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Home My WebLink About3007-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14290 Date March 20 198..6. THIS CERTIFIES that the building ..... .A.d.d.i..t .i9.n. ................................. Location of Property 510 Flint St. Greenport House No. Street Hamlet County Tax Map No. 1000 Section ?..4.8 ........ Block 02 .Lot 020 Subdivision....G.r.n~.~. :..D.r. Jry.i.n.q .?.a.r.k. ..... Filed Map No..3..6.9 .... Lot No. ?/.O., .5.7fi. 5..8.. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..M..a.r..c.13 ..... 2 ........ 19.6..6pursuant to which Building Permit No....3.0.0..7.Z ............. dated .... .~.a..r.c.h.... 2 ............. 19.6.6., 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 ......... -.r777. B..e.d.r. qo..m Ad.d..i.ti. qn..t.o. ~..x.is.~..i.ng. Dwelling ..... The certificate is issued to ......... MORRIS, DAYSMAN ............ ...................... of the aforesaid building. Suffolk County Department of Health Approval N/R UNDERWRITERS CERTIFICATE NO. N/R * Permit was originally Wheeler. Building Inspector Rev. 1/81 FO1~,M NO. ~ TOWN 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) N? 3007 Z Date ....................... :~e.~ ~ ~ ....... ~ ............... , 19...~ Permission is hereby granted to: Bbilding inspector'; , · ,, ]q~thea~ ~...C~ns.t~.. C ~>~.~ ... · ~(C .,C~har, les Wheeler ....... '~81..... ~,u~".,f:. (~.l.k...Ave .................................. · .......... 3]~.e~,~o~ .............................................. ' to ,.bui.l~.,~n...ad~i~icm,.~n...ar~..e~g..~'~k-t~ ........................................................ at premises located at "~~U ........ """*: ................................................................... :':'"'_ ...... ...................................... ~.....Gr.e~np;cir.~,.....~.,.Y.....:...,.....~ ................................ ..... :'"'; .......... ~""~ ................. :': .......... '"'"'"~'~"~": :'~'~"~ ........ ~ ............ ::'~'~ ...................... ~'""i .................. ',~*'~'" 19..(~; and'aPProved by the Building Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ia----m" 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-iS-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. 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 prepare a certificate. 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 5. Updated C.O. $15.00 $15.00 Date . ~'.~C~ .~ .~ ,.\.at..~.~. ....... New Building . ...~ ......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~t*O. I~..~$.~..~. ~ .~.~.~'~.~... House No. Stree~ -- Hamlet Owner or Ownors of ~roporW .... ' .......................... County Tax Map No, 1000 Section q Z Block ~ Lot ..... ~. Subdiv[sfon ~~ ~ ............. Filed Map No..~ ~...Lot No~. ~9~ Permit No.~. 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 ~s~gulations, Applicant . .~-~..~~....~'J'-~:~.....~...'~--_T..:...~ .... Rev, 10-10-7a FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .......... ~.0.~..~....: .~.,. ...... , Approved ........................................ , 19 ........ Permit No~ Disapproved a/c .............................. ii .................................. Application No...~....¢~...~...~. ............ --(Building Inspector)~ APPLICATION FOR BUILDING PERMIT Da,e ............ .......................... ,, INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot pl?n showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giwng a detailed description of la.your of property 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 progress of 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 and regulations. . ...... (Signature of applicant, or name, if a corporati~n) State, whether applicant is owner, lessee, agent, architect, engi'neer, general contractor, elegtrician, plumber or builder. Nome of owner of premises ...... C~.~./~. ........./~..~...~..~..Z~.. .............................................................................................. If applicant~2 ~......~,.is ~ corporate signature.~~..~~of duly a.~horize< officer. .......... / (Name and title of corporate officer) ~ Location of lan~on~hich pr~sed~grk will be done. Map No.: ....................... ' ................. Lot No.: ........................ ' Street and Numper ......................................... ~.~......~ ................... ~. ........................................................................ 'Munici~lity 2. State existing use and occupancy of,pr~~ises a~d intended use and occupancy of proposed construction: a Existing use and occupancy ...... ~~.~ .................... t: ........................................................................... b, intended use and occupancy ...................................... ......................................................................................... J NatL~re of work (check which applicable): New Building .................. Addition ...~...~.. .......... Alteration .....b'"; ....... Repqir .................. Removal .................. Demolition .................. Other Work (Describe) . ...~... Estlr rated Cost ..................................................... FeeC~ ~ .......................................................................................... (to be paid on filing this application) If veiling, number of dwelling units ......... I. ............... Number of dwelling units on each floor ............................ If g~ wage, number of cars .......~.: ................................................................................................................... i ............. If ~usiness, commercial or mixed occupancy, spec~ nature and extent of each type of use ............... ] ............. Dimensions of existing structures, if any: Front ...~....f.! ............... Rear ...,~.~... ................... Depth ........... ......... Height ...,~.~.. .............. Number of Stories ............J...~ ............................................................................... ' ............. Dimensions of same structure with alterations or additions: F~ont ......... ?.....~..~ .................. Rear ...... .~....~ ............ Depth ................................ Height ...... ...................... Number of Stories ..... L'~ ..................... Dirn~nsionsL of entire new construction: Front .................................... Rear ............................ Depth .......... ~ ............. Hei~lht .................... Number of Stories ........................................................................................................ ' .............. Sizelof lot: Front ....... ~ ...........~.~Rear ........ /..~..~.. .................. Depth ................................ Dab of Purchase ............../...~.~....~. ............................ Name of Former Owner .......................................... : ............. or use district in which premises are situated ....................................................................................... , ............. proposed construction violate any zoninfl law, ordinance or regulation? ...... ,~ .................... ~ ............ ~ ............. ~e of Architect , ........... ~...~ .................................. .,~ddress .......................................... Phop~ ~o., ...... : ............. PLOT DIAGRAM clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from les. Give street and block number or description according to deed, and show street names andi indicate ~rior or corner lot. 11. Zon 12. Doe~ 13. Nan Na~ Nan L.ocat~ property whether STATE OF NEW YORK, ~ S S COUNTY DF ................................ .................... ~ ............................................................... g duly sworn, deposes and says that he is the ~pplicant Name of individual signing applicqtion) obove no~ed. He is the ....~-~..0.6~...~..~'~.~...~ .......................................................................................................... ' .............. i (Contractor, agent, corporate officer, etc.)i of said o~ner or owners and is duly authorized to perform or hove performed the said work and to makei and file this application; that all statements contained in this application ore true to the best of his knowledge and b~lief; and that the w~Srk will be performed in the manner set forth in the application filed therewith. Sworn to bj~fore me this ......... '"'"t ....... , .................... Notory Public, .~.~~~ ..... Count~'- ........... i~'~'~'c~'~"i'~'~g~t'i ............. I .............. 0 57..661g~uu ~'" I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~/~, ~ ~ ~ FOUNDATION 2ND [ ~NSULATION /~)/~]~MING [~INAL DATE ~ INSPECTOR ,~/