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Home My WebLink About9987-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y.. Certificate Of Occupancy No. Z 10351 Date ,J'anua.rTf~ 16 1981 THIS CERTIFIES that the building ................................................ Location of Property .. A2.99. ~%%.~.t..e..D.v.i..v.e., ............. S.a..~.~. ~a..v.l.o.n.,...N..?.: .... House No. Street Hamlet County Tax Map No. lO00 Section .. ~.8. ....... Block 2 .Lot 1 ~ ... Marion Manor 20~8 21 Subdlws]on ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 2, 19 78 pursuant to which Building Permit No.. .998.7. Z dated October 19 19..7.8, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Addition to e Private One Family Dwelling Tile certificate is issued to Joseph Cherepowich .................... ?oYn'o;, 'a~.~xx ................... of tile aforesaid building. Suffolk County Department of Health Approval ., .N./.R. .................................... UNDERWRITERS CERTIFICATE NO... I~/.P~ ........................................... Building Inspector Rev 4/79 FOEI~ NO. 2 ~TOWN 0~. SO~TSOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TH.E PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9987 Z · .~ .......... ;., ................... ;;~. ................. , I9 ........ permission iS hereby granted to: FORM NO. 6 TOWI~ OF SOUTHOLD Building Department Town Hall 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 Inspec- tor 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 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 installa- tions, 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 informa- tion 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 New Building ............. Old or Pre-ex~st~ng Building .. ~ ..... ~.. Vacant Land ............. Locatmn of Property ..... Z~:~,~. ...... ~./.zL./~Z~.~. ~-.. ~. , . ~/. · Street ~am/et House No, , Owner or Owners of Property ~.~. ~.~..~.~. ...... ....... County Tax Map No. 1000 Section .... ~ ..... Block .~. .... Lot...~'; ..... ........... ....... Permit No. ~?.~7.'~. Date of Permit ~,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,permit meets a, F0 ap~icable codes and.regulations. FOI~I~I NO. 5 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date December 18 19 80 TO Joseph Cherepowich ~wneroffq~thorized~gent of owner) 1200 ui±±ette ~rive, ........... ~..MarlQm,...~..~r~..J.!9~9 ..... (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: ART. XIV Zoning Ordinance Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that ..~i..1..ct:.i.~.g....~..e...r..m.~..t...~.9.?.8..7.~......d...a..t...e.~, ................... (state character of violation) 10/19/78 has expired. Y.o.u ar.e.r..equired to apply f.o.r a new. permit. Sec. 100-141H in violation of ........................................................................................................................................ (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 mentioned forthwith on or before the 3rd day of January 81 The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 1200 Gillette Drive, ..Eas.t..lVlaz~£¢]r~,...~Ie.w...Y. ark...J.19.~ .............. County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the opplicab~ provisions of law / may constitute an offense punishable by fine or imprisonment or both. Buildlng Inspector FOI~M NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ' /~ .................. /~proved ................... ...~..~...~......../~...~.., 1~.....~.. ~ermit INa. ~t'~L~'-~ ~ Disapproved o/c ................................. ;ib ..................................................... (Building In~pe~tor) APPLICATION FOR BUILDING PERMIT Date October 2~. 19V8 19 ............ INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building 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 adjoining premises or public streets or 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 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 Depar~ment 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 or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os 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 and in buildings for necessary inspections. ........................... ///____ (Signature of applic~, or name, if a corporation) '-~' Gillette Drive,East Marion,N.Y. 11999 7~d' f~:>~/~x, /~ ~ (Address of eppliccnt) State whether epplic~ni is owner, lessee, ~gent, ~rchitect, engineer, 9enerel contractor, electrici&n, plumber or builder. Owner Neme of owner of premises Joseph Cherepowlch tf 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 land on which proposed work will be done. Mop No.: 002038 Lot No. 2]. Street and Number ..................,G.,L..,1..3:.?.~.~...,D,,r.,~.,v,,~, ...................................................................... E.?.?..~...M.a..~.~..o..n. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Residence b. Intended use and occupancy ....... ..H..e...s..l..d...e..~..g_e. ................................................................................................... 3. Nature of work (check which applicable): New BuiHing', ................. Addition .................. Repair .................. Removal .................. Demolition .................... Other Work ................................................ ..., (Description) 5,000.00 15.00 4. Estimated Cost ............................................................ Fee .......................................................................................... (to be paid on filing this application) One ,, , · 5. If dwelling, number of dwelling units ............................ mumoer o7 dwelling units on each floor ....... ~p...e. .............. If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .. 73 'V" Rear 73 ' V i' Depth 2V ' One Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ...... ~.....~LZ'.'. ........... Rear ....---"-~ ~-'.~.~...'[.9. r Depth ~ ' Height ............................ Number of Stories 0n~ ~8'V" 6' 8. Dimensions of entire new construction: Front ........ ~ ......... , ................ Rear ............................ Depth ........................ Height .................... Number of Stories O~e 9. Size of lot: Front ~00~ Rear ~OOt Depth ~00t 10. Date of Purchase 12/15~.69 Name of Former Owner Andrew Lemon 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 from premises: (~) Yes ( ) No 4V - 8 14. Name of Owner of premises .~P.~.~P.b...q~.F.~.~P.~$.~b ........ Address ..~.~.~..~.9.~.... Phone No.....?...g.~...~. .... Name of Architect .............................................................. Addre~ ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-~ck dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, , I c c ..: ........... ~,...~,~.~~ .................... boin~ duly sworn, deposes ond soys that ho is the applicom //{No~e of individual ~gning contract) above,med. ~ , 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 all statements contained in this application are true to the'best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to ~ore me this .... ~ . /