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Home My WebLink About8182-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CORRECTED CERTIFICATE OF OCCUPANCY No Z-2gO90 Date DECEMBER 5. 2003 THIS CERTIFIES that the building Location of Property 1165 EAST GILLEI-FE I~RIVE House No. Street County Tax Map No. 1000 Section 38 Block 4 19 Subdivision Filed Map No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/8/75 & 2/18/77 pursuant to which ACCESSORY POOL &ADDITION EAST MARION, N.Y. Hamlet Lot Lot No. Building Permit No. B182-Z & 9046-Z dated 9/8/75 & 2/18/77 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 ACCESS(~Y INC~ROUND SWIMMING POOL WIll~ UTILITY ROOM ADDITION TO EXISTING DWELLING * The certificate is issued to VERNON E. & ~LLY T. JACOBS (owners) of the aforesaid building. SUFFOLK COUNT'{ DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. ~-32628g - FEB. 24, 1977 PLUMBERS CERTIFICATION DATED *THIS CORRECTS CO Z-7687 ISSUED ON 6/1/1977 Rev. 1/81 N~. ¥, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P:REMISES UNTIL FULL COlRf~.,.E~ION 1OF Tt'~ WORK AUTHORIZED) 818g Z Perm~sl~Js fi~mby gnmt~ 0~..~..~.~ ......... ~"Y~ ~o b~t~..~.~,..~,~..p,o~.. ~l~..~l~..~...~.~g~~ ................... at~...~[...~...,~ ............................................ : ............................. ...................................................... ~ ~..~Ze.~e.,~. ........... ~,-.~a.~ea ....................................... pu~nt ~ o~li~tion dated ....................... ~ .......... ~.....'......, I~...., end epproved by the B~ I~tOr. g In'~oector FOI~M NO. 4 TOWN OF SOUTHOLD 'BUILDING DEPARTMENT Town Clerk's Ot~ice Southold, N. Y. Certificate Of Occupancy No.Z.?687 ....... Date ............. J. une..~ ........ , 19.7.7. THIS CERTIFIES that the building located at . .E.~ .G~.~ .~.t~ .D.i' .......... Street Map No,arSon .lqaaogBlock No ........... Lot No, . ~... E, .Ea~o$ort ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... ~et~t..8 .... , 19 .?~. pursuant to which Building Permit No. 8.182z.. dated ............ Sept '8 .... , 19. ?~., was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is ... P.~.iva.te. ~t:aun~Lng..t~o.~- -wil~h. f~ee &-Aee~so.~ys ............... The certificate is issued to .¥eNnon .Jacobs ....... 0,41qe~ ........................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~,B ................................ UNDERWRITERS CERTIFICATE No.I~326~8~. .... F~b .... 2l+- .]97~ ................ HOUSE NUMBER ...... ] .~6~. ·. Street ...E~..~it~tt;~. DT~ ....... E~..14a~ion ..... THE NEW YORK BOARD OF'FIRE UNDERWRITERS ~ :; BUREAU OF ELECTRICITY · 85 JOHN STREET, NI~W YORK, NEW YORK' 10038": ' Vernon Jacobs, East Gillette Driv~'East'Marion,L.I. .',, ........... m,,'.~ ,., February ~7, ~977 ""d ~°""d ~o b" ~'~ "°"'~'~"'~"~ "'"~' ~'~ -~"~"'"~" " '~ ~'~'~ ~°""d', ~ ~ ~ I iance (Swimming PooL)This certificate ~c0ve~s~compl 'at the date of inspection only. Because of unusual~en~irOnmgn~s~ ~ : it is advisable~ " [~1 qualified .'person. to have frequent test ~nd/O~ Southold, .I .&1971 h '~L!~91 E ?.' This certificate musf not ~e altered jn'on~ manner$'~eturn lo, the ',oJ{lceloJ' ihe B~r~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Dote ....... ~..,., TO ...,~Z~.Z~. .................. .ll..b.~. ...... (address of owner or authorized agent of owner) J PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances or Regulations ............................................ et premises hereinafter described in that ~.-/~.~...~........~..~../~..~..~..~--¢~...:~.~'.~.:~ ~sfCJ/e character of violation) . . .:. ....... ,:p:,_z . . .:. . . . . . . . :. :. ...................................... i'~ ¥io,otion of ......... ~..~..~....z.~...~...:.....,...~.:...~..:/. ............ :... ......................... (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply wi.~.le law and to remedy the conditions above mentioned forthwith on or before the ....................................................................~./. day of ....~.'~..~}--¢ ............. , ];he pre~n!ses to which this O~DER/~ REMEDY VIOLATION refers are situated at of Suffolk, New ark. 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 FO~ NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLA/TJON Dot .... ' (o~ne~ or~t~d ~"~'f '~'~'~'~i'"'"~ _ ',/ ~. /~ ' (address of owner or authorized agent of owner) ~ / ' PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance .... (.~X~...¥~_/~.~. ........... Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in that ,,.d-..~...~.'~.~J_~,C...'.~.."z... . (state character of violation) in violation of / ~ ~ -- ~ ~/ (State ~ectJon or por~raph of ~p~lico~le ~w, ~rdJn~nce or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Iow and to remedy the conditions above mentioned forthwith on or before the ................. ,~ ........................................ day of ..................... , 19...~..~ The.~ .~....~.?..~.premises to, which~.,.~z ORDEI~nTO,,.~..../..'~,~'-'"' REMEDY VIOLATION refers are situated at .... ~ ~' ............ County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. RD. LOT 74 I STORY RESIDENCE 100.00 CONCRETE LOT 76 su/~vt~f OF LOT 75 ~N MAP OF' MARION MANOR FAST MARION,: TOWN OF SOUTHOLD SUFFOLK COUNTY, 'M~ 2038 ~# ~OOo-oJa-o4-o~ SURVEYED FOR: CARYN KLEIN SURVEYED BY STANLEY J. IS.~KSEN. JR. P.O. eox .294 ,' . .N¥$ Li~, No: 49275 05R1270 BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~'../.~-/_,~/C/.~..~ - SOuT.OLD, N. Y. ........ ........ ................. ......... ........................... APPLICATION FOR BUILDING PE~IT INTRUSIONS e. This opplicetion must be completely fill~ in by ~pawriter o~ in i~k end s~mi~ed in triplicate to the Building Ink,tot, with 3 ~t~ of pluns, occurate pl~ plan to ~le. Fee occo~ing to sch~ule. b. Plot plan showing I~tion of lot end of buildings on premises, relationship to edjoinlng premises or public stree~ o~ areas, end giving e deteil~ description of layout ofpr~e~ must be drawn on the diagram which is ~ of this application. c. The work, covered by this application may n~ be commenc~ before issuance of Building Permit. d. Upon opprowl of this opplicetion, the Building Insp~tor will issue ~ Building Permit to the applicant. Such permit shell be kept on the premises awileble for inspection throughout the work. e. No building shell be ~cupied or used in whole or in pa~ for any pu~ose whatever until ~ Ce~iflcete of ~cupancy shell have been granted by the Building Insp~tor. APPLICATION IS HEREBY MADE to the Building Deportment 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, end regulations, and to/v admit authorized inspectors on premises and in buildings for necessary inspections. r.~ e~...Tr.uok ~g..~L...C o~...C a..I~c .......................... (Signature of applicant, or name, if a corporation) Orient N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricion, plumber or builder ................................................... ~.~.e..~....q~ ....o.~:..m...e.~...~..,~v.~.l~..e.~. ................................................................................. Nome of owner of premises ..... .V..e.~.~..°.,,'-3,....~.~.Q]~.~ ............................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .O..:..~..:..&.'..,C..: .............................. Plumber's License No ................................................. Electrician's License No .......... ~.~...G~z~Li~ .......... Other Trode's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ...}.,.~.~..o..~...~,f~..~.,o.,,~. ........ Lot No ..... X~. ............... Street and Number ..... ~..:....C~..~.fl.~.~.e....~.l::l.Y.e .............. ~;..~a.~34~ ............................................................ Municipality State existing use and occupancy of premises end intended use end occupancy of proposed construction: a. Exisiting use and occupancy ....... ~!.~.e..~..].~..~.§ ...................................................................................................... b. Intended use and occupancy ................. [[ ......... .~Y.;~.$])~...]?.~C~.~,~;f~...5~.J.Z~!~g..]3D~,].e...£~u2.e..~;I;~ .......... 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolitior ..................... Other Work ..~.~..~..~.~..~.g...~..o...o..~.....~.....~..e...:g..~.e.. (Description) (to be paid on filing this application) .5. If dwelling, number of dwelling units ........ .o...lq:.e. ............. 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 some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ......... ~.1~ ....................... Rear .....~.~ ................... Depth ...... ~ ............. Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ...... ]k.....c],~4~..'~ .............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... Ng. .............................................. 13. Will lot be regraded . ........ ~.(t~. ........... Will excess fill be removed from premises: (X) Yes ( ) No 14. Name of Owner .................................................... Address ~' ' 1,b r io.~.. Phone No. of premises VernoD. Jacobs ..................................................... Name of Architect .............................................................. 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 ac~.ording to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ...... ,~uf.£ o11~ ........ ~'~ .................... .~g.lp.~......~).q'g.~,.~.~ ........................................... being duly sworn, deposes and soys that he is the applicam (Name of individual signing contract) above named. He is the ..................................... ..C..o.?.2....o.~.c...e.?....~....~.~.~.~..e..~ ...................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duty 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 8 day of Sept 19 Notary Public, . ..................... .~'~.~_~)l~,.._. .........Counb/ .... No1 ~2-G844@6~ S~,~folk Count~j