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HomeMy WebLinkAbout6164-zFOB,I~ NO. 4 TOWN OF SOUTHOLD BUILDIN(~ DEPARTMRNT Town Clerk's Office $outhold, BI. Y. Certificate Of Occupancy No. Z.~.~ ...... Date ............ Apr'-.1.. ..... ,19.76. THIS CERTIFIES that the building located at .~,~/~ .F~uhanse.t .&~ ....... Street Map No...~ ...... Block No.. ~ ..... Lot No, .:~....O.r.q .e.nl~.o.r..t...~ :.~.; ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ~.~. ~..¶.~..&...0~..t.. ~., 19 ~.2.. pursuant to which Building Pemit No..~..7.~.Z.. & dated Oet. 9 ."[9¢8 .&. Oct .~., 19.~2., was issued, and conforms to all of ~e r~ '~ents of the applicable pro,ions of the law. The occup~cy for wMch ~s ce~ificate ~ ~sued ~ . .~d~t~..q~.. ~..~9~g~ .&. 0~ee. ~d.~. ~ .~ .~9~ bldg The certificate is issued ~ S~. H~bgF..~. ~ ........ ~ .......... (o~er, lessee or tenet ) of ~e Moresaid buildMg. S~olk Co~ty Dep~tment of He~ Approv~ . ~!B~ .......................... ~.. UBIDERWRITERS CERTIFICATE No..~ ~ ..... ~t../.~.] ~ ...... HOUSE ~ER ... ~0 ...... Strut..~~ .$~ ......................... Building Inspecto~ FORM 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 CQMPLETION OF THE WORK AUTHORIZED) 6164 pursuant to application dated .......................~......~........, 19..'~......,~, and approved by the Building Inspector. FO]BM NO. 6 TOWN OF SOUTHOLD Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR .ink, and submitted in DUPLICATE to the Building inspector 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--(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 installations, 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ....~.....~..o.h......?..8..% ..?..~ ~..~. .......... New Building ...~ .......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. · Location Of Property 1'430 Manhanset Avenue, Greenport,N. Y. 11944 ~ . Sterling Harbor Marina Inc. Owner Or Owners Of rroperty ....................................................................................................................... Subdivisior~,~e,,, .................................. ¥~.?i~.yff~...... Lot/.~,. No ............. Block No ............. House No ............. Perm t ~:-~ ~ 2 Stmrlmn Harbor Sh · No ..................... Date Of Permit1.~/.../.7. ........ Applicant ..... ~ ...... [...~' ........................ .J=12 .3~-.,..~,~...~... 11/29/72 Marina Inc. Health Dept. Approval .... ~..'. .................................... Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Final Certificate .....~i ................................. Fee Submitted $ ~.~0 Construction on above described building and permit meets all applicable codes and regulations. Sworn to before me this ,. 7'/ t t//~; ~",f~ y<~,f ..... ~.7....~... day of ..... ~1~ '' ~ (sta~br sea~ ............... ~ v- ~v~ STIRL SHI PYA flBOR ARINA GREENPORT, LONG ISLAND, NEW (516) GReenport 7-0828 YORK 11944 "' ak THE NEW YORK BOARD OF FIRE UNDERWRITERS?' BUREAU OF ELECTRICITY .; ', '~.~Panelb0ard/s: 1-10cir ? 125amps .', ?~[~g'; "100amps,, =.l~ K ','~ BOA',RD yOR IUILDINGDEPARTMEHT '~ ~ ~ ~,~"~'~'J ~] TOWN QLERK'S OFFICE ~ ~ ~. ~__.~~'"'~'~ ~ SOUTHOLD, N.Y. /3~c,~-~m~ L,.. ~'~i'~' ,~ ^pp,i~t,o, No~ ~.....[..E. ........... ~ Disopprov~ o/c ...~ ..................... ~ ........... ........ ~~ ....... ~../..-L~ ................. (Building Inspector) 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 Iocahon o.f lot and of buddings on premises, relahonsh~p to adjo~mng premises or pubhc streets or areas, and g ving a de'ailed descriphon of layout' 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 throug?out 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. ^PPLICATION IS HEREBY/V~DE 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 olter0tions, or for removal or demolition, as herein described· The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, 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. Name of owner of premises .....~...T.~ ..~..1~/.~......~,.~...~:.. ...... .~.~..)L~.~ ......... !t.~...~.: .............................................................. o~te,~~ duly authorized officer. (Nom~ an4 titl;';~'~+;; officer) / 1. L~ation of land ~ which proposed work will be done. Map No.:'...: .................................... Str~ and Number ........................................................................................................ : .......... ] ........ 2.. ..................... . Munici~li~ 2. State existing use and occupancy of premises and intende~e and ~cu~ncy of pr~ 'corncrib: - ........ ........ ....... ~. ~.t,"~e ~se on~ ~.pa~ ....... ~.~b~ ............. ~ ........................................................... :...] ............. : ....... 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. CLtbeLWork (Describe) ........................................ .... /~ At?O0 ~ . bst'matea ~ost ..-1.~. .......... Fee ...... ~ ........................................... (to be paid on filing this application) 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 egch type of use ............................ 7. D~mens~ons of ex~sting structures, if any Front . .~.~.. .......... Rear .(~ .~.... Depth /. ~,o ........ Height ...... ...~...~...'. ........ Number of Stories .................. .~ .................... ;...'; .................................................................... Dimensions of same structure with alterations or additions: Front ...... ..~....~...~.. ................... Rear ...... .~..~.. ............. Depth ......I.,,~J~..'. ............... Height ....... I..~...~. ............ Number of Stories ......... .~ ..................... 8. Dimensions of entire new construction: Front ...... ~.~.~ ...................... Rear ....... .'~...6....~. .......... Depth ..... /...,~...O...~ ...... Height ...... ~..~..~ ...... Number of Stories ................. I .................................................................................................... 9. Size of lot: Front ............................ Rear .................................... Depth ........................... ; .... ]0. Date of Purchase .......................... : ............................. Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .............. ~ ........................................ f . Ir~ . 13.Name af Owner o prem,ses .................. Phone Nome 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. that the work will be performed in the manner set forth in the amalJcation filed therewith Swomto before me this /x~. ~.~. , ~:> ~' ~,) fi ~ ~l~,~-'-~~oun~ ~ (Signalure of applic, N~ PUBLIC, ~ate ~ New Ye~k ~ ~ NO. 52-0618]00 Suffolk Coun~ ~mmlssion ~p~r~ Ma~ch 30, 19~ STATE OF NDvV YOI~, ! S a ...... '["~~ ...... "-J:-.:.....Z..V.I.~/~/.J/.J~ ............................. being duly sworn, deposes and soys that he s the app cant (Name of II~dividual signinJl 7/pplication) above named. He is Ithe ................. L!...~l~01g.~.~s,-['~.. ......... .o...~C.l~ ....................................................................... (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 file this application; that all statements contained in this application are true to the best of his knowledge and belief; and Approved L, ,.~ 19.! ). Pemit No. Disapproved o/c ........... .~..:.~..._.~~.....~. APPLIGATION FOR BUILDING PERMIT Date ....O~obg.~..$~,4.g;~g ................ , 19 ............ INSTRUCTIONS t~ a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wi 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 ad oining premises or public streets or areas, giving a detailed description of layout of property must be drawn on 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 o 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 bee~ 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, Suffo[l~ County, New York, and other applicable Laws, Ordinances or Regulations, for the construction bf 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. Sti~ng H~bor Sl~p~t~tc~ ........ ................................................. (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~ Name of owner of premises .... ,~r4.~,~J../~J,~/u.U~ut~mz.;..~_,. .................................................................................... If ,~ant isa corl~orate, si~tature of duly authorized officer. .............. ............................. (Namt and titl~f corporate officer) 1. Location of land on which proposed work will be done. Map No.: .................... Lot No .............................................. Street and Number .................... .M..a..n...h~....n~...e~.....A..v.f,,.,.~/Lf, f,[~.Q.~,..~/.,.t/.,...[.J.~.~.~ ....................................... ~ ..................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....$../~.~..~..jL;Ii~y~ ............................................................................................... b. Intended use and occupancy ............................................. [J ................................................................................... 3~ J~ure of work (check which applicable): New Building .......... .Y, .......... Addition ..................... Alteration....; .......... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) ! 4. Estimated Cost ...l~tltL. llll ............... , .............. Fee .A. ............................................................................................. (to be paid on illin§ this application} §. If dwellin[i, number of dwellin[i units ................. Number of dweHin[i unit~ on each floor ......................................... If [iera~, number of cars ............................................................................................................................................ B. If business, commercial or mixed occupancy, .~ecify nature and extent of each wpe of use ..................................... 7. Dimensions of existin[i structures, if any: Front ..~.J~ ......... Rear ....~v~ ........... Depth .~: ....................... I-lei[Iht ...~0~/~, ............................................... Number of Stories ..... ~{ .................................................................... Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. I-lei[iht ......................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front .I.~..1~; .............. Rear ...... 1.4..~: ............ Depth ...../../.../i.E. ................... Height ...~..~Z: ...................................... Number of Stories .....[ ................................................................................... 9. Size of lot: Front ...................................... Rear .......................................... Depth .................................................. Height .................................................... Number of Stories ...................................................................... ......... ... ... . 10. Date of Purchase ......................... ~. .......... Name of Former Owner ............................................................................ 11. Zone or use district in which premises are situated .................... ,? ............................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................... ~,o. ..................................... 13. Will lot be regraded ~ ............................Will excess fill be removed from premises: [ ] Yes [ ] No 14. Name of Owner of premises ................................ (Address) (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 wheth- er interior or corner lot. STATE OF NEW YORK, ~ . . ) COUNTY OF .............. ,e~...~ ......... ) ..........................~,,~ ,~ t,,,~u~/~~~,~'~~ ........ being duly sworn, deposes and says that he is the applicant above named. /9__ 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 file this application; that all statements contained in this application are true to the best of his knowledge and be~ that the work will be performed in the manner set forth in the application filed therewith. I{0T.~ItY PEB[](~, ~/~te et I/~w Ye~ ~5-~/- . . ~ ~- / . .~ ? o? ~-<~o. ~2-z~g5s~o ~.~o]k Carat7 ~. . ....................... ~ ........ o.~y o~ ....,..~¥.~ ................... ~ .....: ....... ( ~,-',-~,~oe ,~i~ a,r/~ so, ~a-./~ .Il / / I'.~'''~''~'~''-'-~/ .'~''''~-~? ~ (,'. , ~ ~ ~ j / -.-~l..,. ~/lt/l~ ~. Notary Public ........................ ~ .............. County --"~ -"~' ~ '" '"'t ";" '"--~ .................................... '~ (Signltture of applicdp~} 5TIP. LING HAI::LBOR. MAP. INA, INC. - GP..EENPOR. T, ~OWN O~ SOUT,~=~-~, NF_."~ yOP..I<. ;"-'-"-"-~' '11 .