The URL can be used to link to this page

Home My WebLink About9434-zFOB,~ NO. 4 TOWN OF SOUTHOLD B[~T,nING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No..I~7897 ..... Date ............. 'Sept .... ~9"" 19. ,~? THIS CERTIFIES that the building located at ~otmd..lliew..Ave. Ext ...... Street Map No.. xx ........ Block No..xx .......Lot No...~r... ,5outholi. · .N.Y, ......... conforms substantially to the Application for Building Permit heretofore ~ed in this office dated ............. aept.. %, 19.?~. pursuant to which Building Permit No..~3b~. dated ............Sept...1..., 197~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which ibis certificate is issued is . Gttast. e~ttaga .wi.th .d®ak. addii;lol~ ................................. The certificate is issued to .ThaLa. Ciaputs. ........ 0~mer. ......................... (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval N ,R, ................................ UNDERWRITERS CERTIFICATE No..I/,1t, ....................................... HOUSE NUMBER .... 63.5 ......Street . Sound. l/£ew. Ave.. Exte~tion .... So~thQld Building pector / FO~I,M NO. ~ 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) Z Permission is hereby granted to: ............................................ Sound View Ave Ext Southold t,~~ ~ ~it~'or, (' ' ) on existin£ dwellin~ at premises located at ~,ound Vie~,~ ,~ve ~xt Southold N.Y~. pursuant to application dated ........................... .~e ........ .~ ............... , 19.../.~.., and approved by the Building Inspector. · 0~ ~TO. 6 TOWN OF Sou'rNOLD Building Depm~meM Town Clerks Office Southeld, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings ar 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 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 df 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 end condition of buildings. 3. Date of any housing code or safety inspection 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 3. Copy of certificate of occupancy $1.00 $5.00 Date ................................................ New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ........... ~.~.'..~..c~.~...!...~..;~.~...~.~.!..~..,....~..%~..: ................................................. Owner Or Owners Of Property ..................................... .~.~. .............................................................................. Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No..c.~...~..~..c~...~...:... Date Of Permit. ..7......Applicant ...... :; ...... ~.~. ................... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .......................................... Fee Submitted $ .................................... Construction on above described building and permi~meets all applicable codes and regulations. ^pp,icon, ........... ...... ..................................... Sworn to before me ,hi~: ~ , ' ' ~'~_~/7~ .... ~day of .~~:,~{~:~;~.~. (stamp or seal) Nota~ Public ...... ~.~.~t~.~...~ County ~ot~ ~,~o, st~t~ o~ ~o~, ~o~ FO~M NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. ORDER TO REMEDY VIOLATION Date ........ TO ........... ner "'(.o. wn e r ,or . (address of owner or outhonzed ogent o pLEASE TAKE NOTICE there exists a violatign q~/'~ Zoning Ordinance /:'~"~'""~'"" Other Applicable Lows, Ordinances'~or Regulations ....... ..~ ............................. at nremises hereinafter described in that ~....~..~,z,~,....z~..~";~ / ~// (state cm3rac~er aT vio~a~Jonl ...... · //~..=...../../..~ ~ ................. .. ...... ~ ..................... in v o,arton of (g~ate section or paragraph ....... o~ "'-'¥"~'[~[~":;;I~f; law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with th~,,~,aw and to remedy the conditions ab/~mentioned forthwith on or before the ................. Z.~...~: ................................... day of ........ ~~ ................ 19"7"'7 . ./,. /,/.~. L~4_~/-C.~J~'..J/_.Z~cC ../'..~.', ,~..~..~. . Count.v 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. Building Inspector Examined TOWN O~ SOUlllOU) BUILDIN~ DEPARTMENT TOWN CA.ERK'S OIIFICE saUl'HOLD, N. Y. (Building Inspector) APPLICATION FOR BUILDING PERMIT .......... .............. . INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sete 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 adjoining premises or public streets areas, and giving a detailed description of layout ofproperb/muSt be drawn on the diagram which is part of this application. c. The work covered by this application may nat be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit 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 Occupancy 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 the Building 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 described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises crud in buildings for necessary inspacti~ns. ~,~,,~ ~ ,~1 /7 .................... (..i'~u~ ~,~)o,.,,._O~.~,.dd~ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.~) ........ ........ ................................................. If applicant is a corporate, signature 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 and on wh ch pr ed w rk will · done Map No · Lot Municipality State existing use and occupancy of pren~ses and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........ ........................................................... ...~................_._ ..;....~ ~.,...~ . ........................................ b. Intended use and occupancy' '" ..... .~ ...... ...~../.........~...i..~...~ ........................................... ' 3. Nature of work (check which applicable): New Building.. ................. Addition ~¢~'~ Alteration Repair .................. Removal Demolition .................... Other Work ................................................ . .................. (Description) 4. Estimated Cost ........... ..~.~.~--..~-. ........ ' Fee ~.~.~ ......................................... '~ :: (to be paid on filing this application) 5. 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 '~11 7. Dimensions of existing structures, if any: Front ..... .~..!../....~-.-..? ....... Rear .......... ~../..!...~..~ ...... Depth ....~../. .......... DH~2tntsions ~f'f' ~!'me strU~e~i:~ ~i;er;::ig~ns ~ort ad'~ions: Front ........... ..~..../~.:: ........ Rear .......~..~../..2..:! ...... Depth ....... ~.~...~...~.. ...... Height ............ 8. Dimension~ of entire new construction: Front ~: ........ ~..~...,..~/. ........... Rear ...... .~.~. .............. Depth ........................ Height ...~ ......... Number of Stories ...................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Dote of Purchase ........................................................ Name of Former ~ner ........................................................ 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 . ........................... Will excess fill be removed fr~ p~mises: ( ) Yes ( ) No 14. Name of ~ner of premises .................................................... Addre~ ................................ Ph~ No ....................... Name of Architect .............................................................. Addre~ ....... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAG~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set~ck dimensions fram prope~ lines, Give street and block number or description according to de~, and show s~reet names and indicate whether interior or corner lot. STATE OF NEWYOR~, , ISS COUNTY O~ ..~&~(. .......... ~ ' .............. ~.~.~ ....... ~.~..~ ................................ being duly sworn, deposes and soys that he is the opplicam (Nome of individual signing contracO above named. He is the ........................................... ~Contractor, agent, corporate officer, etc.) 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 oll statements contained in this application ore true to the best of his knowledge and belief; and thaz the work will be performed in the manner set fo~h in the application filed therewith. Sworn to~ore me this ';;;;;";3';',Z ........... ....... ..................... .................... .................................. (Signature of app~cant) ~ ~2-05083~