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Home My WebLink About6648-zFOI~I NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No.Z7238 ...... Date ........ ltept...~6 .......... , 19. ?6. THIS CERTIFIES that the building located at . g~Z~'. Roa~l (1~/.. g~t~) .... Street Map No... ~ ...... Block No.. ~ ...... Lot No, . x,~x... ~c~gX1~...Ii ,~.,. ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... J~... ] ~., 19 .~. pursuant to which Building Permit No.. t~6br~. dated ..... gul~. ~ .., 19 .?~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. Pr:tvat~ .z~ing..pooX .~ith. fz~e~ z~ .......................... The certificate is issued to . 8~$. ~Zll .... 0l~ .......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .~,R, .......................... UNDERWRITERS CERTIFICATE No. ~ 82~-~7 ..... ~p.~ .17...197~ .............. HOUSE NUMBER 13~. .... Street .. ~a~e. ]t.~[ ..... ~.~.~.I~91P~.. ............. Building Inspector FO]F,~[ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N: Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PJ~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6648 Z Date ....................... ~1~ ....... '~"~ ........... , 19'73" Permission is hereby granted to: O~ie~t..~-~zc~_:~g..&..O~s.tz~c.t~Lon..Do.....A/~ D~. Seamts Lynoh ......... .Qr;Lent ...................................................... to build new private swimming poold & fence at premises located at .... ~g~..%~]~, .......... (.~/.~....I~.~F.,0,,~U~ ................................. ~ ........................... ............................................................ ~.o...~.. .......... ~...~... ............................ ~...I:,, ......................... pursuant to application dated ........................~'a,li:~ ..... ~J.'~, ............ , 19~7.~..., and i approved by the Building Inspector. Fee $.~.~..~...Og.. ........... PERMIT INCLUDES APPROVAL TO REMOVE EXCESS FILL FROM ABOVE PREMISES BY REGRADING LOT ~ DRIVEWAY CONSTRUCTION C:~SPOOL CONSlf RUCTtON "~ CELLAR CONSTRUCTION OTHER Building Ins~e;:tor ( FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPAI~TMENT TOWN CLERK'S OFFICE SOUTHOL. D, N. Y. ORDER TO REMEDY VIOLATION / Date ...... ~~.......7. ...... , .... (address of owner or authonzedagent of owner)~;7 PLEASE TAKE NOTICE there eNists a vialahan of: Zoning Ordinance .~/.~...~-......--.... ~'~)"~.~. 19.z~ Other Apphcable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in /' (state ~Tr__of violation) /~/ ~.~ff..~.~!...x~x~~._~. ~.~;., ............. :... .-. .. ~, ~4~-,~ ~- ..................... z ......... : ....... :'~ ~ z .... ~_ ,~~'"'~;~__~.. ....................... in violation of .~..~..~..~.....~.:.~ ....... : .............. ~.../...°.,....T ..... .~.. ........... :.~. .................. (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 abTve me~ntion;d forthwith on or before the ................ ~ ......................................... The premises to which this ORDER 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. mm~ .... :~ .mm .............. m ........ mmmm ............ m .... THE NEW YORK BOARD OF FIRE-UNDERWRITERS aW BUREAU OF ELECTRIC~ : · EE JOHN STREET. NEW YORK, NEWYORK tOO31~l ,,.,. SeptR=be~' ~7.~g~ ~,~.,~.~o.~.~,. 6~ ~' N 182957 THIS CITIFIES THAT · ~. Lyneh~Case Rd. sort ~ay Ave.,uu~onogue,l,.1. 'T~[~'~k~ds: 1-2fuse switch 30amp RAI~S R EXHAUST FANS AMT. H.P. DIMMERS TIMECLOC:ICS [ ~t~ ~UHITHE&'rBRs MULTI,~UTI~rsYs,mMS (Swimming Pool) This ce~tlflcRte cove~B compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repalrB made by a qualified person. G&S Con~. BOX 215 Southold,L,I. 11971 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FOI~M NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. ORDER TO REMEDY VIOLATION / Date ...... .... (address of owner or authorizedagent of owner)(~ PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance .~.~...~...~... Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in /' (state c~, ac~,ter of violatio~ ....... ...................... in violation of ~(~Z~....~.:.~ ....... :....~-~....Z.....~ ........... :.~ ................... (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 ab/~.ve~.~ion~d f. orthwith on or before the ................ ~ ......................................... day of...~ ................. ,19.7~.. The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ~ 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. !~01~ NO. 6 TOWN OF $OUTHOLD , Building Department Town Clerks Office SouthoEd, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions ~t A. This application must be filled in typewriter OR ink, and submitted in he 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, end 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, /V[ultiple Residences and similar buildings end 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 $.5.00 3. Copyofcertificoteofoccupency$,.00~, ~ /~ 2~ New B~ilding 'V~' Addition Old or Pre existing Buildi g Vacant Land Owner Or Owners Of Property ~ ~-:~-~ ~ Perm,t Date Pe m,t . ..................................... ....................... Heolth Dept. Approvol ............................................ Labor Dept. Approval ................. ~ .............................. Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fined Certificate ........................... ;~ ............. Fee Submitted $ .................................... Construction on above described building a.~er~;ets~appllca.~~codes end regulations. A can pp t~./~...~ ......................................................... Sworn to before me this · /~/....~...... day of ..-~-~.~....~.....~...~...~.C.... ......... (stamp or ELIZABETH ANN NEVILLE NOTAR~Y PUBLIC, State of New York No 52-8125850, Suffolk Term Expires M~ch ~. ~9~ 'i'%~O~ ' PLC LOcate clearly ane di~tind'tly, all bulllJih~;'.w~_h.~,the~l~l~ing or operw tines.,Give street and block nu~be[ or ~cription acco[ding.to d~d, an& shbw {treet n~es ~nd indicate wheth- interior or co~]er lot. CC, L)NT¥ OI BUILDING DEPARTMENT ~ {Sui~din~ Ink.tot) APPLICATI~ FOR BUILDING PERMIT INSTRUCTIONS ~J~ a. This application must be completely filled in .by. typewr ter o~ n ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan'shc~ing location, of lot and of buildings on premises 'relationship to 6djoJning premises or publ c streets o~,, areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is ppi? of this ap~plication. ~) C. 'The'work~ cOVered 'by this Opplication may not b.e, commenced before issuance of Building Permit. d. Upon approval of .this application, the Building Inspector will issue a Building Permit to the applicant. Such perm t shall be kept on the premises available for inspection throughout the work.', e. No building shall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupancy'. shall have been granted by the..Building Inspector. APPLICATION IS HEREBY MADE to the Building Departme~nt for th~ 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. Orient Trucking & Construction Co (Signature of applicant, or name, if a corporation) Orient N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, genergl contractor, electrician, plumber or builder. .............................. :....,.:.9.~.rA.t.~$..c...t.p...r. ........ . Name of owner of premises ....~.e..~.s....~ .~...ch . , If opplicant is o corporate, signature of duly authorized officer. (Name and tityof corporate officer) / Budders L~cense N~? ..................................................... Plumber's License No ................................................. Electrician's License No ....... ~..e..~.....~.,.o.,~.,,Z.o.~ ........... Other Trade's License No ............................................... 1. Location of land on wh ch proposed work w be done Map No ~ ........ Lot No xz Number N/S Case ~ (S/S Club) Ctztcho ' ............ ~ ............ Street and ...................................................................... ~ .................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy dwelling b. Intended use and occupancy same with swimming. ~.ool & fence Nature of work (check which applicable): New Building ................ ~ Addition .................. Alteration ........ : ........ Repair Removal Demolition.: .......... ~....:... Other Work 1~/'~ PO0~-I~ ~ (Description) 4. Estimated Cost ............ ~..~..2....0~......~ ....... i .................... Fee..l~.~..t...0~)... ......................................................................... (to be paid on filing this application) 0 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 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 ....... L..1].~ ...................... Rear ........ ~. ............... Depth ....~2. .............. Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ..................................... : .................. 11. Zone or use district in which premises are situated ............. ~..~.!t.....~.~ ................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~.q. ................................................ 13. Will I°t be regraded~ .......... ~.q .............. Will excess fill be removed from premises: (2:) Yes ( ) No 14. Name of Owner of premises ..~..~.....~'~.~ .............................. Address ..C...u:.~.~..~..o.~..0. ......... Phone No ....................... Name of Architect .............................................................. Address ..... ........................... Phone No ....................... Orien~ Trucking & Constr~ Name of Contractor ........................................................... Address ...... I~,~ ............ Phone No ....................... PLOT DIAGRAM Locke clearly and distinctly all buildings, whether exi.~ting or proposed, and indicate al set-back d mens ons from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STA'I' , · ....-....-...-..=.--........... , s.s ..........................COU~ .~.O..!~.~'..~..~.~.1~.~. ...................... ...~...,....~being duly sworn, deposes and say, that he is the oj~plicant (Name of individual signing controcf) ' above named. ¢o~¢~o~ He is the ................................................................................................................................................................................. (Contractor, 6gent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said' work ood 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 performed in The manner set forth in the application filed therewith. Sworn to before me thisj.~... ~.e. 19...~.,~. ~'~/ Nota Coun " .... (S[~oture of applicant, TERRI LEE ELAK NOTARY PUBLIC, State of New York No. 52-616L~5 Commission Expires March 30, 19