The URL can be used to link to this page

Home My WebLink About7461-zl~OR~ NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupancy No..Z.~..lJ. ..... Date ............ .D. eO...~ ........ , 19..?6 THIS CERTIFIES that the building located at . .N./~....i~ .RO&~ ......... Street Map No.. ~ ....... Block No. ~ ....... Lot No, ...X~X. .... $.o~. t;l$O~..~..]~.,.~,. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .................. A~, 1~.. ?.~pursuant to which Building Permit No....7~..1.Z.. dated .......... A.I~....6 ...... , 19..?~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ... P. ri.v.a.t,~. ~.~..~..~.1[. p.o.o.~....w~.t.h...~.s~.~.. &..a.e. Ce~.~0.x.y.I .............. The certificate is issued to .D,l'. .~/.~.~..l~ .~1...D.o.I~]...a~. ..... . .0~, .~.~. ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .1~,1~ .............................. UNDERWRITERS CERTIFICATE No....~.l ~.l.~..i~. .................................. HOUSE NUMBER ..... [ .g~)~.~... Street ..... .I~..~....P,~..a.d.....S..c~.t..hg.]..d. ............. Building Inspector FORM NO. ~g TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VN CLERK'S OFFICE SOUTH'OLD, K. Y. BUILDING PERMrT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7461 Z Permission is hereby grant~cl to: .~....,C/..~..u...7.....~..u..(:.,~.~....~...(~.~ra~ ~ ~', o^ / pursuant to application dated ~/ ~ U ~- 19.?..L./., and approved by the Building Inq~ctor. Fee $..d ................... Building Inspector FOI~M NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION TO :. (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 ~n v~o~o~n of ....~C~....X.~C~...~ X :~...O. ....... .C...~.....~.:. ................................................................ (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 rr~ntioned forthwith on or before the ............. ~ ............................................. day of .. ~~..."~.. ~.."/ , 19Z~.. The premises to which th~ ORDER TO REMEDY VIOLATION refers are situated at .~.,,~....~/~.:..~~-~....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 impris,~ent or both. NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. (address of owner or authorized agent of owner) ORDER TO REMEDY VIOLATION Date . · .~.~,~c/-..~.~z. ·.....~..~ ./......., (owner or authorized agent of owner) ~ PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Lows, Ordinances or Regulations ............................................ at premises hereinafter described in ~" ~,~ /// (state c~aracter of violation) ' in violat'~on of .J..~..../.~...~...-T.,~...~.....TZ......~.....~...:...~ ............................................................. (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 .................. ~... ........................................... day of ......... ~...~.,~-..: ............................. , 19...~.. The premises to which this O)RDER TO REMEDY VIOLATION refers ore situated at ...... z County of Suffolk, New York. -?oz5-- 5-7o-7 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. NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner)./, (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists o violation of: Zoning Ordinance Other Applicable Laws, Ordinances or Regu, lotions ............................................ at premises hereinafter described in that ..~._~......~..,~ · ~' (statF,~chorocter of/~iolotion) in vio{otion of _./...~_.~..~...~..~'.../...'G~....~.........,d~...:.....~....~ ................... .../, ..... J_...~'.. (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comp~aw and to remedy the conditions above mentioned forthwith on or before the ................................ ~.. .......................... day of .......... ~.~..~.: ........................... , 19..7~/.. The premises to which this O.~DER TO REMEDY VIOLATION refers are situated at y.~.......~.~.~.....~!.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. 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: ]. 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 formation required to prepare a certificate. C. Fees: ]. 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 ~) _ _ ~te .~....!...~.....(.~?..? .... New Btt~ldiwg .~..~.. Additionl//r .............. .~....~:' OId~.~ c- ~-._°r Pre-existing~.~Bu ild, ng~._~...~...,... Vacant Land .............. Location of Property .... Permit No ..................... Date Of Permit .................... Applicont .................................................................. ,ea,th ~pt. Approve, ......... ~..~. ..................... 'abet ~pt. ^pprova, ...... ~.~.~ .......................... ~.l~.t..~.~.~. .........~'-~./~/.~P,ann,ng Board ^pprovo, ...~..~ ......................... Underwriters Approval Request [:or Temporory Certificate ........................................ Fin~ Certificate ...........~ ........................ Fee Submitted $ ~c.~.. Construction on above described building and permit meets all appli~ble codes and regulations. ^~,,~o~, ~....~~'....~.:....~~ .......................... Sworn to before me ....... /..~.. doy o ~./~ ~ ~'~/~'~/ Notary Public ...f.~ ~::::"~:::~ ,stamp or seal)/~_~L~_,,'~'~?', FORM NO. I ~ TOWN o, SOUT.OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 7 £xamined ......................................... ...... '/'" //1~'~ L/-- ~.~% Application ........................................ . ........ ................ /. ................ DisQppro~ ~/c ............................................................................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .............................................. , 19.. . o. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building~ Inspector, with 3 sets of plans, 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 public streets oF areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this opplication.~-~ 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 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 in buildings for/rx~cessary insp~..~ions~ ' (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. f remse (-q/V~ -[~O~.jL/I~ ~ Name of owner o p s ................................................. ;_A .................... T. ........................ 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 ............................................... 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street ond Number ................................................................................................................................................... Municipality 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 ..................... ~..~.~ .C.~ ..LL_.. ~ /~-..~.. ~ ~ ,....,, 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ............... Repair .................. Removal .................. Demolition, .................... Other Work ................................................ . .... (Description) 4. Estimated Cost ............................................................ 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 ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ....................................................................................... ~ .............................. 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of PLIrchose ........................................................ 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. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) ~es ( ) No 14. Name of Owner of premises .................................................... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor-. ..................................................... ~'..... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock 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. STATE OF NEW YORK, ~ c c COUNTY OF ................................ ~ ""~ ................................................................................................. being duly sworn, deposes and says that he is the opplicam (Name of individual signing contract) above named. He is the ........................................................................................................................... t ..................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly autho~'ized to perform or have performed the said work and to make and file this application; that oil statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swam to before me this ........................ day of ............................................ , 19 ........ Notary Public, . ................................................... County MURIEL BRUSH ~OTA~Y pUBLIC, State of New Yorl~ No. 52.¢S22~26 - Suffoi~ County ~omm~t, sloG Gxplres Mer~h 30, (Signature of applicapt) THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BuREAu OF ELECTRICr'rY ~--- 85 JOHN STREET, NEW YORK, NEW YORK IO038r ..,. e emb .r No. o,,/,,. N ~81626 THIS CE~IFIES THAT ~]~. l~n~, Ma~ ~.~ nex~ to aiDe,son ~lne~ ~duthold~ L.~. in the~ol~ing I~at~n; ~ B~ment ~ l~t Fl. ~ 2nd Fl. O U~ S ~de ~tion B~k ~t ~.~ Septe~er 5, 197~ a~youndtobeln~mpltan~withthe~ui~mentsofth~B~. RXTU~ RXTU~$ ~ OVENS ~ W~H~$ EXHAUST FANS OUTLETS DRYERS FURNACE MOTORS RJTURE AJq~JAHC~ NEOIRS TIMECLOCKS UNITHEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF I~ET OTHER AI~ARATUS: C (~%~,vl~;:ming'Pool) This certificate covers compliance at the date of ~]~,~p, ectlon only. Because of unusual envtronmmnts it is advisable to have frequent test and/or repairs made by a qualified person. G & S Contr., P.O.Box 215 Sou~hold, L.I. 11971 Per