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Home My WebLink About12406-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13466 Date ..M.a.y. 22 ........... 1985 THIS CERTIFIES that the building A d d i t; i o n Location of Property ...... 4,5,0., .S.n.u.~. Harbor Road Greenport House No. ' ............. Street Harnle~ County Tax Map No. 1000 Section .,. 9~5 ...... Block .... 9~ ......... Lot ., .9.3.3 ........... Subdivision..ql. ?.ay.e.s...F.~.... ,Sp.c,., .{~.3 ....... Filed Map No. 4650 .Lot No. 5.5 conforms substantially to the Application for Building Permit heretofore filed in this office dated ... ?I.a.y..2.7 ............ 1¢3.3,. pursuant to which Building Permit No. 1. .2.4.0.6. Z. .............. dated .... .~.q 1.7..7 ................. 19.8.3., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlfich this certificate is issued is ......... ·.. d!,d d. d.ec k. and. suax .r o.o~a, ad~t,±g$or~ ......................................... The certificate is issued to .......... H.r.s.. R~,oda..W, ea tor~ ............................ [°wner,xlq~2gf~ ~rxtff~t~ x x x ' of the aforesaid building. Suffolk County Department of Health Approval Iq / P. UNDERWRITERS CERTIFICATE NO ..................... #.~ ~ .2 7.0.8. ? .................... Building Inspector Rev. 1/81 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12406 Z Permission is hereby granted to: ..... ,~'..~....~. ~ .... .CD.z~z~....'.~.....~...,~, ....... x~..~..? ,a ..... ~0.......~'~~o. ~.... ~ .~ ~... ~....~ ~*...~..~. ~.~.~- ~i..~..:~...~.~.~..~.~7...:~..! ................ ~..,~.~.~...~.~.~.. at premises located at ..~-.........~..~ .......... .~.~-~.~... ~.Z.~..~.....~..~.....: ........ ...~ ............................ ~...: ............... .~ .................... £ ................. .~.~...~..~.~~ .~.~..~....Z-~ ........ ~.~......~... .......... ~.~.~ ........... ~...~ ......... County Tax Map No. 1000 Section ..... ~.~...~... ..... Block ...... ...C~,....,~... .... Lot No...~.~.'~.. ........... pursuant to application dated ....... ~...'-~ ....... "'~'"7"' .............. ' 19'~'''' and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall · ~;~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLO Instructions This application must be filled in typewriter OR ink, and submitted-J~=~Scp!!cctc to the Building Inspec- tor with the following; for new buildings or new use: I, Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 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 installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. Co Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use--Pre-Existing C,O, $15,00 Vacant land C.O. $ 5.00 Date New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of PropertyHouse'' '~' "~'qNo, ...............7 ........ ~'r'e;t' ....... ' V Hamlet Owner or Owners of Property ... ~ ...J~.~.~..~?..~....~.~ .~.'~-~ .~. ....................... County Tax Map No. 1000 Section . .Q.~. ,~,". ....... Block ....Q ~,,'. ....... Lot. , .(~.~. ~-~ ........ Subdivision ................ Filed Map No ...... Lot No ............ Permit No./.~, P.~, .... Date of Permit ~,~/~/~ .... Applicant .~. ;,~. ,'%~,. ,,~A,:'~c-~ ................ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ,--~... ?.~, ..................... Construction on above described building and permit meets all applicable codes and regulations. Applicant..?~* .'~..' .~'i., o. - - /3Y¢ 13/2o/m THE NEW YORK BOARD OF FIRE UNDERWRITERS lO01093 BUREAU OF EL, ECTRIC4TY ~-eJ'J~ 8E JOHN STREET, NEW YORK. NEW YORK 10035 ~']rk~ 0'~ ~IS CERTIFIES THAT o~ly the el~trival equipment ~ described below and i~troduc~ by t~ applicant named on t~ above application number i~ t~ premises o~ ~n the following location; ~ Base,neat ~ 1st Ft. ~ 2nd Ft. Section Block Lot was exa,nlned on and found to be in compliunce w~th the ryqulrements of this Board. DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS: E R V I C E A. WG OF CC COND. 0 OF NEUTRALS AW, G OF NEUTRAL Per_ L'k~/~ Th'~~ be ~ed in a~ manner; re*vr~o the office o~ ~he ~oord i( incor(~c~. }nspedor~ moy be ~dentified by ~heir credentials. COPY FOB ~U LD NG DEPARTMENT THIS COPY OF CERTIFICATE MUST~O~ BE ALTERED IN ANy MANNER. 1001093 THE NEW YORK BOARD OF FIRE UNDERWRITERS.?, I%~ BUREAU OF ELECTRICITY ~-- I'love~ber 16, 1983e5 JOHN STREET, NEW YORK NEW YORK 1OO3~ THIS ~TI~I~S THAT ~ 'We~t~, 450 S~ H~bor ~, ~ ~t M~io~, N.Y. in the~ollowimg loca~o~r; ~ Basement ~ 1st ~L ~ 2nd Fl. Section Block FIXTURES RANGES OVENS DISH WASHERS EXHAUST 8 6 DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: V I OF CC, CC)ND. C OF HI-LEG NO OF NEUTRALS OF NEUTRAL FIELD INS~PECT~ON FOUNDATION (1st) COMMENTS FOUNDATION 2. (End) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL · .ADDITIONAL COMMENTS: APPROVED AS NOTED NOTIFY BUILDING DEPAR~rTv~[~NT AT 765-]802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULA'-!ON 4. FINAL - CON'STRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ! ! 't TOWN OF SOUTI:IOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 December 18, 1984 TEL. 765-1802 Mrs. Rhoda Weston 450 Snug Harbor Rd. Greenport, N.Y. 11944 Dear Mrs. Weston: Enclosed please find an application for a Certificate of Occupancy for your addition. Everything is in order and it has had it's final inspection. Please fill out the application and return to us along with a check for $5.00. Thank you. Yours truly, Victor Lessard Executive Admin. it STAT:] DEPAET,'~EiiT OF Et;VI?.ON!~NTAL CONSEIWATIO,t .Regulatory Affairs Unit Bldg. 49, SU~Y--Room 2]~ .... ~ Stony ~ro~. ~m-~I~794 ~%516) 751-7900 A review has been made of your proposal to: New York State D~artment of Environmental Conservation has found the _~. parcel ~_~ project to be: Greater titan 300' from tnvet~toried tidal wetlands. Landward .of a su,bstuntial man-made structure .~H¢4~O-~,A.c. greater th~ 100 in length constructed prior to September 2~, Landward of 10' contour elevation above mcan s~a level on a gradual, nat- ural Landward of topographical crest of bluff, cliff or dune in excess of 10 feet in elevation above meaa sea level. Enc. Ck. 357 for $50.00 DJL:RNT:cz Therefore, no permit under Article 25 (Tidal Wetlands of the Environmental COnservation Law) is required at this time since the current proposal is beyond State mandated Jurisdiction pursuant to this act. However, any additional work or modifications to the project may require a permit. It is your responsibility to notify this office, in writing, if such additional w~rk of modifications are Regional Supervisor of Regulatory Affairs FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined. Z./.Z ......... , Approved..7/.X ......... l ..4Pe it (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. //a~q~ '~' /'['} 19 Date z ~ INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter 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 tiffs 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 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 necessary ins~ectio~vs. ~ ~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .,~...~A....~...°..~ .~......g~.. '.~. Q 2. .... ( ~).PG:~.¢'.e.} .......................... P~ ¢,c~o. (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. ~.? .................. Plumber's License No....~ ..................... Electrician's License No. · ..................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ............................................... ~.. House Number 0_..-]~'~'> P~it. ~treet Hamlet / County Tax Map No. 1000 Se6tio~n .... .~..~. ......... Block SP'~ '~' ~ Lot.. ~i'.. .... '/ Subdivision .Q~?..Qk'$.~-. '~'~ ' ' (k'a~;~ ............... Filed Map No ....... 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 ...................... ~..[. '~ ~ "g 3. Nature of work (check which applicable): New Building .......... Addition. ~ .... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ............ i ......................... Fee ..... ~ .................. ~ (to be paid on filing this application) 5. If dwelling, number of dwellingiunits ............... 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 structurqs, ifany: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Dept ................... ,.. Height .......... 7. ........... Number of Stones ...................... 8. Dimensions of e. ntire new construction: Front ./7 ........ Rear ../2 .~. ......... Depth ./.~..~ .... l~?ight ... 0o7[ ...... ,,. ~,. ~Number of Stories ? ~...~Z... 3,.~ ......................... 9. ~fize of lot: Front ,4. i ....... Rear .~:.~? .... no,fh / ~ '~ .......... 10. Date of Purchase .......... i .................. Name of Former Owner ............................. 11. Zone or use district in which pr}raises are situated ..................................................... 12. I)oes proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded . ~.°... 2 ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ./~. ~ff.~.~..~..~.~..t~.~. .... Address ................... Phone No ............ - . Name of Architect ...... ~..; ................ Address ......... Phone No..2.:~.~..:~> ~._~ Name of Contractor ~.~./..~?-~...~.~, .--~..,~...~.o..p~. .... Address~.~' .~..=. ~'~:'~,~'~'.F/ Phone No. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF N~I~-~R[,~ ~ J~x '~ '~- ' , (Name of individual signing contract) above named. He is the ...................... :. of said owner or owners, ~d ig duly authorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements contoined ~ this application are true to the best of his ~owledge and belief; and that the work w~l be perfomed in the m~ne[ set forth in the application filed therewith. Sworn to before me this Nota. Pubic ....... ' ~ no. ~2'812fi850, Su folk ~,~