (stamp or seal) / ~ Apr~~ ~ ~ Notary Pub c ~...~. oun Not, y,' ::'~ "'~'~ SOUTIfOLD, No Y. · ........................... .... ........ ................ · ~ ~ .. ~- ~ ~ ' ............... ~ .............. ~.~. ......... ~ ................. ~ ............................. , ......... ~.~.~o~/~ ~,~. ~ ~/~ ~/s~/~ ............ ............................. a. ~ll ~IIc~ m~ c~l~ fill~ In ~ ~writer or in ink end mbmi~ in ~pl~e to ~ ~tldi I~. ~ ~ a ~ ~r~ m ~ mp~ must ~ a~ ~ ~ dl~mm ~ ~ ~ ~ ~ ~im. ~ c. ~:~ ~ I~ ~ls ~llcmlm ~ ~t ~ ~ ~fom i~e d Buildl~ ~t. _~ ~;. ~~1 of. ~1~1~, ~ Buildi~ I~ctor ~ill i~ a Bulldi~ Pe~lt to ~ ~l~t. ~ ~t ~n ~:~ ~ ~1~ ~ll~le for t~i~ th~h~ ~e p~ of ~ wo~. ~'1 ~~' ~~1 ~ ~Bulldl~°r ~l~r.ln ~le or in po~ for any pu~ ~ate~r until a ~if~ of'~ , ~PLI~ ~ ~DE ~ ~ Bulldi~ ~ment ~r the issuance of a Bul~l~ ~lt ~m to the ~u,a~ ~~ ~ ~ T~ ~ ~ld, Su~k C~n~, N~ York, o~ m~r ~i~ ~, ~mm m . ~u~ ~~i~ of ~lldl~, ~ltl~s or alterations, or for rem~al or ~lffi~, ~ ~ ~r~. ~ ~ ~ ~ ~ c~ly wl~ all ~llcable (Signature of applicant, ~(ame~ if a coqx)rati(~'~ ........ ............. ~-~..~~ ..... , ..... ~..~....,., ~ cant) ~ ~. Stat?~-.whether aljl:)llcant, I$ owner, lessee, agent, architect, enginNr, general contractor, electrician, plumber or builder. % If applicant II o corporate, lignature of duly authorized officer.. ............................................................................................ (Name and title 'of corporate officer) 1. La~tlon of land on which prapo#d work w be done No'-- -..-.~. .~ ~ r~.d~.~.~, ........ ~ ................ -- .... : ........................ Munial~ll~ ............ work (check whic Nature le): New Building ................ ~ ........... Alteration ......... ~ ....... Repair .................. Remova!/~C... ............... Demolition .................. Other Work (Describe) ........................................ 10. 11. 12. 13. (to be paid on fi!lng this application) 5. If dwefllng, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of c~rs ............................................................................................................................................. 6. If busine~, 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 some structure with alterotioos or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ............ ..~T....?~..,e ....... Rear. Height .................... Number of Star es ~ .......... ' .......................... ~' ........................... Size of lot: Front ............................ Rear ................................... Depth ............................. 'Date of Purchase .................... ../..~.~.;.~.. ........................ Nome of Former Owner ....i~ ...................... Zone or use district In which premises are situated ~. ~( ~ ~ ....................................................... .~ ... Does preposed construction v/~jl~G/, any~ni~ng law,, ordinance or~~)....~......~......~... Name of Owner of premises~././',~J~',m.~-.......~..Address .~.i ................... Phone No ..................... Name of Architect ..................................................... Address ..... Name of Contractor. ~./~_ J-- ~-~,~ ~ .... ~'''-''I~,~ ............ Phone No ..................... ................ TJ' .......... u .~...-:-.....~aa ress ...... ~7..7..~ ................ Phone No .................. PLOT DIAGRAM .L~.~te ¢lea~rly ami distinctly ali buildings, whether existing or proposed, and indicate all set-back dlme~.sions from ~'ou ,,J g V lt~vj STATE OF NEW RK, 1 ! ......... o~, ,~. ,, ~, t~, .............................................~ ~i~7~r ~ ~,~e~n~?~/[~-f~?'°r~ o~. have ,e,o~ '~ sal~ ~ a~ to ~ ~ fie t~ th .... ~ ...{. ~. __~ ..... ~ ~,,~.,,~ ~g}n~ ~mat~.am tree m me ~Jt of his ~e a~ ~lief; and . . .u.~ w., ~ p~r~gr~a in me manor ~t to~n in the a~Jlcatl~ film ~lm =~m to g~L _~ ..... ~ ~11 rr ...................... ~ ~ ~. , .......... ........... Nmaw P~llc ~/~ /~ ~ 'iL ~Z . _ ""~"~"~ ....... ~ ....... ', - , ~~~... ~,w ~~ (sl~,~, o~ / No. 52-81258~0, Suffolk C~. ~-~ ...... Term Expires March 30, 19~