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Home My WebLink About7414-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office So~thold, N.Y.. Certificate Of Occupancy No. Z '~0348 Date ~mRloZ~ 'lb,, 8'l ................................. 19... THIS CERTIFIES that the bugding ................................................ ~ .............................. ~Filed Map No ......... Lot No .............. confreres substantially to the Application for Building Permit heretofore f'ded in this office dated ..... .0'..R~.~/'..'[.3. ....... ,19..'/./+pursuant to which Buildins Permit No. 7/4'}/~ Z O'Uly '1~ 19 .7.~, d~ted ............................. 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 ......... ..O~.e ~'~l.ly D~ell/~g The certificate is issued to R..~.. D.n~..t. on & of the aforesaid building. Suffolk County Department of Health Approval ........................................ .N./R, UNDERWRITERS CERTIFICATE NO.. .~./.~. Building Inspector I~OB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE {OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7414 Z Permission is hereby granted to: Wm-..,~.'co~,r.'. A',F0.. 'O a.b m"~J:e .~· ..I~.].~o~ ............ .............. t~e~o~..I~ ........... ~]uteb~,u~ ............ ~o nmke..~,$ f,e~mt ;toz~ ..~..~uc r. eue.. J,;LwSn~.. a~ea.. ~r~..e rJ.s.ti~ll., dwal~l,~ ........... at premises located at ..~&..~..$tt.'l.~.~ea~el,...A~e¥...ff.~e~..F.~e,ts...Neek...R$..e~e.t ...... ........................................ g.~t, ck~ue ....... ~, ................................................................................. pursuant to application dated .......................... ~T]~,.~. ......... .~,.~....., 19.~..~..., and approved by the Building Inspector. Fee ~5.,.Q0 .............. Building Inspector Disapproved o/c ~~....~... ~ / ,, "": ........... r'~;~'"r ......................... APpLICATiON IlOt BUILDIN(~ PERMIT INSTRUCTIONS I~lte ......... 'T .......................... , I ............ a Th s apPl cation must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, withq' 3 sets of plans, accurate plot plan to scale. Fee at:cording t9 ~ule. . . . b. Plot lalah show rig location of lot:and of I:~ildingl ;off nisei, rldationship to adjoining premises or puot c streets or areas, giving a detailed description of layout o~.pr°perty must be drewn'~)n diagram which is part of this apPlication. c. The work cowred by this al~lication may not be commenced before issuam)e of Building Permit. d. Upon alXorovel of this el~lication, the Building Inspector will issue · 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 pert for any purpose whatever until a Ce.rtificate of Occupancy shall have been ~'anted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the imlu~)ca of a Building Permit po .r~J. am to the Building .Z~ Ordinance of the Town of Southold, ~Jffotk County, New York, and other al~icabl~Laws, Ordinances or Reguletmm, for the construction buildings, additiom or elteretlom, or*for removal or demolition, as herein described. The.alxolicant agrees to comply with all ordinances, building code, housing code, and regulations, and to admit euthorized inspectors o~ premises end in buildings fro' neceuarv in~ectiom. State whether aDOJjMJat .bQwner, leuee, agent~;,architeet, engiMler, general contractor, electrician, plumber or builder. ....................... ................................................... Name of owner of premises ~,,~.v~.,/.Y.A~ .......... .'~[.,....'.,~..~...~...x..~.~.~A/ ..................................................................... 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 propMed work will be dgne. IVhLo No....~../.~.e~.,..~,,Lotre"/~ '*~ No. :: ...................... ~t ~ ~r . 171 ~ F /trT~ ...~. .... Street end Number .............. ~. ........ .~....~..~....i~L..~......~.'.! ....... ...~...:~-. ....... ¢....~,-,.,:..~'~.~,~.,~.~-..~.-....~. . -- r - . - munmipa,qy 2. State existing use and occupancy of premMs and intended use and occupancy of proposed construction: .. ..................... 7 ....... ....... ,...... ...... .................... Repair ......................... Remeval ......................... Demolition ........................ Other Work ...... ~'l~e~'~r'~'t'i'~i .......... .......... ....... ........... . / (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, commemial or mixed occupancy, specify nature and extent of each type of use ................. ~ .................. 7. Dimensionstno~ existing structures, if any: Front ...~...~.. .......... Rear .....~¢.., ............... Del)th ....~..~.~.....~. ............. Height .../..~. .................................................. Number of Stories ...... 4.. ................................................................... Dimensions of same structure with alterations or additions: Front ....... ..~...¢~.. ......... Rear...~...?.. .............................. Depth ..... ~..~..~....-. ...................... Height ...... /../r-....: .......................... Nu_ml:~er of Stories ..... /.. ................................ 8. Dimensions of entire new construction: Front ..... i(,Y.. ............. Rear .,~1~.....~... ...... .,.,. DeBth .......,f~......~.... ............... 'Height ....~...~../. .................... ~ ............... Number of Stories ..~. ....... .=.(~.~.)//.~..?./...~....~.....~...~..~ .~[....¢~...;../.?..~..~. ............. 9. Si2~ of lot: Front ....... /./...0..~, ...................... Rear ........ _/...o..~. ......................... Depth .,..~...-....~..~..: ....................... 10~' Date of Pumhese ...... ~ ............... Name of Former_Owner ...~......~....' t~*~nn"' ' or use district in which premises are situated L~.~...~...q.7..~,d=,c- ~.. l~'[~)es propes~M~oonstructlon violate any zoning law, ordinance or regulation ............... ¢~. ........................................... ~3..wi, ~ot be ,~f~d,d ............. . .~_.~..~._~_ _ ---.__ ___ ____ __ ___w'" excess fi, be remove~d.~m premix: [ ].Yes Name of O~ of premises .....(~.~..~.../...c~....~......./,¢~....'~r~..Z~...~....~..~.~.L~..~.~..~..%..~:~...Z[..~t~._~C, ................. (Address) (Phone No.) Architect ................................................................. Name of .................................................................................... Name o, Contractor..~...~X:~/.......~.r....~..~.~...~....: .P.~..6~.....~.~.~:~..,~.).~..?..;..~...~...~.. ............. .~-~?./...~.. ...... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give s~mat and block number or description according to deed, and show street names and indicate whath- ar interior or corner lot. STATE OF NEW YORK. ) SS COUNTY OF .................... ~ ................................ ) ........ ~~.~.....~~ .................................. being duly sworn, deposes artd say, that~h~ is the applicaot above named (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 ell 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. ...................................... ............................... O. ,otary~u,,,~ .............. i ................ ii ....... i .......... ;7 ....... 7- °°u"~ ........... .'...:..~...'=....~~ ............... i FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) Deoot Lane_ CutchoF~ue, h~Z (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ART. XIV Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that ......... .~..u:.~..1.~.~&..~.e....z~....~.~...~....?...4.~..~. ............................. (state character of violation) .~ ~..e. F~.......?.../. !. ~../.?.~ ........... ~..e....e, ?, ~..t.~,e..~........ ~.o.~...a.~..e.... r.e..q.~, r.e. ~...~ .0... ~.,. ~. ~... ~, ..... new permit. in violation of .......... .~..e..9..:.1...0...0.:?..4.1...~. .................................................................................................. (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 on or before the fifth day of ...... ..~.~.~...q~' ............................... , The premises to which this ORDER TO REMEDY VIOLATION refers are situated at .~..0..~..~....~'.Z..Z..¥.~..~..e..'~....~..¥.~.:..~...~.~'.'~.~.~'9.~.'.....C~unty of Suffolk, New York. Failure to remedy th~ conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Building Inspector ~C_ 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 following; for new buildings or new usa: 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 e~isting buildings (prior to April 1957), Non-conforming usas, 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 usa, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premisas, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land usa 3. Copy of certificate of occupancy $1.00 New Building ............. Old or Pre-existing Building ..., ......... Vacant Land ....... .~,...~.. Location of Property .~..--~. ~..~..'~...~.7~· ). [/..~["~i~.~.".~L. ~. ~'~' House No. ~ · . ~. Street ~ .-~ /ftamlet Owner or Owners of Property .......... ; ....... ,. ~.. County Tax Map No. 1000 Section ..../.-~. ?. ....... Block ....... ~ ..... Lot /~ . Subdivision .......................... ~...,...Filed Map No ..... ; ..... Lot No ............... PermitNo. 17~./~../~.. Date of Permit '7/~./~. ¢A ~/i/ ~.~ '.~.~.-(- · pplicant .. .: .'. . .¢. ........... Health Dept· Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate Fee Submitted $ ~ .It ....................... Construction on above described building and pCm, j~)~e~ts all appli~le ¢~d~ls and regulatj~ms. Applicant .~/./~.".~.~/.//'.~.. ~ ~:'.. :~/. '. ,..~.. '~:~..~'.~; :~.?'~.. .... ~i(~i GABP-_4EL d. DALTON ~""LF--. E T S NECK