HomeMy WebLinkAbout9621-zFO~ NO. 4
TOV~N OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No... ~.9.~ .... Date . .February .... 2~. ......... , 19.76.
THIS CERTIFIES that the bg{lding located at .27~.~ .Ald~.ich. ~ane ....... Street
Map No ............. ~Block Nor. ...... ~... Lot No ..................................
conforms substantially the ic r er tofore filed in this office
dated.. ~eb~ary.. ~27..~9. ~p~rsuan,[ to w~ing Permit No..962i~.
dated ...Eebr.~ary...~?./.., 19..~wa~and~conforms to ~1 of the req~e
ments of the applicable~visions of the law. The occupancy for which this certificate is
.0~ .FA~.~ILY. ~LLIN~
issued is ....... k~tI VA~ .......................
The certificate is issued to ..... qarlQ, bo.ache.t.~ .................................
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval ....................................
UNDERWRITERS CERTIFICATE No .............................................
HOUSE NUMBER..27~ ....... Street .... A$~lr.~c.h..L.~n..e ........................
........................................ t~a.u.r.e.!~ New York
Building Inspector
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL F~LL
COMPLETION OF THE WORK AUTHORIZED)
N? 9631 Z
Permission is hereby granted to:
~'%~ ',¢'l c ,;'.:T',,~ ~ ~ ~t l: '77 (
................................................................................................. .z.~..../~.,~.~../.::t.~:..~ ..............................
pursuant to application dated ..................................................... ~ ...... ,.. and opproved by the
Building Inspector.
Fee $ ...... /..~ ............
TOWN OF SOUTHOLD
, Building Department
Town Clerks Office
Southold, N. Y. ]]97J
APPLIGATION FOR GERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter O1~. ink, and submitted in DUPLICATE to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of oil buildings, property lines, streets, and
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disp0sol--(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 $§.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
New Building ................ddition ................ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property .?....~..~/~ .~..'~/~ ~!L":~ /'~-- ., .~ .~.. L_/~ ~,/)'~ ~
Owner Or Owners Of Property L~:~'~>/_ 0 '-~C~-~ d/_/4~-~-~Zj-'/ I
Subdivision ............................................ '-~ ................... Lot No..........---... Block No ............. House No...~.~..'7....~...~.'-
Permit No...~....~...'.~.../.....'~ate Of Permit ...~....~..~.~...Applicant , ~ . ~ ~.~d~/'/E ~-/~-I
Health Dept. Approval ......................~.iC~. ......... Labor Dept. Approval ................................................
Underwriters Appraval .............................................. ~'tanmng Board ApproYaf ........................................
~equest For Temporary Certificate ........................................ FinGI Certificate ..........................................
Fee Submitted $ .............. .~..~ ......
Construction on above described building a~ permit meets all op. plicable codes and regulations.
App cant ..~. ~.._.......~ . .......................
Sworn to before me this
................ day of ............................................
Notary Public .................................... County
(stamp or seal)
TOWN FIF SOUTHOLD
FIFFIIDE OF BUILDINB INSPECTOR
TOWN CLERK'S OFFICE
SnUTHnLD, N. Y. 119'71
TEL. '76S-26GD
February 22, 1978
Mr. Carl Boschetti
2?45 Aldrich Lane
Laurel, New York 11948
Dear Mr. Boschetti,
In checking our records, I find you were issued a Building
Permit and a Certificate of Occupancy for your accessory building
which is O.K.
On January 5, 1978, Mr. Hindermann sent you an Order to
Remedy Violation since it appeared you may have enlarged your deck
and enclosed part of it. As of this date, he has not received a
reply concerning this violation.
Mr. Terry issudd a Building Permit 8994Z for your dwelling
and a Certificate of Occupancy Z7869, September 2, 1977 with the
Suffolk County Department of Health approval PENDING. I would like
to have the tiealth Department approval, final survey and a reply
if you did add on to the 10 x 47 foot deuk that I saw on my final
inspection August 3, 1977.
G /pjs
Yours/truly,
GEII~GE H. FISHER
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Yo
ORDER TO REMEDY VIOLATION
(owner or authorized agent of owner)
.
(address of owner or authorized agent or ow f
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinonce ...................................
Other Applicable Laws, Ordinances'or Regulations ............................. ; ..............
et premises hereinafter described in that
/) ~ , (state character of~ioiation)
...........
,
in vlototion o* .~.~..~.~.~..-.~ .....................................................................................
(Store ~ecfion or poro~r~ph of opplic~ble l~w, ordinonce or re~ubtlon)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Iow and to remedy the
conditions abov,~., entioned forthwith on or before the .............
// --
The i~emises to which this ORDER TO R~EMEDY VIOLATION refers are situated at
~f/,~...:~.,J~, ~ ~,.,~/.o ,~. ,~.o,County of Sulfa k, 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
FOB~I NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Dote ...... ~4Z..,~'~.~..~Z..---..-~..7.., ~..Z.?
'
,o ......................
(owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists ~ violation o~:
z~,i,~ o,a~,~,~ ...~L.~Z./ ..............
Other A~pli~a~le Laws, Ordinances'or Regulations ............................................
m~,,~ ~ ~,~ ~Y..~ ~. ~z~. ~.Z~ ~ ..............................................
~ . . · · ~ '~..m.Z..~Z ................................................ ........................................
f/in v,olat,o, of ..... ~.~;;Z;;...;~ rah of applicable law, ordinance or regulation)
(State se p g P
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned fo~hwith on or before the ..
day of ..... ~Z~~ ............... ]D.Z
The ~ises to whic~ this ORDfiR TO REMEDY VIOLATION refers are situated at
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
TOWN OF SOUTHOLD
Building Inspector's Office
Town Clerk Building
Southold, N.Y. 765-2660
'It
FO~M ~0. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
.......... =/.. ..............
~pproved .iiiiiiiiiiiiii'i~~~Permit No...~......~...~..!., ...... · .'~.~ ....- ~ ~,c~.
D~sopproved
o/c
· ' ................ ...... L
~ ui lng nspector)
APPLICATION FOR BUILDING PERMIT
°ate ......................
INSTRUCTIONS
a. This application must be completely filled in by typewriter or~ 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 tbe 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 or
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 and in buildings for necessary inspections.
....... ................................
(Signature of applicant, or name, if a corporation)
....................
(Address of applicant) L ( ~ 0 I
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises C~A~ L 0 '~0 SCL ~-I
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 .......... ..0..~.~....~.!..C.-.~'.1.~..-~....,......7..~
Other Trade's License No ...............................................
Location of land on which proposed work will be done· Map No.: ........................................ Lot No .........................
Street and Number ..................~..Z..~..~'....../~..L..~..'./..r.~../....~..~~. ........... ..L:..../~....~. ........ .~./~...U..~..~...~.....Lm.' .............................
Municipality
State existing use and occupancy of premises and in~,ended use and occupancy of proposed construction:
a. Exisiting use and occupancy ./. .,.~.../~..../,x.~ ./..L. ~.. .~..~./~/~.~. L./A~ ~
b. Intended use and occupancy ~"/~"/~ ~'~ ~'I/x/'--~/LH ~:)~/)~'~)/ ~ g,x)
3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................
Repair .................. Removal .................. Demolition .................... Other Work ....................................................
~ c, (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 use ............................
7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ....................
Height ........................ Number of Stories ............................................................................... : .................................
Dimensions of same structure with alterations or additions: Front ....................................Rear ............................
Depth ................................ Height ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front ......................../.....~..... Rear ............................ Depth .....~......O.. ..........
f
Height .................... Number of Stories ..................................................................................................................
9. Size of 1at: Front ........................................................ Rear .......................................... Depth ................................
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
11. Zone or use district in which premises are situated ...................... .~...fi~..'~..../....D....~/~..../~....~...I..~..~ ..................................
]2. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No
14. iX~ame of Owner of premises ...... ~). ........................................... Address ........ ..~.. .............. ;.... Phone No .......................
Name of Architect .............................................................. Address ................................ Phone No .......................
Nome of Contractor ~'/~/~ ~-~ Address Phone No.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names ond indicate
whether interior or corner lot.
STATE OF NEW YORK.
COUNTY OF ..............
............. ,~ ................................................................................ bein~ duly sworn, deposes ond s~ys that he is tNe ~pplicom
(N~me of individual signin9 contr~cf)
~bove n~med,
He is the ................. ~.~h.(.~..~ ..................................................................................................................................
(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 foffh in the application filed therewith.
Sworn to before me this
7': .......
~oro~ vual~~.~...~n~ .................................................................................................
~ , ~ (Signature of applicant)
JUDITI[
¢7.}tm'y Pq'~:~.:, S[:te o[ []~w York