HomeMy WebLinkAbout7394-zTO~ OF $OUTHOLD
BuILrlI~G DEPARTMENT
Town Clerk's O~iee
$outhold, N. Y.
Certificnte Of Occupency
THIS CERTIFIES that the building located at .. ~h. H~.~../tO~.h ..... Street
Map No.~QO Se. ~eek ~ No ........... Lot No. ~t. ~7. .... ~h~4.. ~.~ e..
co~or~ subst~ly to the AppHca~on for B~g P~it heretofore ffl~ ~ ~ office
dated .............J~7-..~ 19..~ p~su~t
dat~ .......... J~ .... 10.., 19.~., was ~u~, ~d co~o~s
men~ of the app~cable pro~io~ of ~e law. The ~cup~cy for w~ch ~hl, c~i~
~su~ ~..Pr~e. ~.~. ~.~1. ~.~ .le~$~ ..........................
~e ce~icate is ~sued to ~P~$~..~9~.... ~eg ............................
(o~, less~ or te~t)
of ~e ~ores~d b~d~g.
S~o~ Co~ty Dep~ent of He~ Approv~ ~.,~e ................................
~ER~I~RS CERT~ICA~ No. ~7~3 · .~. ~...~976. ...................
HOUSE ~ER ..... ~ ...... S~t .~ .~q. ~ ...... ~ .....
Building Inspector
Date ,1'u17 10 zg.~. ......
INSTRUCTIONS ~
a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Bullding'~
Inspector, with 3 setw of plans, accurate plat plan to male. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~
areas, and giving a detailed description of layout ofpreperty must be drown on the diagram which is part of this application.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. , U.Pon approval of this application, the Build!ng Inspector will issue a Building Permit to the applicant. SUCh permit
shall ~e Kept on the premises available for inspechon 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 been granted by the Building Inspector.
APPLICATION IS HEREBY/vt~DE to the Building Department for the issuance of a Bui ding Permit pursuant to the
Building Zone Ordinance of the Town of Sauthold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulati.ons, for the construction of buildings, additions or alterations, or for removal or demolition, as heroin described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on promises and In buildlng~ for necessary inspections.
(Signatur~ of applicant, or nome, if a corparotlon) '
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder:
Name of owner of premises Robert .~. Eamllton
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 ............................................. 1060 -- 6'7 /~- 3 - ~ /
Other Trade'$ License No ...............................................
Location of land on which prupoeed work will be done. Map No.: ...G..o..~.e....N..?.?.~ ..............Lot No. ~..t~....6..~.....6~...~..
Street and Number S~i~h ])Five ~olath Southold ...........
State existing use and occupancy of premises and intended use and occupancy of proposed cor~raction:
~welli~
a. Exisiting use and occupancy ....... $. ................................... ....................
b. Intended use and occupancy same with p. rivate swimmin ~ool .
3. Nature of work (check,which applicable): New Building.. ................. Addition .................. Alteration.........~...,· '*" ....
Repair Removal Demolition ........... ......... Other Work P:Z't¥&~;.e.., ..~...?..m...m.'~ltg DOO]. ~
- (Description)
4. Estimated Cost ~a.Q-Q.Q --+ Fee ~.~...00 · -
(to be paid on filing this opplicoti,on)
5. If dwelling, number of dwelling units ....... ~ ............. Number of dwelling uni,ts ~n 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: Frc~nt .................................... 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 .......................................................
11. Zone or use district in which premises are situated "A" dlst
J2. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................
13. Will lot be regraded ....... ~,Q ................ Will excess fill be removed from premises: ( ) Yes ( ) No
14. Nome of Owner of premises ..,P,e~t,.,E~gliL.3.f~en .................. Adclre~ .....~..o...~.t,..]3....o.~..~ ......... Phone No. ......................
Name of Architect .............................................................. Address ................................ Phone No .......................
Name of Contractor ·
............................................................ Address ................................ Phone No .......................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, andr indicate all set-back dimensions from
prope~ lines. Give'street and block number or descriptio~ according to deed, and show street nemes and indicate
whether interior or corner lot.
3_'
STATE OF NEW,~X~iBI~.,..,_
COUNTY OF ..?....u.~.....J..?....d.~... .............
..;~. .............. ~.fi..,T~O~..~[~a~l:L].~;~13. .................................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contracf)
above named.
He is the .......................... ~r/%e~ ...........................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and 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
thor the work will be performed in the manner set forth in the application filed therewith.
Swam to before me this
lQ.
of
19..~.~.
.................. ......... ......................... ' "f::' I.x '
Notary Public, .................................................... County ....... ."..~,. :..~...9:t:...t .........................................
(Signature of applicant)
FOF~ NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
7394 Z
Permission is hereby granted to:
Rob. e r.t, ..~t~..~, ..W~.$g ...............................
build new above round in~ ~.o0.1' with
to ........................................ ~, .............. ~ .............................................................................
at premises located at .iTuJlt*..J~.~..~..~..J~......(JO~BIL~Ja~k..J~8-~&~tlJ.I .........................................
..................................... ~;L.t2.. ~.rA~o... ~t~t~ ........ ~.~n~t&oJ,~ .....................................................
pursuant to application dated .........................~q~.~ ....... '~0 ........ , 19..~,., and approved by the
Building Ir~oector.
Fee $.~.a-..(~.-. ..........
FO~M NO. $
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
$OUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
(owner or authorized agent of owner)
( dd ess or owner or adthOrjzed agent of owner) ~'~7
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance ~ /~;~(,,/ ..~......~"~' ..................
Other Applicable Laws, Ordinances or Regulations '
at premises hereinafter described in that~9..,~e~..¢~.~/~..~(~
///(state character of violation)
..........
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions abc)ye mentioned forthwith in or before the .....
day of ....~~ .................... 19/~.~..'"
The prgmises to which this Q.I;~ER TO REMEDY VIOLATION refers are situoted at
........... County of Suffolk, New York.
to remedy th~ (~nditions aforesaid and to comply with the applicable provisions of law
may constitute on offense punishable by fine or imprisonment or both.
FORM NO. 5
TOW,., OF SOUT.O.O
.U,.,~,NG DEP.,RT,,,,E.T
TOWN CLERK'S OFFICE
o.~. To .~ ~.o~,o.
(owner or authorized agent of owner)
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists o violation of:
Zoning Ordinance ~ ...... ~..~....~ .......
Other Applicable Laws, Ordinances or Regulations ............................................
at premises hereinafter described in
__ (st~. hora, cter of violation)
~iin violation of%~' ..(~.0...~..~.~.....~.o~'.~,..~::~.....-'~../..~...~....~.../..~../../.~..~/~:/~~~~
(State section or paragraph of applicable law, ordinance or regu~,6tion)~-~-~'~ -
YOU ARE THEREFORE DIRECTED AND ORDERED to comply~the Iow and to remedy the
conditions o/~e,/~entioned forthwith on or before the .....................................................
day of ...~ ................................. , 19y/~,.~..
The p~mises to which th~s OR~ER TO RE/V~EDY VIOLATION refers are situated at
C~-~..~.....~......~-~.'.....~,~,.~....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
F~RM NO. $
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD~ N. Y.
ORDER TO REMEDY VIOLATION
(owner o[/authorized agent o~f owner) I
_ .fx
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
Other Applicable Laws, Ordinances or Regulations ............................................
at premises hereinafter described in that ~...~..~
·
/ (State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply ~r)th the law and to remedy the
conditions abov~ mentioned forthwith on or before the ......... ~._.~..~...~.J ...........
day of ..... /~//'~ ............................... , 19.Zd
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
........ ~... aunty 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
TOWN OF SOUTHOLD
Building Inspector's Office
Town Clerk Building
$outhold, N.Y. 765-2660
3
~.l t~ ~t~al ~ui~ment ~ ~cH~ beJ~ a~ ~ntr~uc~ b~ t~ appl a n med ~n ~ PP
m . ~n~ /~n~ f GENERAL~ANAGE /