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HomeMy WebLinkAbout7207-z/ I~OBM NO. ~ TO~VN OF SOUTHOLD BUll.r~INC. DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No...Z. 9.~3.~. .... Date .... February .... .~./*. ........ ,19 7:3. THIS CERTIFIES that the building located at . '~725' ' 'Dee~ 'Ho~.w ']~r; .... ~ Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated . .A~.r.~L1 ....9 ......... , lg.7.~, pursuant to which Building Permit No. 7~07~ · dated .. ~pril' · '~5 .......... , 19.,f/~., was issued, and confoms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ F~ily. Roo~a Addition ........................................ The certificate is issued to ....... Hurls'on ' &' Emr~r 'HSgglu~ ........ . ..... .', ......... [ owner, x~~.~ of the aforesaid building. Suffolk County Department of Health Approval .............. N;tR. .................. UNDERWRITERS CERTIFICATE No ...... N.5270.~8 .............................. HOUSE NUMBER ...~.7.2.5 ....... Street ... Dee~. Ho~e. D~, ....................... ......................................... l~a~;'c~,uok,. ~Ie~. YoFk ................ Building Inspector County Tax Number 1000-115-1h-19 I~OEM NO. 2 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 7207 Z Permission is hereby granted to: q.~,~.~x..~,~A~...6:...~ ~,~e ............................ ........ ~]tz~..,,;~.t ....,B~ ..86 ..................................... ............. ~;~tt~k ....... 5..:Z. ............................ ro~.~...~...~.~!.t.~..o........o.~.......z..~.s...t.~....L~..].~.~ ................................................................. at premises located at ...J.~.~ ....... D.ee.p..Jto'te..D~.t:~e .................................................................... ................................................. Ne~.t,$~ak ......................................................................................... pursuant to application dated ......................... Ap.I~:L1. ....... ~......, 19;1~...., and approved by the Building Inspector. FO~M NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. o~E~ TO RmED* VIO~TION ~te ..... ~.J~...J...~.. ........................... [owner or authorized agen~o~F 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 that ................................................................................................ (state character of violation) .......... ........................................................... : ..... i~"~i~;'~;'i~"~; ........... ~ ~iiiiiiiiiiii-'.~~iiii~''~ii~iiiii?~i~'''i~';~i 'III'I''III''I''''IIII'' i~tate section or paragraph of applicable Iow, ordinance or regula;;i;n) ............ YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith in or before the .............. '.~..~-.. ............................................ day of ...J~.~.~... ................. ~..~' T,h~e premises, f~~to which this ORDER TO REMEDY vIOLATION refers are situated at ~,...~..,~......~,,,,,~--~.,.~c'~....~,...."~..~'~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. Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office 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 Inspector with the following; 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 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. Copy of certificate of occupancy $1.00 Date ................................................ New Building ................ 6d~dition ..... ..X. ........ Old or Pre-existing Building ................ Vacant Land .............. Locat on Of Property ~.~..~?~?:[:..//:.~t/.f'.~...~..~..~.~:~.~.~.~:~.~...~../.?:'4...~.~.~..~..?....~...~.~...~;~ ......... '../.~.'~.~..~.... Owner Or Owners Of Property Subdivision ................................................................ Lot No...I...~ ..... Block No. ............... I HL House No...!.~f:~ Permit No. 1.7..~..C:.7...i.2Z..... Date Of Per,nit Z~..:::.~.i..!~:A~pplicant ...~..: ...... /.f..,.~....~..~...~.~...~.'..~?. ........................ Health Dept. Approval ..... ~,..7~ ............... Labor Dept. Approval ................................................ unaerwr ters ,~pprova !.r......: .................................... Planning Board Approval ........................................ Request For Temporary ?e[tificate ........................................ Final Certificate .......................................... Fee Submitted $..~.'...~ ~/~--~ ............................ Construction on above described building and ~ermit meets. Jail opplifable codes and regulations. Applicant ........ _.c-r~.. ~..~ ........ ,~ ............................. Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public .................................... County ~/,.LI~/~ TOWN Of SotrrHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disol~rcved a/c ................ __ ~. APPLICATIOH FOR BUILDING PERMIT -~ Dote April ~, 19....??......~,j,I INSTRUCTIONS a. This egplication must be completely filled in by typewriter or in ink and submitted in-triplicate to the Building Inspector, withf~i 3 mrs of plum, eccurate plot plen to scale. Fee according to schedule. b. P~ot plan showing location of lot and of buildings on premises, relationship to adjoining-premises or public streets or areas, and giving a detailed description of layout of property must be drawn on diagram which is pert of this application. c. The work coeered by this epfllication may not be commenced before issu~nca of Building Permit. d. Upon epprovel of this application, the Building. Ir~pector will issue a Building Permit to the applicant. Such permit.shall be kept the premise~ ivaitMde f~ inspection throughout the work. e. No building shall be occupied or used in whole or in pert for any purpose whatever until a Certificate of Occupancy shall have bee~ Irlnted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Z~ Ordinance of the To~m of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction buildings, edditions or alterations, or for removal or demolition, as. herein described. The applicant agrees to comply with ~lll al~)licable taws,; ordinancal, building code. housing code. and regulations, and to admit authorized inspectors on premises and in buildings for necessary in~oections. (Signature of applicant, or name, if a corporation} 1~55 Deephole ~ve ~%tX%~}~, lew.Zork 11~52 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, Plumber~of builder. owno~ Name of owner of premises Wud~on If applicant is a corporate, signature of duly authorized officer. lit (Name and title of corporate officer) Builder's License No .......................................................... Plumber's License No ......................................................... , 2_ Electrician's License No .................. ~ ................................ Other Trede's License No ......................... I. Location of land on which pr, opoeed work will be done. Map No .................................. ~..~ ......... Lot No ......................... r~t--~ ,,.-~-- '~5' Deep~ole Drtv® s lat%~%uok, To~ of Southold, New ZOrk St.--. o,.~ ,.u,,,,~....,,~1..~.,~,c ..................................................................... , .................. ' ............................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~....ff..a..~.,,t.]:~....h..o..,,i~,. ............................................................................................. so. me - OhO fo, rally hOBO - b. Intended use and occupancy ................................................................................................................................. : 3~b Nature of worl Repair ........... Se 13. 14. Estimated Cos If dwelling, nu If garage, num If business, co~ Dimensions of .sight ..... Dimensions of Depth ...... .2..4., Dimensions of Height ..... .1..,~., Size of lot: Date of Purcl Zone or use d~ Does propose~ Will lot be re~ Name of 0w~ Name of Arc~ Name of Con1 ' : (check which applicable): New Building ....................... Addition ..................... Alteration ............... .............. Removal ......................... Demolition ........................ Other Work ................................... / ~..,. ~.,~ (Description) : ...... .~,[~,,2.,0,,0,,,.. ........................ Fee · (to be paid on filing this application) ~ber of dwelling units .....~.. .......... Number of dwelling units on each floor ........ '.= .............................. er of cars ..... ,.......~.-. ............................................................................................................................ tmercial or mixed occuoancy,'specify nature and extent of each type of use ..'..'~ ................................ existing structures, if any: Front ...... ..4~.....~..~..... Rear ....ll~......~..%..;. ......... Depth ..2..~..,.~.t~...~....~ ........... ft,. Number of Stories oa, e same structure with alterations or additions: Front ..... ..~..0....~..~.... ....... Rear ..... ..6..0.....:[..~..., ...................... ..~..~....8....[..~ ............... Height ...)~.~..~'.~ ........................ Number of Stories ......o..~..e.. ............................ entire new construction: Front .1.,~. ~. Rear 15 :~'t · - o~e ......... Number of Storms ........................................................................................ :on;'.:: ::~.~.~.::~.~.;:~:::: Rear ...... ],~.~ ;~.~#~ ................. Depth .1. ,,~.., feet ..... Name of Former strict in which premises are situated .....r...e..e.~..d:.e...~..~..[..&.~ ....................................................................... az. ·construction violate any zoning law, ordinance . . or regulation ............................................................. (Address) (Phone No.) itect ............. :'...'. ................................................................................................................ ; .................. ._ (Address) (Phone No.) rector ..~. ..................................... ~ ........................................................................................................ (Address) (Phone No.) PLOT DIAGRAM ly and diatinatly all buildings, whether existing or proposed, and indicate all set-back dimensions from street and bi~ek number or description according to deed, and show street names and indicate wheth, lot. 1655 ~eephole Drive, Natt~tuok, lev York - taterior lot Led sheet Locate clee~ interior or oornel See artsci STATE OF NEW_YORK eOUN'rv ............................ o~r~e ~ He is the ........................ of said owner or ownen statements contained in set forth in the appticati, Notary Public~ ................................................................. being duly sworn, deposes and says ~hat he is the applicant above named. individual signing contract) ~ (Contractor, agent, corporate officer, etc.) , and is duly authorized to perform or have performed the said work and to make and file this application; that all his application are true to the best of his:~o9W ~dgtbl~Lal~ belief; and that the work will be performed in the manner ~n filed therewith. Notary Public, Stale of New York s A rt[ -- No. 52e59~L44963 SufEolk Coun%...-- y. O~ · .~7...,..,~-'-~........~.., ~R.m,m~eign-rExEires March 30, 19/.~ , :,. ............ ~...'~....~...0.~.: ................... County ............ ..~...; ........ ~ ............... /~0. o Axl.4-,,, 7:/ rz.,'c ~, ,M. ~. .Zco/~- .¢-o'=/" o .- ,',-o,.,/ope