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Home My WebLink About7251-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTM._E~]'~. ~ Town Clerk's Office Southold, N.Y.. Certificate Of Occupency No...X..~O3/+9 ....... Date .. J~nua .r~' 15, ............................. ,19... THIS CERTIFIES that the buildin~ ............................................ Location of~y ~2~ ~r~on L~e, Sou~d, ~ T~ Map No. l~ ~ct~n 6~ .Bilk 5 ~n .............................. ~F~ed Map No ......... L~ No .............. c~fo~s su~t~y ~ ~e ~t~n for ~d~ Pe~it heretofore ffded ....... ~. J~, ...... ~. ~t to ,~,h n~s e,~it ~o .... d~ .... ~Y' .~, ................ ]9 .~, w~ i~ued, and confo~s to aH oft~ r~u~ements of ~ app~ p~ of t~ ~w. ~ ~upa~y for w~ch tMs ce~ificate A~ ~ ~ivate ~e F~y ~ellin~ Robe~ ~ ~ ~mf~ate h ~ ~o .................. ..fj~.~.. .. . ... ... ................ Suffo~ County ~p~t of He~th App~ ..... ~ .................................. ~ERWR~ERS ~RTIFICA~ NO N ~ 6~ Building Inspector FOB~ NO, ~ 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) N? 7251 Z Permissio~ is hereby granted .to: Hol*ton 8~thold ~o ...~O...~..~..a..a...~.~..o..n.. m ~..~.~.~..a..~.[k~ ....................................................... at premises located at ]~..~ ..~...~.~.11... ~ ................................................... ............... ~1~.~11~ J~l.....l~.~ ~. ........................................... pumuant to oppli¢~ion d~,ted .............................. ...1~.....,..~ ...... , 19..~.~.., ~nd ~ppro¥~l by the Buildin~ In.~tor. Fee $ ....................... F.T .~....~; ...... . .......... Building Inspecto; ............ / leOBJf NO. 1 TOWN OF SOUTHOU) BUILDING DEPARTMENT TOW)4 CLERK'S OFFICE SOUTHOLD, H. Y. APPLICATION FOR BUILDING PERMIT ............ ........... ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 aet~ of plato, accurate plot Idan to ~ale. Fee according to schedule. b. Plot 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 ofproperty must be drawn 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. 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 a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bui dng Perm t pursuant to the Building Zone Ordinance of the Town of 'Southold, Suffolk County, New York, and other applicable Lows, 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. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................ i ...................................................................................... Name of owner of premises ....~..~JC~j~.....~.....~.O..~ .......................................................................................... 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 Trede's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ...... .~..~....~.....~.1~.~..~.~..~:~^~,~1~. ................................... ~..Q.LC~.O..~... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ExJsiting .use and occupancy .i...i...~...~...~/.Z~'.J,~-,.~T. ........................................................................................... b. 'Intended use ar~ occupancy ...'... ~.~..J.~.J~.....C~...~.. ................................................................................... 3. Nature of work (check which applicable): New Building .................. Addition ...../.... ...... Alteration .................. Repair .................. Removal .................. Demolition .................... Other Work ...................................................... ~ (Description) 4. Estimated Cost ............. ~..0...O...O.. ................................. Fee ../.~........~... ........................................................................ (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, commercial or mixed occupancy, specify nature and extent of each type of use ............... ;; ........... 7. Dimensions of existing structures, if any: Front ........~./.:. ............ Rear .......... ~./..J. .............. Depth .....~..~. .......... Height ........................ Number of Stories ....................... ~,~w. .................................................................................... Dimensions of same structure with alterations or additions: Front ......... ~..~ .................. Pear ..~../...~. ................. Depth ........... ..Z/. 4~.. ./. .......... Height ............................ Number of Stories ..... ~ ...................... 8. Dimensions of entire new construction: Front ............ ,.~/../.. ............... Rear ..... ~..../..~ ............. Depth ...Z~.../. ........... Height .................... Number of Stories ..............~..~..~' ................................................................................................ 9. Size of lot: Front .......... .7..~..~...~...../. ........................... Rear ......... .~..~...~ ....................... Depth~.~,.~...~.....dT../.?..~.~..~...~'- 10. Date of Purchase ..... J.~...&~'.......~ ...... I...~.7....~.. .............. Name of Former Owner ..{~.~C~.~..~...'....~?......~..~-./..5...~.. .......... 11. Zone or use district Jn which premises are situated ..................................................................................................... ]2. Does proposed construction violate any zoning law, ordinance or regulation: ...~..~.. ........................................... 13. Will lot be regraded ......~.....~. ............... Will excess fill be removed from premises: (~)' Yes ( ) No 14. Nome of Owner of premises/.~Z3~/~'~.......('/~...:..~'~.~......U~...~)... ..... Address,~..~.~T~.~...~.../.~,. Phone No. ,7..E,,~.../.~.~...~:... Name of Architect .............................................................. Address ................................ Phor~ No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether 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. /"//~ ~ 7-'(~ ~U ~/~1~ STATE OF NEW,~OP, J(~ ,~. (~ ~ COUN~ OF ~..f~.o ................................................................................................. being duly sworn, d~oses and says t~t he is t~ applicam (Name of i~ividual signing controc0 ~ove name. He is the ................................................................................................................................................................................. (Contractor, agent, co~orate officer, etc.) of said owner or ownem, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contoined in this application ore tree to the best of his knowledge and belief; and ~at the work will ~ performed in the manner ~t fo~h in the application filed therewith. S.m ............ ........................... ~ ' - ~ ' ~ (Signature of applicant) JUDITH T. BOKEN Nofa~ PubJic, State of New Yo~ No. 52-0344963 SuffoJk Count/ Commission ~pi~ Mamh 30, 19~ FORM NO. 6 TOWN OF $OUTHOLD 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 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· B. 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 3. Copy of certificate of occupancy $1.00 $5.00 Date ..... I.../?.~./. 8..1 ............. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. · ........ .................. .. Location of Property .--~.-~.~ ......... House No. Street Ham/et Owner or Owners of Property ..... ~..(;~.~ .~.....~..-....~..~'~'~ (.('~. ......................... County Tax Map No. 1000 Section . .~ ............ Block ... ~ ........... Lot. 1. 7 ............. Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. ~2~'( Z Date of Permit ~.~.l~./.7../~.Applicant R°be~c Bz'o~T~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval . ~769.~. ............... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ~ Fee Submitted $....~ .' .0.0. ..................... Construction on above describedApplicant . . .~, ~~ .~. ~ . . .~--·~_building and permil:?~~ble codes and regulations. ......... ,..,o-,o.,a THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ PP BUREAU OF ELECTRICITY B5 JOHN STREET, NEW YORK, NEW YORK 10038 ~ate ~.UgUSt 17, 1972 A.~,,,c.tlo,,~'o.o,,/,e 590612 N 37697 THIS CERTIFIES THAT R. W. Brown Ho~ton La., Southold, L.I. inthefollowlngl~ation; ~ Basement ~ lstFI. ~ 2nd FI. & outside s.~t~o, m~a ~t was examined on Au~st 14, 1972 and f°und to be in complia.ce with the requirements of this Board. P. Bogov~c Maln Rd. ~-~~ Southold, L.I. 11971 · D [hiscerfificote must not be oltered in onv manner, return ,o the ~,, ~ ~ me ooara ~r ~ncorrect. Insoectors may be ident bed b their credenhals FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION TO Mr. Robert W. Brown (owner or authorized agent of owner) ...... 3.~ 5...~.o..~..o.n.. L ..~.~ .e..,....% .o.~.~b..~.%~.,......~f....... 1 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ART. Other Applicable Laws, Ordinances'or Regulations ............................................ Buildin~ Permit 72~1 at premises hereinafter described in that .............................................. ~ ......................................... (state character of violation) dated q ha ex ' · .................. ~./...k/..Z4 .................. .s. ....... P...z..r..e...d...........Y..o_.u....a...r..e.... r..e..q.u..~ r..e. ~....t.O... a~ly.., f.~ ~ ,, a ..... new permit. in violation of Sec. 100-1~1H (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 sixth day of ...... .J....a~...u...a.?.~. ............................... , 19....8..!. The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at .3.2~. Horton Lane, Southold, r',~ ,-,~,, of Suffolk, New York. Failure to remedy th~ conditions aforesaid and to comply with the applicable provisions of Iow may constitute an offense punishable by fine or imprisonment or both. Building Inspector~.~ ~,C