HomeMy WebLinkAbout7105-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the BuildinI Inspector
Town Hall
Southold, N.Y.
Z10383
No .................. Date ......... .F.e.~ r..u.a?.y...9, ..........,19...81
THIS CERTIFIES that the building ................................................
Location of Property .... .1.1.3.0.. ?9.qu..a.~.h..A.v..e.n.u.e., ....... .C.u. ~..c.~.o.i;u..e~..~: ~.. ..........
Hou~ No. S~et Ham/~
County T~x Map No. lO00 Section ..... ~ O~ ...Block ...... .1.1 .......Lot ....... .9, ........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Buildin~ Permit heretofore ~ed in this office dated
....... !~ .r.o.h.. ~, ...... 19. ?.~urs~ant to which Buildins Permit No... 7:10.~. Z ............
dated ..... .M.a.r.c..Ii. ~, ............. 19..7.4, was issued, and confomu to all of the requirements
oftheapp~cab~provisionsofths~w. Theoccupaucyforw~chthiscertificate~issuedh .........
The certificate b issued to ....... .R~.Cb~.d. l/g..B/'Z~I.e~ ................................
of the aforesaid building.
Suffolk County Department of Health Approval .... #! R .................................. .
UNDERWRITERS CERTIFICATE NO .... ~/. R ..........................................
Buildin~ Inspector
FOF~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N~ Yo
BUILDING FERMIT
(THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°. 7105 Z
Permission is hereby granted to:
Ch~s.ter...&..C~taaea..Jet~laskt ............
....... ~..~....~...~.,..... ..............................................
~o ..]t~:hL an..ad~t.tt ~.. m~. axt ..tt~..daeLt~ .............................................................
at premises located at .....~.~.qlJ~.l~..,~.'J~J .............................................................................................
.............. ...~ .................................... CutlJhO~la ........ li.I. ...................................................................
pursunnt to ~ppli¢~fion d~ted ........................ ~ .......... ~[ ............ , 19.~..~..., ,',nd opproYed by the
Building Inspector.
Fee ~J.~.t...O~)... .............
Disapproved a/c ..........................................................
"' ..... AFFLICATION FOR BU~NG '~ ~'i'i~l'i'~-' ~F" ................... '~:1~ IT
Date ~l.Z'.h ~ ~
................................................. 19 ..... ~..
INSTRUCTIONS
a. This application must be completely filled in by typewriter aC. in imk and submitted in triplicate to the Building
Inspector, with 3 sets of plato, accurate plot plan to scale. F~e accard!ng to schedule.
b. Plat plan shOWing locatio~ of lot and of buildings on premiseS, relationship to adjoining premises or pu.blic streets or
areas, and giving a detailed description of layout ofpraperty muSt be drawn on the diagram which is Part of th.s application.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Bujldtng 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 demolltio~, as herein described.
The applicant agrees t6 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.
"' (Signatur~ of applicant, of name, if a corporati~'i ........
(Address of applicant)
State whether applicant (s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
'~ O~ner - builder
If applicant isa 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. Mop No.: ........................................ ~Lat, No .........................
Street and Number .... ~.~1~J~I1,~..~.~'.~. .......... ~b,~L~0~ll .....................................................................................
Munk,JPality
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 ........ .~...a~....e...~..~.~......a~.,~f[~l,;~.~.~.~......._. ......... ~ ..................... ~ ...... · ................
3. Nature of work (check which applicable): New Building .................. A~lition ....~....~'..-~[t~ration ..................
Repair .................. Removal .................. Demolition .................... Other Work ......................................................
· ~ .,(Description)
........... !.,~ ..................... ' .................. Fee ...11.~.......0~.. ................................................ ~., .........................
4. Estimated Cost ~ O0 + '
(to be paid on filing this application)
5. If dwelling, number Of dwelling units ........ .~J~ ............. Number of dwelling units on each floor ....... '; ........ r'' ..........
If garage, number of c~rs .............................................................................................................................................
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 .................................... Reol~ ....... ~;.~ .................
Depth ................................ Height ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front ...... ~, ........................ Rear ...... ~. ................ Depth ....1.6 ................
Height .................... Number of Stories ...... ~U...; ....................................................................................................
9. 5, ize of Ia, t: Front ........................................................ Rear .......................................... Depth ................................
10. ~ Date of Purchase ........................................................ Name of Former Owner ........................................................
1 I. Zone or use district in which premises are situated ..... &....~;:[~l.~; ...............................................................................
]2. Does proposed construction violate any zoning Iow, ordinance or regulation: .~. .................................................
13. Will lot be regrade(~ .......... ~1~ ............. Will excess fill be removed from premises: ( ) Yes ~ ) No
14. Name of Owner of premises ....(~e,s.l;.az..~3.~[~J~. ....... Address .....~l,~.~,~{t~3~l ...... Phone No .......................
Name of ^rchitect Address .. . Phone No .....
Nome of Contractor ....~.~ll~ .............................................. Address ................................ Phone No .......................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bc~k dimensions from
property lines. Give street and' block number or description according to deed, and show street m3mes and indicate
whether tnterior or corner' lot.
STATEOF NEW,~,_ ~¢(: ~;~ul,~l ,~u~.
COUNTY OF .....~...~.....,i...~.....~.. ............ ),.~.,-,
............................. ..~..?..~..~...~...l~....O..~.....[..~..~.a....]:.~...~..~.~.. ...................... being duly sworn, deposes and says that he. is the applicant
(Name of individual signing contract)
above ~amed.
Owne - builder
He is the .................................................................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file
this application; that :all statements contained in this application are true to the best of his knowledge and belief; and
tha~ the work Wlll'be.~getformed in the manner set forth in the application filed therewith.
Swam to before me tF[is
................... oj ....... ,
Notary pub I ic~'...~....:.~;;~.4~E,m.~4a~nty · ~T~'~....X... ,t....u~.. ~~ .................
(Signature of applicant)
JUDITH T. ~OKEN
No~oly PubJic, State of New ¥o1~
No 52.0344963 Suffolk Cou_r~/
FORM NO. 6
TOWN OF SOUTHOLD
Building Depari.,ent
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. Fiqal 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.
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
Date .f .~.~'~.. s/~.. ! '~' '~'~I ....
New Building ... ~ ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property../
Owner or Owners of Property ...~-,~. ~_~/~....~)~.~. ~/~.~ ...................
County Tax Map No. 1000 Section ../.O..~ ....... Block .... ~ ~ ......... Lot... ~ ..........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No..,~/.~.'~.'. ,~. Date of Permit .......... Applicant ..................................
Health Dept Approval ...... -z;- .............. Labor Dept Approval . --- . ....
Underwriters Approval ....... ~. ................ Planning Board Approval ..... --'--. ................
Request for Temporary Certificate ..................... Final Certificate .... ~ ..............
Fee Submitted $ .... .5..0 0 .....................
Construction on above described building and"0ermit meets all applicable codes and regulations.
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
$OUTHOLD, N. Y. 11971
TEL. 765-1802
R. McBride
1130 Pequash Ave.
Cutchogue, N. Y.
11935
form. Chester Koraleski
RE: BUILDING PERMIT NO. 7105 Z
dated_~a~rch 5, 1974
Dear Mr. McBride
This is a notification of existing violation(s) of Chapter 100,
Zoning Ordinance~ Town of Southold, N.Y. on the premises on
which building is being constructed under this peEnit.
The violation(s) are as follows with remedies as required by
statute:
Building Permit has expired. A new permit shall be required.
(Art. XIV, Sec.100~141H)
Occupancy and use of building without a Certificate of
Occupancy. You are required to make application for:
~ final Certificate of Occupancy ~ temporary Certificate
of Occupancy (Art. XIV, Sec. I00-44A (1 & E)
~ Construction is not in conformity with the provisions of
~ applicat~ion, ~ plans and/or specifications on the basis
of which Building Permit was issued. YOU ARE ORDERED TO
DUSPEND ALL WORK. Work may resume upon approval from Building
Inspector. (Art. XIV, Sec.100-143)
Building Inspector
FORM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
(owner or authorized agent of owner)
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
ART. XIV
Other Applicable Laws, Ordinances'or Regulations ............................................
at premises hereinafter described in that ......... ..~...u..f...1.~..n.g..~.e....z~....i.g...~...,.~.]..0.,,~. .............................
(state character of violation)
..~ ~..e. ~... 2/.~./..?.~ ................ .b..E..e....e. 5 ~...~.?..~.:.....~.o..~....~..z:..e....~...e..~.~$ ~,.~.~...~..0... ~.~;~,. ~ ~ ..~ .....
new permit.
in violation of Sec. 100-1~1H .
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned forthwith on or before the .... ..~..i.Z...t..~.. .....................................................
day_ of ...... ..,:T..~?:..a..~.. .............................. , 19..8.!...
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
130 Peauash Avenue, Cut ho ue
........................................................... g.....~..,..~.....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 .~,,,~