HomeMy WebLinkAbout7983-zFO'I~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. ¥.
Certificate Of Occupancy
No. -~z ...,.z ...... Date ........ Jan . .%~ ........ , 1957.
THIS CERTIFIES that the building located at (~a. bbct'2. Le~e ............. Street
Map No.. ~ ...... Block No. ~. ~x- Lot No..~ ...Eas-~ .1.ias'.2olx .... i~,Y-,. · · ·
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ~/43/?] ,6/~./?I+,6/~,l~j... pursuant to which Building Permit No. ~.~. 7983Z
dated ~..~boy.o .... , 19 ...., was issued, and conforms to an of the reqn~re-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . P-~Iv~.te. on~ .fetidly. d~el~[!ng..with additions. &. al.tera.tlo~. & .Aceyo
The certificate is issued to .
of the aforesaid building.
Suffolk County Department of Health Approval
· 0~ne r .......................
(owner, lessee or tenant)
UNDERWRITERS CERTIFICATE No.. pe~tz~g ...............................
HOUSE NUMBER .. 8~ ~ ..... Street . Rabt~lt..Lan~ ...... East. ~[a~-i~ ........
.....
Building Inspector/
F(IRltI NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 7983 Z
Permission is hereby granted to:
~ ~¢~,r~%e .~..~f4~ 1 ~.e ................................................
...... ]~+5....~..~n,~..~ ............. ~.,.~.,......1.~2~
.......... a~es~..~~ .......................................................................................................
~t premises l~cted et .......... ~.b[.[..~ ......................................................................................
............................................................. ~s.t..~:~iox~ ....... ~Z ,.%.,. ........................................................
pu~uant to application doted ......................... .~ ........ ~ ........... , 19..~.., and approved by the
Building Inspector.
Fee $...1.5.~.Q0 ..........
1?aRM NO. 6
TOWN OF SOUTHOLD
, Building Dcp,-Itment
Tow,n Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
I~nstructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLIC, ATE to the Building
Inspector with the following; for new buildings or new use:
I. Final survey of property with accurate location of all buildings, property lines, streets,
unusual natural or top~raphic 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), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing al~ 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 certifi=ate.
C. Fees:
I. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-exlsti~ dwelling or land use $5.00
3. Cc~y of certificate of occupancy $1.00
NOVEMBER 19, 1976
New B~ilding ................ Addition................X Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property ..... ~.~.~..[..T.....L.~.~ ............. ~.~...~.~.~.I...0.~ ...............................................................
Owner Or Owners Of Property ..... .S. ZANLEX...W,D. LF..[ ..................................................................................
Subdivision ................................................................ Lot No ............. Block No. ............ House No. ............
STANLEY WOLFE
Permit No .................... Dote Of Permit .................... Applicant ..................................................................
Health Dept. Approval ............................................ Lair Dept. ,~q~proval ................................................
Underwriters Approval .............................................. Planning Board ,~oproval ........................................
Request For Tempora~ Certificate ...................................... ../~incd Certificate ........... ~ ...........................
Fe~ ~bmitted $ ...... ~.....0.[~ ..................... ~( /
/
Construction on above described building and permit ~m~~c~s and regulations.
..................-. ,, ..........
.X..~.. ....... day o~.....~.5. ...................... ~stemp~
Nota~ Pubfic .~.~ ........... CounW ~0ta~ Pubhc. State 0f New Yom
N0 14207a5
~?mml,~lon ~ires March 80,
NO. ~;
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
TOWN CILERK'$ OFFICE
SOUTHOLD~ N. Y.
ORDER TO REMEDY VIOLATION
TO~...~..~~ ..................... Date ...~.,...~.~.... ............... , 19.Z..~
(owner or a,~t, hor~zed afl,~t of owner)
(address of owner or authorized agent of owner) ~~,~
PLEASE TAKE NOTICE there exists a wolat~on of
Zoning Ordinance ~.~, /~:2~ ..... ~...~ ......
Other Apphcable Laws, Ordinances or Regulations ...........................................
at premises hereinafter described in that .~..~.~~
(state character of v~olation)
in ¥,olation 07 ...... ~.f /....~...~.....-7...4...<~....~......~...../..~....~... ......................................................
(State section or paragraph of apphcable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply ~,ith the law and to remedy the
conditionsa/~v_ e ~rnea e mentioned forthwith on or befores, the ........ ~.~'~. .......................
day of~ ................................. , 19.7,.?'.~
/~~Tfle prem.~~.ih .~.~..~~~M. Ec~uYntVyl~lffOolNklefNeer~ a~r~,iuated at
Failure to remedy the conditions aforesaicl and to comply w~th the applicable provisions of law
may constitute an offense punishable by fine ar imprisonment or both.
Building Inspector
FORM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
TO (owner or ouCno;]~d age .~of aw;3]~ ..........
(address of owner or authorized agent of owRe~)
PLEASE TAKE NOTICE there exists a violahon of: '~'"~/~'~ ~./~"~--.. _
Zomng Ordinance . ./~..0. ..... r~/~
Other Apphcable Laws, Ordinances or Regulations ...........................................
~ (star,character of wolat~on)
in violation of ........... .Z..: .............................................................
{State section or paro~r~ph of apphcoble I~w~ ordinance ~r reflul~tion)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with_~e2w and to remedy the
condit,ons/61bl/ove mentioned forthwith on or be~t. orZ the .............. ~,~d~..~...~ ..............
doy .................... ,
UThe p~~ch .this ORDER -~REMEDY VIOLATION refers are situated at
./~'./.~..~ .............. ~ ...... ~ ...~....:..County of Suffolk, New York.
Failure to remedy the conditions aforesaid and to comply with the apphcable provisions of law
may constitute an offense pumshable by fine or imprisonment or both.
~'LBu~l-ding Inspector
Building Inspector
Town of Southold
Southold, Long Island
November 12, 1976
Dear Sir:
I own property on Rabbit Lane in East Marion that is
presently without a proper certificate of occupancy. Personal
problems prevented me from obtaining the need electrical
underwriters certificate so that I could file for the certificate
last Summer. Now unfortunatly I have lost the forms need to file
for the certificate.
It would be of great help to me if you would send the
proper forms. I would then write to my electrician and ask him
to get the underwriters certificate for me. I will forward all this
to you with the proper check.
Sorry for the delay and the problems that I have caused.
Yours truly
545 West End Ave.
New York, N.Y 10024
Rabbit Lane
East Marion, L.I.
FCI~IIM NO. 5
TOWN DF SOUTHOLD
BUILDING DEPARTMENT
TOWN ¢;LERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date ...... :~~,....~.....,
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a v olat~on of
Zoning Ord,nance ~ :./~.[~..~ ~ ~"
Other Apphcable Laws, Ordinances or Regulations .........................................
at premises hereinafter descr,bed in that .~~.~..~~~
~ (state character of viSlat~on)
(Store section or por~woph o{ ~pplic~ble law, ordinonce er re~ulotion)
YOU ARE TH[REFOR~ DIRECTED A~D ORDERED to compl~ wilh the I~w ond ~ remedy the
conditions ~bove mentioned forthwith on or b~{ore the ............. ~..ff~..~ .........................
./ ~ ~ ~'~/..~/~The premises to which this ORDER~)...?,~TO.~,RI-'MEDY VIOLATION refers are s~tuated at
Failure to remedy the conditions aforesaid and to comply with the apphcable prows,ohs of law
may constitute an offense pumshable by fine or imprisonment or both.
· OIt~ MO. 6
TOWN OF $OUTNOLD
Buildia~l Depor~ment
Town (~ter~ Office
Southold~ N. Y. 11971
APPLICATION FOR CEI~TIFICATE OF OCCUPANCY
Ins'~ructionl
A. Th~s application must be filled in typewriter C)R ink, and submitted in triphcate to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildmgs, property lines, streets, and
unusual natural or topographic features.
2. Fmal approval of Health Dept. of water supply and sewerage d~sposal--(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Mulbple Res,dances and similar buildings and
installations, a certificate of Code comphance from the Architect or Engineer responsible for
the building,
5. Submit Planning Board approval of completed s~te 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, buddings 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 housmg code or safety inspectzon 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 ,~1/),/"2.,/
Date ............ /..~/..yL./.C..% ...............
/-
New Buildmg ...................Old or Pre-existmg Building ............................ Vacant Eand ............................
Location Of Property .............................................................................................................................
Owner Or Owners Of Property .. ~....'~... ........ ~ .............................................
Subdiwsion.= ~..~ , -~.~ ~7_. -j ~~ ..... Z~'"~>t~ ..................... Lot No ............. Black No ............. House No .............
Perm,, No/.~..~.?~....~...~..? I~, Of ~ermit .................... Applicant ..................................................................
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Ik~it~t Fu, T~~C~.~ ' ate ...... ~..~".~.~ ....... ....~..... Final//C~rtificate ..........................................
Fee Submitted $ .~..~ .....................
Construction on above described building and permit meets a~l~ic/~le codes and regulations.
Applicant ................ ~__C ..................................................
Sworn to before me this
................ day of ............................................
Not~ry Public .................................... County