The URL can be used to link to this page

Home My WebLink About8957-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. 'Certificate Of Occupancy ~Tanuar~r 27, 81 No .....Z.. ? 9.3.6..3 ..... Date ................................. 19... THIS CERTIFIES that the building ................................................ Location of Property ....2.~ .9.0...8.~.a.~s...R.o.a.d. ~ ........ .E.' .a.s.t;..M..a~.i.o?. ~. ~...Y... ............ House No. Street Hamlet County Tax Map No. I000 Section 22 .Block Il- .Lot Subdivision .8.o..1~. ,d.~?.e.~..~..W.o.o..d~..~.e. ?,~.~o. rs. 1..Filed Map No...5..3.1.5..Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated November 1 0 197.6. . pursuant to which Building Permit No. 89%7 Z dated November 10, 1976 was~ssu ................................ ' ed, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ......... .~x.y.~.~.~., 9.n.e.-?..~..~.~.~...~..~. z. ,z.t.n.~ ...................................... The certificate is issued to Robert; R. Schro®der of the aforesaid building. Suffolk County Department of Health Approval .... 6..-.8.0.-..2.2.0..~../.2.7./.8..0..R.o.b..e?.~..A...,..~.J:..l~.a U~DE~WRn'ERS CERTIFICATE ~O.. I~. h75f~50 ...................................... Building Inspector Rev. 1/81 FOR~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT COMPLETION OF THE WORK AUTHORIZED) N? 8957 Z Permission is hereby granted to: ...................... ............ &~.~.~..~to..&O, ............ ~:~...~:i,~.z:..x. pR ..... B~ild ~ew on f m.t~y dwe'L]in~ tO ....... · ............ ' ............ .~....~.~....'~ .......... n~..:: ....................................................................................... at premises located at ..~..1~..~.~'~.~...~. ...... ¢.~.~.~.,...g.~.C/.~.~....lff:~..O..~..~,..~..~..~. ............................................... .................................................... .8.~.~...r.~.~.~ ............. ~ ~.a.t..~.~.....: ..................................... pursuant to application dated ........................ .~..?.-~. ....... .I_,0. ............ , 19 ....... ~., and approved by the Building Inspector. Fee $.~,.~..?..2. ~. ........... ~ ~ Building Inspector / FORM NO. 6 TOWN OF SOUTHOLD Building Department 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. 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 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 dwelting or land use 3. Copy of certificate of occupancy $1.00 $5.O0 Date ... ~T.~e, T'y. ,~? ,..I.C~1. .... New Building x Old or Pre-existing Building Vacant Land Location of Property 2190 Stars Road, East Marion~ .N..Y. . .... House No. Street Hamlet Robert aud Ethel Schroeder Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 22 Block )& Lot. 21 Subdivision .S.o.~.c].o.~.e, .~..~..o.o. ¢:e..-.S..e.c.~.~..o~..1. Filed Map No....~.~.1..~.. ,Lot No. ~..~ ........... Permit .... Oate of Permit ! ,0./?. .App cant .. ............ Health Dept. Approval .. ~.-.S.O..-.~.0..~../,~.7./..~.0... Labor Dept. Approval ........................ Underwriters Approval .~....~.?.,~'~. ~.0 .............. Planning Board Approval ...................... Request f6r Temporary Certificate.. Final Certificate ...... x Fee Submitted $..-~....Od:s;;,~:.~:i;;.:;.:n;. ;::r~:t~eets al! applicable~codes and regulations. / Construction on above THE THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRIClT~ as ~o.~ STREET, .EW YORK, .EW YORK ,OO3e only the electrical equipment as described below and introduced by ttw applicant natned on the above application number in the premises of in the following location; ~Basement [~] ~st r~. [] ~.d F~. OUl: aide S~c~io. atoca rot was examined o~ p ~; i,J~ ~ ~k ~ [k ~ ~'~ and.fottnd to be in compliance with the rdquirements of this Board. RXTUREI ~ i~ FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OTHER APPARATUS: S G R V I C E NO, O~ERCC~yCOND.[ A.W,G A,W,G NO, OF NEUTRALs AW G. 1l- 1/0 l. 1/0 , Per This certificate must not be altered in any manner; return to the office of th9 Board if incorrect. Inspector~ may be identified by their credenfiols. Co~Y ~OR BDILOINO OEPA~MENT. THI~ cOPY O~ ~E~I~IgAT$ ~ ~O~ B~atT~R~D IN ANY FORi~ NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date November 26 19 80 (owr~__ ~6 a~Jthorized,~afl~rjt of owner) East Marion N.Y. 11939 (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 ......... .B.,,~,$,~.~..~...D:g...?..e..-z%~, ..~..t....~....~.?.~Z.~. ............................. (state character of violation) ,.~.S~.. ] ~.Z~.9.~7.~ .......... ~.~...~,~.f.m.~.~.....~p~ .~.~...~.o~.~.e.~...~...~.~zz..Zoz...~ ..... ,.~?...~Z~.~ ...................................................................................................................................... in violation of .......... ~.~.u~.~,~z~bJ..~ ................................................................................................. (State section ~r paragraph of appHca,ble law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply withr the law and to remedy the conditions above mentioned forthwith on or before the ............. ~.~.~ ................................................ day of Deo~be~ 19 80 The p~emises to which this C~RDER TO REMEDY VIOLATION refers are situated at ' ' .~.~.O m ? ~.~-e.r._..,Z County of Suffolk, New York. Failure to remedy th~ conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. / / ............... r - "YJZD'F~"i;;~;;'~F ........... / COUNTY OF SUFFOLK DEPARTMENT OF HEALTH SERVICES Robert ~hroeder Stars Road March 6, 197~. DAVID HARRIS. M.D., M.P.H. 6-20~9~20 e/s Stars .Road, Map of Soundcrest I~foods, Lot 16~' East i,~ion, N. ~% Dear '~ ~?. Schroede-: - A recent check of our files indicates that ·this office has never issued a final approval for the above referenced job. Please be advised that it is illegal to occupy the building until the fol- lowing paperwork is submitted to this office and/or the following inspec- tion{s) are completed: ~del 1 Drill ers Certificate [';//i~later Analysis F'~esspool Certi:ication ~inal Surveys'L :/) ~Other .. Should you have any questions, please feel free to contact this office. Very truly yours. ~01'"~' '" :" cc: To~ Building Department~ 0 SOUH O ~UTHOLD, N. Y. ...... .................... ~proved .............. J/. ....... ~.~. .......... , ]9.~ Permit No. ~Z~.~.~... .................... Date INSTRUCTIONS a. This application must be completely filled in by typewriter oX in ink and submitted in triplicate to the Building,7'0 Inspector, with 3 sets of plans, occurate~ 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 or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this 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 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 necessary inspections. ~.~ (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. Owner -builder Nome of owner of premises Robert & ~thel Schrader If applicant is a corporate, signature of duly authorized officer. .............. '"""'"'"'"'"'"'"'"'"'""'"'"'"'"'"'"'"'"'"'"'""'"(Name and tit~e of corporate officer) , Builder's License No .......... .o,~.m,..e...r. ............................... Plumber's License No. ? Electrician's License No. ? Other Trade's License No ............................................... i...~.~. ! ..(~.. 1. Location of land on which proposed work will be done. Mop No.: ....~,.°.~.d:...~.e..~....~...°..°.~t No ............ Street and Number .~./.S....~..~.&...~..s.....~...O.~ .......... ~.~,......]:~.~..r...J:.o...zt. ....................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy vacant b. Intended use and occupancy .................. .°...~..e.....~..a,...~..J:.~..~.....ct:~.~r.e...~..]r.~.~.~ ................................................................ 3. Nature of work (check which applicable): New Building, .....~ ..... Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work .................................................... (Description) 32 000 + F 9.6..?.2.~ .......................................................................... 4, Estimated Cost ............................................................ ee (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .o..~...q ............... Number of dwelling units on each floor ............................ If garage, number of cots ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, Jf 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 ...... Z..Lt: ......................... Rear ...... .7..~ ................. Depth ....~.,,~...z(..3~ .... Height .................... Number of Stories 9..~..e. ................................................................................................................ Size of lot: Front ........................................................ Rear .......................................... Depth ................................ Date of Purchase ........................................................ Name of Former Owner ........................................................ Zone or use district in which premises ore situated ...... !!*¢.?...~¢:~. ............................................................................ Does proposed construction violate any zoning law, ordinance or regulation: ........... ~Q ........................................ Will lot be regraded ......~/'.e.s ............... Will excess fill be removed from premises: ( ) Yes ( ~ No Name of Owner of premises ...~..°..b.,~....&...~K.e..~....¢.g..~.~..°..e...~..e.];~ddress ......~..:...[[&~,,i'..O,,~.. ..... Phone rio .......... A ........... Nome of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ..... .o,.~...;g:..e...~. ........................................... Address ................................ Phone No ....................... PlOT DIAGRAM Locate clearly and 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'. 10. 11. 12. 13. · 14. see filed plans STATE OF NEW ~YORlf, ~, I c c COUNTY OF .... ~..B.Z:..Z..O...A. ..................... ...~.t~e'l ..¢.~.o,e,d.e.:~ ................................... being duly sworn, deposes and says that he is the opplicom (Name of individual signing contract) above named. owner He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, oad is duly authorized 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 thor the work will be performed Jn the manner set forth in the application filed therewith. Sworn to before me this · 1,.0... day of ......... ~.o.~ ....................... , 19..~...6.. . ......... ............ coun .............. ',~, ....... , ~ ' (Signature or applicant)