HomeMy WebLinkAbout7914-zFORM NO. &
TOWN OF SOUTHOLD
BUII,IHNG DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z6.1+.50 ...... Date ............ l,~ay.....12 .... , 19.75.
THIS CERTIFIES that the building located at .N/,~ .Equestr.tan · A.ve ..... Street
Map No.. }' .~ ~..F,.. Block No ........... Lot No .... ~XX... Ei~her. s. laland...E ,Y..
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ......... May. · · 4~.., 19..7~ pursuant to which Building Permit No...7.95~+Z.
dated ............ ~y .... ~2., 19.7.~ , was issued, and conforms to n11 of the require-
merits of the applicable provisions of the law. The occupancy for which this certificate is
issued is . .P.r. iva.~ · OhO · f~mily, dwe~ .Din,§ .w~h fenoir, c..&. ac~essor, y. s.torege
The certificate is issued to ~ .& ~.~s ~.amc,~,~ .k,?~-.n .~m-:~,z .............
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval b.,A, ................................
UNDERWRITERS CERTIFICATE No. i'.,~. .......................................
HOUSE NUMBER.. ~one ....... Street ..........................................
..... ~/.'./.. . ~ .~
Building Inspector
/
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FOP~J NO. 2
TOWN OF SOUTHOLD
BUILDING DEFARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
CTHIS PERMIT MUST BE KEPT ON THE PREMISI~
COMPLETION OF THE WORK AUTHORIZED)
UNTIL FULL
No. 7914 Z
Permission is hereby granted to:
K~.. &--t~,~.. ~a~e.~ s-..~.r~_ .~-~ .........................
........ +1-6~ ....... ~...A~ .....................................
............... lle~...~Z~.'~J .... ~ .:[. ..... .lO0~j~ ..............
to ~a~t..~;-oc~t,..~'~,lt..&.. &eee ~ er-;F.- et ~aje-. ~t~.~t~ ...............................
at premises located at ~"~e"JJ~%l~li~' ~%~ ....................................................................
.................................................. · ~l~l~e~t ..-I.~t~m~ ....... Il ~. ...........................................................
pursuant to application dated ........................... l~ ............ ~ ...... , 19...~.~, and approved by the
Building Inspector.
Fee $. ~.~.(~0 ...........
c Budding Inspector
FORM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD; N. Y.
ORDER TO REMEDY VIOLATION
F~om Apeil 17,
(owner or author,zed agent of owner)
-~ ~ ,. . v A/o~ Equestrian Ave , Fish, rs Islandt
1.t.0.~....E i f.~h..&v.e.,., ..... haw...Yoz:k.,...~.-'., ~.,... ·
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a wolohon of
Zoning Ordinance A.:rt XIV See I00-~1+..~. ..................................
Other Applicable Laws, Ordinances or Regulations ............................................
at premises hereinafter described in that ...~.~.~rer~.~'...~...~.~.D..q.~....(~.~D..Q.~..~..~?..).~.~.~.~...~.~l
(state character of v~olat,on)
ac c e ~o fy" ~u'i' ]: d.~zn~-- ~a ye-. ¥ e eh.. e ~ ee ~,.~, d... w'l ~ ~ e ~: {~...=.. ~.~e ~-'..-.* -i.t ~ .....................................
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above menboned forthwith on or before the ....... lBi3.tle, eilt~'L..~..~.(~.) .............................
day of .................. ]¢.a~". ............................ , 19....~.~
The premises to which this ORDER TO REMEDY VIOLATION refers are s,tuated at I[/S
EQ~est~ia~.~.v.e~.t..Eiaher. s...is~er~d~ ................. County of Suffolk, New York.
Fa,lure to remedy the conditions aforesaid and to comply with the applicable prows,ons of law
may constitute an offense punishable by fine or imprisonment or both
Bu,lding InTor .......................
I[~ORM NO. !
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
E×am,ned .... ...... ,
............. .......
Dl~pproved ~~
...................................................... .................
....................... .................................
~LI~TIO~ ~OR 8~1~1~ ~gRMIT
Application No.
INSTRUCTIONS
a Th~s apphcation must be completely filled ~n by typewriter or in ink and submitted in triplicate to the Buildi,
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b Plot plan showing location of lot and of buildings on premises, relationship to adlmmng premises or public streets t
areas, and giwng a detailed description of layout of property must be drawn on the d~agram which ~s part of th~s applicatio,
c. The work covered by this application may not be commenced before issuance of Building Permit
d. Upon approval of this application, the Building Inspector wdl ~ssue a Budding Permit to the applicant Such perm
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
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances.
Regulations, for the construction of build~ngs, additions or alterations, or for removal or demolition, as harem describe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in buildings for necessa~ inspections.
..... ;i;gi .....
......... ..........
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electnc~an, plumber or build.~
Name of owner of premises .~1~':"~':'"'~....~¢~::-'"'"'~'-"-"'"""~~~i~iii;iiiiii; ........ ' ' '"'"" "'"'"' ' '"'"'"'"'"""'"'""'"'"'"'"'"'""
If applicant ~s a corporate, signature of duly authorized officer.
(Name and t,tle of corporate officer)
Builder's L~cense No .....................................................
Plumber's L~cense No .................................................
Electrician's License No .............................................
Other Zrade's License No ...............................................
Location of land on which propose~l, work will b,e done.
Street and Number ~..~./~.....~....~.;. ....... :~.~¢'~..~i ..........
Municipalityi~
State existing use and occupancy of premises and intended use and occupan~cy of proposed construction
a Exisiting use and occupancy .... .~..~.. .~ ..........................
b Intended use and occupancy .......... ~ ......//"~' ...~ ~/~ ...... ~ // / · .~..."...~.~..
3. Nature of work (check which applicable) New Building ............... Add,t,on ................ Alteration ............
Repair ................ Removal .................. Demolihor. ............... Other Work ...~..~ .......................
(Description)
4 Estimated Cost ..~..~;~'~, .......... Fee/~'"" ...........
.............................................. ~..__._ao ~
(to be paid on fihng th~s applicahon)
5 If dwelling, number of dwelhng units .......................... Number of dwelhng umts on each floor ..........................
If garage, number of cars ....................................................................................................................................
6 If business, commercial or m~xed occupancy, spectf, y nature and extent of each type of use ........................
7 D~mens~ons afl_ _l. dex'sting structures, ,f any Front ....~(~...~. Rear ................................ Depth ...................
Height ...~...J~.Jt~...... Number of Stones .........................................................................................................
D~mensions of same structure with alterohons or addmons: Front .................................... Rear ......................
Depth ................................Height .......................... Number of Stories ..............................
8 Dtmens~ons of enhre new construction: Front .................. , ............... Rear ...........................Depth ..................
Height .................... Number of Storms .....................................................................................................
9. S~ze of lot' Front ................................................... Rear .................................... Depth ...............................
10. Date of Purchase ............................................... Name of Former Owner ........................................................
11 Zone or use district in whmh premises are s~tuated ..............................................................................
"'/'""'1"'~" .i '~'" .
o ,nonce or
13. WHI lot be regraded ......................... Will excess fill be removed from premises: ( ) Yes ( ) No
,4 Name of Owner of prem,ses.Y.:..~..e~.*.~. ................... ^ddre~ .q~.~....r.:.~.~. Phon, ,o.¢.'.*...r..~.~.~
Name of Architect ...................................... Address ................................Phone No .......................
~ome of Contractor .~ ~..~*.¢ ^ddress '~
Phone
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and lndmate all set-back d.mens~ons from
property hnes. Give street and block number or descnphon according to deed, and show street names and indicate
whether interior or corner lot
STATE OF NEW Yg~..I(.-~.~ ,* Icc
CO~N~ o~ ....... :~..~_~,.~:
.............. ~.~..~ .......... be,ng duly sworn, deposes and says that he ~s the apphcam
above named
He ~s the .......................................................................................................................................................................
(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 f~l¢
this apphcahon; that all statements contained in th~s apphcat~on are true to the best of his knowledge and belief, ant
thor the work w,II be performed ,n the manner set fo~h m t~ ~ion f,led therew,t~~Sworn to before me this
........ · ~ ............ day of ~~.
co ..........
.................. r ....... : .............. (Sign