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Home My WebLink About8704-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. 7~ ~0~ST Date ff~nu~ry ?, 19 8~' THIS CERTIFIES that the building ................................................ Location of Property ...'1.7..0...Pr.f?.? .'c~..R.O..~.d..~.? .~ ...... .lg?.~..~..~.~.~. ~.0.I'1....~l.,.~.,...]..].?.~.?... House No. Street Hamlet 0~'~ 014 OW~ County Tax Map No. 1000 Section ...... -: ..... Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated 76 ..................... ...ff.u.l..y..6. ........... ,19... pursuant to which Building Permit No. 87014 Z dated ..... J..u..~y..6. ................ 19.7..6., was issued, and conforms to all of the requLrements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... addition to existing building The certificate is issued to ....K.e.n.n.g.t.h...K.e.t.c.h?..m..&..¥.f ................................ (owner, I~ of the aforesaid building. Suffolk County Department of Health Approval ....N./.R. ................................... tmOERWRITERS CERT[FIC^TE ~O .... ~..~.. ?~..~ 0..7:07.~ .......................... Rev 4/7g Building Inspector l"--uelfN OF SOUTHOLI) BUi~ DEI~ARTMEHT 'TOWN CLERK'S OFFICE ~LD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8704 Z Permission is hereby granted to: ~..~...Y~...I~,~.l~..~e~aba~ ..................... ......... ........... ~ ~a~...ezL.a~d~t;~olx..on..~at~..d~eX~ ............. , .................................................. at premises located at .........~.~...~C~..~el:l~h~m .~l~...~.~.~vm,l,/~..~d, ..................................... East Mario~ ~.Y. pursuant to application dated ..........................J'UJ.~. ....... 6 .......... , 19...~, and approved by the Building Impector. Fee $...1.~A.9.~ ......... ! ' BuilclJng Inspector FORM NO. 6 TOWN OF SOU't'HOLD Building Department Town Hall $outhold, 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 featu res. 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. B. 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. C. 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,. ~ Z- New Building ~i~)' Old or Pre-existing Building Vacant Land Location of Property ./.O..~.~../.. ¢~.,: ~ ~ .~J..' .... House No, Street Hamlet Owner or Owners of Property ...~.~G., :....t~7~r~,/,e3~,,... ........................... County Tax Map No. 1000 Section., .C). ':~ ./ ....... Block ... ~' .~. ....... Lot.. ,C).. ?~..~.~) ....... Subdivision .............---'t". ................... Filed Map No; ..~. ,Lot No. Permit No. ZT.~.~'~. '.~. Date of PermitT/.~. (?.~..Applicant..~,~¢~.~...~,~, ,~.~'~, .~,..~ ' Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval, ...................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. regulations. Construction on above described building and permit meets all applicable codes and,~, , ~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRIC, ITY~ 85 JOHN STREET, NEW YORK, NEW ¥~)RK 10038 THIS CERTIFIES THAT in the followi~g Iocatio~; [] FL ~ 2nd FI. Section Block and found to be in compliarlce with tke requirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS NCAND~SCEN/ FLUORESCENT Lot DRYERS FUTURE APPLIANCE FEEDERS TiME CLOCKS UNIT HEATERS DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT R ~V I C E OTHER APPARATUS: S E OF CC. COND NO- OF H~ LEG AW, G OF NEUTRAL Orchid ~ci~,:~t, N~t~ %1957 ~c.~8 E This certificate must not be altered in any manner; return to the office qf the Board if ' :t. Inspectors ruby be identified by ' credentials. FOR]VI NO, $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATIOFt (owner or authorized agent of owner) Ketcham Lane ................. ~..~a~ion+..~..Z ........................ (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.,.u..i..1...d..i...n.g....P..e...,r:D...,i..t....~....8.7...O..b-,Z. ............................. (state character of violation) dated 7/6/76 has exoired. You are ~em~ed ~ ~,~,, +',-,~ new permit. in violation of Sec. 100-1~1H ..... (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 12th The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ./..~..~.~../..~.'..~..';:..~/....~f'~.~~?~..... County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of Iow may constitute an offense punishable by fine or imprisonment or both. Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~UTHOLD, N. Y, ' ............................... o. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to ~ale. 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 ofproper~ must be drown on the diagram which is pa~ c. The work covered by this application may nm be commenced before issuance 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 Ce~ificate of ~cupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance 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, os herein described. T~e applicant agrees to comply with a opp icab eaws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings {or n~esso~ in,actions. ................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................... .~......~,,....AL.. ~..L~ .................................................................................................................. Name of owner of premises If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................'~ ~/4 '~..'O, ~.-:- ............ Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... /'~ 1. Location of land on which proposed work will be done. Map No.: ....................... .~.......~. ....... Lot No .................... · . .y ......................... Street and Number ..z~...~.':~.~...i~.~l.~..~..'r~s ....... /..~.~.. f~.~ . .~.'.~..Z.~..~..J/. ............ 'Municipality 2. State existing use and occupancy of premises and in.~ended use and occupancy of proposed construction: a. Exisiting use and occupancy ............... ?......~../.'...~.z..,....~....L..~..~........~..... ........ i. ........... u .............................................. b. Intended use and occupancy .................................................................................................................. 3. Nature of work (check which applicable): New Building,. ................. Addition /x~ Alteration Repair .................. Removal .................. Demolitior, .................... Other Work ................................................. ~ .-- 6~ (Description) 4. Estimated Cost ............................................................ 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 ..... ~ ............... · ' Front ~ 2 Rear .~.? Depth ....zZ~.. ............. 7. D mensions of ex~stmg structures, ~f any ........................................................... Dimensions of same structure with alterations or additions: Front .............. ..~....7.... ............. Rear ........ ~../;.. ............. Depth ............ "/..~ ............... Height .............. ./...]..r. ........ Number of Stories ................................ .................................... Rear ............................ Depth ........................ 8. Dimensions of entire new construction: Front 2. :~ £2-' Height ...... !.~ .......... Number of Stories ..................................................................................................................... Size of lot. Front .............. /..~...,O. ................ Rear /...~P. Depth .....~. ...................... ~ate of Purchase ........................ ./'..Z~.'...~.. .................. Name of Former Owner ,~.l.(.t..~../Z.~/~..~.~Z-.c.~/.~..~.d/....;:~'E'~ Zone or use district in which premises are situated ..... ~..~..:~..J.~)..~z:..A.t..T.../..~....~.. ................................................... Does proposed construction violate any zoning law, ordinance or regulation: ...... A~...~. .......................................... Will lot be regraded . ........ ).¥..0. ........... Will excess fill be removed from premises: ( ) Yes ~ No Name of Architect .............................................................. Address .............................. 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. Iff STATE OF NEW YORK, COUNT~f~ ,. ........ B~Olk., .... ..................... ~O~S.~...~to~ ................................being duly sworn, deposes and says that h~is the applicant (Name of individual signing contract) above named. ~ 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 ali statements contained in this application are true to the best of I~is knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to~,...before me thiSof ............. .......................... ........ ' Nota~ublic, . .................. ~ .............. ~~un~ ~~~ .............................. ~ ~ ~ ~ ~ ) r ~-~ --x // (~ature or apmic~t)