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Home My WebLink About9311-z1~0~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPAHTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy % No. ZgQ09 ..... Date ....~.~....1.1 ............. , zg.7..8. THIS CERTIFIES that the building located at . .22.1.7.. I.n.d.i.a~...~..eg.k' .L..~... Street Map No ........ Block No ....... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated June. J 6 .... , 19 .7.7. pursuant to which Building Permit No...9.~.! ? .Z. dated . June...1.6 ........ , 19.77., 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 .. PRIVATE .0N~ FAMILY. D .~-7~. I~..N.G ............................... The certificate is issued to Jo~ &. M~.rl~.a .P..o.ntino ...................... (owner, of the aforesaid building. Suffolk County Department of Health Approval ... ?-~0-~.0 .. . .&/.30/?.? ........ UNDERWRITERS CERTIFICATE No ...... ............................. HOUSE NUMBER . .2217.... Street ...... ~..n.d.i.~.n...N.e. qk...L..e_~..e. ................. .......................................... ................ Building Inspector HIGH NITRATES- Water not to be used £or preparation o£ baby £ormula or consumption by in£a~ts u~der 6 months o£ age. FOR2~ NO. ~ TOWN 0P $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COJV~PLETION OF THE WORK AUTHORIZED) N? 9311 Z Permission is hereby granted to: .,., at premises located at ~(~' Oumuant to oppllcotion dat~ ..~. ............ ~ ...................................... :< ~ Budding inspector .... ~:_= .............................. ~>.--' Building FOR~ NO. ~ TOWN OF $OUTHOLD , Building Depmtment Town Clerk~ Office Southold, N. Y. 11~1 APPLICATION FOR GE~,TIFICATE OF OGGUFANGY In~fruct|onl A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector w~th 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 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 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 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 ,,te ..... ............ New B~lilding ................ Addition ................ Old,or Pre-existing Building ................ VocontJ, and .............. ....... Subdivision ................................................................ Lot No ............. Block No ............. House No ............ Permit No. ~....?..//.--....~'... Date Of Permit .~/./A~/~..~..R...Applicant ~.~~ ,~.v .~'.~ ~/~_. c~'~ 7 50 Health Dept. Approval ........................................... L.oDor Dept. Approval ............................................... Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Finctl Certificate .......................................... Fee Submitted $ .~...:.....~....O.. ................. Construction on above described building and permit m..ee)ts all applicable c~ r~ulatio_ns. Sworn to before me this Q.O. ~ ~ ~ ................ day of ............................................ Notary Public .................................... County (stamp or seal) ~, ~. ~_~ ~ THE NEW YORK BOARD OF FIRE VIODERWRITERS S=EWaS jOHN STREW, NEW YORK. NIM YORK 10038 vao March 90 1978 ApaucetionNo.anfile 923937 N377653 THIS CayfflIFIRfsTttMMT �e , Y, yp k y yJoha YonilAoentfn'Cler`in`�ArOK�' ,sn'"t! lla ) ` ! c "IslRllr`'y't" �';`�` c"�A1Q;`L ':ttes'of inthefolkownglimomtiont ® Basement ® Iet Fl. ❑ tnd: n.Outaide Section Block Lot was erarnihed on Maroh 6.a 19 T 8 aad f"nd to he in compliance with the roquirements of this Beard. NX - CppKlea UST PAW OYTm AQlS 11M1GIlS'bW IwoiasW I AMT. CW. AMT. K.W. I AMT. I ':K.W. I AML I AMT. M.I. 20 32 21 20 2 F OKYW PAVIAO MOMN IMM : ALWrj MACIO Kf. �'. Ilu �OItw Mu AM AMT. LW. OIL M.I. GM Ke' AMT. NO. A:w:O. AMT. NAI. AMT. AWL Ta11Nf. AMT. .. X.I. �,: -AAR. WAm 5 F 1 3 8 1 130 1 1 00 NO.OF t- S It V I C E AMT. AW. TVPI 7 0 7W' 1 e'„. 3 X 7w 3..e Aw N0.0I �COMD. A.w.O. MO:OF Ie-1!O O&& w NO.oF:kt'nRAl4 p('•w: . 1 200 CB z 1 .. 3/0 1 3/0 01m Apm"T" Motorst 1-1 H.P. 1-10 amp. Vacaum Unit B.J. Electric CO. 1 Stillwater A"nue Ue.0505 ► Cutahoguvo 1t.Y, 11930 Per ' This as piwo,rw b4 aUarad in opy wmgmrs to *4 office of the. paord 9 incorracf :,hokciWsmqy,be idaMif by. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) '7°E CO/,/rd__ l',t PLEASE TAKE NOTICE there exists a vJolahon of. Zoning Ordinance Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that (state character of violahon) in wolation aG .............................................................................................................. ~b~ i~l bX ~ ~ ~ I oO-- I~[ ~ C]~) ................... (state section or paragraph of applicable Iow, ordinance or regulation) You ARE THEREFORE DIRECTED AND ORDERED to comply w~th the law and to remedy the conditions above menhoned forthwith on or before the .................................................. /~ day of ................................ ...'.'~....~.....~... ....... , 19...7....~.. The premises to which this ORDER TO REMEDY VIOLATION refers are situated at .......................................... ~~i~ ........... aounty 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 , · FOBM NO. 5 ~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date ..F~b~tla.:I~ ....... 2~. ...................... , 19..~. TO .....~.D~..~.~ ....................................... (owner or authormzed agent of owner] ............ ~ecc~l~¢~..~B.,~ .................................... (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a wolahon of: Zoning Ordinance ...Z~Ofl~,'LO.g .......................... Other Applicable Lows, Ordinances'or Regulations ............................................ at premises hereinafter described in that .... ~'~e...ClVO.'l.~.~ff..~.~.;~;~.~. g...l~l,j~.?,?~. ............. t~Jtote cnarocter or VIOlaTion) ............ ............................................. in violation of ...... ~.°.~...-~..g.,~...~..~..~.J,~...~T,!~'4...*J.~.~..1..l~'~.....~....(.t~ .............................................. (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Iow and to remedy the conditmons above mentioned forthwith on or before the ............ .~.{1~ .................................................. day of ......... ~r~ ................................. , 19..2~.. The premises to which this ORDER TO REMEDY VIOLATION refers ore situated ot ...... ~.~%~...Zl:;~;J.~.3Jei~..LIi~e.~..,~e4~D4J, l~.lCounty 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. SECOND gOTIOB Building Inspector 'e TI TI..[: I SCAL£. tOO ~/" C-,£RTI F', j RODE:RICK VAN TUYL. P. C LAND SURVEYORS-GREENPO~T. N. Y. TOWN CLERK'S OFFICE APPLICATION FOR BUILDING PE~IT INST~U~ION~ a This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Buildin£ 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 premmes, relationship to adjmning premises or public streets m areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 will ~ssue a Budding Permit to the applicant. Such permi, 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 Occupanc~ 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 th, Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o 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 t, admit authorized inspectors on premises and ir~ buildings for necessary inspections. (Signature of applicant, or name, if a corporation) ............. ............................ (A~lress of applic6nt) State whether applicant is owner, les~e, agent, architect, engineer, general contractor, electrician, plumber or buitde, ............................. ........... tsp.....-. ................................................................................................................ Name of owner of premises . ,~,..~... .~. ............................................................ If applicant is a co,orate, signature of duly authorized officer. ............... Vg:,;' :iii'c'i;5 ......... /q D 7- O-gO Builder's License No ....... .~.~....2...~........~.......~... ........... Plumber's License No ..... ..~..~'...~..2. ..... B. ................. Electrician's Lmense No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Mai? No..~20..~.~..l...~....~..~.'~.....~ --~^- Lot No...L....'~... ......... Street and Number ..l?/~_~.~q.,~..*..~...~4~c....)3~,~..e~.... ........... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use ond occupancy ...... ~...m~...,... ...... -7'. ................................................................................ b, Intended use and occupancy .............. ~ ........................ 3 ure' ~ ~vork ( heck which applicable). New Building ..... Addmon .................. Alteration~. ............ Repair .............. Removal ............... Demolmor. ................... Other Work ................................................. t~.~/-- .__-, ~/"~ "/ J_.c=~ ' //-- / ~ ~cription) 4. Estimated Cost ......... ..~....O...L.~ .....................Fee ........... ~?..... ...... .~....'.......~. .............. : ............... (to be pa~d on filing th~s application) 5 If dwelhng, number of dwelhng umts .... ~ .......... 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 D~mens~ons of ex~stmg structures, if any' Front ..... 'T ................ Rear ................................ Depth .................... Height .............. .~. ...... Number of Stones ............................................................................................................. D~mensions of same structure w~th alterahons or addmons. Front .................................... Rear ........................ Depth .................. ~ .......... Height .............~ ......Number of Stones ....... ...'~.. ................ 8 D,mens~ons of ent,re new construct,on: Front ......... .~...~..,~. .............. Rear ..... .~...~. .............. Depth ...:~..9. ......... Height .....~/.~...~ .... Number of Stories ........ ~....-- ........................................................................... 9 S~ze of lot: Front ....... ./.6....0. ..................................... Rear ..... ~.~..O .......................... Depth/..~.~.,,..~...?..~. ...... 10 Date of Purchase'~J'~'"'"'~"L?'"'~'"~'" --9' ................... Name ,of Former Owner~...~r..~,~..tf.:~ 11. Zone or use district in which premises are situated. ~....~......~.... ~,f3~,~..~...~ 12 Does proposed construction wolate any zomng law, ord~nonce'O or regulation' ...~ ..2: ....................................... 13 Will lot be regraded ...~.,lz~. ........... Will excess fill be removed froj~ premises: ( ) Yes (X,) No 14 F, ameof Ownerof premJses~..~...~...R P~ddress .~.~__ .......... Phone' Y , r ' ' No.'Z.~.~.::..?..~..{~ Name of ArcMtect .......................... Address ,~, ........ ~ ................. Phone No.....-7 ................ Nome of Contractor ......... Address I. hone No.'~..J.;./~.2.~..; PLOT DIAGRAM Locate clearly and d~stmctly all buddings, whether existing or proposed, and mdmate all set-back d~mensions fron property lines Gwe street and.block number or descr~phon according to deed, and show street names and ind~cat: whether inteno'r or corner lot ' .........., ~o,~",-~ '-~"'--'~'--,~N~';]::;:Z'"~TZ~;'J"~~ ................. be,ng duly sworn, deposes and says that he ,s the apphcar above named He is the .................................................................................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and th~s application; that all statements contained ~n th~s apphcat~on are true to the best of h~s knowledge and behef; an thor the work will be perforr~ea~n the manner set forth m the application filed therewith. Sworn to before me this k.] _ _ .............. /. ...... ....... rrnF) Nota Publ,c,. ............... ............................ Co.n ........ ................ (Signotuh~f of applicant) r SUFF. CO. HEAL'TI{ DEPT, APPROVAL { I~,~ NO - - OWNKR: ~ I ,~ ~' ',~ r.~, ~0.. I ~OD~ICK VAN TUYL, ~. ~. SUFF. CO. DEPT. OF H~ALTH S~..~VICE8 STAT£MENT OF i~T FOR APPROVAL OF ~NS~U~ON ONLY DENCE WILL ~ ~ 0 ~ ~ STANDARDS OF SUFFOLK CO. S. REF. NOn . APP~ICA~ SUffOLK OOUNTY H~L~H-D~P~RT~T ~~ ~. ~. ~. ~ 2~3o-~o. facilities for this location have been inspected by this department and found to be satisfact~ Services High Nitrates %'ater not to be used 1'or prepara%zon of baby formula%' ~ consumption /:::~'~'0/~/~ ~T,~Y ..... ' by infants under 6 months of ~ ..... : :~ - ?' :<~:~ ', SCALE= I00'= r' VAN TUIYI-- P. C. FOR APP~OV~ OF CON~UC'flON ONLY DATE: ,~ DIS~SAL ~Y~EM~ FOR THIS RMi DENCE WIL~ G~F~M ~ TH! OF H~L~, ----------------- t} "tr;; � V -_ . ... 1:0x9s' ,> . T -limit 3 �� rrF � Too kt: 9 CY i !TO— WN .IS i {'1 1 iF ; %T C� Eggj t�— ROVED AS NOTED DATE 19n l i 1 4.,j G / f77 a 1` T' i CDN tC MUSI V"T I r � , �p� 1, R.:4'UWEMEN, :C.Y. STATE CODE AN.) TOWN H(iL�(i(u.;r�CODE & ZONING '�' 7n1 �'�',...:._:_.�c''.�F Iv-��" �' __r,+_�r�`.T�'.e",Kj -w- �,", -yI - N1 _ �.-zy 'w:�M:3C�ea+gs"��'.hi: "`� t�•1 . ---. _.._._.�^.�L�: G H:s 'KxT.�✓w K.. .__rte,._ d1l 1