HomeMy WebLinkAbout10327-zTOWN 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)
No. 10327 Z
Permission is hereby granted to:
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Buildin~ Inspoctor.
FORM NO. 6
TOWN 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 featu res.
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
Date January 9~ 1980
New Building . .. % ........ Old or Pre-existing Building ............ Vacant Land .............
Location of Property 3630 North Sea Drive Orient
House No, Street Hamlet
Owner or Owners of Property Rev. ~,ohn MoGuire
County Tax Map No, 1000 Section 01 5 BlockI ..... Lot 1
Subdivision .G..~.e.e~ .A..o.r.e?...~..0. ,r.~.e.~.~ ....... Filed Map No. 3540 .Lot No. 17
Permit No 10327 Date of PermitT/.2.7./??...Applicant George A~lers, Builder, I.~.c.
Health Dept. Approval ........................ Labor Dept. Approval ........................
462161
Underwriters Approva~ ........................ P~anning Board Approva~ ......................
Request for Temporary Certificate ..................... Final Certificate X
Fee Submitted $ .............................
Construction on above described building and permit ~ets all applicable/~x)a/~d~ regulations.
Applicant ....... -.. '.'~,,~'¢'~ ..... ~ .................
,.~. ,o-,o.,e ,
FOH. M I~0. 3
TOWN OF SOUTHOLD
BUILDING DEPAi~TMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
pLFA$~: TAKE ~OTICE that your application deted .......... ~ ...... ~. ............................. ,
Map . ~,.W...~.d ~ ...... Block ...... ~Z ................................ Lot ....... ~.4 ................................... is
....... , ,.. ~..~ .......................
, ....... ~ ..... d~sapproved on the follow;nB grounds
. . . . . . .. z. . . . . .= . ............
~~.(f.....~.~_~...: .................. . ................................... / ........ . ...........................
TOWN OF SOUTHOLD
TOWN HALL, SOUTHOLD, lq'. Y. 11971
Memorandum from ....
BUILDING INSPECTOR'S OFFICE
TOWN 01~ $OUTHOLD
TOWN HALL, SOUTHOLD, N. Y. 11971
765-1802
~OD ~ I-I FP~AI¢~F---
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECWOR
TOWN HALL
SOUTHOLD, N. Y. 11971
TEL, 765-1802
February 14, 1980
Mr. George Ahlers
George Ahlers Builder Inc.
250 Cox Lane
Cutchogue, New York
Re:
Building Permit 10327Z
John McGuire
Orient~ New york
Dear George:
This is in answer to your inquiry regarding occupance of'
dwelling constructed under this permit.
Occupancy and use of structure without a Certificate of
Occupancy is a violation of Zoning Ordinance, Chapter 100~
Town of Southold, N.Y. Anyone convicted of an offense of
this statute is subject to the penalties provided therein.
I am enclosing copies of the sections of ordinance dealing
with Certificates of Occupancy and penalties for offenses
fo~our informa~n.
Building & Housing Inspector
encl.
EFH/mw
FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y, 11971
TEL.: 765-1803
Approved .~? ~.. ~.'~. 19 ~/~ Permit No. ~)'~' ~
Disapproved a/c .~/.'.~.:..~., .~.~.o.~./.Q~..~.., .~/~.'. , ,;~.,. ........
Application No.../~. ~.~.'ff..~. ......
APPLICATION FOR BUILDING PERMIT
Date July, 18 197..9.
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 scal~. Fee according to schedule. ~
b. Plot plan showing locatidn 6f lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 ~vl~atever 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 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.
George Ahlers Builder Inc.
(Signature of applicant, or name, if a corporation)
250 Cox Lane Cutchogue
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
John McGuire
Name of owner of premises .........................................................................
(as on the tax roll or latest deed)
If applican~is a corporation, sigr~tCtce of duly authorized officer.
.... ....
(Name')nd title of corporate offi~,ffr)
Builder's License mo ............ .3.1. ........... ~w/ ~ ~/ ?--~3}9-fit
Plumber's License No. 1702-p
Bartra
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
....... :7.' ................................................
House Number Street Hamlet
County Tax Map No. 1000 Section 015 Block I Lot.. 1
Subdivision...G.r.e..e.n..A.?.r.e.s..a..~..0.r.i..e.n.t. .........Filed Map No...3.5.~.0 ....... Lot..1..7 ..........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy none- vacant land
one family dwelling
b. Intended use and occupancy ....................................... ~ ......... ~ ...................
3. Nature of work (check which applicable): New Building .... X. ..... Addition .......... Alteration .........
. Repair .............. Remloval .............. Demolition ...., .......... Other Work ..............
¢. .o. ff~ (Description)
4. Estimated Cost $68,000 i . Fee
~ (to be paid on filing this application)
, · . , · .o.n.o. f dw '
5~. ~f dw~ilmg, number of dwelhng umts ........... Number o elhng umts on eec ocr ................
. ~ . , ~ , one
~i garage numoer oi cars .... i ....................................................................
6. if bus!ness, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if any Front ............... Rear .............. Depth ...............
Height ............... Nur~ber of Stories ......................... . ..............................
: Dimensions of same structure With alterations or additions: Front ................. Rear ..................
Depth ................... I' ' ' Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front 823 g~r 82'1 De~th /46'1
.Height .. 20'1 .......... Number of Stones ....'1.~ ..................................................
~ ~. . . .~.'1.0. ..... i ............ Rear.. ,1..0.9...6..0 ............. Depth .... ¢.5.3.
. Size of lot: Front .......
10. Date of Purchase .......... i ................... Name of Former Owner ................. i ...........
1 [. Zone or use 0istrict in which pKemises are situated ..... .A ...............................................
12. Does proposed 6onstruction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ........ i .................... Will exces.s fill be removed from premises: Ye~X No
x~ .... e~ ..... e .... ~o John McGuire AH~r~ss M~ller Place PhoneNo 928-3660
: Nme of Architect ?i'....r?.~g...~.z.r{... 9. ~ ...... Address . :..~.~. .... c.g..u ......Phone No.~.~.. 7.'1. .? .......
Name of Contractor ~eor~e i. Ah:Lers. Bullclarc. Alklee~s 2.Saoox. lane ...... Phone No. 7.3L+,-.50,10 ......
, ! Cu~chogue N.Y.
PLOT DIAGRAM
~ l~ocate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
ptop!;rty lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or 'corner lot.
See attached survey
STATE OF NEW t¥O~K,
9F s.s
· ! · .i. · · .O,e.o.r.g.e...A~...~?.s.... '..: ..................... being duly sworn, deposes and says that he is the applicant
~ I (Name of individual sig~ing contract)
abov? named·
' Contractor
He is the ..................... ~ ....................................................................
(Contractor, agen'~, c'orpofate officer, etc.)
of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this
application; that all statements coniained in this application are true to the best of his knowledge and belief; and that the
w0rk[will be performed in the manner set forth in the application filed therewith.
Sworn to b'efore me this '
N°tary Public .......... j~.~...~.:... County Cf),
(Signature of applicant).