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Home My WebLink About12079-zTown of Southold Annex 54375 Main Road Southold, New York 11971 1/31/2012 CERTIFICATE OF OCCUPANCY No: 12097 Date: 11/30/1983 THIS CERTIFIES that the building Location of Property: SCTM it: 473889 Subdivision: ALTERATION 04245 BAYSHORE ROAD, GREENPORT, Sec/Block/Lot: 53.-6-23 Filed Map No. conforms substantially to the Application for Building Permit heretofore 1/1/1900 pursuant to which Building Permit No. 12079 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: Lot No. filed in this officed dated dated 12/16/1982 for enclosing porch to an existing one family dwelling. 1/3 I/12, this Certificate of Occupancy has been changed for correction of the section number of the Suffolk County Tax Map only. The certificate is issued to MARY DE MARTINO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N607114 6/23/83 Auth~-t~ed SignatUre TOWN OF gOUTHOI~D BUILDING DEPARTMENT TOWN HALL $OUTHOLD,] N. Y~ ':' BUILDING PERMrl~ (THIS PERMIT MUST BE KEPT ON THE PRE~I$~S UNTIL !ULL COMPLETION OF THE WORK AUTHORIZED) '; ~ 121)79 Z Date Permission is hereby granted to:/~ · ...... at;.-~ ~PremIses I~ateo at .................................. .~-.. ............. · ..~......i .............. ~ .......... ~,:~ ................. -"- ...... :'-~","'~ ...... t"~ ............ ~'~)" '~" · ....~ ~ ....... ~ ........... Counw Tax Map No. I000 Secti~ ............... .....~.. Bilk .[~....i~ ........... ,.~t No ......................... pursuant to opplcaton dot~ ....................................... ,....~....~...., 19:....~.., and Gpp~ by the Building I~ispector. Fee $ ........ ~ ............... Rev~, '6/30~80 Building !nspeCtot FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLilCATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be fi[lied in typewriter OR ink, and sub~ tted n duplicate to the Building Inspec- tor with tile following; for new buildings or new use: 1. Final survey of propertylwith accurate location of all buildings, property lines, streets, and unusual natural or topographic fe&tures. 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 Underwr ters 4. Commerc a bu Idings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Co~Je compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board al~proval of completed site plan requirements where applicable. B. For existing buildings (pri~)r to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I 1, Accurate survey of peop~rty showing all property lines, streets, buildings and unusual natural or topographic features. I 2. Sworn statement of ownet or previous owner as to use, occupancy and c~)ndition of bu Idings. 3. Date of any housing cod¢or safety inspection of buildings or premises, or other pert nent informa- tlon requrred to prepare a certificate. C. Fees: i' 1. Certificate of occupancy ~ $5.00 2. Certificate of occupancy (~n pre-existing dwelling or 3. Copy of certificate of occt~pancy $1.00 land use $5.00 ~ Date .. New Building ...0~.~ .~.q~L~, Old, or Pre-existing Building(X) · ........ ~/Vacant Land Location of Property . .~, ..... i .... House No. ~ Street ....... ~. · Ham/et County Tax Map No 1000 Secti~)n (:~ ~ Bock .(~ .~. Lot .~ 2-~ . Subdivisi°n'l''4~'~'~t~'l~c~''"~"''~''""~:-~'~'''~"~''FiledMapNo ~/~"~ ~ LotNo Permit No .......... Date oflPermit .......... Applicant ~. Health Dept. Approval ... .~./~ ..... ! ................ Labor Dept. Approval ...................... ,.. Underwriters Approval,...~, ,o. ,~...It , .~. . ,...,.. ,Planning Board Approval , Request for Temporary Certificat~e ..................... Final Certificate Fee Submitted $ ,.~" ""- ' I Construction on above described building and pe, rmit~ ~me~ts all appJ~cable__cod~es and regulations Ap~)lioant _.~.~.~.,.~/¢~L,. ~_~/.~~ ....... Rev. 10'10-Ta -~ 5'..~., :" '::.. t', -: ~. . - FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificnte Of Occupnncy No. Z12097 Date NOVEMBER ) 30 83 THIS CERTIFIES that the building ALTERATI ON Location 4245 BA¥SHORE RD. GREENPORT of Property ......................... House No. Street .................... County Tax Map No. 1000 Section 056 .Block 06 .Lot 023 .. ~:. ~_. Subdivision PECONIC BAY ESTATES .Filed Map No. 1124A .Lot No. 77 conforms substantially to the Application for Building Permit heretofore filed in this office dated Decerabe~' 16 198.2. pursuant to which Building Permit No. 120.79Z . " 1982 dated December 16 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 ......... For enclosing porch to an existing.one family dwelling The certificate is issued to MARY DE MARTINO (owner, levee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ....NJ.4 .................................. .. UNDERWRITERS CERTIFICATE NO. N607114 Building Inspector Rev. 1/81 THE NEW YORK BOARD O'F Fi'RE UNDERWRITERS BUREAU OF ELECTRICITY ~,%, ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ..t~ .~ >',a, ].esa Appiicatio. No.o.f.e 2].ma~/aa N607114 THIS CERTIFIES THAT ~ only the electrical equipment as described below and introduced by the appllcant named on the above appltcat~on nu tuber ~n the premises of ~rs. ~,~a~?F D~a'ttuo, 711 Ba.V~N~re,Ror~d, ~een~ort~ ~.Y. i~ the followi=g locatlon; [] Basement ~ 1st FI. [] 2nd ~7. Section Block Lot was examined on gl]i~(~ ~0~ ~ and found to be in cotnpliance with the r~quiremettts of this Board. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS SWITCHES FLUORESCENT ~ MERCURY DRYERS IMECLOCKS SYSTEMS OT R PP R ~US E R V I ' C NO Oi~ERCC~COND. A W. G NO. OF HI-LEG NO OF NEUTRALS A W, O. OF CC COND. OF NEUTRAL To~m ~r~x~r L~ne 8outhold~ N.Y, 11971 This certificate must not be altered in any manner; return to the office of the Board if incorrect. InspectOrs may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUS~NOT BE ALTERED IN AN~ MANNER FIELD INSPECTION FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUM~ INSULATION PER STATE ENERGY qODE FINAL DN "DATE COMMENTS ( 2 n d~___)__ )___ _ /7 , ADDITIONAL COMMENTS: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL,: 765-1803 Exami;~:C..../.'.-'~...., 19~. e'~.'* :._, ? me?o. ......................... : ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. '/'~'~'7 ~'' ....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in 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 commenced 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 been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depm'tment 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,~ousing coO. e, and regulations, and to admit authorized inspectors on premises and in building for necessary, insp~~~.~..---- ---~~-..~/'~ · (Signature of applicafif, or fi~me, if a corporation) .o. .,g. , . . . . .P ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ........ ..................... : ................................................... Na,ne of o,vner of premises .. ,~'~.~. .... ,~..~--~...,,hgt..4q'.~...~7..~...t~. ................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) fi-to__ t~/'t~'s License No ..... / .~...~. .............. Plutnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................... 4,-2 %f; ........... House Number Street Hamlet County Tax Map No. 1000 Sectiou ...... ffT.'~. ........ Block ...... .~. .......... Lot... ~ ........... Subdivision.. ~..~'~-*. ?..4/f.~--~...~..4-.. ~:~..Z~-.~.~...~.. Filed Map No..//..~..':/7 ~ ..... Lot...7-~.. ....... (Name) 2. State existing use and occupancy of premises and intended use and odcupancy of proposed construction: b. Intended use and occupancy .... /...~..~..~~ i~ -eil,'ko~.~2.?~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ....~/~.. .... Repair .............. Removal .............. Demolition ............ Other Work ............... '%~io 0 (Description) 4. Estimated Cost ...................................... Fee ..../..~.."7. ............................ (to be paid on filing this application) 5. If dwelling, number of dwellin~ units / Number of dwelling units on each floor. If garage number of cars ' 6. If business, commercial or mixled occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, ifany: Front ~..G, ........ Rear .. ~..~. ..... Depth. · t~t ~ ~'r ........... Helg .. ~.7. ~ ....... Number of Stories ...... ! ............................................. Dimensions of same structure with alterations or additions: Front ...-~ fi; .......... Rear ....~-.'7. .......... Depth . 3e:~ ................ Height .../~...~ ............. Number of Stories .... ! ................. 8. Dimensions of entire new cons'truction: Front ............... Rear ............... Depth ............... Height .............. .. Number of Stories ................ t.. .................. ,~&a/~"'-: z~- ').~.: ..... 9. Size Of lot: Front .... .~P.~i'~. 2 ............ Rear .... ~...7.'.~.~t.~.'-~.' .~.'~.'X,. Depth .. ,t.~ .~.--.~. 10. Date of Purchase ........ ~.~'. ~'..~. .............. Name of 2~ormer Owner . eqff, .:(ff../~-(...q~.a%- .............. 11. Zone or use district in which pl'emises are situated..e4~... ~.~..~. 12. Does :proposed construction violate any zoning law, ordinance or regulation: .... ~'.~-~ ........................ 13. Will lot be regraded ...... .4t(?. .................. Will excess fill be removed from premises: Yes N~o 14. Name of Owner of premises ~.4~.~,t. . D~"/ff. ,4.J~T(~.OAddress ................... Phone No..~..~. ~..~. ~..~.~..~. Name of Architect . ~..oi~...~._...~..,~.. ~..~.~ . . ............... Address ................... Phone No ................ Name of Contractor ................ Address ............. Phone No ..... .'7'7... PLOT DIAGRAM Locate~ clearly and distinctly all buildings, whether existing or propossd, 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. county oF:CC s.s ............................ , ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the ..................... : .................................................................... i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dqly authorized to perform or have performed the said work and to mak~ and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the mm~n~er set forth ~ the application filed therewith. Sworn to before me this~ Nota~ Public, State of .ew York .~~ ........... ~. 52-0344963 $uffolk : ~mis~oa ~pires M~rch 80, 19~ (Signature of applicant) ,Z:F..4 2'0"?--/ 0.~ ~ · ,e',.,d/..S" T.. ii I i : ii i