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Home My WebLink About6398-zFORM NO. 4 TOWN OF SOUTHOILD BUILDING DEPARTMI~NT Office of the Building Inspector Town Halt Southold, N.Y. Certificate Of OccUpancy No..Z.17:.57.1 .......... Date June 22 19 84 Tills CERTIE[ES that the building additional, enclosure on building Location of Property .... .3.7.~. ,N~xY S'[:reet ~ Orient H o~,se No. ' ............... 'S'dei~ [ ....................... h ~,;#~i County Tax Map No. 1000 Section 26 .Block I .Lot 10 Subdivision · XX XX XX .............................. Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. ~l~¥~.h..'~ .......... 19.7.3. pursuant to which B[filding Permit No. 6398g dated ~l.~'q~. ~2 19.7.3, . , ~ .................... , was ~ssued, and conxorms to all of the requirements of the applicable provisions of the law. Tl~e occupancy for which this certificate is issued is ......... Additional enclosure on existing buildinq, The certificate isissued to Isaac ~. Edwards (owner, I~Xt~.Y-.t~/~ ............ of the a~bres~id building. Suffolk County Department of Health Approval .N/A UNDERWRITERS CERTIFICATE NO ................ .. N4.0.~ ...47.0..5 ....................... Building Inspector FORM NO. 2 r~4 OF SoU'rHOLO lNG DEPARTMENT 4 CLERK'S OFFICE UTHOLD, N*, Y. N? 6398 Z ~ermission is hereby granted to: ....... J...~ a.~ .e.,...,?z..4..v.. ~...~ .a. ~9, ......................................... to .. ~.~.e.,...~ J,.'~..(~.a.t..% .c.,.~...~PA.. ~. :'.. !. 7. ::. i.. :.?.:. 2...:~.~ :~..t p. ~.:.e.....o..n.....e....x!,..s,t...l..n.g...~.-..9.....b..u.,i..X..d...ing at premises located ot ..~Jt[¥~...~.f,i~2~.~.~. ............................................................................................... pursuant to oppJication doted ................... ~ .......... ? ................. , 19~.~..., and approved by the Building Inspector. Fee $.1,,~*~ ........... . ~ * Building Inspeltor FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted--i~d~pHcctc.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 Underw¢iters. 4. Commercial buildings, Industrial buildings, Multiple Residenlces 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. B. 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 requ ired to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use 2-?re-Existing C.O. $15.00 Vacant land C,O. $ 5.00 Date .......................... New Building L// Old or Pre-existing Building ..... ; .. Vacant Land Location of Property ..... .~. ~.~. ........ ~}~...(c~.....,~..-~ ..... House No. ~ Street Owner or Owners of Property ..... ~ ..... ./.%, .~ ........................ County Tax Map No. 1000 Section .... .~.'.~. ....... Block ..... .J ......... Lot ..... ./'.~. ........ Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. ~A¢°°~Z Date of Permit .~././'¢~).~..Applicant Health Dept. Approval ...... ~..L ~ ............. Labor Dept. Approval ........................ Underwriters Approval. /t(.. ~.~.~ .~7~..~.~. ......... Planning Board' Approval ...................... Request for Temporary Certificate ..................... Final Certificate .... ~ .............. Fee Submitted $...x,Y~...0~.. .................... Construction on above described building and permit meets all appliceble codes and regulations. Rev. 10-10-78 Applicant .................................................... ¢'Zf2 FO~M NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. ORDER TO REMEDY VIOLATION Date... ~'.~.~ ....... ~....--. ........... ./~,(owner or authorized agent of owner) ~z~.-.... '.~. :.¢.: ....... (address at owner or autho,~d agent or owne£] // PLEASE TAKE NOTIOE there exists a violation of: Zoning Ordinance · ........ Other Applicable Laws, Ordinances or Regulations .......................................... ~// (staff character'of violation) , .~)/~ ~., ,./~ ,Ex v · ioJation of ~.(.~(. · ,~, ,~, · -~,',' '~, · ./,' · .................................... (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 before the ..... ~,~,~,' , ,~ .... day of ........ The premise~s to which this ORDER TO REMEDY VIOLATION refers are situated at ~:z~.....~x,,.. ... ..cou.,y o, s.,,o,k. ,ew Yet,.~:" ' ~' Failure to remedy the conditions aforesaid and to comply wifh the applicabl /~visions impriso~t or bo~h. _ moy constituto ~n offense punishoblo by flno or ~ ~ ~ of law NO. 5 TO~'N OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Yo ORDER TO REMEDY VIQ/~ION '~-.../... f'-; Date .~ ......... ../......; ........... 1 (owner or authorized agent of owner) ..... ::..~..:~: ........ ~.~/ (address of owner or authored agent of 5wner) PLEASE TAKE NOTICE there exists o violation of: Zon[n~ Ordinonco ....... ~ ......... Othor Applic~blo k~ws~ Ordinonc~, or Reoulotions ..... " ..................................... (stot~ chor~ctor ;/~.~ ~,.~A~:~2~Az~'... ~.7 ........................................ ...................... ......... ............... ~, ~,o~,o, o~ ....~.~....~..~..~.. ..................... .................................................................. (State--section or paragraph of applicable law, ordifiance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to com~.~y with t~e law a~ to reme~ the ~l/ ~ 1~-7 The premises to which this ORDER TO REMEDY VIOLATION refers are situated at -'~.~......~...~'.'.~..~....~~i.."~ '~-- , ' -' ................ County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply wiJh the applicable provisions of law may constitute an offense punishable by fine or imprisonm~r both. . ~~~~.~c~...~.~ ..... / Building sp ctor TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ORDER TO REMEDY VIOLATION ,., '/' ~ f/. x~f(ow~er or authoriz~d agent of owner) (aBa'tess of own o a i~,,~ ag~ // PLEASE TAKE NOTICEJ4here exists o violotion af: Other Applicable Laws, Ordinances or R,egulations ..... ..................................... at premises hereinafter described in that ....~....~..~... ...... ~~..~'..~: ..... ~xx/ / (state~ characfer of ~ation) ................ ............... ~;t,on of...~:~-..../~.;F..-/ ................ ~....X~ ....... y ....................... (S~e~on 'of paragraph o~ applicable law, ordinance or regulatiom YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith in or before the ..... ~~1~.....~] ............ - · ~",~ .. /~ ~ o/'.~ nay or ........ ~.~~ ................ ~ The p[~emJses to which this ORDER TO REMEDY VIOLATION refers are situated at '~4~¢¢, ..... , ~~:.....Cou y of ,uffeJk, New York. Failure to remedy the conditions aforesaid and to comply wi¢h the applicable provisions of law may constitute an offense punishable by fine or impriso~b0th. l~O~M NO. ~ TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOV/N CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Dote ............ 1 TO'~/'. '~-. 2~C~.....Y.,.....~~ ....... w,ner or authorized ~ent of owner) ...~~ ......... ~....~ ...... z~..~..7 (odd~ss of owner or ~uthoriz~ent of bwne~ PLEASE TAKE NOTICE there exists ~ violation of: .............. Other Applicable L~ws, Ordinances or Re~ul~tio9~ ....................... ~,~ ............... ~ / premisos heroinafter doscribo~ in thor ..~,. .................................... ~ ............ ; ....... ~/ .............................. in violation of ....................................................................... (State section or paragraph of applicable Iow, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to co~f~ly~ wi~h~ the'~w and~o remed~ the conditions .able megtioned forthwith in or before the ............................................ ~ ........ ~:./. ........... The premises to which this ORD~ER TO REMEDY VIOLATION refers are situated at ..................... .~. ...................................... County of Suffo k, New York. Fa.ilure to remedy the conditions aforesaid and to comply wiCh the applicable provj~ons of Iow may constitute an offense punishable by fine or imprisonm~t~pr~b°'th. --/~,,// ......................... ~i~'~'~'~'~ .................. TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE APPLICATION FOP. BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with...]~ 3 sets of plans, accurate plot plan to scale, Fee according to schedule. b. Pict plan showing location of lot and of buildings on premises, relationship to adjomirig premises or public streets or areas, and giving a detailed description of layout of property must be drawn on diagram which is part of this application. 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 a Building Permit to the applicant. Such permit,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 a Certificate of Occupancy shall have beer~ granted by the Building Inspector, ~t 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 necessary inspections. tssae Edwamd s (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. ........... Ownex .-. ,.b,.~..$.,]:.d:.,e.~ ........................ Name of owner of premises Isaac Edvards ........................................................ 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 ................................................... 1. Location of land on which proposed work will be done. Map No ........ ~ ................................ Lot No....~.~ ............. Street and Number ....... ......................................................................................... Municipality 2~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: N-C ear ent A ]~' ~ho ~i. acc bZd a. Existing use and occupancy ................ ,P. ....... .~. ..... D3.UJ2 .1,E~,.. p ..... ~... .y.... ~. .............................. b. Intended use and occupancy ....s..a..T~,e.....~.~.i;;~..~.~Ql-~..lt.(t-(l~.~'~.~-az:~&~£o~..~..~ezz~.e ................................ 3. ~Nhtur~ of work (check which applicable): New Building ....................... Addition ,.,,,X..~.,.~; ........... Alteration,,~.,~,~.,_ Flepair ......................... Removal ......................... Demolition ........................ Other Work fence . . . (Description) 4. [-'stimatedCost ............................................... Fee 1~'.00 addn & 1~.00 fence (30.00) (to be paid on filing this application) · 0 5. If dwelling, number of dwelling umts ................. 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 ................................. Height ................................................. Number of Stories ......................................................................................... 9. Size of lot: Front ...................................... Rear .......................................... Depth .................................................. 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ · "A" di 11. Zone or use district in which premises are mtuated .................................................. ~..~ ............................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ z~o ............................................... 13. Will lot be regraded ..... ~BD. ......................... Will excess fill be removed from premises: [ ] Yes [ ] No 0- 14. Name of Owner of premises ..... ~ssa, c, ~o ~d~'~.s ................. ~'.~,~;~1; ..................................... (Address) (Phone No.) Name of Architect ..................................................................................................................................................... (Address) (Phone No.) Name of Contractor same (Address) (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 show street names and indicate wheth- er interior or corner lot, i STATf: OF NEW YORK~uffolk COUNTY OF ...................................................... ) .......................... ..~...S..S..~-..C.....E..~..~'..~.~.~ ........................................... being duly sworn, deposes and says that he is the applicant above named. (Name of individual signing contract) He is the ................................................ Q.wr~e.r...rr....b.~ld.e~. ......................................................... ./ ........................... (Contractor, agent, corporate officer, etc.) of said owner or owners, a~d 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 wdl be performed in the manner set forth in the application filed therewith. ~el; ............................. ~ ..... Y ............................. Notary Public, _.~~..,.. CounW ............. ~.~.,,.].~...,~~ ................................................ (Signature of applicant}