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Home My WebLink About7523-zI~OP-M NO. 4 TOWN OF SOUTHOLD BU'H.DING DEPARTM~.NT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z~2..~7 ...... Date ............8.ep~...2.8. ...... , 19..7.6. THIS CERTIFIES that the building located at ... Bridge .Latin ........... Street Map No.l~as~....P.t... Block No ........... Lot No. 13.t+. .... .C.q~q~ggq.e .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ ~.e.p.~...~.., 19..~.. pursuant to which Building Permit No.. ~.~.~3.Z. dated ..........~..SepZ...~..., 19.?t~., 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 .. Pr±v. ate..Qne, f. amlly..c~welllng, wJ, l;h. ~t~c~;~L.o.z~ ..................... The certificate is issued to Henry. .l~k~Z. ~..~Lf~..~v~er9 ......................... (owner, lessee or tenant) o~ the a~oresaid building. Suffolk County Department of Health Approval N.~o ................................ LTNDERWRITERS CERTIFICATE No. ~2~07.~t~.. F.~b.. ~t~.. ~ 9.7.~ ................. HOUSE NUMBER ..... 12~.Q .... Street. ~r~e. La,. ~e,~ s ,. p.t .................. · FO~M 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? 7523 Z Date Sept ~ ]9. Permission is hereby granted to: ..o..e..o...,.m~...e.~..~...~!~,r.....z.~...~...~.*.,~.7...r'z~el ...~;a....c,;z..~ .............................................. ............... .q~.%c.~. ........................................... to ...huiX4..aa..~d~Ll~£~,..o-..#x,~tat;~..O,w~.~,l~g ............................................................. at premises located at ...~g. Ls.l~....~L-.#.~k..~.~ft.~..g.~...t.....P..r.g~. ............................................ ....B.~.~.$&.q La..n..e. Nas.s.., Pt., Cuteho~ue pursuant to application dated ................................. ~2.~ ........ ~'...., 19....~..If, and approved by the Building Inspector. Fee $..l~.a ~. .......... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and s,abmitted Jn triplicate to the Buildinl~ Inspector, with 3 ~ of pkms, accurate plot plan to scale. Fee according.to schedule. b. Plot plan showing IocQhon of lot and of buddings on premises, relahonsh~p to adlommg premises or pub ic streets areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part:, of this app cation.r~ c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this applircatlon',' ~ne Building Ifispectbr 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. ' the APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to 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 here n 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. ..G...E..O~G~ ABT.~.~ BT~]::L]:~I{ TNC ........ ' ........ .... ...................................... (Address of applicant) 1 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, t .................. .............................................................................. ............................... Name of owner of premises ]~'.~ ~; i~3~.o ~e.~.~' a~e~. If applicant is a corporate, signature of duly authorized officer. ........ ~~~~~~~~~~~~~~.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.~~~~~~~~~~~.~~~~~~~~~(Name and title of corporate officer) Builder's License No ..................................................... Plumbers Lmense No ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... .-~,.. ,- .~,...~ ~..~.. 1. Location of land on which proposed work will be done. Map No.:.. ........ ;..... at No ......... ,1,.~,.~ ....... Street and Number .... ~.~;I,~l.l.~...~..~.~e..~ll. ll~.~.g..~l~,l~/l.~.,...~.~.~=ll.~lL~...: ..................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of pr0pO~d construction: a. Exisiting use and occupancy ............. &we~3,$,,l. ............................................................................................... .. b. Intended use and occupancy ........... ~l.e ......~r.... ....... ................................................................... 3.'~Nature of work-{check-which applicable): New Building. A~lte~r~ti~n ............. ~.., ~' Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... (Description) 4. Estimated Cost ................................................ : ........... Fee ....Z ................................................................................. (to be paid on filing this opp.Ucotion) 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 some structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of 5[pries ................................ 8. Dimensions of entire new construction: Front ...3~,! ........................... Rear ...14,t,(~,". ............. Depth ........................ Height .................... Number of Stories ........... [ ......................................................................................................... 0. Size of let: Front ...~.19~.9/) ....................................... Rear .,3,~o'~5,/.2[?.,~5 ......... Depth ,..~e®...a~p ............ ]0. Dote of Purchase ........................................................ Name of Former Owner ........................................................ ! 1. Zone or use district in which premises ore situated ........... J~ ....................................................................................... ]2. Does proposed construction violate any zoning Iow, ordinance or regulation: .]~1~ ................................................. .. 13. Will lot be regraded '"'~"qtff/2~;;Je~' ....... Will excess fill be removed from premises: ( ) Yes (3c) No 14. Name of OWner of premises ]~...lJ.~..,~ll~k~.3, ....................Address .l~lzo,,~ar.~..L3.~ Phone No ....................... Name of Architect ...~..~..~.~/.A~.~o... .................. Address ................................ Phone No ....................... Name of Contractor .~ea~.l~../~i~3~e~..~.],d~.~.Ta~,. AddressC~t.~ll.e~.~ ........... Phone No ....................... PLOT DIAGRAM Locate clearly end 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. SE~ ATTAC~D MAP STATE OF NE~V YORK, [ c ~ COUNTY OF l~.u;~;~.g~.k..: ............~'~ ..................... ~e~.l~.~l.,~ll~.~'.ll~...~l~'.~t~.~d.~.ll,~. ......... : ....... being duly sworn, d~q~e~ and soys t~t he is the opplicam (Name of i~ividual signing co~mc~ above name. He is the .............. ~,~.~.~.~ ........................................................................................................................................... (Contractor, agent, co~orate officer, etc;) of said owner or owners, and is duly aut~rized to perform or have ~erformed the said work and to ~ke and file this applicatibn; t~t all statements contained in this appli~tion are tree to the best of his knowledge and belief; and tha~ the work will ~ perfor~d in the manner set fo~h in thb application filed ther~ith. Swam to ~f0m me this ........................ ......... ........... No,, .......................... .................. ~ ~ ' ~ (Signatu~ of applicant) FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. ORDER TO REMEDY VIOLATION Date (~wner or/authorized agent of owner) ~.,~../.,..:~.~.~..~/~.~.~.~.,,..z...d~z~ (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance .... k/ -/~. . - .~.~. ./. · · ~'~. - .............. Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in that ~.~..~..~..~..' .L-.~..: .................. ~ .................. (state character of violation) ~...~. ~ ,.z.~z ~ ~.. ~. ,_,~,~. ~.. ~r.~..: ~.. ~ ~(.~.~-~ ~. ~.~.... ~ ,:,~~....z,~.....~~ ................................................ /in violation of ....... iJ/~..'.../.~.-~.//.--./-...~-..,'~...-..-.~-..:.-/. .............................................................................. (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 mentio.ned forthwith on or before the ................ ~ ............................................... day of ....~..~-~. ....................... , 19 .~.~.~. The pr~?~ises to which this ORDER TO REMEDY VIOLATION refers are situated at c~.4~.,~..,7..;1~_..~....~..~,ff,.~.~.o.'~..,.//..C.... County of Suffolk, New York. Failure to remedy the conditions ~foresaid 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 $OUTHOLD , Building Deportment Town Clerks Office Soul.hold, 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 ]957), Non-conforming uses, or buildings and "pre-ex'st'ng' 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 in- formation required to prepare a certificate. C. Fees: 1. Certificote of occuponcy $5.00 2. Certificote of occuponcy on pre-existing dwelling or Iond use $5.00 3. Copy of certiflcote of occuponcy $1.00 New Building ................ Addition .,..~. ........... Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ...~r. idg~..Lan~..~ssa~.P.o~t~..~tchog.ue ........................................... Owner Or Owners Of Property ...... .D...~.........a~....d:....~.~..s........~..e...~...T~....[.....~.....e..~.. .................................................... Subdivision ..~.a...s.~.a..u....?.Q;~..~..~....?.?..QD., ................... Lot No. ~.~.~ ..... Block No ............. House No ............. Permit No...?.52.~ ........Date Of Permit ..9,/.5/.~.~....Applicont .C-e~3~e..~e~.s~...~,i3~e~.,...Iz~c. Health Dept. Approval 2.~/~.~/~,~ ............................ Labor Dept. Approval ................................................ Underwriters Approval ..~...~..~...0.~..~...~. ............................ Planning Board Approval ........... ~ ............ Request For Temporary C~_~icate ........................................ Final Certificate .......................................... Fee Submitted' $ ..... ~/ ....................... Construction on above described building and permit meets all applicable codes and regulations. A ' .GEORGE AHLERS, BUILDER, INC. pp ~can~ ......................................................................................................... Sworn to before me this ~'~'/'~'~ .... of (si'amp or seco ~-[{ ~ 7f Notary Public ....... unty ~ THE NEW ~"'" February ~4, 1975 TH ~ CE~FES THAT Kunkol, Bridge ~ane,.Nassau, Point Rd~, C~tcho~U~ 1 ~ CB x *Furnaces: Oil 1-1/Uhp, 1 1/~hp ~ ~ '~' ' ' Panelboar~s: 1-1201r.~125~ s. I G.F.I. ~f