HomeMy WebLinkAbout7311-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y,
Z10385
THIS CERTIFIES that.the building ................................................
Location of Property .... AS'/0 .P.e.q u..a .a.h..A..v.e.n.u.e. ~ ............... C..u.~.c.h.o. $ .u.m. ~...N.,.Y. ,....
HOUM No. St~Mt HMnl~t
'County Tax Map No. 1000 Section .... .~.I.Q .... Block ........ Q3 ..... Lot ....... 0.~.9 .......
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore ~ed in this office dated
June 7 74
......... ' ............. 19..~Pursuant to whic h Building Permit No. · 73.1.~ .Z .............
dated ... i. ?. u. .n .e . . 7. ...............19 .7.~., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this cex~/ficate is issued is '. .......
The certificate is issued to .....
.....................
of the aforesaid building.
Suffolk County Departmeot of Health Approval ..........................................
UNDERWRITERS CERTIFICATE NO ..................................................
Buildin~ Inspector
Rw. 1~1
FOB~ NO. :g
TO~'N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 7311 Z
Date ........................ ~T.t.1~ .....~. ............... , 19~.~....
Permission is hereby granted to: /
~;~.ea~....~ ~i.ttel .............................................
...~.h..~,.~.~ ...................................................
............. .c..v.~.c..h.o ..c~... ..............................................
build new ac.q~s$,o~2. (~ p. b~d
~o ............................................ .~..;..~g.~.). ........ ;l,u.g. ...............................................................
at premises located at ..... ~.O.l~,~h..A~$ ........ {.f~...e.ts...~a~k..~t~ .................................................
......................................... D,U,t~ ha &~m ....... t~,v, ................................................................................
pursuant to application dated .................. ~t~.e .......... '~" ................ , l~..br....., and approved by the
Building InspeCt ~or.
Building Inspector
Disapproved a ..................................................... ~
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
This application must be completely filled in by b/pewriter o~ in ink and submitted in triplicate to the Buildlng'~_
Inspector, with 3 set~ of plans, accurate ~ plaKI4o scale. Fee q~..o~jngto schedule.:
b. Plat plan showing Iocahon of lot qnd Qf buddings on premises, ~'lat~onsh~p to adimmng premises or pubhc streets of
areas, and giving a detailed descripti,,on o7 I'.~a~out~ofpr0perty must be drown on the diagram which is part of this application.
c. The work covered by th~s app fCatK~n may'nat be commenced before ~ssuonce of Bu~ drag 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 port for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of 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, 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 i~ bulldir~'~ ndcessan/' insl:h~--t~ons.
~.~-- of applicant) ., ~
State whether applicant is owner, lessee, agent, architect, eng~/e/~/~g,n ro~~~'r or builder.
.........................................
Name of owner of premises ....... ~,;~......~.,..~,~L ......................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's Lic~se Nc~: ............: ........................ .~, ............
Plumber's License No .....................· ...........................
Electrician's License No .......... ~ ..........,-
Other Trade's License No.' ..............................................
1. Locatioo of land on whictl~l~roposed work will be done. /V~ap Ng.: .......... ~..~ ............... ,Lot.No. ~.~. ..............
Street and Number ..... .' .~..~..~.~~,..~ ........ ~...~.~....~.~ ........ ~ .................
I/ y/~ ~' ~ ~urlicipali~
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ......... ~~ ............................................................................
b. Intended use and occupancy ........ ~'.~.~2A'~A'~ ...... ~5'.t~°~. ................................................................................
3. ~ature of work (check which applicable): New Building ..../.. ........... Addition .................. Alteration .................
Repair .................. Removal .................. ' Demolition .................... Other Work ......................................................
~ ~'/0 (Description)
4. Estimated Cost ..........I..~.0.~..~)..(~ ................. ~ .............. 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 Oars .......... -. ..................................................................................................................................
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: Front .................................... Rear ............................
Depth ................................ Height ............................ Number of Stories ................................
8. Dimensions__ri_of entire new construction: Front ......... ~'.~....~-~1~...... Rear/ ....... ~.~../~-... Depth ...../.~...~.'~.~..
/
Height .....~...~.~.~. Number of Stories
9. Size of lot: Front ............. ~.~.I~....~.E~. ..................... Rear ....... /~1./~'~..~. .............. Depth ..... /..,~..~.-.~..-- .....
10. Date of Purchase ..... ~..-/~.~'/~..~. ............................... Name of Former Owner ....~7..-.~.yJT~,*T?...~/~.~'~..~.,-- '~" -- ............
11. Zone or use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................
, 13. Will lot be regraded' W II excess fill be remov~ frompre~s; (~ ( ) No ..
14. Name of ~ner of premises ~l~.~.~ ~ ......... A~~..~~ No. ~.~' '
~ame ot ~rcn,tect .............................................................. ~.~~~ ~ ...................
Name of Contractor .......................... ~ ................................. A~re~ ................. ~ ............. Pho~ No .......................
PLOT DIAG~M
L~ate clearly and distinctly all buildings, whether existing or proposed, and indicate all ~t~ck dimensio~ from
prope~ lines. Give strut and block number or description according to de~, and show street nam~ and indicate
whether interior or corner lot.
(Name of individual signing contracf)
above named.
He is the .................................................................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have ~De~f0rmed the said work and to rr~ke and file
this application; that all statements co~toined in this application ore true to the best of his knowledge and belief; and
that the work will be performed in the ~anner set forth in the application filed therewith.
Sw°rn t° b~ me tho~S lC~, ,,~,,,'
............. ......... , ....... .......
Not~ ~ublic,/ ~.:~.,.~un~ ......~. ~.,
.............. ...................
~:~:~44963 Suffolk Count(
~~30, J9~
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 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 featu res.
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
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date. ~. l~'./.~.i .................
New Building .... ~'. ....... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ..~-~.c)/'f.~..~'.T~.;..~./i2~'z'Fzr,~.,/z/ ....... ,4i/. ............. ..............
I~ou~e No. " '''? Street
Owner or Owners of Property .. ,¢f.'/F~¢/' If'
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ../.~'~.~.~.~ . Z/ /~/~iT(.'/~/
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $.. ~.., .(J.O. .....................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant ..... ./~/.~ ~£ ./..?~.~ . .
Rev. 10-10-78
FOR~! NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date December 19 19 80
TO Eileen E. Bittel
(owner or authorized agent of owner)
,4.6Z0 Pe~uash ~ve,~ Cutch.Q&.u.e, NY 11935
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordi.nance ART. XIV
Other Applicable Laws, Ordinances'or Regulations ............................................
at premises hereinafter described in that Building. Permit #
(state character of violation)
dated 6/ / ha e ' ·
..................... Z...]b. ...................... .s.......x, ~..z.~.e...d...........Y..o...u....a..~.e....?...e..cLu...~ ~?..e. ~...~ .0...,~.p.p,~.,. ~ ~ ..~ .....
new permit.
in violation of Sec. 100-1.41H
(State section or paragraph o¥ 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..M..n..u.~.E~ ............................. , 19....~..1.
The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at
~6~0 Peg~uash .~ve.~. Cutcho~ue, r~,,ntv of Suffolk, New York.
Failure to remedy th~ conditions aforesaid and to comply with the applicable ~rovisions of law
may constitute an offense punishable by fine or imprisonment or both.
Building Inspector