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Home My WebLink About29177-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29314 Date: 03/17/03 T~tIS CERTIFIES that the building ADDITION Location of Property: 435 049 CALEB'S WAY GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 .1 Block 1 Lot 49 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3, 2003 pursus~nt to which Building Permit No. 29177-Z dated ~LARCH 3, 2003 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 SUNROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. T~e certificate is issued to HENRY T KOHLM3~FN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~J~T~ ~-PPROV~J~ ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£~ Rev. 1/81 N/A PENDING 03/14/03 N/A FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 29177 Z Date MARCH 3, 2003 Permission is hereby granted to: HENRY T KOHLMANN 50 JACKSON RD VALLEY STREAM,NY 11581 for : CONSTRUCTION OF A PATIO ADDITION ON AN EXISTING DECK ADDITION AS APPLIED FOR. THIS PERMIT REPLACES PERMIT #26397Z at premises located at 435 049 CALEB'S WAY GREENPORT County Tax Map No. 473889 Section 040.001 Block 0001 Lot No. 049 pursuant to application dated MARCH 3, 2003 and approved by the Building Inspector to expire on SEPTEMBER 3, 2004. Fee $ 150.00 /~~~~~_ Authorized Signature COPY Rev. 5/8/02 FORM NO. 3 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) PERMIT NO. 26397 Z Date MARCH 15~ 2000 Permission is hereby granted to: LANE HOLDING CORP MOORES PO BOX 1143 CUTCHOGUE~NY 11935 for : CONSTRUCTION OF A PATIO ROOM ADDITION ON AN EXISTING DECK ADDITION AS APPLIED FOR. at premises located at 435 049 CALEB'S WAY GREENPORT County Tax Map No. 473889 Section 040.001 Block 0001 Lot No. 049 pursuant to application dated JANUARY 5~ 2000 and approved by the Building Inspector. Fee $ 75.00 Aut~ized ~nature ORIGINAL 2/19/98 '~' ~-~ B: uIL~ING DEPARTMENT APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plmnber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. 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 consent to inspect signed by the applicant, If a Certificate of Occupancy is denied, the Building h~spector shall state the reasons therefor in writing to the applicant, C. Fees 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commemial $i5.00 Date. 3/3/0,3 New Construction: Location of Property: (check one) House No. Street Owner or Owners of Property: i~1£~)/~/ ~'~j///~*~6/ Suffolk County Tax Map No 1000, Section /'~ ' I Old or Pre-existing Building: Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Block Map. Lot: Filed Applicant: Underwriters Approval: Final Certificate: J (check one) Fee Submitted: $ B U I LD ING_PEI~ME!7 R E VI IzW C t I I.Ctx_ !ASJ Owners Name: O0 re-g : ~ Architect/ Engineer: ~ SCTM It: District: 1,000 Section:/'-~'tT. /Block: / Lot: ~_ Project ~ ~. ~ ~ ~ Subdivision Requked ~ Single & sep~ale cemfication: .(Yes / No} Reviewed: Submitted: Proposed __ I Project Description: AGENCy PERMITS REQUIRED FOR REVIEW N.A. NO Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flbod Zone: YES Permit Number 765-~.802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [[]] :OR~UMNiDNAGTION2ND [[ ] ~i~NALLATION [ ]FIREP~AC~ CHIMNEY REMAR~S~ DATE~// ~-~INSPECT~ 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROUGH PLBG. [ ] FOUN.~A~ON2ND [ ] INSULATION [ ~.~FRAMING [ ] FINAL [ ] FI REPLAC~/&///CH I M NEY J REMARK * INSPECT~~ "765-1802 INSPECTION [ ] FOUNDATIONIST [ ] RO~J~~G. [ ] FOUNDATION 2ND ~SULATION [ ] FRAMING [ ] FINAL [ ] FIREPL~i~E & CHIMNEY ;DATE INSP ,FIELD' INSPECTION I~.PORT DATE C~NTS j~ FOUNDATION (2ND) [NS~TION PER N.Y. I[ STA~ E~R~ CODE FORM NO. ! TOWN OF SOUTHOLU BUILDING DEPARTMENT TOWN HALL SOHTHOLD, N.Y. I]~7] TEL: 76~- 1802 Disapproved ale .................................. (l~ilding Ins~tor ) t BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... NOTIFY: -- -.. [; l ~/ ~ { { CALL . . fl.:. . . . o w HAlL TO: .................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ................ ,20 .... a. This application ,mt be caupletely filled in by typewriter or in ink and sul~itted to th~ Building Inspector w 3 sets of plans, accurate plot phm to ~cale. Fee a~ording to ~chedule. b. Plot plum mbcraing location of lot and of buildings m premises, relatioaship to adjoining premises or public streets or areas, and giving a detailed description of layaut of property ,ant be drmm on the diagram ~nich is part of this application. e. ~rhe ~ork covered by this application my mt be ccr~nced before irmuaoce of Building Permit. d. Upea aPlxoval of this al~licaticm, the Building Imspeetor ~ill iastm a Building Permit to the applicant. S~ch permit ~hall be lmpt on the premises available for inspection thret~hoct the ~ork. e. No building ~hall be occupied or used in ~ole or in pert for any purpose ~natever ontil a Certificate of Occupancy shall ha~ been gra~ted by ~ Building Inspector. APPLICAT[Cl¢ IS ~¥ ~ to the Building l)eparm~t for the ism of a Building Pemit pursuant to the Building Zo~ Ordinaeee of the To~ of So~thold, Suffolk Cg~nty, I¢~ York, and other applicable La~s, Ordinaoces or R~ulatioee, for the cormtruetio~ of buildings, additions or alterations, or for xm,~/al or d~olition, as herein described, llm applicant agrees to cauply with all applicable la~s, ordinm~ees, building code, housing code, and regulations, and to admit mthorized in~l~eetors an premlees and in building for seces~ry inspections. ........... (Signature of applicant, or ~, if a corporation) (Mailing m~ldress of applic~t) applicant ~ lessee, ngent, architect, engineer, geeeral contractor, electrician, plmber or build, State ~ of mr of ~se,../a.~.~..~ ..w~.........~.~./.~.~.....0.~.~,..,. ......................................... (as on the ta~ roll or latest /t~d) ...... ....... Buildera License No ....................... Plt~abera Licease F.o. Eleetricia~s Licease NO. "'-- I. l a.~d ..... ~f. ..................... ..~../eas . .'/.~'- ~.y.. --~e~ ~,o~ ~ Ek~bor Street, ~;~. / .~ e~ B~llet c~ T= ~ NO. ,~0 S~i~ :. ~ ..... mo~ .. ~ ......... tot ...'. ~.M. ....... 2. State exi~tlng use and occupas~ of ptemise~ j~l intemted use and occupancy of proposed ~construction: a. Existxng use and occupancy ............ ~'/f~-}~Z/~../ ............... ~ ,4"; ~.~i'~:*:.~,,.,~t~.~'~,~U ............. ~. ~t~ .~ ~ oc~ .... .4..~.~/: ~ ..... .o..c.~../V....~..'.~...4./..~..:::::~':? ............ 3. P~ture of ~ork (dmck ~aid~ applicable): Ne~ ~ildi~..........~ ~iti~ ..........~ Alteration ~ir ............ ~al ............. l~liti~ ............ Od~r ~ ~. Esti~mt~ ~sr ........................ ~ .............................................. (to ~ ~id ~ rili~ this a~li~ti~) 5. If ~lli~, ~r of ~lli~ ~mlts ......... ~r of ~lling mits ~ e~ ~r ........ ~ ....... 6. I~ ~imss, ~ial or fi~ ~, ~i~ mture ~ atent of e~ ~ of ~ ...................... 7. Dimnsi~s of ~isti~ st=~res, if ~: k~t ................ ~ar ............... ~pth ................. I~i~t ......................... ~r of Stories ......... (. ........... Dim~i~ of ~ st~ ~th alterati~ or ~iti~s: ~t ............... ~ar ............... ~pth .................... ~i~t . ................... ~r o[ Stories ............... / 8. Di,~nsi~ of enti~ ~ ~st~tim: ~t .../~ ....... ~ar .... .(~.~ ..... ~p~ ........ I~i~t ............. ~.'[. ........ ~r of Stories ..................... 9. Si~ of lot: ~t .................... ~ .................... ~pth .................... 10. ~te of h~rdm~ ..................... ~ of Fomr ~r ........................................ II. ~ or ~ district in ~i~ ~i~s am si~t~ .............................................................. 12. ~s ~ mt~tim violate a~ ~i~ 1~, o~i~e or r~latim: ...... ~ ............. ~3. ~iu ~ot ~ ~ ......... ~Q ....... ~iu ~ss tin ~ r~ ~ ~s: ~ ~ I~. ~s of ~r 9f ~s ........................... ~ress .............................. ~ ~ ............... ~ of Arddt~t .................................... ~ress .............................. ~ ~ .............. 15. ls fids p~r~fl~in ~ f~t of a ti~l~tl~? ~ ~ .......... ffi ...~ ..... PLOT DIAGRAH l~cate clearly and distinctly all buildings, Omtlmr existing or proposed, and indicate all set-back dimensions property lines. Give street and block ta~er or description according to deed, and sho~ street ms and indicate u~etl~r interior or corner lot. ~ ................................... I~i~ duly ~m, ~s a~ ~ys ttmt ~ is tt~ a~l.i~t (~ of i~ivial si~ing c~tract) a~ ~, (~tractor, a~nt, co.rate officer, etc.) of ~id ~r or ~rs, a~ is ~ty ~thori~ to ~rfom or h~ ~rfo~ fl~ ~id ~ m~ to ~ ~ ~i/e this a~licati~; that ~H stat~nts c~tai~ in ~is a~lieati~ are t~ to ~e ~st of his ~1~ m~ ~lief~ a~ Lhat the ~ will ~ ~rfo~ in tt~ m~r ~t forth in fl~e a~lieatim fil~ ~. 1 \ \ \ \ \ \ \ \ \ \ \ \ x, -%-- -.'~ ';~ '7 ..-_~ '~lO~ S~Oll~IO~Icl ~i~rlOS SNOS~HS ~t/lOeI