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Home My WebLink About12029-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22690 Date OCTOBER 29, 1993 THIS CERTIFIES that the building Location of Property 74500 MAIN ROAD House No. Street County Tax Map No. 1000 Section 46 Block 1 Subdivision Filed Map No. ADDITION GREENPORT, N.Y. Lot Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER t, 1982 pursuant to which Building Permit No. 12029-Z dated NOVEMBER 19~ 1982 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 CELLAR UNDER EXISTING BUILDING FOR STORAGE FACILITIES The certificate is issued to (owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A RIVERHEAD BUILDING SUPPLY CORP. Rev. 1/81 TOWN ToWN HALL SOUTHOLD, N* Y, BUILDING FERMIT'' ' frillS PERMIT MUST BE KEPT ON THE pRE~ISI iS UNTIL F~ULL COMPLETION OF THE WORK AUTHOR ZED) N? 12029 Z Date ..... : permissior~ is hereby granted to: · ...... ~ ....... -' ~ ..... C?~ ...... at p~emlses located at ..... put'ant t~o application dated '""~'~"~ ~"'~'*~:"~i'"', i9'4~'~' and ~pproved by the Bull~lng Ir~spector. Fee ~ ........ .~, ......... pEEMIT IN~CLUDES APPR~OVAL T° REF:~OVE EXCESS FILL F~M A~oVE p~.[~M~SES BY ~ELL~R: CON$'Ft~UCI'ION OTHER' Form No. 6 TO~UN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~65-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 plumber certifying that the solder used in system contains less than 2/10 of I% 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 bu~dings (prior to April 9, 1957) non-conforming uses, or buildings and .pre-exzstmng land uses: 1. Accurate sur_vez of property showing all property lines, streets, building and un~u~-~atural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Bum±ding l~-spector shall state the reasons therefor in writing to the applicant. I. 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 Buil~di_~ng_- $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 ye~- ~1'0~00 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.OO Date . September 29; 1.993 Old ti g ildi .X. New Construction ........... Or Pre-exis n Bu ng ............... s./.S..o.f. Main Road ~Rou~e .2.5.) , Greenport Location of Property ............................................... House No. Street Hamlet 0nwer or Owners of Property..g~.v.~b~.~..B.u.i.%d..iD~' .~u. pp.l~..~.o.rp.: ........................... County Tax Map No i000, Section .... .~ ....... Block ..... 1. ....... Lot ...... 1 .. . D. .A Subdivision ................................. Filed. Map ........... . Lot ...................... Permit No ....... Date Of Permit ......... Applicant ................. .. DNA Health Dept. Approval .............. Underwriters Approval Planning Board Approval .D.N.A. Request for: Temporary Certificate ........... Final Certicate .... .X. .... ' ........ ~ APPLICANT - - CO : T~I: (516) 727-3947 Allen M. Smith Attorney and Counselor at Law 737 Roanoke Avenue, Post Office Box 1240 Riverhead, New York 11901 Fax (516) 727-3950 October 28, 1993 Building Department Town of Southold Main Road Southold, New York 11971 Attention: Georgia Re: Riverhead Building Supply Corp. Dear Georgia: Pursuant to our telephone conversation several days ago, find enclosed our check in the sum of $50.00 for your fee. Should you require anything further, please let us know. please Very truly ~ours, Terrie W. ~Sinclair Enc. FI.~LD %NSPE6TION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~,ODE Yo FINAL ADDITIONAL COMMENTS FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To r:'7.~. ~.~.~.-..,&.~.. .... .....~.~ .,z...Z~.o.~. ~.... ............... PLEASE TAKE NOTICE that your application dated ....~...G~..~...,~t~. d .fiT.../. ..... 19 .~/. for permit to construct..~-w~ff~..~... ~..z~. C~".¢ .~..~X./.~..~6,~/~. ~/~...w..~.../~... ......... at ~ocation o, Property ,. '~' 4~" "~' :~'~' . '~'~'~. . . ._ ............ .~.e~.O~.~. : /V: t~ouse mo. / a'tr~t l. Ham/et County Tax Map No. 1000 Section .... ?.. ,~ .... Block . ]...7 ........ Lot ...?.. ff. ....... p N -- tNo Subdivision ................. Filed Ma o. Lo .................. is r~turned herewith and disapproved on the following grounds ¢Zf ~...~c..m~. n~. =.. ~. ~..~~ ~ ..................... ~0o~o/ ~o~ ~ff'ff'~ ~/~ , Building Inspector RV 1/80 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved · '~' .~' '~" · · ./' 7 .... 19...~'Permit No...//O6/~.cK7..~.'~' ~ ............. ...... _., ........... APPLICATION FOR BUILDING PERMIT Application No.Z~.tTf~.~..~...~. ...... Date ...,/~.L~/. ......... INSTRUCTIONS a. Tl'fis application must be completely filled in by typewriter erin ink and submitted 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be cmnmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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 part for any purpose whatever until a Certificate of Occupancy shall have beengranted 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 building for necessaw inspections. .... :. .............. (Signature of applicant, or name, if a corporation) (~ailing address ~/~ ~pplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ~>~,e¢ ..................................... :..: .......................................... Name of owner of premises .... ~,¢. ~ .D/.g(/.~.,~./.~.. .......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature, of duly authorized officer.PER/vIIT INCLUDES APPROYAL :_..,../.: ..... (Name and title of/corporate officer) FROM ABOVE PREMISES BY REGRADING LO]' Builder's License No. ~q. ...... Gz)N~T,.~,!.jGTiO,&I: ...... Plumber's License No ............. ' ............. CES£Pk,,C,L CONS ioR.UCTION . ~ _~ ~~ CELL^P~ CONSTP, UCI:ION, ---, ..... _...~ .~ Electrician's License No. OTHER, Other Trade's License No ...................... 1. Locatinnoflandonwhichproposedworkwillbedone..~../~..'~.~?.~..'77.~.~.~.~.'?f...~.~.C.C..4f./~.~.?5.} ..... ....... .............................................................. House Number Street Hamlet County Tax Map No. 1000 Sectio ....~..~. .... Block ..... t/ ............ Lo~.../. .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy. ~.:~/. ~.tgAF.~..~,...~.)~.-.~..~...~...~ .... ~....5'..~.~..O.~..7~.. ........... b. Intended use and occupancy ...... .~.~7.-~../..o~...)~.' 3. Nature 0fwork (check which applicable): New Buildine .......... Addition .......... Alteration .......... Repair .............. Remov~al .,~.o~..~, ./05 .~. · .~.£Demolition .............. Other Work ............... 4. Estimated Cost e o o Fee. (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 10ccupancy, specify nature and extent of each type of u~se ..................... 7. Dim~ensions of existing structures~ if any: Front ............... Rear .............. Depth ............... 'Height Number of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth Height Number of Stories 8 Dimensions of entire new construction: Front Rear Depth Height ............... Number of Stories ........................................................ 9. Size of lot: Front ............ ; .......... Rear ...................... Depth ...................... 10 Date of Purchase . Name of Former Owner 11. Zone or use district in which premises are situated .............................................. 12. Does proposed construction viola~te any zoning law, ordinance or regulation: 11181 ......................... 13. Will lot be regraded .......... , .................. Will excess fill be removed from premises: ~ 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 ail set-back dimensions from property lines. Give street and block number or descri' interiorlor corner lo~. ~tion according to deed, and show street names and indicale whether 7 STATE OF NEW.Y~R~ , , o ~ X""~'/~i~( ....... 'ndivi~alsign,ng~ .................... contract) being duly swom, deposes and says that he is th~ pplicant above named. (Contractor, agent, corporate officer, etc.) of s~d owner or owners, ~d is dul~ authorized to perfo~ or have perfumed the said work and to m~e ~d file this application;that all statements contained ~ this application are true .to the best of his ~owledge and belief; and that ~e work will be perfumed in the m~ner set forth in the application filed therewith. Swum to before me this N~75573g / [ / (Signature, of applic~fi~ ' Quollfi~ in Suffolk Coun~