HomeMy WebLinkAbout8481-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. Z'10305 Date December 16, 19..8.0
THIS CERTIFIES that the buildi~g ................................................
3300 North Sea Drive, Orient
Location of Property h[~d~s'o 'N'd ....................... 'S't/e~' .......................
County Tax Map No. 1000 Section .... Q ~. ,5 ..... Block .... 1 ........... Lot .../4-. .............
Subdivision.. O.r.~¢13. p,.c.x?~b ................ Filed Map No.. 35.bt0..Lot No .... 20 ........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... g..p.r.l.Z.. '/ .......... 19 ~.. pursuant to wh/ch Building Permit No ....
dated .. );p. 17J.~..7 ................. 19.7.6, was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
Attached G~r~ge
The certificate is issued to .... .ff.C~Oll. J[P.~lrlBJI .........................................
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval .... .~./.R. ..................................
UNDERWRITERS CERTIFICATE NO ..................................................
" '~' Buiiii~k rnspector
Rev 4/79
FORM NO. ~
TO~N OF SOUTHOLD
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? 8~81 Z
Permission is hereby granted to:
...~?.s~...!!?..~.~.:.~..~../.?....~. ?..~s....r.~.~ .......
O~ien~
at premises located at ...~...o..~...:~.......G.~.~..e..~....~9..~..~.~...:~.].b.. ..................................................................
.................................................. #..o.~.~....~.~.~...~.~..v.e. ....... .c.~:L~.~.~. ....................................................
pursuant to application dated ........................... [~,',~:R.:~, ....... .7 ....... , 19....~.~., and approved by the
Building Inspector. NO~E: ~0 t~Ve lal~. 3~ '~:¢ $e?,b~,~lr .~rom fx-on P.L.
Fee $.15~).Q ...........
~uilding ~nspector ~
l~Ol~.~l NO. $
TOWN OF $OUTHOLD
0 Building Department
Town Clerics Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
J nstructions
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 disp0sal--(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:
I. 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: 1. 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
New ~ilding .../. .......... Addition ................ Old or Pre-existing Guilding ................ Vacant land ..............
Owner Or Owners Of Property ......... ~ .......... .q.~.~JO .................................................................................
Subdivision .,.~ .......... ~,,.~ ........................................ Lot No. ~ ...... Bilk No .............Hou~ No .............
H~It~ Dept. Approv~l ........ :~ ......................... Labor ~t. App~owl ~ , ....
Unde~iters Approwl ............................................. Planning B~r8 Approval .... ;,,...~ .............................
Construction on above described building and p~~~applicable codes and regulations.
App,icant ....... ........ .........................................
Sworn to before me this ~/~
................ dayof ............................................ (stamp or seal)j~,~
Notary Public ................................... County
FORM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date November '26 19 80
(owner or authorized agent of owner)
.................. .........................
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance .... .~..~..~ .".....~. ~..~. .....................
Other Applicable Laws, Ordinances'or'Regulations ~
at premises hereinafter described in that Bu±ld±n~L ?ez~it ~. 8~81Z
(state character of violation)
dated 4/7/76 has ex ired. You are reGu~ed ~. ~ ~
.............................................................. ~. ....................................................... g.., .~.~olT.,.~...~ .....
new permit.
in violation of .......... ...............................................................................................
(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 .............................. q..~.~. ...............................
day of ..............
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
..... ~ .... nty of Suffolk, New Ya~k.
Failure to remedy the conditions aforesaid a~d to comply with the applicable provisions of tew
may constitute an offense punishable by fine or imprisonment or both./
· ' Building Inspector .........
TOWN I-IF .c::rlUTHOLD
OFFICE OF BUILDING INC;PECTE)R
TOWN CLERK'S OFFICE
SGUTHOLD, N. Y. 11cJ71
TEL.
J~,n~ary 19, 1978
Er. Tony ~orklun
Village Lane
Orient~ Ne~ York
He: }~uildln~ l~ermit 8~+81Z issued to Joan Fly,nan
Dear Mr. Norklt~
bn t~ e last i~spection I feared the constrt~ction completed
you ccmp,lys with the required code,
I was informed that the required floor and the final
grading on the north is to be done by others,
~, Certificate of Occupanoy for this oermit cannot be
issued until the ~loor is completed snd t~e grade i~ lowered
so ~hat 6 to 8" o,? the foundation i~ ~ezed.
The peri, it has expired and I ~ill extend the permit to
Ju~e 1st. 1978.
s truly~
George H, Fisher
Building Inspector
TOWN OF SOUTHOLD
BUI'DING D.A.MENT
TOWN CLERK'S
SOUTHOLD, N.
Date ......................
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a.. This application must be completely filled in by typewriter od 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
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 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 demoiition, 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.
(Signd~'~ of applicant, or name, if a corporation)
......... :..- ............. .........................
(Address of applicar~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .............. ' ................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Nome and title of corporate officer)
Builder's License No....~.-'..~ .........................................
Plumber's License No ............................ ~ ....................
/-
Electrician's License No. ~-~ ~ ~
Other Trade's License No ............................................... ~ ~'
Location of land on which proposed wor~k, will be done, Map No.: ..~.:.~...../~.. .......... Lot No...~.'~....~?,....
Street and Number ...:~..~..>~..:..~.~...~.~,~.~.....~.c..~..,.._.....~..~..~<..~...~. ........... ~...~.~..~..~.~... ...............
Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy
b. I ntended use and occupancy ....~.....~.~....~../..~ ...............................................................................
3. Nature of work (check which applicable): New Building .................. Addition............../ .... Alteration ..................
Repair ................... Removal .................. Demolition .................... Other Work ..~..¢.7.~...~..~-~_. ........................
~/ r2-O (Description)
4. Estimated Cast ;~.'.¢..¢....O..~.f...O....~ ............................... Fee ../.C.~ .......................................................................
(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. D mens OhS of exist ng structures, if any: Front ......~..../. ................. Rear .....~.../.... Depth .~.~..-~...~.~.. ......
#
Height ....~.../. .............. Number of Stories ..../. ............................................................................................................
#
Dimensions of same structure with alterations or additions: Front ....~....7. ......................... Rear ...,.~..~.L ...............
Depth ~'/ ' ~ '~ .,
................................ Height ........ '..];T../, .............. Number of Stories ..... /. .........................
8. Dimensions of entire new construction: Front .....~....~...~ ...................... Rear ....~.. ..................... Depth
Height .../...~..../. ......... Number of Stories .../.. ................................................................................................................
9. Size of lot: Front .... /.L~..~. .......................................... Rear/..../.¢ ~. ......... .:~......:¢.Depth ~ ........................ 7¢
10. Date of Purchase ........................................................ Name ~f F~'~er Ownel
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 ..i~..-. ..............Will excess fill be removed from premises: ( ) Yes ()f) No
14. Nome of Owner of premises .....~...~ ............ Address ....~.~.,¢e..~.. ........... Phone No.~.~..~..'..%~...~.~.
Name of Architect .............................................................///2 Address .............. ~ ................. Phone, No .......................
· :..~..~.¢:..~........'~,.~~ ............ Address...¢~.~..~....~... ......... Phone No. ~.~.~..~...~..'.Z,.j
Name
of
Contractor
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether exi?ting 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 end indicate
whether interior or corner lot.
STATE OF NEW YORK, [ c c
COUNTY OF...~.~..~.~..~.~. ........... [~"~
........................ .7~..¢.../J/...~. ....... Z~.,..~...~...~...~...~...~.. ......................... being d9ly sworn, deposes and says that he is the applicam
(Name of in'dividual signing contract)
above named.
He is the .................................. ?....~./..~...~...~-.~ ..........................................................................................................................
(Contractor, agent, corporate officer, etc.)
of saki owner or owners, and is duly authorized to perform or have performed the sam work and fo make and file
this application; that all statements contained in this application are true to the best of his knowledge and belief; and
thor the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
...... .~.. Z..~. ·4 ......... day of,. ....... .~....~....~. ,./..L.. .................. 19.,~...~...
~ ~ g ~' (Signa~'~';Z';~' ~ppli~;~i ......................
FLOYD F. KINe, JR,
Notary Public SI'ate of Now York
No. ,52-7267800 Suffolk County
Term Expircs/¢.~rch 30, 197~