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Home My WebLink About6399-zI~RM NO. 4 TOWN OF $OIJTHOLD BUII.BI~G DEPART~E. NT Town Clerk's Office $outhold, lq. ¥. Certificete Of Occupancy No. 'Z?~32 · Date Oct I~ 19. THIS CERTIFIES that the building located at ..... .M~. lzk .~..Q~..~$~..~. S~et Map No .... ~ ....... Bl~k No... ~ ..... ~t No .... ~ ..... ~.~...~ ~.. ......... confo~ substanti~Iy W ~e Application for B~ding Petit hereWfore ~ ~ ~ office dated .............. Ha~...$2 lg.. 7.3 p~suant to which B~d~g Pe~it No .... dat~ .............. ]'~r...~2, lg. ~.~, was hsu~, ~d co~o~s W ~ of ~e ~ ments of the applkable pro~io~ of ~e law. ~e occup~cy for w~ch ~ ce~ificate issu~ ~ ... Aeceaso~y..bull~ing. ~lt:. p~.e~ .............................. The ce~icate is issued to .. W$~.~$a~..~. ~eF~. ~I~ .... .~,o~y. ............. (owner, le~ or ~n~t ) of ~e ~oresaid b~lding. S~o~ Co~ty Dep~tment of He~ Approval .. ~ e ............................. UNDERWRITERS CEETIFICA~ No... N3~00 ..... Fab. 7..t9~7 ................. HOUSE NUMBER ..... 3~7~ ~... St~t .. ~ln. ~d ...... 0~ie~ ............... B~ld~g I~pector ~ow~ OF sou~,ot~ ,~/~- ~ ~~ ~ ~ BUILDING DE~RTMENT ~~- ~- I/ ~, TOWN CLERKS OFFICE ~~ ~_,/'~_,~ -~ SOUTHOLD, H.Y. ~ ~~~~ ~ .... . ................ A~r~d................. ~.~ ............. '. ...... , l~.....~! ~ ~ Na. ~..Z ....~ ~_ .................... ....... ....... - ........................................ ........... ~,~ . · ~ ~ '. .. -. . ..~.~ ~ ~ -~Z ................................................................................ . (Building Inspector) ~z~ ~r~,,-~ 5 ~ 3~ ~, ~ APPLICATION FOR BUILDING PERMIT / ' / b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pub c streets or areas, giving a detailed description of layout of property must be drawn on diagram which is part of this application, ~. The work co,ired by this application may not be commenced before i~uance 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 the premise~ available for inspection throughout the work, ~, No building sha~ be occupied or u~ed in whole or in part for any purpose whatever until a Certificat~ oi Occupancy shall h~v~ b~n gr~nt~d by th~ Building Ins~etor. 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. (Signature of applicant, or name, if a corpgration) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................... ~....~~ ............... ,..~ ......................... , ................................................................ Name of owner of premises .......... ~,..J~.,..~..'~....~.'.:.~.C,4~..~~....~ ..................................................... If applicant is a corporate, signature of duly authorized officer. ...................................................................................................CName and title of corporate officer) ~ Builder's License No .......................................................... Plumber's License No ......................................................... I~ Electrician's License No ..................................................... Other Trade's License No ................................................... ~)~ 1. Location of land on which~roposed work will be done. ~pNo-.-- .............. ~.....~ ................. Lot No.....~. .................. Street and Number ......... ~.....~..... ......... .~.......~.....~.../~ ............................. 'l~l'~'~i~i~'ii~ .......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... >,, ........................................ ~>~ ................. ~ .................;~ ............................... b. Intended use and occupancy ...~...~.....~. ...... ~...~...-.~--~7,~ .......... ~ · -.---- j Nature of work (check which applicable): New Building ....................... Addition ..................... Alteration ............... Repair Removal ......... ~ ..........Demolition ........................ Other Work .................................... ......................... {Description) 4. Estimated Cost ............................................... {to be paid on filing this application) 5. If dwelling, number of dwelling units .................Number of dwelling units on each floor ~ ........................................ If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed occuoancy, specify nature and extent of each type of use ..................................... 7. Dimensions of existing structures, if any: Front .~.....~..+7.. ......... Rear ~.~..,~./. ............. ~ ..... Del3th-~.q....~'../~.. .................... Height ........................................................... Number of Stories ...~ ............................................................... Dimensions of same structure with alterations or additions: Front ..../.~..~.~. ............ Rear ./~...~..~. ............................ Depth .z~,g....~... .............................. 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 Form,.~er Owner ..~...~ ............................. 11. Zone or use district in which premises are situated ....... ~..~....~...,~ ............................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....~ ............................................. Will lot be regraded ~ ....................... Will excess fill be removed from premises: [ ]_~Yes [ ] No 13. ~ ..... f r~wner of ~remises ---~7.~..~./.~ ,~w~'Z~.. ~.C~:~...~.~ ..~.~ .~./~/.'~.~/...~..~.....~...~.......,-; ................ . 14. ~a,~ u ~ ~- · ' ........ (Address) (Phone Name of Architect ..................................................................................................................................................... /jO_j_ - /2 ~ ~(Addres§) . (Phone No.) Name of Contractor ~...~~ ............. ~ ........................................................... (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~n'~ '~/~! ;~i;;~'~'~;;~ .................... being duly sworn, deposes and says that he is the applicant above named. (Contractor, a~n~ corpor~t~ o[~c~r, etc. J of said owner or owners, and is duly authorized to ~rform 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 will be ~rformed in the ~nner set forth in the application filed therewith. IvOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) N? 6399 Z Permission is hereby granted to: ....... !:~......~.!.e..~ ~.~. ................................................... to ..~u&.~.~..~eees ee~,~..~:L~lt .....(.mere.. ~.) ............................................................................... at premises located at ....~ii~..~..&..O]~..~Z~..~..~&;~pOZt~-..R~ ...................................... ............................................... Or~.~n~ ....... l~/.~ ................................................................................. pursuant to application dated .......................... {~.a~ .......... t~ ....... , 19..~.~ and ~pproved bi/ the Building Inspector. Fee $...l.g.~l;X). ......... Building InspectorI . · ,THE, NEW YORK BOARD,OF.]FIRE UNDERWRITERS a.~ .' ,~ t~ , . ,, ~ ~ · BUREAU OF ELECTRICITY ~ ~- l, : ~:'l~t';;', ; 85 JOHN STREET. NEW YORK NEW YORK ~0038 Date* 1~ c,~ ..,'~ .~,~!11 ,~ ~ Wllli~ Helns Main Rd.'Old Rd."E'M~in~" n~i'ent L 'I Pane . uu~cngg.ue,"~.L...i~.' 11935 I~ I. ~ Lic.505E FORM NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Dote .......... , "'i~l'~;ess of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances'~ Reg?ations ............................................ at premises hereinafter described in that /g ,~ ~ ~ / (state character of,violation) in vicfl'ation of ..~_,.~,..,..~.,~.Z.~.C~...Z~...:.F.. ............ z..c~...~'. ......................................................... (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 I0 co ditions ctbove menh'oned forthwith on or before the .................................................................... da~ of ~~, ~'. ................ 19...7..7 The premises to whi~,,h this. O.~D~ER TO REMEDY VIOLATION refers are situated at 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. ~-. Budding nspector FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION "'~a~'~l~'s~' of'.~wner or authorized agent o~' owner, PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances'or Regulations ............................................ ' ' 'ascribed in that ~ · ~~' "~~'"' '~(~'~''''~ premises ~ereinafter o at ~' ................./ (state character of via arian) .................. · ........ '~7~: ..... 7'~~' "~,, ~, .... ,~,~_~~.~.~= ~.v....~..../ (Srate secrion or paragraph of appl c , YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions qbove mentioned forthwith on or before the ..... -/. ~'" .'~'~'-'~-'' ............................. The premises to whi,~,h this,O.!~,J~R TO REJ~AEDY VIOLATION refers are situated at ,/l'~' "~/~/7J~,: ,~/~ ~~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. .... ~.: ./../~.~.v/.. ~ E~u j I .cl.i~''~' · ' '~' '~ '~' ' ' ''~ ~-- FORM NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. ORDER TO REMEDY VIOLATION (odaress of owner or authorized agent ;f o;~'n'~;;i" PLEASE TAKE NOTICE there exists a violotion.~r~: Zoning Ordinance /~/.~. .... ,~.....~. ?~?~' .~..... Other Applicable Laws, Ordinance~/~or Regula.tions ............................................ at premises hereinafter described in that ~r:..~.~..~..~.~.~......................~.....~,~(~~~$ ~.-, "(state character of violation// in violation of ~......(.~..O..::~...O.....-Z...Z.~...~...'~.....~.......:...?..~..~...'Z..7....(~....~......,~...'.../.~ .......... (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply ~W and to remedy the conditions o~ mentioned fo.hwith on or before the ................. ~'.~ ...................... The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ................................................................................. 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 or imprisonment or both. Building Inspector