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Home My WebLink About7829-zFOI~I NO. 4, TOWN OF SOUTHOLD BUff,DING DEPARTMENT Town Clerk's Office Southold, N. Y. Cerlificnte Of Occupnncy No. Z759.8. ...... Date ............ Ap.~fl .... br.., 19..77 THIS CERTIFIES that the building located at .Nor.th lriaw .Pi'. ........... Street Map No~Bl'.Owns liill$lock No ..... Lot No ..... 0rl~nt ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... April · l~ 19...7.~pursuant to which Building Permit No. 782.9Z · dated ......... Apr.~I ...18, 19..7.~, was issued, and conforms to an of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~sued is . P.~ivate. one family. ~welllng. · .wi.th .addition ................... The certificate is issued to Irene B.. Sherro~ .Owner ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N ,R, .......................... UNDERWRITERS CERTIFICATE No. N2~.01.3../~ov..3...~-97~ ................... HOUSE NUMBER ..... }+60 ... Street ...North .V~Lew .Dr...(Pv.~ .Rea(i) ......... .... ..... Building Inspector[ FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~o. ~o z ~o,~ ................. .~..../..( .... Building Inspector. FORI~ NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 AFPLIGATION 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 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 installations, a certificate of Code cornphance 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 conditiort of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent irt- formation required to prepare a certificate. C. Fees: I. 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 BL~ilding ................ Addition ...... ~ ......Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ~...~..._~?.,.......~..../~.(~..~...~........'.~.~...~.....'~..~....~/.2/.~.../...~....~....= ...... ~Z~.Z..~..~.~..~:~ ~ner Or ~nem ~ Prope~ ~'< ~'~ ~ ~ ~ ~ /~C c~ Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No~..~.~..~.9...~Date Of Permit ....................Applicartt :.,-~...~...~..~..~ ......... ./~..~...~..c.,..~....,-...~. ............... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ...~....L.~....C......~.. ....................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ FinaJ Certificate Fee Submitted $ .,..~...~ .................... Construction on above described building and p~t meets/~J a/p~c~ codes and ?guJations. ^pp,ican, .... . ....................... Sworn to before me this ................ day of ............................................ (stamp or seed ~ Notary Public .................................... County THE NEW YORK BOARD OF FIRE UNDERWRITERS SUREAU OF ELECTRICITY ~-- dl .B5 JOHN .~TREET. NEW YORK. NEW YORK 10038 THIS CE~91m~ 3, 1975 797543 Haloid Sherrow, Brown Mills Estates, Orient, Southold, L.I. w~ ~a~d on ~ fou~ w ~ in compliance ~th the m~i~no of tho ~. October 30, 1975 ,x,u~ '~ ..... ~ ' ~ " -Xw~s ~" ~.~ 't~S" ~~ ~ s ~ ~ v ~ c ~ ............... Charles M. Hall box 417 Southold, L.I. ii791 Th~s certificate must not be altered m any manner, return to the off,ce of the Boc~rd ~f incorrect Inspectors may be ~dent,f,ed by th~ t , ~ec:ienhcIIs FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO R'EMEDY VIOLATION Date/~.. (owner, Or authorized,agent of o~ner). ~ (address of owner/or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of Zomng Ordinance ....... .L_.~ .............. OtherApphcable Laws, Ordinancesor Regulations ~,~.......~.~o~ ........ ~ at premises hereinafter described in that -~ ......... ..~. ~ (state character of v~olat~on) ~.£..~ z...r~.~.Z. ...... ~...~.~.:~.~,.~~,>,,,,~ ,. ,~..,,,~,. ~......~..,~ .~.~_-Z.,;. ~,~ ~.,,~ ~..,Z~,.. ,n v,olation of ~..~..--~.......~......./.-. =.:.~...' ....... Z~..~.. ......................... ' Z....~..~ .... (State section or paragraph of apphcable law, ordinance or regulation),' YOU ARE THEREFORE DIRECTED AND ORDERED to comply ,w~th the law and to remedy the cond,tions a~o_~;LEedz ~r~h on or before the ........ .N~-'~...~'~ ..... ~ ............. day of ....~-~-~.~./: ....... , 19.Z.7. / The premises to which this ORDE~TO REMEDY VIOLATION refers are s~tuated at · ... County of Suffolk, New York Failure to remedy the conditions aforesaid and to comply w~th the apphcable provisions of law may constitute an offense punishable by fine or imprisonment or both. Budding Inspector FORM NO. 5 TOWN OF SOU'THOLD BUILDING DEPARTh, tENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION PLEASE TAKE NOTICE there exists a vtolat~or~of Zoning Ord,nonce Other Applicable Laws, Ordinances or Regulations ......................................... at premises hereinafter described in tha~...~.~.~~.~ (state character of walat~on) ~"~n v,olat,on of ..~../.~.~...~'...../...~..~....~ ...... ./. ........................................ (State section or paragraph of apphcable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply~w~th the law and to remedy the conditions day of ................. , 19..7..z~. The premises to whigh thj~ ORD., T~O REMEDY VIOLATIOI',I refers are s~tuoted at Failure to remedy the conditions aforesaid and to comply w~th the apphcable prows~ons of law may constitute on offense punishable by fine or imprisonment or both. Bu~ldm§ Inspector sou'rl, lou), N. Y. E om, ed ....... ___ .......... 19...~....~ ~ /.ca. ~:~.Aaolication No ........ ............. .......... .2 ............. Disepproved o/¢ ....... ~ ........ ................................................ ............ ,9..7....C INSTRUC"I'ION$ o. This opplicotion must be completely fill~:t in by ~pewriter o~ in ink ond submitted in triplicate In.~octor, with $ ~, of pl~"~, cmcumte plo~ plnn to ~.~le. F~ a¢¢ordir~ to ~hedul~. b. Plot plan showing location of lot ond of buildir~s on pr~mises, relotionship to od|oining premises or public oreas, ond gi¥in~ a detoiled d~ription of k~tout ofpra~r~ must be drown on th~ diog~m which i$ port of this ~lication. c. The work co~ered by thi~ applicotion may not be commenced before i~uance of Building P~rmit. d. Upon approval of this opplication, th~ Bui~din~ Insl:~:tor will issue o Buildin~ I~rmit to shall be kept on the pr~mise$ aYailable for inspection thro~hout th~ work. e. No buildim:j shall be occupied or u.~l in whole or in port for on¥ purpase whO's, er until a ~e~ificate of Occupancy sholl hove been granted by the Building In~p~-tor. ^PPLICA'I'ION Iq II[RI:BY/¢~D£ to the 8uildin0 [~partment for the issuance of a Buildin~ P~rmit pumuant to tho Building Zone I~rdinance of the Town of $outhold, Suffolk County, New York, and other ~pli¢obl~ I~aw~, Ordinane.~$ or Rc~:julotions, for the construcl'ion of buildings, odditior~ or olteration$, or {or r~mo~ol' or d~molition, The opplicont ogr~ to comply with oU opplicable ~w~, ordinance, bu~:lino ¢o~, housir~ ,'od~, odmit outhori~ed in.~tor~ on promises ~ in buildir~ for n~:esse~ i~:tlons. (Address of applicant) State whether applicant is owner, le~.e, agent, architect, engineer, general contractor, electrician, plumber or builder; Name of owner of prem,ses ....~'"'"..,~.'"'"'~"'"'"'...".'"'.'"'.'"'....'"'"' ........... '.'"'"'"".'..' .... If applicant is a coq~orate, signature of duly authorized officer. (Name and title of corpo, rate officer) Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which~.,,,.., / ~/ , . ~ ~ ,pr°p°sed w,or~,will be dor~ Map No.:~,.~~...L~ ,Lot No ......................... Street and Number ....,.~...~...~'..~.......~ ........ -~ .......... :.! ......... .:;~::& .................. Mm, ~l~li~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ... , .. .. ~,. · , ............ ~;~,..-~. ............................................. b. Intended use and occupancy ............... ~......../c~.~. 3. Nature of work (check which applicable): New Building.. ................. Addition ..~ .......... Alteration ..~ ......:.:~ . Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... , ~ ~ (Description) 4. Estimated Cost ............................................................ Fee ..J. ................................................................................... (to be paid on filing this application) $. 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. 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 ................................ 10. Date of Purchase ..................................................... ~.Name~a, ~._~z-°f Former Owner ........................................................ 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 ...........~...~-.~... WjII excess fill be removed from premises: ( ) Yes ( ) No 14. Nome of Owner of premises ~ ............ Addm~ ......... ~../,. ~h~r~ No ....................... Name ~t ' ~' '~" ' ' '~'~/~"/~' ' f~'J~~L il .............. Address ~(,4~ .........~hone~ No ....................... Name of Contractor- - . ........................ 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. STATE OFt"'~ YORK, cou T ...... ........... /:. ...... ~.......t~i~]l...~m..~ ........................................... being duly sworn, deposes and says that he is the applicam .ame o-f |/Vdividual signing contract~ above He is the .......................... (Contractor, '~'~'~"~c~'~'~i~:'~',"~;i ............................................................... 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 thar the work will be performed in the manner set forth in the application filed therewith. Sworn to bef~r~e this 9 .................. of Notary Public, ..: .......... ~ ..~Z}r~....L~.. ......... County ~.~ ............ /~-~;.......41'......~ ........ ;.........-~. .................... ( I /~' // (S~jnaturg/,~f applicant) -- ,~ .... ._~-~ -- No. 52-812585.~ Suffolk Cg~r~ ' /J -- / Term Expires ~arch 30, 19~e