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HomeMy WebLinkAbout8076-zFOKM NO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, BI. ¥. Certificate Of Occupancy No. ZT.~'.~.3. ...... Date ............. ~'..a.ll. ...... ~.. .... , 19 .??. THIS CERTIFIES that the building located at .Fae.~ol'y. A~'® .............. Street Map No. ~.~ ........ Block No..~ ..... Lot No, ,~...~$~9~.. fl~2 ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated May.... .................. ~ t ~ 9~ & JulyS, ~97~ .... pursuit to which Building Permit No.. ~0.~6Z. dated ~. 30..~. ~JUl~ .] ~ 19 ~., was issued, and conforms to ~1 of the require- ........ ments of the applicable provisions of the law. The occupancy for which this certificate is 'Jssued is P~iva¢~ on~ $~i1~ dwelling with a~diilo~ ~d a~ezzso~y ~tgr~gz .................................................................... '5~ildi~g The certificate is issued to ~Y~. $ ~..~Y ...... ~e~ ............................... (owner, lessee or ten,t) of the aforesaid building. Suffolk County Department of Health Approval . ~.*.R~ .............................. u~v~w~i~s C~Z~CA~ No. ~ .................................... ~OUS~ ~UMn~..~7~ ........ Street .... ~.~. ~ ....... ~.~ ....... Building Inspector/ FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 80?6 Z Dote ...................... ~u,L~r......1..~ .............. , 19.~'~... Permission is hereby granted to: ~. ........ !.~..~. ................................................... .................. ~'..~Lv~ ............~f~t ~.t. uck. ro ~.~,~...a~,..~.~d;M;;Lq~..on..ez:l,~t~r~..d~ell-tn~ .................. ~ .............................................. at premises Iocafed at ........~'~Q.to~.~r..~ ......................................................................................... ............................................................. ~"~ ~.t ~.tuc 1~ .... ~ .~. o ............................................................... pursuant to application dated ....................... ~l'm~"l-y' ...... 1'~ ............ 19.~.., and approved by the Building Inspector. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 July 17, 1980 Ms. Mary Ray 375 Factory Avenue Mattituck, N.Y. Re: Zoning Violation Notice July 10~ 1980 Dear Ms. Ray: In reply to your letter dated July 12, 1980, relative to the above notice you received, our records do not indicate that a permit was issued £or the carport addition. There- £ore, this notice was sent to give you an opportunity and time to correct the violation. I£ I can be o£ any assistance and, perhaps, clear up any questions you may have, you can contact me at the above Housing & Building Inspector EFH/mw ~ ~ FO~M NO.~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date ...... ~.~..Z~ ......................... , TO .~.~....../~.~ .......................................... (owner or outhq~ized agent of owner) .... ~.7..5.;.....,,~.~.~.zz.~...~...:...z'Z.~"~ ~ ~., ,,v'.~ (address of owner or authorized agent of owner) " PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ......... -~.-!~..~ ...... Other Applicable Lows, Ordinances'or Regulotlons ............................................ at premises hereinafter described in that ...~'.....~.~:~/...~...~...~..~..Z ...... ~1..~..~...~./..~'.~.~...,...~J~/..-~.. ...... ~' (state character of violation) x.....~.,r.~....,~c~......:~,,,~.,,.z, .............. ~ ......... ~?.~.z,<.~ ......... ¥...,~..,~..:z'~,. ............. in violation of ..... : ...... .~"~.~.~.......~..~.f~.....~..,.Z.~.'~./.. ............................................................................ (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with th/e law and to remedy the conditions above mentioned forthwith on or before the ............. ..~.,C. ................................................. The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at Failure to remedy the conditions aforesaid and to comply with the applicable provlsions of law may constitute an offense punishable by fine or imprlsonment or both. f TOWN OF ,~OUTHOL.D BUILDING DIEI~AIITMIENT TOWN CLE~.K'$ OFFICE SOUTHOLD, N.Y. "~ ~,am,ned .... ~....~ .... ,,..7...Y' . pra,ed ........................................ , 2 ................................. ~ 7 ~/~-~ ......... .................... o. Thi~ o~licotion mu~t be completely fill~ in by ~writ*r b. ~1~ plen ~howin~ I~ation of lot ~nd o{ building* on premi~e~, r~lation~hip to ~loining pr~mise~ or ~r~s, and ~N!ng ~ d~t~il~ d~cription o{ lo,out o{pr~ must be drawn on ~h~ di~oram ~hich i~ ~ o{ ~i~ ~pplic~tion. Q c. ~* ~ork cowred by thi~ o~llcotien mo~ n~ be commenced befor~ issuonc* of 8uildi~ ~rmit. d. ~pon opprovol o{ ~hi* ~pplic~tion~ th~ Buildi~ In~p~tor will issu~ o Building P~rmit ~o th~ ~plic~nt. Such permi~ ~h~ll be kopt on th~ pr~mise~ ~voilabl~ {or in~tlon ~hout th~ ~ork. e. ~o building ~h~ll ~ ~cupi~ or u~ in whol* or in part for ~h*ll hov~ ~n Oranted ~ th~ Building In~tor. A~klC~IIO~ IS HfiR[BY ~DE to th~ Building Dopo~ment Building Zon~ O~in~nc~ o{ th~ To~ o{ ~hold, Suffolk County, ~w York, ~nd other opplie~ ~, O~inCnc~ or Th~ opplicont ~r~ to comply with ~11 ~ppfic~bl~ I~, ordi~nc~, odmit outhori~ in~ctom ~ pmmise~ ~ i~ buildlng~ (S~gnature of ~pli~t, or ~, if a m~mti~) .......... Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ me o ow at p em ses .............. .~...m.~.~..~....~.~/--.....~:;~.~..,.¢..~, ...................................................................... If applicant is a corporate, signature of duly authorized officer. ~ (Name and title of corporate officer) Other Trade's License No ............................................... 1. Location of land on which pr~oosed_.~./..~r _/~., ~.w°rk will be dol:~e.~/ .Map_ No.:~._..../~,~~ --~ .................... : ...... Lot~ No Number ..... ~/..~....~ ........ .... ~... ~../~.,~,f~s'~...~.... ........................... Street and Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed comtruction: Exisiting use and occupancy .......................................................................................................................... Intended use ond occupancy .................. ,. .................................................... 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ........... .'. ,. Repair Removal Demolition .................... Other Work ./~) ..~r~ (Description) 4. Estimated Cost ............................................................ Fee .~.. ..................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units 0n each floor .~ .......................... If garage, number of cars ............................................................................................................................................. 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 .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... . 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ T~/ TO. Date of Purchase ........................................................ Name of Former Owner ........................................................ l,],~Zone or use district in which premises are situated ............................................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ [[[[[..[~....L..[.:.i~i." 13. Will lot be regradec~ ................ .: ......... Will excess f I be removed from premises: ( ) Yes ( ) No 14 Name of Owner of premises Address ....................... phone No ...... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address Phone No. · PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dime'ns'lbns-f~em.. property lines. Give street and blocl~uF-flb~-Er~descriotJon according to deed, and show street nameseq.nd.i~dicate whether interior or corner lot. " ?.~ .~ STATE OF N~.J.,~ ISc COUNTY OF ..~...~.:.)' ........ i ................ ~..,;~..~...~,,~..:~:~.~. ............. being duly sworn deposes and says that he is the ~pplicanl (N~e ~d~l ~i~ihg c0nfrdc~ ' above nam~ He ,s the .................. ~ ............................ ~.~:~ ................................................................................................................ (Contractor, agar, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements.~con~ned in thls,~plication'are true to the besS. of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed ~e~ith. Sworn to ~m~ thi~ ~~. '~ ....................... ~V o{ ....~ .......... , 19 ..... ..................... ............................ .Notary Public, .................................................... County TOWN OF SOUTHOLD ~,,,~' BUILDING DE.P,A. RTMENT ~/~//~0 ~"~' ~'"~ '~'~ ., TOWN CLERK S omc, I/I SOUTHOLD, N.Y. ,~,.,,~,.~ "~ ~ ~ .~"~/" ~.~-'~' ~x~ ,,.~5~ ..................... , ~..,..~ ~' ' · ........................... Di~ppmv~ ~/c ........................................ ........................................................................ ............. ~:~:~ ~ APPLICATI~ FOR BUILDING ~lT ~ .... ~, INTRUSIONS a. This application must be completely fill~ in by ~pewriter o~ in ink and s~mi~ in triplicate to Insp~tor, with 3 ~t~ of plans, ~ccumte plM plan to ~ole. Fee ~cco~in~ to b. Plot plan sN~in~ I~Qtion of lot and of buildings on premises, relationship to adjoinin~ premiss or public stree~ areas, and 0ivi~ u det~il~ de~ription of layout ofpr~e~ must be drawn on the diagram which is ~ of this application. c. The work covered ~y this application may n~ be commenc~ before issuance of Buildin~ Permit. d. Upon approval of this application, ~e Buildin~ Insp~tor will issue ~ ~uildin~ Permit to the a~licant. Such permit sh~ll be kept on the premises available for inspection throughout the work. e. No buildin~ s~ll be ~cupi~ or u~d in wNole or in pa~ for any pu~ose whoever until sh~ll ~ve been ~rQnted ~y the Buildin~ Ink,tar. APPLICATION IS HEREBY ~DE to the Buildin~ Department for the issuanc~ of Buildin0 Zone Ordinance of the T~n of ~uthold, Suffolk County, New York, R~ulations, for the co~stru~ion of buildin0s, additions or ~ltemtions, or for The applicant agrees to comply with oil ~pplic~ble laws, ordinances, buildin~ edmit authorized in~ecto~ o~ premiss and in buildings ~r n~essa~ i~tions. ................. ........ (~i~natum o~app ic~nt, or ~me, iT ~ co~m ionl Mattituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................ .° ......................................................................................... r ' ~.~r I ~ Nome of owner of p emmes ............ .~. ....... ~'. ...................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~..~.e.t,~.~...~:~ ....................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ........................................ Lot No ......................... Street and Number ...... ~.a.c.t~:L'.~...A,'g'e .......... 5~,.tt,.~,'~lak. ................................................................................... Municipality 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use ond occupancy ....~1,~].~,~ ......................................................................................................... b. Intended use and occupancy ......................... .~.~..~'~..,~,~C].z.~i~. ................................................................ 3. Nature of work (check which applicable): New Building.. ................. Addition ...~.~ ...... Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................................... (Description) 4. Estimated Cost .................. .bc~.O.0.~..--+- ......................... Fee ..~?.~?....0~.. ............................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... one ............... 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. Dimensions of existing structures, if 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 ....16. ........................... Rear .....l.~, ................... Depth ....2.~-. ............... Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ~!~ .(;1,~,~.'~ ....... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ......~O ................. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ..H~..~'...~..~r ............................... Address ....... ~[a.~,~,&.¢.~,~... Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ....... .~..:.?..,e.~l~.~....~?. ............................. Address ..... ]:.~!..a.~..J:.~..~..e..~.. ..... 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, STATE OF NEW YORK, [ S S COUNTY OF .... ~.'~.~.9~l,~S ........... f · ........................ .A~l..~,~..C]~z:b~e, ..................................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contract~ above named. He is the .......................................... ..~.~.?.~....o..~....o.~.e.?. ..................................................................................................... (Contractor, agent, corporote 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this · ................. JUDITH T. BOKEN ~defe~ Pubfic, State a~ New York