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Home My WebLink About15016-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14587 Date July 2 ................................................. , 19 86 THIS CERTIFIES that the buildiitg Alteration ...7.4. 7.5...G..r?.a.t...P.e.c.o.n..i.c. Bay Blvd. Laurel Location of Property House No. Street Hamlet County Tax Map No. 1000 Section 126 .Block 10 ..... Lot Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .J.u,n.e,, ,1,8 .......... 19.8 ,6. pursuant to which Building Permit No. 15 0 1 6 Z dated ...J. gB.e..2..4 ................. 19..8,6, 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 ......... .... mn .~.].:~.e.r.~.!:ip.n...~.o..a.n., .e.x. is..~.i.n.~, 9.n.c., ~..a.m.i.]:7..d.w..e. ! .l:i.n. c4: ................. The certificate is issued to DOROTHY ROACHE (owner, of the aforesaid building. Suffolk County Department of Health Approval ........ N./..~ .............................. UNDERWRITERS CERTIFICATE NO ................ N./.~ .............................. Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15016 Z Permission is hereby granted to: ....?.~...~..,..~....~.~...~....~..o,...~... ..~.....,,~,~ ............ ~..-..,/. ....................................... ,, ~ _,', ~ .,.,, , th t'"'~ ' I· · ..... ....... ............................................ · .-).~ ~..,.,, ~ ~ ............... ~,t ~r,,,,,,,~ I,~a~e~ at ....':'/...~.~ ...................... ~ ......................................... ~a-n,¥ To× Map No. lO00 Section ..../...~.(., ........ ,,o~,~ ..... I.~ .......... Lot No ....... I...f. .......... pursuant to application dated .... ....~.~.....J,...(~.. .................. , 19..~.,.~/ and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,¢~outhold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions in duplicate A. This application must be filled in typewriter OR ink, and submitted v ,eo zhe Building Inspec- tor with the following; for ~ew 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 suPP[V 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 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 informa- tion required to preoare a certificate. C. Fees: 1, Certificate of occupancy $5,00 2, Certificate of. ,.occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1,00 4.Vacant Land C.O. $5.00 $15.00 Date .J,u,n.e., ~8.....~ 1~),8.6, .......... New Building . ,~: ......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ....... 7.4 7 5..q~,$~..~,$¢p~3;¢. D~,~:. ~;b.V.D., ...... ~A.~.~;]~ .............. Hous~ No. Street Ham/et Owner or Owners of Property . . . ];::}.o.~,Q~7~y..~,Q~.C,~. ........................................ County Tax Map No. 1000 Section . .1.;~ .......... Block ....1.0. ......... kot~..1 .............. Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo 1.5.01.6.Z Date of Permit .6/.24./.8..6 Applicant .............. Health Dept Approval -- Labor Dept Approval Underwriters Approval .:": ............. Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $...5...q O. ~k .~} 0~,9 ............. Construction on above described building and permit meets all applicable codes and re§ulations. Applicant .................................................... Rev. 10-10-78 FIELD INSPECTION 1. ~ ~ FOUNDATION (1 FOUNDATION ( 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL DATE COMMEN~I~ ~t) ADDITIONAL COMMENTS FORM NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds....~?.....~.~C~f~..~...~.. ........ .../.~,.~....~.z.-.~....~c: ..~.~., / ¢~.~.. ~/~. . ~..~..~.7'.././.~ .~/~.~/.~... ~. ,~,~:~...~.~. ..... ~./... ~....../.,..~: .e......~.~.~.... · .~. ,7~~../-/,+~..././~/./.'~../~.~.~ ............................. · Building Inspector RV~O TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 February 3, 1984 TEL. 765-1802 Mrs. Dorothy A. Roache Box 144t Peconic Bay Blvd. Mattituck, NY 11952 Dear Mrs. Roache: On June 14, 1983 your application for a permit to make an alteration to your home was denied because your contractor was not licensed by the Town of Southoldo An application was included with our mailing for a Home Improvement Contractor's License for you to give to your con- tractor. To date we have not heard from you or your contractor. We can not issue a building permit for this alteration unless you contractor is licensed by the Town of Southold. Any work done is therefore in violation of the law and you are subject to pros- ecution. Please contact me without delay regarding this matter. Yo trul Edward F. Hxndermann Building & Housing Inspector EFH:ec FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File "~ ......................... Date..,/,~e,~.. ! ........... 19 PLEASE TAKE NOTICE that your application dated ... ~. ~ 19~ ~o~p~,~to ~o~.. ~. ~~ ~...~ .... ~;: .......... ~ ..... ~&e NO. ~ ~ / Street / Ha ao~,~ ~ ~p ~o. ~o00 s,~t~o~ ... Z~6 ..... ~to~ .. Z~ ........ Lot . .~C~ ........ Subdivision .... :...~ ........ Filed Map No ................. Lot No .................. Building Inspector RV 1/80 FORM NO. 5 ~ ~ "~.* TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner o~ authorized agent of owner) ;¢~.~....,4..~..~... ............. r .. (address of owner or authorized agenfof ownler) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ~' ............................................ Other Applicable Laws, Ordinances'or Regulations .... ~.f.Tz~./-~.....~.(~. .............. -' at premises hereinafter described in tha /.~-~...~,../~,~.~.~../-~,~....~/.,¢~.....~<~..~--~ (state character of violati,c(n) ~.......c~....~ ..z. ~~......~.~.-7.:.c...~...z~....7~,,.7,~......../.~..cz:~.......~.~ ....................................... ....... ...................................................... 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 ......... ~...~..~.~.....~.. ........................... -day of ................... -'~ ....... ~ ...................... , 19 ........ The premises to,which this ORDER TO REMEDY VIOLATION refers are situated at 7'~'..f/~...~..~...~:~x:2~..~¢...~..~..~...~...~...~.7.~.,.~..County 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. uilding Inspector FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined...~..gd-~L-%.....~-){ ....19g. ~. Approved ...~fgd<~..~. q...., 19 ~..b. Permit No. )..~.~.O./.~..~... Disapproved a/c ..................................... Application No .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS uat ,~d-¢¢-~. . a. This application must be completely filled in by typewriter or in ink and submitted 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 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 issued 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 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 building for necessary insl~,ctions. .... c/&.. .............. (Signature of ,6a/pplicant, or name, if a corporation) · ' ' (Mailing add0tss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name altd title of corporate officer) ~ Builder's License No. Plumber's License No ......................... Electrician's License No. L-~- c~ ~0 ,~ Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .......... 7 '~' '7' '~' ' ' '~'~-"'F'~z2' / ~ ' ' ~9~' ~i Hamlet ..................... House Number County Tax Map No. 1000 Section .../.~..Q9 .......... Block ...... .[ .C~. ......... Lot .... (0 .[..[ ........... Subdivision .......... .~ .......................... Filed Map No.....x'[ ..... ..... Lot ...~. ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ;-,wq~ ...................................................... b. Intended use and occupancy ..... ~.....~.-.?..~..: ~?.t_~,<(,4..~.~t ............................. Nature of work (check which applicable): New Building .......... Addition .......... Alteration' .. ~ ..... Repair .............. Removal ............. Estimated Cost X ~...~ ~.~ ~ f~. O.. If dwelling, number of dwelling iunits ............ If garage, number of cars .... J ................ Demolition, Other Work ' ?~ ~.~.~ (Description) ....... Fee ...... (to be paid on filing this application) ·. Number of dwelling units on each floor ................ 6. If business, commereial 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 wlth alterations or additions: Front ................. Rear .................. Depth ................... i ·. Height ...................... Number of Stories ...................... 8. Dimensions of entire new constrUction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9, Sizeoflot: Front .......... i ........... Rear ...................... Depth ...................... 10. Date of Purchase .......... i .................. Name of Former Owner ............................. 11. Zone Or use district in which pr~mises are situated ..................................................... 12. Does proposed construction vio!ate any zoning law, ordinance or regulafion: ................................ 13. Will lot be regraded ........ i ................... Will excess fib be removed from premises: Yes No 14. Name of Owner of premises .. i ................. Address ................... Phone No.~.~.~r .~./~ ~.... Name of Architect ......... ~ ................. Address ................... Phone No ................ Name 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 blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEq~RI~., c9 ¥ · (~.~. 7 .~.~ ·..~J. · ~ ........ being duly sworn, deposes and says is the applicant .(Na~e of indlvidual'si~ning contract) above named, j ~e is the ......... ~---~(C~t~;~;a't~ 'o'f~i~ 'e't~., ') ............................ 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 cont,ained in this application are true to the best of-tifis~knowledge and belief; and that the work will be performed in the manne'r set forth in the application filed therewith· Sworn to before me this Notary~ubli, c, . ....... ~. ....... .~~. County ............ ~o~~t?7~}~ ~,~, // (S~gnature of apphcant) ;OT!~¥ Hc/ILDING OEPASrMENT , ~UGh ~RAMiNG b ~ ?;~A~. CONSTRUCTI~ MUST ~, CONSTRUCT~N ~M~ ;'~TE ~ONSTRUC~ON & ~GY :;OOES, NOT ~S~E ~fl