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Home My WebLink About7803-z FOKM NO. 2 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) 78O3 Z Permission is hereby granted to: Date ......................... ,,_,~-~.~. ....... ......... ,--.-~.~.. .... ~.0z..368 ........................................................... ...... · Ro~ko~ak~ .. · ..~.,.'.~., ................................... to ....bu~.~.ct...~...p~.~w.t,e...e~ ~g..-~oe~-..~.'eh---~et~w~a~.~..-~eeee~ex~e .............. at premises located at .~.~-~--~- .......... ~; ~-}~;y--~-q~)t'..~ ................................................................. ................................................... .~..e.~.b...e... ~ .z:.~.y~ ............ .c..~.e~.o.~.e ................................................. pursuant to application dated ................ ~p~..~.~......~ .................... , 19...~'.~., and approved by the Building Inspector. Fee $:1.5. O.CI ............ FORM li'O. 6 TOWN OF $OUTHOLD ~ Building Deportment Town Clerks Office Southold, 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 Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of oil 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 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), Nan-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 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 ar land use $5.00 3. Copy of certificate of occupancy $1.00 Dote New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Lend .............. [.ocot~on Of Property .... ........ ...... Owner Or Owners Of Property ...~...C).].~.Y.).....~ ...... r.2~r:.~.~. ....... ~2~r-'.O.~......./~...· ...... ~.t.../.(..l~. ................. S~bdivision .., O..~.~ .................... ~.~.~. ...... Lot No.......,.,.,.~ ~[ock No. ........ .... House No ............. Heoith Oept. Approval ...... ......................... Labor ~pt. Approval ........ I~]..;..{~. ............................ Request For Tempora~ C~ificate ........................................ Fin~ Certificate .......................................... Fee Submitted $ .....~ ............................ Construction on above described building and permJ}~eets all applicable ~es and regulations. 4:: ............... : ........................... ......... tz,.,., aay or ..m~..: ....... x.a ...... / ............... (stamp or seal)~ , ~ub~c ~ FORH NO. 5 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. ORDER TO' REMEDY VIOLATION Date ...~.../~./..~r~-z~.~..,.,-/.....~...-....,1 ~// ~owner or ou~orized agent ~wn~r~' ....... "'"(address of owner or authorized agent, at owne / n f ~ PLEASE TAKE NOTICE there exists a violatio o: e ~esOtherherelnafterApplicabledescrlbedLaws' Ordinanc~Orjn tha~~~~Regulati°ns .................... at pr m' ' '~"~"~ .......... ]~' (sta~~"~J~'tion) "' / (gt6te secdon or poro~raph of opplicoble Iow, ordmonce or YOU ARE THEREFORE DIRECTED AND ORDERED to compJy with the~w and to remedy the ~o.~,,,o., ~ m~.,,o~ ,o,hw,,h o. or ~¢~o,~ ,~. ................ &~.~ ................................. Th.~'premises t.~rwhich th.i~ ORDER TO REMEDY VIOLATION refers are situated at / .Z'~¢, ~ ,~6.- ~~..../"(-/-.-.~.~..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. / Built'lng Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION- .. ~ ~ ~77 'Date "~::'"'"~'"~"", ........ TO .~ 'O~or autho,.ized age~.~'~'er) __ PLEASE TAKE NOTICE there exists a violation of: .. Zoning Ordinance ...... Other Applicable Laws, Ordinance~or Regulations ............................................ at premises hereinafter a s L/.=.:: ............................ x/ ............... ~ ............ / (stQ~ chQ rQcter~ vJoJQtJo~ ) .. ~ ........ ~~~.....~ .~.. ...... ~ ....... .~.... ~./ ............ ~//~ ~~?~...~.~.~~,.-.-.~.~.~ .................. YOU ARE THEREFORE DIRECTED AND OROERED to comply ~ith tke~ and to remedy tko condltion~ a~a~e mentioned forthwith on or before the ...................................................................... ~' T_~ premises to which tl~s ORDER TO REMEDY VIOLATION refers ore situated et Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute on offense punishable by fine or imprisonment or both. Building nspector ~,, _ --.~'~ ~' ~. ~ ~ - ~ KNEK ~C~ SEC~I ON ~ _ I~ -I I' WRLL ~ ~ OZ. GRLV~/ZFD ~OP~ 8F~IM~ ~ Sou~E~V~