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Home My WebLink About3636-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18688 Date JANUARY 3, 1990 THIS CERTIFIES that the buildinQ Location of Property 250 ANGLERS ROAD House No. County Tax Map No. 1000 Section 36 Subdivision ADDITION & ALTERATION GREENPORTr NEW YORK Street Hamlet Block 2 Lot 20.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 22r 1967 pursuant to which Building Permit No. 3636-Z dated SEPTEMBER 25, 1967 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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED HERBERT & LOUISE MACOMBER N/A H-01ll?3 - AUGUST 16, 1989 N/a ~6ilding Inspector Rev. 1/81 FORM NO. ~ TOWN OF $OOTNOL~ BUILDING DEPARTMENT TOWN' GLERK'S OFFI¢E SOUTHOLD, N* Y. · BUILDING PERMIT / · (THIS PERMIT MU~T BE KEPT ON THE PREMISES UNTIL FULL COMP'LET ON OF THE WORK AUTHORIZED)' N? 3636 Z D~e :: .................... a~;~.....~tL. ,~.e~'.. Permission is hereby granted to: .~ .......... ,..~....~e~Lao~ ....................... . . ............ ,~~.,..,~,~,~ .......................... et premiseS'lOcated at .~./..~. ~'~.~.?.?{~ ' . ' . ~ , . ........................................ .~.~g.~.~.~ ........ ~...~.~ ................................................................ . .............. pursuon¢ to application dated ..~ ............... :.,,~ ...... ~ ................ , 19.(~7..., and approved by the Building Inspec. tor. £ee ~.;;.O..O.. ............... - TOWN OF SOUTHOLD BDILDIRG DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - ]802 1197 AFPLICATIO~ FOR CERTIFICATE OF OCCUPANCY Couuty Tax Hap No. Subdivision ....................... Permi~ No. 3636-Z DATE..JPP:.~/ 1990 NEW CONSTRUCTION ....... OLD OK PRE-EIISTINC BUILDING ...... VACANT LAND ........ Location of Property .... ~ ANGLERS RD~ GREENPORT, N.Y. . HOUSE NO. STREET HAMLET Property ..... HERBERT ~ LOUISE MACOMBER . lO00 Section 3~ Block .. 2 20.1 Filed Hap ........ Lot .......... 9/25/ .......... Date of Permit .... 1967 HERBERT MACOMBER ...... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate .. Final Fee Submitted: $ ...... ~5.00 Certificate APPLICAN / rev' 10/14/88 FO~ NC). 6 TOWN OF SOU~IIOLD BUILDING DEFARTMENT TO~ I~LL 765- ~02 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS Thi~ application must be filed in typewriter OR ink and submitted tn the Building Insl~cctor with the following; for new buildings or new use: ]. Final survey of property with accurate location ef all buildings, property lines, streets, amd unusual natural or topographic features. 2. Final apprnval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board nf Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less' ~han 2/]0 of IZ lead. 5. Commercial buildings, industrial buildings, multiple residences and similar· buildings and installations, a certificate of code compliance from the Architect ~r Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For' existing buildings (Prior to April 9, 19570 non-conforming uses, or buildings andl "pre-existing" land uses: ]. ~ccurate survey of property showing all property lines, streets, buildings amd ~nusual natural or topographic features. 2. ~ properly completed application, a consent to inspect signed by the applicant ~nd a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. .iIfa Certificate of Occupancy is denied, the Building Inspector shall state the ~reasons therefor in writing to the applicant. 3..Date of any housing code or safety inspection of buildings er premises, or other ipertinent information required to prepare a certificate. Fo~ Vacant Laud'Certificate of Occupancy: ]. !An application for vacant land Certificate of Occupancy shall be submitted, land a certified abstract of title issued by a title company showing single and !separate owmershlp of ,the entire lbt prier to April 9, ]957 shall also accompany ithe application. If a Certificate of Occupancy is denied, the Building Inspector Ishall state the reasons therefor in writing to the applicant. 2. !3. 14. !5. '6o 10 CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. Certificate of Occupancy on pre-existing dwelling - $100.00. Copy of Certificate of Occupancy - $5.00 - over 5 years - $I0.00 Vacant Land Certificate of Occupancy - $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy -$]5.00 Residential Commercial THE NEW YORK BOARD OF FIRE UNDERWRITERS 80].3454 BUREAU OF ELECTRICITY T~ 85 JOHN STREET~ NEW YORK, NEW YORK tOO38 Dat~ AUGUST 16,1989 ~4ppllcatio. No. onfile 64061189/89 H 011173 THIS CE~IFIES THAT ~y t~ e~t~ ~uipment ~ ~e~ ~ a~ i.t~ by t~ ~t ~ on t~ a~ ~t~ numar in t~ p~m~ of HERBERT HACO~B~, 2~0 ANti,ERS RO~D, GRE~PORT, ~exami~don ~U~U~T 0~, ]~ andfoundtobelncompl~uncewilhtherequi~mentsofthls~rd* RXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APF~JANCE F~EDIRS TIME CLOCKS DIMMERS $1!RVIC~ DI$CONNL~CT S E R V I C NO. OF CC. COND. A.W.G* NO. OF Hi-LEG A.W.G. b~O. Of blEUTRAL$ A,W.G. *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. HERBERT-LOUISE MACOMBER 250 ANGLERS ROAD GREENPORT, NY, 11944 This certificate must not be altered in any monnor; return to the office of the Board if incorrect. Inspectors may be identified by Per_ credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. NO. I I~:)WN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ........... Approved ........................................ , 19 ........ Permit No ........................... Disapproved~.....~,,, ~ .... Application No. ~ ~ ~ (~ (Building Inspect,or) APPLICATION FOR BUILDING PERMIT Date ...,.~-~.~..~..~.. ................................. , 19.~....:..~..., INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 port 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 shell 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 Ordinnnce 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, ordina]3ces, building co(~ and regulations. ............................. · ' (Signature"of applicant, or name, if a corporation) .... .................... ./. .... ............ ............... - (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. z. .............................................................................................................. :. ............................................... Name of owner of premises ..... ~..~-~.~'.~.~-.,~.~..~.......~,','~....~..~../~.~.~..~2.;~.,,~.~/.~. .......................................................................... If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) 1. Locotlon of land on which proposed work will be done. A4ap No.: ........................................Lot No.: Z'....~'....~./....~... ...... Street and Number ,...~,~..~...~.~;..~..~..../.~(v...~...~.. .................................................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ ../~...~.:.'.?.~ ............................................................................................................. b. Intended use and occupancy ..... ../~..~£.~....~...~. ...... '.~.~..~.~.~. ................................................................................... 3. Nature of work (check which applicable): New Building .................. Addition~.~..r.r.~.... Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ...... 4. Est,mated Cost .....v~.~..~....~..~ ...................................... Fee ...... .~..4~....~.-~.~.. .................................................. (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 ..../4'..I./.~'.'. ...... Number of Stories ...... /. ........... Dimensions of same structure with olterations or additions: Front .....~..~ ...........................Rear ¢/ Depth ......~.~ .................... Height .....~. ..................... Number of Stories ..........! ..................... 8. Dimensions of entire new construction: Front ..../.~...~ ....................... Rear .d.~. ..................... Depth ..... /..:.~.. ............ Height ...:7...~ ......... Number of Stories / 9. Size of lot: Front ........ .~..~).~ ............. Rear ........ ~'~;.~..'. ................... Depth .....~...~...~....~. .............. 10. Date of Purchase ........ /.../....5...~ ................................... Nome of Former Owner ~.~..£..~...~.~...~.....~..?....~.., ,'~ ....... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ....... .,~...~. ............................. 13. Name of Owner of premises .~E~.~.~.~.^~.~.~..~.~...~.~..e.~ddress ..~..~..~.~,...~....~.~...~.~...~--J Phone No. ~.~..~..~/.?..~.~.. 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 block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE'~YOI:~, .~/" ~ S S ' COUN~ OF ~.~'~' / ................. ;'~'~ ...... om, fl~ Ond s~V, t~ h~ i~ th~ opplic~nt [ ot nm~ouol ~mn~ opphc~tion) obovo nomad. He is the ~ .... - ........ (Contractor, a~ent, co~orot* officer, etc.) o{ soid owner or owners, ~nd i~ duly ~uthori~od to porform or how per{orm~d the ~oid work ~nd to mk~ ~d file this opplioetion~ thor ~11 stot~m~nts eontoin~d in this opplioetion oro truo to tho be~t o{ hi~ knowl~d~ ond belief; ond that tho work will b~ performed in th* m~nnor ~t {o~h in th~ opplication fil~d th~rewlth. Sworn to b~{ore m~ thi~ ............. o, ............. ~ot~ ~ublic, . ........................................................... Coun~ {Si~noture o{ applloent)