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Home My WebLink About6691-ZFORM NO. i TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Elerk's Of[ice Southold, N. Y. Certificate Of Occupancy No.~9.6.2 ....... Date ............ April. ..... .$ ..., 19..96 THIS CERTIFIES that the building located at . .N/S. ~ater.v. iew. Drive .... Street Map No..~x ........ Block No...XX ..... Lot No. xx~.. S. outko, ld.. ~.~.. .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. Jnne. 2.~, 19.73. pursuant to which Building Permit No...66.9.lZ dated ........ J. une. 26 ...... , 19. ?3, 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 one famil~ dwel~.lng with addition The certificate is issued to . .~.{.a.ry.. ~i..Qe.$.of.~. ...... ~..m..e.r ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .~! :,R. ~ .............................. UNDERWRITERS CERTIFICATE No..N27~02~ .... ~ar..¢0...1.976 ................. HOUSE NUMBER ....... ~.q?~... Street .... ',~iater. vie~. ;]rl.v.e ... ~.outkc~ld ....... l~ .... .... ........... ~B uildin!Inspeettr FOB, M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP. EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6691 Z Permission is hereby granted to: ..... J~&l,.. ~:au, a~..~.....~.~ ..Lou~.s ..& .~eF/ ~teff to ..b~.9~k~ .. ~L.~Lt,;Lga..~ ..earl ~.t,.L~g.. ~e.kL~& ............................................................... at premises located at ..~Le/~mh~,..a:£..~.~..~&te~'.~Lel/..~)r.~L¥& ................................................. ........................................... ..s..o.~.:.~..o.L~ ....... ~.,.~.:. ................................................................................ pursuant to application dated ........................... el:~ ....... ~ ........ 19.~..., and approved by the Building Inspector. Fee :~.~,?., ,('~,,, ............. ( ,, BuJldihg~l~spec~fr FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date "~~/7 ...... ~ ..... TO ...~.~4 '"~"" n! f r ........... (own~u~horized ~~ PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ....... ~.~ ...... Other Applicable Lows, Ordinances ~' Regulations ............... ~ ............................ at premises hereinafter described in / (state character of violation) . . , f in violation of ....~~.~/...~...,.~....~.,.~.........~...- ................... .~.,...~',. ....................... .~......~,., .... (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comp~,v,I with the Iow and tO remedy the conditions above mentioned forthwith on or before the ..... ~,_,~~.~.~.~... .................... The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ~/'~,,~..~.....~:.~.:~...7.~...~~ ...... Co,~t~y ~ Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of Iow may constitute an offense punishable by fine or imprisonment or both. FORM NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD~ N. Y. ORDER TO REMEDY VIOLATION To .......... (owner or/authorized agent (address of owner or authorixed o~ent o{ owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ................. Other Applicable Laws, Ordinances or Regulations .. .......................................... at premises hereinafter described in --~/: -(state character of violation) ......................... in violation of ....~..Z~.~.~..~Z ...................... Z ............................................... (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 ..... ~.~.~Tf~/~: '/~- ...................... 10.7.~/. The premises to which this ORDER 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 THE NEW YORK BOARD OF FIRE UNDERWRITERS dm BUREAU OF ELECTRICITY I BB JOHN STREET. NEW YORK. NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as de,cribed below and introduced by the ~p~licant named on the above ap~lica~on~number in the premi,e, of Louis Oetoff, Watervlew Drive n/bBayview, Southol , . . in the/o.owi,,g lo..tion; ~] aase,.e,,t ~ ~., r~. ~ ~.d rt. outsi~e s~,.tion BZo¢k ,..~ ~.mined on Mar ch 8, 19 7 6 a.d yo,,.d to be in compliae, ce tuith the re~luiremenls o/this Board. fiXTURE ~ECEPTACLESj SW~TCHES FIXTURES .,~ RANGES COOKING DECKS OVENS DISH WASHERS TR N SYS MS SERVICE DISCONNECT..,.I NO. OF - , S, ,.: · E . . . TY E , ~'2W I,~3W 3~3W3 ~,IW NO O~E~CC~EOND. OTHER APPARATUS: Elec. room heater/s: 1-2.0kw, 2-l.5kw, Panelboard/s: 1-16cir.125amp EXHAUST FANS DIMMERS R V I C E . 1-1.0kw, 1-.75kw Main Rd. Southold, L.I. 11971 LIC# E137 ~ENE~L m~N~GER FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .....~....?'.~...,.~....~.. ....... , 19..'~...,~... Approved .... ..... ....... ........... , Perm,t ...... Disapproved a/c ............................................................................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...... ~..:....5...~ ............................ ,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 o~ 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 commeaced 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 pa rt 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 buildings for necessary inspections. (Signature of applicant, or name, if a corporation) /'1 -7'~ ~,~'¢ v'£$ ........ ~.:.~.~.~..~..~.~...,?....,...j...v-..:....,(.. .................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... _]2._. ~..f...,..~..~.~. ~.....-:.....~. ~:.:.~.~..~..~. .......................................................................................................................... Nome of owner of premises ...,/,,~,.~.,~,.,,¥',. ......... ~,.?,.: ....... .,~.,..~,.,,~..~...~,.,.~, ........................................................................................ applicant is ;,,~/~rporote, signature of duly authorized officer. ................... .......... / (Nome and title of corp.~ote of/~r' Builder's License No. Plumber's License No. ~' ~ ! 'ID Electrician's License No ....... ./...O...../...~._.......-/~.. ............... Other Trade's License No ............................................... q Location of land on which proposed work will be done. Mcp No.: ........................................ Lot No ......................... Street and Number .ff.~:,.f../~.?. ........ .~..~7.~.~...v..!.~....~(......~...~: ............................................................ .5'.'.~.,u,~.~.t'.~.~..~. ........... Municipality State existing use and occupancy of premises and in.~ended use and occupancy of proposed construction: a, Exisiting use and occupancy ..... ~..~.?..,/~.~....~'...C....~. ............................................................................................ ~'~'-.g-.ff b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building .................. Addition .....~...' ......... Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................................... (Description) 4. Estimated Cost .... /..~.~..~..:....~... ............. Fee ........................................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ' /. ..... Number of dwell ng 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 ...... .5...~..~....~...~. ......... Depth ...-~.5~'.i ......... Height .~ ..................... Number of Stories ...... ~ ............................................. ;..-.;; ................................. ;..~:.;; ......... Dimensions of same structure with alterations or additions; Front ......... ~.~.....?. ................ Rear ..']..¢.....~. ............ Depth ~"~ r Height .......~...?. ................ Number of Stories 8. Dimensions of entire new construction: Front .......... .~..~...~. ................. Rear .....~.....~...~. ............. Depth ..-;,~..~...'. ............. Height .....~.,/...~. ........ Number of Stories / ............ 9. Size of lot: Front ...~./~...~.,.~..~...)(.....,~,.......~...c...~....~...$. .... Rear .......................................... Depth ............................... 10. Date of Purchase ....'~.. .................................................. Neme of Former Owner ~ .................................................... 1 1. Zone or use district in which premises are situated /~ ..... ~,....~....5...: ..................... 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 14. Name of Owner of premises ~..~...~..~'....,~....:....~....g....¢~.....~.,~ ......... Address ¢/417£zv'i£,¢ ,¢,(, Phone No ~- Name of Architect .~ ........................................................... Address ................................ Phone, No ....................... Name of Contracto~/~..g.......~.~..~...~.~..~. .............................. Address ~.V.C'.g,~'£~..~ ./,.~.-Phone No.~/?..~..?...¢..Z,...7. 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 and indicate whether interior or corner lot. 7 ~.~:~£ ....................... ....................... du y s arn, deposes and *e s that h* the (No'~r~ of P'ndividuol sigh'lng contract) above named. 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 fiie this application; that oil statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............... ........... Notary Publi~~f~,~ounty ..... No 52-0344963 Suffolk Count~/~ Commission Expires March 300 19 a. This application must be completely filled in by typewriter o¢ in ink and submitted in tr p cate 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 ox~ 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 port 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 ZoJ~e Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Oral,lances 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 applicant, or name, jfa corporation) ........ ...................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... .......' Name of owner of premises ......... ...~......~....~.....~........~...:......~.....E'....r...~...~....~'.. ................................................................................. if applicant is 9, corporate, signature of duly authorized officer. .............. .......... Builder's Lic~se No ........ J ............... ./ ............................ Plumber's License No .............. .~....~../.....,..'~,, ............... Electrician's Licer[se No. 10 I~ ~ Other Trade's License No ................. ;..~ .......................... 1. Location of land on which proposed.work w be done Map No.: ........................................ Lot No. Street and Number ~'. ~.: ..5:../~...~...../~'..~.~E:~, .~../.~. ~ ..... ~..~.: ................................ ~..~...~....~...~'.d .~. ~ I · ...... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use and occupancy .......... ~.~..~.l~..~..~...~......~. .......... .~ .......... ;,. ........................................................... ,, b. Intended use and occupancy ........................................................................................................ 3. Nature of work (check, which applicable): New Building .................. ;e~lclition .... ..~...,....~. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work .................................................. J'Z ~-~ '~'~ - '~' ...~ (Description) 4. Estimated Cost ...... /....I. ............................................... I-ee .-..l...'...- ; ................................... : ................................. - (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ ./. .............. Nbmber of dwelling units on,ach-floor ........ ~ ................... If garage, number of cars ............................................................................................................................................ 6. If business, commercial or mixed o~cupancy, specify nature and exten~ of'each t~e of ~se ............................ 7, Dimensions of existing structures, if any: Front Height '~ ~ / Number of Stories Dimensions of some structure with aJ~terations or additions: Front ~ ~/ · }/~ ' Rea; -~ ~/ ~.~.. Depth O'"' 3 · Height ............ ..~....~. .......................................... Number o! Stories ...... ~ ...................... · / ., , / ~ /; .. 8. Dimenslons of ~tire new construction: Front .'.......~¢...~.. ..................... Recr ......~......~'.. .............. Depth .....~T...~...;'. ......... ..... Numbe ' of Stor,es ...... ./ ...... 9. Size of loft Front .~...~./~.~..~..;.~....~....../~..,,~..,~...~...~ ........ Rear ......................................... ;~Depth .............. ................... 10. Date of Purchase .......... ~ .......................................... Nome of Former Owner ..... ..-m ........ ' .................... .. ................... 1 i. Zone or use district ih which premises ore situated ..~.~. ....... .~....~.. $..'. ...................................................... ~. ............... ' 1-2. Does pr?osed construction violate any zoning Iow, ordinance or regulation~ ......... ../~.....~. ....................................... ' [3. Will lot 1~ regrade~ ......~'...~.. ................. Will excess fL be removed from pram sas ( ) Yes ( ~'3 No" "]4. Nameof~)wnerofpremses /~.~1.~ ~..~..: Address .............- ....... Ph $ Name Architect .~......~.. ................................................ ^dd~ess '.. ; .......... :,~.~ ...... ;Phone No ...... Name ' .. ~omrec~o~/.. .......................................................... Address/~ J~.~'~..~'~.~ .Z~..'..~ ._Phone' No ..... PLOT DIAGRAM ~rly and ~listinctly:all I~ildings, whether existing or proposed, end indicate all set4x~:k dimensions from Give street and block number or description according to deed. and show street hames and indicate · or corner lot. locate cb property lines. whether interic 5T^TE OF NEWf~!~,~/~ ~'SS .... (Nah~/af indiw'cluaf si~ning c~trac~ ,ve name. He is the ................................. ...~ .............. ~ .................................................................................................... (Contractor, agent, co~orate officer, etc.) of ~id~r ~r ~ners, and is duly authorized to perform or have petf0~med the said work ~d to ~ke enid file · Js appli~tior; that a statements contained ,in t~3s application are true to the oest of h~s knowled~ and belief~ and ~t t~ work.~ .... ' ...... -" ' d] ~ ~rformed~the ~nner set fo~h m the a~hcahon fded therewith. . Sworn to ~fo~ me this C ~ ~ -- ', ............. ........... JUDITH T, BOKEN Notary Public· Stale of New York No. 52-0344963 Suffolk County/~/ Commission Expires March 30, 19..,~_0 :ted to the building ~gs, property lines, -disposal(S-9 form). :it,rs. Ln system contains Commercial building, industrial building, multiple residences and s~m4 lar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and ~pre-existing" land uses: ' " 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect sigmed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-ex~ttn~ R,,~l~in~ - $100.00 3. Copy of Ce: 4. Updated Ce~ 5. Temporary Onwer or Owners of Couuty Tax Map No al $15.00, Commercial $15.00 , .... ....... . £ H~let ......................... .O..~Lot Subdivision ......... Pe it ~ Lot · kpplicant .......................... .. - Health Dept Approval Underwriters Approval .......... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Cer~....~..... Fee Submitted: $...~.....? ................. APPLICANT ,,% Y AP~.~ AS NOTED FEE:_I ~'~,~ BY_ NOTIFY BUILDING DEPARTMENT AT 765-2660 9AM TO 4PM FO& REQUIR- ED INSPECTIONS: 1. BEFORE BACKFILLING FOUND^, TION OK START F1KAMING 2. BEFORE COYERING PIPELINE 3, FINAL WHEN JOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR CON- 5TRUCTION ERRORS ti '%¸ Y /(/Fc/z'z:",'Y" /.}DD/r"tl¢/)/ ~a .~Y, $~ s'c4l-~': Y',f ': Z )*, '