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HomeMy WebLinkAbout8965-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at ...~erm~eot~ Dr ........... Street Map No. ~ermzeo~;t' ~ock No ........... Lot No, ~ .... .8o~zo1¢l .... }h~,' ....... conforms substantially to the Application/or Building Permit heretofore filed in this office dated ............. }~'oV'' l~' 197~' ' pursuant to which Building Permit No. '~96~' ' dated ............ Nov"-'~6-, 19. ~6, was issued, and conforms to ali of the require- ments of the applicable provisions of the lawo The occupancy £or which this certificate is The certificate is issued to .14~t%hew. &..J~'~eph~ne .M~K:[e:cn~ .... 0wrl~r~ .......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval '~)I"' 1']'' ~'97~'' 'D~" R~ 'Vtl~i .... UNDERWRITERS CERTIFICATE No. ~34603 .... '~p~' - '26" ]977 ................ HOUSE NUMBER ...... 900 .... Street .. ye~eco~ct. Dr ............ ~outl~old .... Building Inspector/ TOW. o~ is°U-r"oLDi BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8965 Z Permission is hereby granted to: ................................................................................ -.s...~.v :~L.~...?...~.:..~...,....~! :..~.(,, .......................... pursuant to application doted ........................ ~..I..!':.~. ....... !...b.. ......... 1~.-~..~..., and approved by the Building Inspector. Fee $.....t ~...~....~ Building Inspector FOB,~ NO. $ TOWN OF $OUTHOLD , Building Depmtment 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 $$.00 3. Copy of certificate of occupancy $1.00 ................... New B~ilding ...... .~. .....Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Owner Or Owners Of Property ............................ ~ .................. ,~.F~..~.. ................................ ................. Lot( o · ....~...~..... Permit No..~...~.,~..~../Date Of Permit .././././.,?h,.~...ApplicGnt .~..~...~..~.C.~.~....~i~..~:~."~../. ....... Health Dept, Approval ...(?,.:L.~.~.!;?..c..?.. .................... Labor Dept. Approval ................................................ Underwriters Approval ,.'.:;.....,~.~..~..~.. ....................... Planning Board Approval ........................................ Request For Temporary Certificate...................,........_........../ Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building and permit m. qets oil opplicabl,e' c~es and regulations. ^pp,,cont .................. .Z Z ba (stamp or seal) ~]-~c~, ~OTA~ .PUI~LIC, $ ate-of New York Ne. 52-89i 3 ~- EUl~a~k. County Sworn to before me thi~ THE NEW YORK BOARD OF FIRE UNDERWRITERS I~UREAU OF ELECTRICITY ~--- ak ~35 JOHN STreET, NEW YORK~ NEW YORK 10038 ,,... ^~r,Z 26, z~7~ A~,,,,.~,,,,;,~.o.o./,,, 899594 N 3341303 THIS CERTIFIES THAT Mr. M. McKiernan, 900 Ye'nnecott Drive, Southo!d, L.I. it, the.folt,n,i.g location; ~ llg~e,,..~t [~ ~..t m; []]] eaa m. outside FIXTURE FIXTURES RANGES COOKNGDECKS OVENS DISHWASHERS EXHAUST FANS 13 21 OTHER APPARATUS: 1 GoF.O.I. 1 Smoke Detector NO, OF CC COND R V F.T. E~.ectric, F. Tabacco, 160 Northern Blvd., St. James, L.I. ].~.780 Lie. l102E This cerlifkate must not be o~te~ed ~n ony manoer; return to the office of the Board if incorrect. Inspectors may be identified I~'O]R'J~'I ~0. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT"O'D N. 'r. ORDER TO REMEDY VIOLATION (own.e.~r authorized o,~/ent of owner~ (address of~::p'rwner or authorized agent of owner) / '//'~ PLEASE TAKE NOTICE there exists a violation~ Zoning Ordinance ~-~,: ./.,C~,,.O',...-...~.~,',,/~.~,./'~.,.....~,~-~ ~,~"' Other Applicable Laws, Ordinances o.~ Regulations ............................................ at promises hereinafter described in that ~.~.~~...~ / ~ (star.character of violation) (State section or paragraph of applicable Iow, 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 ..... ~..~'_g.~C-.~ .......... ~ .................. dayof ...................................................... ,19 ........~~ The premises to which this ORDI~ TO REMEDY VIOLATItDN refers are situated at Failure to remedy the conditions oforesai~ and to comply with the applicable provisions of Iow may constitute an offense punishable by fine or imprisonment or bath. TOWN OF SOUTHOLD /~// ./ ~)_/ .,~ BUILDING DEPARTMENT ~. ~-c~J~ TOWN CLERK'S OFFICE ~U HOLD, N.Y. , ~/~/7C-~ ................... · ~ ~ ...... Apphcotton No. ~..;~ ................. ,....,.~ Disapproved o/c ......................... ~ ......................................................... ,.. ............................................................................... ~ ...................................... ~ ' -~ ~ t' ~ ~ ................ L tTZ< ........ ........... I. "' APPLICATION FOR BUILDI~ PERMIT H.T., '~ 7~o~ ~ a. This applicatzon must be com'pletely filled in"by ty~e~rite~o~ in ink and submitted ,n'~ triphcate to the Bu,ldm~ Inspector, with 3 set~ of plans, accurate plot plan to ~ale. Fee according to s~edule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout of property must be drown on the diagram which is pa~ o~ this application~D 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 permi~ shall be kept on the premises available for inspection throughout t~e work. e. No building shall be occupied or used in whole or in ~ ~ ~ ~cupancy APPLICATION IS HERE~Y MADE to the Building Dep~~mi~ursuant to B uilding Zone Ordinance at the Town of Sout~old, Suffolk County, New York, and other applicable Laws, Ordinance~ Regulations, for the construction of buildings, additions or alterations, ~[ for removal or demolition, as herein described.~ The applicant agrees to comply wit~ all ~ppiica~ie I~s, ordinances, building code, housing code, and regulations, admit ~ut~orized inspectors on premises and i~ buildings for n~essa~ inspections. (Signature o~ opplicdnt, or name, i{ ~ corporation) (Address of applicant) State whether applicant is owner~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ./..<'~.Z ~/~../~¢.'~./,~4./... :?. (.~:(~.~,~.~ ~ZE ~.~<:~/.~.? ........................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No. Flectrician's License No ............. I ............................... Other Trode's License No ............................................... Location of land on wh~ch~roposed work wdl be done. Map ~N~..: ¢,,~,, .M.r~?..ft~/..f .JCL .... at ... Street and Number ..... ~...~..%/.C~..C.~.~ .~... ,~..~.r.....'J.¢.h.6Lx../~.,~...~..~... ...... . · Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy L'>:?¢~/.~ .~h~.~..../.'.4~. ~ .g,j' ........................... b. Intended use and occupancy ...¢:...../..~/.).,L¢../.~.. ...... ~...~..~.4..¢/..-. ...................... ~ .................. 3. Nature of work (check which applicable): New Building, .....~..:. ......... Addition .................. Alteratlo Repair .................. Removal .................. Demolition .................... Other ~/ork .................... ~ (Description)" ' 4. Estimated Cost ,...,~..~v.,,,~..~,'.,.¢!~ ....................................... 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 ..... ,.-77. ................... 7. Dimensions of existing structures, if any: Front .......-::7.. ................... Rear ...... :.-:: ...................... Depth .,..'~.. .............. Height .......... ~ .......... Number of Stories .......... ---r ...................................................................................................... Dimensions of same structure with alterations or additions: Front .......... :...--i ..................... Rear ..... .zz.. ................... Depth ............ L...'-Z. .............. Height .......... ~ .............. Number of Stories ....... .':.~=. ................... 8. Dimensions of entire new construction: Front ........ ~...~.:...c,,..~ ............ Rear ,,,~.,.~:..o....,,~. ........ Depth o Height ..... ./.,..~..:.¢!..,'] Number of Stories ....... ./.. ........................................................................................................... 9. Size of lot: Front /~-~,Z, ~o° z Rear /o~o~ ~,Z~ Depth ....~.~"..~..'.'...q..~. .......... / 10. Date of Purchase ..... ,(././~/.. ~. ............................... Name of Former Owner ............... 1 1. Zone or use district in which premises ore situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance ar regulation: ..... ,,,,~,.r2 .......................................... 13. Will lot be regraded ...~...~..'f ................. Will excess fill be removed from premises: ( ) Yes (:'~ No · ~..~, /Iq- ~'/u,~ Z~,.~.~.~,.~.~M.~..r., Phone No. Z.O..~.%~..~.;~' 14. Name of Owner of prem.ses ...~.~.~.. ........ ~./..~.' ........... ~ ......... Address Name of Architect .............................................................. ,~ddress ................................ Phone No Name of Contractor ...~...4..7~.~. '~..../.~./,.¢../~.e.,:~(~'2..~... .......... Address ~.~..f!r~.~'..~..f~.~:(.,~.~.?.'Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner tot, STATE OF NEW YORK, ~,- ~ lc ¢ .............. /~ ............... :.....~ ...................................................... being duly sworn, deposes and says that he is the applicon (Name of individual signing contract) above named· He is the ........................... ~.~..~.~,~ .......................................................................................................................... (Co,actor, agent, corporatg officer, et~.) 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 will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this ..................... doy. o ........................................... r '? ~ . . . ..........................