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Home My WebLink About7895-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z. 7.~.~.~. ...... Date ......... l~.a? . .? ........ , 19.7.7.. THIS CERTIFIES that the building located at . }~.a.i.n.. R.d. &...t/.o.o.r..e .s..L.a... Street Map No.. ~ ........ Block N~ ...... Lot No, .x~c......C~.t..c.h.o..gt}..e ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...Nay . .7 ..... , 19.7~. pursuant to which Building Permit No..7~9.~.~ dated ........ .~I.ay....7 . ., 197.~. ., was issued, and conforms to all of the require~ ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . P.~.~.v.a.~.e..G..0.]..$..~...~.q .~..t?.~...~.~.ub .... ¥.~.th...a.n..~.d..d.~.~.~..o.n ................ The certificate is issued to . .Np.r.g..h.F. qr.k' .qq .m?.t.r.y...~.l.u.b ...... . .c~kn..e.r. ............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .N. :1~: ........................ UNDERWRITERS CERTIFICATE No. 1~..2~.~.~.0..~ .................................... HOUSE NUMBER ...... Street ......................................... Building ~n~pe~t~o;' ' "k .... FO~ NO. ~ TOWN OF SOUTHOLD BUILDING D£PART~ENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. BUILDING PERMIT CFHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 7895 Z Permission is hereby granted to: .................... .~.~.~..*.~. .............................. to .... ~ !~......a~......~.~.~.~.qx~...f....e.~.t;~.y....w.a.y. ~.. o.~...e.~1, ~.t,.;[~g.. ~.~Z,,l~g ............................ at premises located at ..M..o...o.?...e.~.....L..a...~..e.....~......M~.....~..~......~..o..~ .................................................................. .................................................................... J3.~tc~ho~ue.....~ .~.~ ........................................................ pursuant to application dated ........................./~'.....~ ............... , 19....~.~ and approved by the Building Inspector. Building Inspector FOB~ NO. 6 TOWN OF SOUTHOLD , Building Depmtment Town Clerk~ 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 all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispasal--(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), 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 condition of buildings. 3. Date of any housing code or safety inspechon of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. 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 Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .~.Q.9.~'.~.fi...~fl-~R ..... .0.~..~.~..b..o.~..~..e..t.~.:..~..~]..]:..9..~. ....................................................... Owner Or Owners Of Property ..[ar.tff~..~.or~...ile.~_m~.~...CZ~tb .............................................................. Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No...~..~..8.~.~.~ .... Date Of Permit5 ./..7./..7..5. ........ Applicant J.°...s.,e.!q,.h...~,e..e...r..k.P..,s..k...i. .............................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ..J~.~.~.0.~. ......................... Planning Board Approval .......... ._..7 .............. Request For Temporary Certificate ........................................ Fincd Certificate .......................................... Fee Submitted $ .?..,..0...0. .......................... Construction on above described building~and permit me. ets all applicable codes and regulations. ' Applican; .~ (....~~~ .......................................... Sworn to before me this [q 77 ......... .~,.... day of .... . .~...~...~Tk~... ........................ (sram op(rb~r-sealcJf~ Notary Public ..,~County FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner)/' PLEASE TAKE NOTICE there exists a violation of. Zoning Ordinance ..~....~., ........... Other Apphcable Laws, Ordinances or Regulations ........................................... at premises hereinafter described in ~(state character of violation) .... ~,:::~_~..~.:,~:,,~.......:.. ................. :. 'm v,~t,on of ..... '.~Z~~ Z..~.~....--...Z. ~.~.~. :.. .Z. .................................................... (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the low and ~:o remedy the conditions above mentioned forthwith on ar before the ........... ,~.~..~.~...~.... day o, .......... Failure to remedy the condition~ aforesaid c~ to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Buildmg Inspector TOWt,I OF $OUTHOLD ~,UILDING DEPA[~TMENT TO¥,'I'4 CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of qwnf~/r).. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violollon of zo.,~ Ord,~.ce ~'.Z/C.~.. Other Apphcoble Lows, Ord:nonces or Regulohons ......................................... at premises hereinafter described in ~ (state character of violatton) ............. ~ ........ ;~'-~ ....... in wolah¢n of .. .~7~ ...... ~.~.~..~ ......~ ~ ..... / · :./ ........................................................ (State section or p,r,~r~h o{ opphcoble 1~% ordmonce or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comp~,,th the law a.~. to rcr,~(dy the condihons above mer~honed f,.~rthwlth on or before the . ¢~~ ..................... day of ....... -.~..~.,,~.~¥~-~' ................. , 19..7....7.. The premises to which thru ORDER/TO R, EMEDY VIOLATION refers are s~tuated at · -~ ....-.~ ~, ,.~_ E,.~~- ~_~,.'~.~. .................... ~ ., .... County of -uffo k, New York. Failure to remedy the conditions aforesaid and to comply with the epphcable prowsions cf Iow may constitute an offense punishable by fine or imprisonment or both. · ?~..,~(.~...Z¢~-, ..:z ...n .... ,~.... "- '"' v Building Inspector TOWN OF SOUTHOLD BUILDING DEFARTMEHT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .... Application N o.~...(~...~...6..7. ........... APPLICATION FOR BUILDING PERMIT Date ............. ~ .a:..~., ....... .7. ................... 19...~... INSTRUCTION$ a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi~ Inspector, with 3 sets of plans, accurate plat plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc streets. areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which ~s port of this applicatio c. The work covered by this apphcation may not be commenced before issuance of Building Permit. d Upon approval of this application, the Building Inspector wdl ~ssue a Building Permit to the apphcant. Such pern 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 Certificate of Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to ti Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The apphcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized ~nspectors on premises and in, buildings for necessary inspections. (Signature of applicant, or name, if a corporation) Matt ituck (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budd ........................................ h~.$1~.er .............................................................................................................................. Name of owner of premises ..... .~.¢..o..r...~..~.....~..o..::V..~....~.9...~.~Z'X...g~kl~]~ ............................................. If applicant is a corporate, s~gnature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No .... ~ ....................... Lot No .... ~ ........ Street and Number ..... M~.'i~..~l..&..V~_~o~.e.~..~% ......... ~.u. to~og.~e ........................................................ Municipality State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction' o Exis~ting use and occupancy .... .g.C~l,l~.~.~'.~'...~l~!.~ buil&i~g ............................................................... b Intended use and occupancy ....... .s..a...~..e....~:.~.i...~..~......~..e.~{ ..e...~.~..~.Z...~.-' ~o.o...~.g..~.......~..~...c]..~.~..~g~ ........................... 3. Nature of work (check which applicable). New Building ............... Addition .~ ........ Alteration ~ ...... Repair .................. Removal ................ Demolmor ............ Other Work ......................................... (Description) 4 Estimated Cost ................. ~.~.Z..0..0...~ ........................ Fee .J.~'..~.....0...0. ................................................................ (to be pa~d on filing th~s application) 5 If dwelling, number of dwelling units ..... .0.. ................... Number of dwelhng umts 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. Dimenszons of existing structures, if any. Front ...................... RecUr ................................ Depth ......... Height ........................ Number of Stories ......................................................................................................... D~mensions of same structure with alterations or addmons' Front .................................... Rear ...................... Depth ............................... Height ........................... Number of Stones ............................. 8 Dimensions of entire new construction Front ....... ::L.~ ....................... Rear ......'t,~ ................. Depth ...~.l. ., Height .................Number of Stories ........ ~].e. ........................................................................................... 9 S~ze of lot. Front ..... ~(~e,~t~e ................................. Rear .......................................... Depth .......................... 10. Date of Purchase .................................................. Name of Former Owner .................................................... 11. Zone or use district in which premises are situated .... !t.~,!!..~&~¢ .................................................................... 12 Does proposed construction violate any zoning law, ordinance or regulation ...... .~...O. ............................................ 13 W~ll lot be regraded ..... ~e ................ Will excess fill be removed from premises: ( ) Yes ( ) No 14 Name of Owner of premises ...~.c)~'-¢~..-~(~:...G~.]L-~ ............Address .....g...~.~.o..~.o..~t....e. ...... Phone No ...................... Name of Architect .................................................... Address ................................ Phone No ...................... Name of Contractor .... ,T,..Zle~,:~]~o,s~:L .................... Address .~:~.t,~:i ~g.e.~ ........ Phone No ...................... PLOT DIAGRAM Locate clearly and d~st~nctly all buildings, whether ex~sting or proposed, and mdzcate all set-back dimensions fron property hnes Gwe street and block number or description according to deed, and show street names and ind~cat, whether interior or corner lot STATE OF NEW YORK, ~ COUNTY OF ..... ~£Q'!,~ ......... .S S .......................... .~...o.[.e..~...~....~..¢..e.,l~..~..o..~..~,~ .................... being duly sworn, deposes and says that he ~s the apphcar (Name of individual s~gning contracf) above named. He ~s the ....................................... ..~g.~..~..]....e..z'.. ...................................................................................................... (Contractor, agent, corporate officer, etc~) of said owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and fll this application; that all statements contained ~n this apphcation are true to the best of his knowledge and belief, an that the work wdl be performed ~n the manner set forth m the apphcat~on filed therewith Sworn to before me th,s ................... Z.. day of .................. ~.~9~-. ......... , 19-.?~ ~ . ............................................... Notary Public,. ................................................... County ri ~/ (Signature of applicant) " THE NEW YORK BOARD OF FIRE BURtBAU OF ELECTRICITY 88 JOHN STREET, NEW YORK. NEW yQRK 10038 ~1~ CE~IFIE~ THAT ' ~' inthef~g~.tton; ~ ~e~nt ~ lstFl. ~ $~ ~. O~t~d~ ~t~ ~ ~t ~examl~ Sep~e~be~ 11, 1975 ~fou~Wbe~m~t~ewitht~uim~O~. Rx*nJl~ FIXTUR~ llANG~ OW. NS ~'~ 2 DRYSIS ~. B. Ruiand, 'Mattitu;k· L.i. D