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Home My WebLink About7319-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..7.1 0.~6;~ ......... Date ...a79.n.u.e..~..~.T.., ................. 19.8.1. THIS CERTIFIES that the building ................................................ Location of Property ...2fi. ~..~.o.~. 7.t;.h' 8..t;.z,.e.e.t;. ! ......... I~..a.u?.e.l:. :..N.e.~...~'.o.~.k. ........... House No. Street Hamlet County Tax Map No. 1000 Section ~ 26 .Block 07 Lot 007 Subdivision..~.e.o.z'.l~?. I. ~t;hill .Filed Map No. 1561 .Lot No. 6be conforms substantially to the Application for Building Permit heretofore fded in this office dated ·..~T1AIXe. ~ .~., ......... , 1~.~.. pursuant to which Building Permit No. 73t 9 Z dated . . .~T~tlt~ . 1 .~., ................ 19..7.~, 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 ......... ............ ~.c1~!:.~ ~.n...~ 9...~..e.x!~.a. g ......................... The certificate is issued to Daniel and Ka~ae~'ine Keou~a ..................... ioYn;~ ..................... of the aforesaid building. Suffolk County Department of Health Approval . .~..~. ..................................... UNDERWRITERS CERTIFICATE NO.. ~/.~. ............................................ Building Inspector Rev. 1/81 ~rOB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~OUTHOLD, N, Y. BUILDING FEIIMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7319 Z Date ......... Permission is hereby granted to: .~/...-q..I. .......................................................... ............... ...L....~..~....&.~i.~ .............................. ~o ...~u.j..~.~.....A....u.. A g. ~.t....T..~...~..u......c~..~. ....... ~.ur.;.g_u.....~. ............. p · . ............................................. ~.~ .................................. ~. ....................... ............. .~. .................................... ~......~ ................................... Z ................................................... ~ pursuant to application dated ......... ..~...?....~.....C..~......I..I ............... , 19..../..., and approved by the Building Inspector. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Half 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 disposel-(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 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 $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building ............. Old or Pre-existing Building .... .x ....... Vacant Land ............. Location of Property 215 Fourth Street, Laurel, N.Y. House No. Street Ham/et Owner or Owners of Property Daniel and Kathez~ine Keough County Tax Map No. 1000 Section 1 26 Block 07 Lot 007 Subdivision (~.e.o.~.~;.e..[,. ~'.~.~..~.~.~. ............ Filed Map No....~.~.1 ..... Lot No. ~. ........... Permit No. 7,~.1.?..~... Date of Permit .~ ./.1.1. /. 7~..Applicant...D.~.~.~.e.~..~..e.o~.~. ................ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....~. .................. Fee Submitted $...~...O.Q ...................... Construction on above described building a,n,~ permit meets all applicable co~s and regulations. APPlicant ,~//~. ~.~.~ ............. FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION TO Mr. Daniel Keough (owner or authorized agent of owner) ..~..1 ~..F...o..u...r.~.h.....S..t..:..,.. L.auret t ,...N~........1.?..?..~8 (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 BuildinEx Permit ~. 731 9 ~ (state character of violation) dated 6./.1 1/..7,4. has e,x_pire.d.~ ..Y..o...u..a..~..e...r..e..q.~.ed ~9 a~D~ ~.Q~. & 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 ofJanuary ...................................................... , The premises to which this ORDER TO REMEDY VIOLATION- refers are situated at ~.!,~...,,F.°--u-.-zT-t---h.-.-S-..t--:.~.--L..a--u..~.e-..l.~. ........................ ;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. iNSTRUCTIONS a. This application must be completely filled in by typewriter ac. in ink and submitted in triplicate to the Building Inspector, with 3 sm Of pla~.s, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings'on premises, relationship to adjoining premises or p,u~. lic streets areas, end giving a detailed descriptiOn of layout ofproporty must be drown on the diagram which is part of th~ 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 o Building Permit to the applicant. Such perm shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or Jn 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 Building Permit pursuant to the~ Building Zone Ordinance Of ~.he 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, os heroin described. The applicant agrees to comply with all aPPlicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and In buildings for necessary inspections. / (Signature of applicant,~f'name, if a corporation) (Address or ~*canTJ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .................................................................................................................................................... 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 Trode's License No ................................................J ~ 1. Location of land on which, proposed work will be done. Map No.: ~..~../. ............................ Lot No...~.........~'...~. .... Street and Number ~..~..~...~....~L-~ ........ ~ ....................................................... MunicJpality 2. State existing use and occupancy of ~ntended use and occupancy of proposed construction: a. Exisiting use and occupancy ...................................................................................... ~ ....................................... b. Intended use and occupancy .~/......~...!.~..~ ................................................................................... Nature ofl w~m'k (check which applicable): New'BditSing ~ ............ Addition .................. Alteration .................. Repair .................. Removal .................. Der~lition ................ :... Other Work (Description) Estimated Cost ............................................................ Fee .~..~ ................................ ~..."~.~i~k.~i.~ ............... (to be paid on filing this application) If dwelling, number of dwelling units ............................ Number of dwet|ing units on each floo~ .............. , .............. If ~arage, number of cars ............. .~r~ .~.....~.x~¢~...~. ...... /~..~..~...~..~.........~......~'..¢~.~x...~...~ .............................. 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 .................... " Heigh~ ................... ; .... Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: ~:ront .......... , ......................... 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 ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Wil lot be regraded ............................ Wil excess fill beremoved from premises: ( ) Yes ( ~)~No 14. Nome of Owner of premises ~.~.:~..(.~..~....~.;.-~..¢~..~.~,~----- ~/Address .~....~'....~...~.~(1¢~10.~..~...~.~..4~.~.~.~...~ Name .of Architect ........,~.~...'~.../..¢L~....~..~...~..~..1~.~?). Address ....................... ~ ........ Phone No ....................... Name of Contractor ..... ~...~...';~..t.~.~,....~.~...~.~.......O,~.~.. Address ................................ Phone No ....................... whether interior or corner lot. PLOT DIAGRAM Locote clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from ~)roperty lines. Give street and block number or description occo~ing to deed, and show street names and indicate LeT ltal STATE OF NEW,,~O~, ,~/- { c c COUNTY ................................................................................................. being duly sworn, d~oses and soys t~t he is the applicanl (Name of i~ividual signing controc~ obove nom~. He is the ............................................................ ~ .................................................................................................................... . (C0ntmc~r, o~t, comorate offic~ etc.) of said owner or owners, and is duly authorized to p~rform 6~ h~e performed the said work and to ~ke and file thi~ application; that al statements contained in t~s app] cation are true to the best of his knowledge and belief; and. t~'.th~ Wdfk Will be performed in the manner set foffh in the application filed therein. - SW~ to ~ methis ~ -- , JUDITH T. ~OKEN / - No. 52-0344963 SuffoJ~ Coun~ Commission Expire~ March 30~