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HomeMy WebLinkAbout7367-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sout~hold, N.Y. Certificate Of Occupancy No. Z10381 February 9 81 Date ................................. 19... THIS CERTIFIES that the building ................................................ 600 Gr.~¥¢ Location of Property ,. .... : ......................................................... ,ouse No. ~ Street Hamlet County Tax Map No. 1000 Section ...... 5 .~ .... Block ...... 6. ........ Lot ........ ?5 ....... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated July 1, 74 7367 g ..................... , 19... pursuant to which Building Permit No ...................... July 1 , -,a. dated ............................ 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 ......... Addition t:., Donald Zioran The certificate is issued to ........................................................... (owner, Je~,ee.o~ 4e~a~)- . - - Of the aforesaid building. Suffolk County Department of Health Approval ....11[/?. ................................... UNDERWRITERS CERTIFICATE NO. N/R Building Inspector Rev. 1/81 FOI~M NO. 2 TOWN OF $OOTHOLD 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°. 7367 Z Permission is hereby granted to: ...~,~.~.z..~ ~.~.~ ~...~. ............................................. pursuant to application doted .........................J~.],.~ ....... ~ ............. ]9.~J~.., and approved by the Building Inspector. Fee $.....~.~[.g~O ........ 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 followlng; 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 peoperty 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 or land use $5.00 3. Copy of certificate of occupancy $1.00 Date New Building , ,,~.. ........ Old or Pre-existing Building , ,~,., ...... Vacant Land ............. House No. Street Hamlet Owner or Owners of Property ...~_~ Oo nt Tax lO®Section .. J.2/. ........ .... ......... .... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. "~..~, ~, .-/.. ,~Date of Permit ~,~.'/?, ,~..Applicant .~, .~, ,~~; ...... Health Dept, Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .. /"/'~' ,2' Fee Submitted $...'~. ~,. ~.Y..~. ................... Construction on above described building ancJ. laer-m~t meets all applica~)le codes and regulations. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL $OUTHOLD, N. Y. 11971 TEL. 76.5-1802 RE: BUILDING PERNIT NO o_-~ 5 ~ Y Z This is a notification of existing violation(s) of Chapter 100, Zoning Ordinance, Town of Southold, N.Y. on the premises on which building is being constructed under this permit. The violation(s) are as follows with remedies as required by statute: ~ Building Permit has expired. A new permit shall be required. (Art. XIV, Sec.lO0-141H) Occupancy and use of buildingwithout a Certificate of ~upancy. You are required to make aoolication fo~. final Certificate of Occupancy ~--~temporary C~tificate of Occupancy (Art. XIV, Sec. 100-44A (1 & E) ~[~ Construction is not in conformity with the provisions of ~2~ application, ~ plans and/or specifications on the basis of which Building Permit was issuad. ~OU ARE ORDERED TO ~USPEND ALL WORK. Work may resume upon approval from Building Inspector. (Art. XIV, Sec.100-143) Building Inspector Form EH 11/7/80 FORM NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION TO .~.M...r.:~....J..~..h...n.....A..:....B..~..e..h..u..r...f.~....~...~.G....'s...g.q[~st~uctm~n Corp, Agent for Donald Y. Zieran (owner or authorized agent of owner) .... 780 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists o violation of: Zoning Ordinance ~R[~. XIV Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that .......... .B..~.~.]-.~..~.&..~P....z~.~.~'g...~....Z.~..~.Z .............................. (state character of violation) dated ~/1/7~- has exp. ired. You are re.q.~ed ~.g ~P.~ky, ~ ~ ....................................................................................................................................... in violation of .......... .~..e...°..:.!.0..9..-.~..LJ:..1...~. ................................................................................................. (State section or paragraph of applicable Iow, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Jaw and to remedy the conditions above mentioned forthwith on or before the .... ~..~..~..~,,,~. ...................................................... day of ......... ,~.~..~..g-...8..z.~. ............................ , 19...,,~..~. The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ....... .~..0...0...g.~.o...M.e.....~..9.~.~.~....~.~..o..'g..'g..~.9.~;~, ............... County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply With the applicable provisions of Iow may constitute an offense punishable by fine or imprisonment or both. ........ Building Inspector BUILDI~ ~AI~'MB~Ir ~- FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter oe.in ink and submitted in triplicate to the Building~ Inspector, with 3 set~ of plato, accurate plot plan to ~ale. Fee ~con:lmng to ~chedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets of areas, and giving a detailed description of layout ofpraperty must be drawn on the diagram which is Part of this application. c. The wo~ 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 o Certificate of Occupancy shall have been granted by the Building Inspector. B .A.P..PLIC, ATION !S HEREB. Y MADE to the Building Department for the issuance of o Building Permit pursuant to the u*~a~ng Lone ura,nance at 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, a~ herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatlom, and to admit authorized inspectors on premises and In bulldlng~ for necessary inspactions. State whether_applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ................ ................................................................................................ : ................ : ............ Name of owner of premises ~. ~....~/...b......~:....i~/.".'d~-..-"~.....N...~ ................................................................ If ~,~ ~p~ly authorized officer. UF '~"(*~ me ~/ Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which, propased ~g. rk will be done. Map No.: .................. ~ ................. .Lot No._ ........................ Street and Number .q~...........(~a~.~..~.~.......~'~..~''- ~ "----~ ~-'' ' ' .......... ,..f~.~...~..,~l~....~f.....~ ....................... Municilxllity 2. State existing use and occupancy of premises and intended_use and occupan,cy of proposed construction: o Ex stn use and occu onc L .~...~/..~...~...~.. D~.....~..~..~..'...~...G ........ · g P Y .~. ............ .;I. ........ m~'.~ ....................................................... b. ntended use and occupancy ....... ~...~.~...~..O~..~ ............................................................................ 3. Nature of work (check which applicable): New Building. · ................. Addition ......... Alteration ................. Repa r ................Remaval ................... Demolition ................ ?~. Other Work .......................................... ~ ! '~ ~-O (Description) ' 4~ Eshmated Cost ......................................... e ........................................................................................ (to be paid on filing this application) 5. · If dwelling, number of dwelling units ..../ ...................Number of dwelling units on each floor ..... l ................. . If garage, number of cars .......................... , ............. ~ ............................. ; ...................................................................... 6. If business; commercial or mixed occup0ncy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ...........~ ................. Depth .................... Height ..~..~.....'. .......... Number of Stories ........ ../.. ............ ii ............................ ~"~'"t' ............................. ~'~"~, ........... Dimensions of s.ame structure with alte.ratio~ns or additions: F~ont .......... ~....~.......~ .......... Rear . .~..~.... ............... Depth ....__--,..~....~.:: ....... ......... Height ..~...-..'--_ ........... --,,~';'Number of Stories ....... ~--...-,-~..v .......... Dimensions'of c°nstruction: Rear 8. e~ntire new FrPnt ......... ..~,~'...i.:.........'~ ............. Depth..~'.....,~......; ....... Height ../.~.. .......... Number,. /al Stories" ...... /.. .............................. _1~ ~ .............................. --; ........ i~,~ ............ ~ .......... '... 9. Size of lot: Front ....... ..//...-~.......; ........... i .................. Rear ...~[...~.. ............................ DePth ... ~. .. .c~. .. ................... 10. Date of Purchase: ......................................................./' Name of Former Owner ....~...:,..~....V'....~.~,~j ...................... 11. Zone or use district in which premises ore situated ...................................................................................................... ~ ~ 12. Does proposed construction v olate any zot~ ng law, ordinance or regulation: ........................................................ · II t re r ~ 13. Wi Io be g aded ......................... WiJl excess fill be removed from premises: ( ) Yes ( )_No Name of Owner of prem ses ....... .......... Name of Architect ........... 7 ............................................... Address .~:_.~ .................... Phone No ....................... of contract ~'~/'~; ~'~Ju~/~ "' ~J&~~ ..~.~.~,.. ~ N~.~.~ Name o~.~.~....e.t .......................................... ~re~ PLOT DIAGRAM Locate clearly and distinctly all buildings, ~uhether 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 whether interior or corner lot. /? STATE OFJq~[W,-YJ~K/~ icc ?,; t37 ~ ~'"~ COUNTY ............... ~..~...;. ............. ~......~:.. ............. being duly sworn, deposes and soys that he is the applicam na~ (J~.an~e~ of individual signing contr~'Cf) He is the ...................................... v.,t~r._.......4 ........ ~ ............................................................................................................ u (Contractor(agent, c0rporote officer, etc.) of said owner or owners, and is duly authorized to I~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 w be performed n the manner set forth in the application filed therewith. Swam to before me this /' I ,'~~ /~ I / ' ............