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Home My WebLink About7071-zTOWN OF SOUTHOLD BUr[.nING DEPARTM]~T Town Clerk's OEice Southold, N. Y. Certificate Of Occupancy No.~6213 ....... Date ..............8ep.t .... ~...., 19..7.~ THIS CERTIFIES that the buLlding located at W/.~. ~.ox..Nt~.(t.k..]~J, ......... Street Map No. ~ ........ Block No..~ ..... Lot No. :cxaC.. ~att~L.t~U0k...1~,]~.. ......... conforms substantially to the Application for Bailding Permit heretofore filed in tht, office dated ............... F.®b...~ 19.7~. pursuant to which Building Permit No..20%17-. dated .............Feb... 5., 19. ~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which issued is .p~va~e...on~ .faV~y. dm~lling ...................................... The certificate is issued to . .Id:L.~al~ L~I~s&3,. J~'... O~ez' ...................... (owner, lessee or tenant) of the aforesaid building. Sm~folk County Department of Health Approval 8ep~ .. 1 ~...197.~[..bit. ~t~. ¥~,lla .... UNDERWRITERS CERTIFICATE No..N~7~.%~6.. HOUSE NUMBER .... 262~ ..... Street ..... Qo~. ]~ecl~ .l~oa~t ..................... .......... Building Inspector/ FOBM 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) No. 707I Z Permission is hereby granted to: ...... ........ ............ ................. .~:z....~c.c~ ......... ~,'-.~ ................. to./~V..~ .~. .£~..~[........F.~r?~¥.. ])~_-~,~ ON'r~ ~,r, at premises located at ....... ..~.....~......~..~... ....... ..~...0..~. ....... .N...~...~....~.. ...... ~..~...~....~.. .............................. [ ...... pursuant to application dated ~" ~-E']~ 19Z. Z., and approved by the Building Inspector. Building Inspector I THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ J I~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET. NEW YORK. NEW YORK 10038 THIS CERTIFIES THAT o~y t~ el2ctr~cal equipment em descdbed below and l~troduged by the mpp~:a~t Mined o~ the ~ ap. Dl~t~n number in the premises of William Lindsey Jr. Bergen Ave. Mattituck, u.I. in thefoliowing Ioc~tlon; [] Bosernent [] 1st FI. [] 2nd FI. 0 ~l~ si (~ Section Block Lot ~ ~.,~.~d o. July 29, 19 7~ andfound to be in compliance ~ith the requirements of this Board. DRY~RS FURNACE MOTORS ~RVIC~ DJ~CONNECT OTHER ~A~T~: HO. O~X S I n SFECIAL Eld'lq Y MULTI-OURET SYSTEMS NO. O~ FEET EXHAUST FANS AMT. H.p. DIMMERS ~ B.J. Electric Co. ~]~ ~ I~l St~l.ater Ave. ~ ~~ ~1 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERT~KA~ MU~ NOT BE ~TER~ IN A~ ~ FO~ NO, S 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 disposol--(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 ................ Addition ................ Old or Pre-existing Building ....~... ........ Vacant Land .............. Location Of Property ~...b~..~.. ...... .(~,,~.~...JIJ.~...~.~l.~....,./~..W...~.K.~'...~., ........................... Owner Or Owners Of Property ...... ~J..t'.~.(~.,qzt...~.:.....~..:.49. O.~61~......~.~., Subdivision .................. ~ ...................................... Lot No...~'k .....Block No .....~'~.... House No...~....~...~..~~' Permit No.~.f?..~./.....m~... Date Of Permitl~..~..~././..~.~.~pplicant Health Dept. Approval ........ .~.~.~.Z.....L.~..,,.../..~.Z~..Labor Dept. Approval ............. ~'..:/~.. Underwriters Approval ..7'./.~...~/~...~....... .................. Planning Board Approval ..... ~/..~.. .......................... Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ .~..,.~.O. ........................ Construction on above described building and/permit me~.L/ts~l[applicable codes and regulations. App,,cont .... .................................................... Sworn to before me this day of ........ ...... FORM NO. 5 ToWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD; N. Y. ORDER TO REMEDY VIOLATION Date ...... ~2....., ( w er or authorized agent of ow~e~' . " ~ ~address or owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ~ /~/~ ..... ~/r.r~.~ ........... Other Applicable Laws, Ordinances or Regulations ............................................ ..~~ · at premises .hereinafter described in that (state character o~ v~b'Tation) in v,~,atio~ of ~_-..z~_~....~.,..z., ............................... /. r / (State section or paragraph of applicable law, ordinan~'~ or ~'~i;fi;;~i ..................... YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy t_he conditions above mentioned forthwith on or before the ...... .~....~.~..j~..~....j day of ...~~ ................ , 19~.~'~' The premises to which this ORDER TO REMEDY VIOLATION refers are situated at Failure to remedy the conditions aforesaid and to comply with the applicable provisions of Iow may constitute an offense punishable by fine or imprisonment or both. 7/2 Building Inspector H.D. Reference No. APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM 1. Applicant ~ 9 Phon~'~-~S~5. Subdiv. Address ~,~ f~x,J~_ ~/ ~ ~ 6. Section Lot 2. Property l~c~tio~ ~c~ f~L ~ [;~(~. 7. No. ....... ~~ 8. Private well 3. Public Wa~er Company name Distance to main 4. Lot size: Widthifeet Length /~ feet (E~ter on center plot 10. Sewage Dispos~System: A. ~0~ gallon septic tank: Precast Equivalent Block B. ~aching pools: Number { Precas~,~Block Special below) If private well fill in blanks below: Tank capacity Y~als. Pump G.P.M. ~ ~Total well depth__ }th to G.W. ~Amount of water in well t Hole Data Feet The undersigned be in accordance with the ards thereto)" Date. Z/~f,C/ ff /~7/ 2 4 6 8 10 12 14 16 18 CERTIFIES: "Construction of authorized installations will Suffolk County Department of Health's current stand- Owner or Build~/ '' FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department, that an adequate and satisfactory Sewage Disposal System can be installed on this plot. Date ~ Signe~ ~--- ~ S-15 Revised 4/1/7~ BUILDING D~ARTMENT/~ / v - n ~< TOWN ~KS ~FICE ~ _ _,~ ~_~ , ~ ~UTHOLD, N.Y. /~ ~-~ ~ ~ ~ ~//~ Examined .................................... 19...~.. Application No ................................. · ................................ -- ::..: ................................... ~ ~/~M ~'~ APPLICATION FOR B~DIN6 ~IT ~te .......................... ~.....~:..~.., 19..~..,.~ IN~RU~I~S b: ~lot plan sh~m~ ~Otion Of lot and of buildin~ ~ premises, r*lotion~hip to ~dloin n~ pr~m ~, or publ c ~tr~ o~ ~reos, ond oivi~ o ~toi~ d~cription o{ I~out ofpr~ must be drawn on th~ die, rom ~hi~h c. ~e work ~r*d by thi* application moy n~ be commenced before i~uonc~ ~ BuildinO ~it. d. ~n opprOV~l of thi~ ~pplicotion, ~ Buildino I~tor ~il *~ue * Buildi~ ~it 1o th~ ~plieon~. Such p~rm sh~l~ ~ kopt on tbe pmmi~ ~il~bl~ ~r in~p*ction ~m~out t~ ~rk. ~. ~o buildin~ ~h~ll be ~cupi~d or used in whol* or in pa~ {or ony pu~m~ wh~r until ~ sh~ll how beon ~r~nt~d by th~ Buildln~ In~p~tor. APPLICATION IS HEREBY ~DE to the Building D~a~ment for the issua~e of a Bu ding Pe~t pumuant to ~e Budding Zone Ordinance of the Town of ~uthold, Suffolk Count, New York, a~ other applicab~ ~, ~J~nc~ or Regulations, for the constru~ion of buildings, a~itions or air, ratios, ~ for mm~al or demoliti~, The applicant ogres to comply with all applicable la~, o~nc~, building c~, h~si~ ~, a~ ~1~, admit authorized inspecto~ on premises ~d in buildin~ ~r n~es~ff i~ti~s. ....... . :.:. (A~m~ of applicant) State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... ........................ ....... .... ~..~,,,~,,,,.: ~.,,~s ............... ~....~ .......... ~ . ............ ...~ ...~., ........... . 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 ............................................... Laconian of land on which pj~oposed y~ork wil, l~/e don~e. Mal~.]'~o.: .; ...................................... Lot No ......................... Street and Number ...... -~d,~.....~'.~,~....'.~..~ ....... ./..~./~i ........................................................... Municipality State existing use and occupancy of premise~c~d intended u~e and occupancy of proposed construction: ///_ o. Exisiting use and occupancy .............../~..~ .................................................................................................. occupancy .................. b. Intended use and 3. Nature of work (check which applicable): New Building .................. ~ ~pn ...~.....Adcliti ............... ~. Altei~ti,on ..~.,:y..=.,. Repair .................. Removal .................. uemo iTion .................... t_ ..................................................... :~' (DeScription) 4. Estimated Cost .............. )~.~....~.~.~.~....~ ................... Fee (to be paid on filing this application) ) ............ I. .............. Number of dwelling units on each flOOr ......... /.. ............... 5. If dwelling, number of dwelling units 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 ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions .of same structus'e with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Numb~¢///of S. tories ................................ ~..-,-_/7/ ~ Dimensions of era. ire new construction: Front ...... .~'..~'.....~. ........... 'Re0r ...... ~..~..~......'~ Depth ......~....~.~:~.//// ..... Height ...... ~.~.,.... Number of Stories ................./.~. ......................................................................... ;: .................. Size of lot: Front ............ ./..~ ..................... ~ ........... Rear ............ ./...~ ........... 4 ...... Depth ..;...../...G.~.~..O~......~ ....... Date of Purchase ....~/~.~..~.~..../.~...~'/'. ............ Name of Former Owner...~.t~t~..dT...~.~:.~ Zone or use district in which premises are situated .................................................................................................. Does proposed construction violate any zoning law, ordinance or regulation: ....................................................... V~ill Iotbe regraded ....:....~..P...... ...... :.. Will,excess fi{1 be removed frol~ premises~.( ) Yes Nome of Eontrector ..... :~ .................................................... Address ................................ ~ No ....................... PLOT DIAGRAM Locate clearly ahd distir~fl~; all buildihgs, whetl~r existing or proposed, and indicate all set,back dimen~i~n~ tirom property line?. Give street and block number or description according to deed, and ~ ~tmet name~' and Indicate. whether Inter~or or comer lot. 10. 11. 12. ~13. STATE OF NEW Y,DRI~/1 ! S S COUNTY OF ..... ..O....(~.~.'.~ ........... ~ · ..... ~...~~.'~~ ........ ..~. ........ ~ ....... being duly sworn, d~oses and says t~t he is the applicon, (Name of i~id~l sig~g cont~ a~e name. H~ is th~ ................................. ; ....... ~ ..................................................................................................................................... (Contractor, ~g~t, co.orate officer, ~c.) of ~id ~ner or ~ners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statemen~ contoined in this application are tree ~ the best of his Enowledga and belief; and ~a~ t~ w~k will ~ performed in the mor.,er ~t fo~h in the applicati~ fil~ therew~. Swam to before ~ this ~ / ~= . .......... , - , ............................. 8AR~ARA M. HAURU$ N~ public In ~ s~te ~ N~ Y~ No. 52.~770 R~idin~ln Su~k~ ~,/ Gomm~ Explr~ March ~, ~/~ 0 RODF..-I'C. ICk' V/~N TUYL,