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Home My WebLink About12287-zTown of Southold Annex 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 1/31/2012 No: 12096 Date: 11/30/1983 Location of Property: SCTM #: 473889 Subdivision: THIS CERTIFIES that the building DECK 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. Lot No. filed in this officed dated 12287 dated 4/27/1983 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 a deck addition to an existing one family dwelling. 1/31/12, 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 DEMARTINO, MARY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Autho~r~eed Signature' TOWN OF SOUTHOI~ BUILDING DEPARTMI~N'~ TOWN -HALL SOUTHOLD, N. Y. BUILDING~pER~iT (THIS PERMIT MUST BE KEpT,ON THE PRE/~IS' S UNTIL ~ULL COMPLETION OF THE WORK AUTR~R ZED) N9 12287Z' ' ~,i "~' ~- ·' Dote ...... ' ..... Permission i~ hereby ~mnted to: ....... at premises County Tflx Map No. 1000 Section ....~.?~'~'~.,..,~ : ~' Block ·.}..~ ........ !Lot No. !..<~..Z.~... ....... put,ant t~ application dat~ ........................ :'"~7"?'"" ,19;. ~ nd opprov~ by the Bull lng I~spector. ~ ~ Building nS~ctor Rev. ~/30480 !: ~: FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z120~9.& ......... Date ............ .N.O.V.E..M.B.E.R...59 ........ 19 .8.3. THIS CERTIFIES that the building ... ADD.]~T I 0~ ................................... Location of Property ...4~,45.. J~AYSIiORE. RD ............. G.R~E.N..P.O.R.T. ................ House No. Street Hamlet County Tax Map No. 1000 Section . 05~. '~ ~: ..... Block ....0.G. ......... Lot ....0.2.3. ...... ~.. ~ Subdivision .~ECD~]~C. t~[A¥. E,S. TATES. ....... Filed Map No.. 1~.2.4..A.Lot No ..... .7.7 ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... Dec~mbe~:...10 .... 1982. pursuant to which Building Permit No...1.2.2..87.Z, ............ dated .. December. :[/i ............ 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 ......... .... ~01% .A- D[gCK. ADD ~ T ~ON. ~O..AN. EX I STZAIG. ONE. FAMILY../]!WE LLINO .......... The certificate is issued to . . M. AR¥. · Dt~. ~A. RTI N~o~,n~;.___ 'l~J~e'~r't~a'n't~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ... AIJA ................................... UNDERWRITERS CERTIFICATE NO ........... .N/A ................................... Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subn~itted in duplicate to the Building Inspec- tor 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 natu re[ or topographic featu res. 2.Final approval of Health Dept. of water supply and sewerage dlsposal-(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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peopertv showing ali 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. / Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .. New Building .. ~... Old or Pre-existing Building(X) · ocation ofProperty ....... House No. Street Owner or Owners of Property .~ .~ ~,~.~ .......................... County Tax Map No. 1000 Section .... ~.~ ..... Block ..... ,~ ...... Lot .... ~ ...... Subdivisio,~,, ~,~.. ~ ...... Fi~ed Map No. ~ ~....Lot No. PermitNo.~x~ Date of Permit /~ll'/*'.Applicant .~.. Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ........................ Planning Board Approval .................. ~ .., · ./ Request for Temporary Certificate ..................... Final Certificate ................. - S b itt dS ~.. - Fee u m e .. . ..................... Construction on above described building and per,m[-t'~,,C/ts all apP~cable~'odes and regulations. APplicant. , ..~.~..~.'.~... ................. .... NEW YORK STATE DEPARTMENT O~ ENVIRONMENTAL CONSERVATION I 10--83--0083 PERMIT UNDER THE ENVIRONMENTAL CONSERVATION LAW ARTICLE 15, (Protection of Water) [] ARTICLE 25, (Tidal Wetlands) ARTICLE 24~ (Freshwaler Wetlands) [] ARTICLE 36, (Construction in Flood Hazard Areas) PERMIT ISSUED TO Mary DeMur tine ADDRESS OF PERMITTEE 64 Miriam Street, Valley Stream, NY 11581 LOCATION OF PROJECT (Section of slream, tidal wetland, dam, building) 711 Bayshore Road, Peconic Bay, Oreenport, Towm of Southold, Suffolk County. DESCRIPTION OF PROJECT Construct an L-shaped deck (main deck is 8' X 26~6'' and L-extension is 9' X 12'2") plus steps approximately 47' landward of mean high water as per supplied plam. COMMUNITY NAME (City, Town, Vdlage) Greenport COUNTY Suffolk 1. The permlltee shah hie ~n Ihe office of the appropHale Regional promptly in wHfmg of the completion of the work. cepted expressly, by the execution of the application, the full legal respon- 4. Any material dredged in Ihe prosecution of the work herein permitled bed of the wMerway or flood plain or deep holes that may have a tendency to cause ~njury fo navigable channels or to the banks of the waterway. TOWN Southold FIA COMMUNITY NO. J DAM NO. PERMIT EXPIRATION DATE I June 30, 1984 GENERAL CONDITIONS 8. That the Slale of New York shall in no case be hable for any damage or iniury to fhe struclule or work herein authorized which may be caused by o, result from future operahons undertaken by the State (or the conservaUon or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 9. That if lhe display of lights and signals on any work hereby authorized ~s not otherwise prowded for by law, such lights and signals as may be pre- scribed by the United States Coast Guard shall be installed and maintamed by and al the expense of the owner. t0. All work carried out under this permd sbaH be performed in accor- continue, rescind or moddythis permit in such a manner as may be found to be just and equitable. If upon the expiration or revocation of this permit, the modificaUon of the wetland hereby authorized has nol been completed, the applicant shall, w~lhout expense to the State, and to such extent and in such s~te to its former conditmn. No claim shall be made against the State of New 12. This permit shall not be construed as conveymg to the applicant any right to trespass upon the lands or interfere with the riparian rights of others to perform the permitted work or as authorizing the impairment of any righls, titJe or interest in real or personal property held or vested in a person not a 13. The permittee is responsible for obtaining any other permits, ap- provals, lands, easements and rights-of-way which may be required for this project. 14. If granted under Article 36, this permit is graeted solely on the basis of the requirements of Article 36 of the Environmental Conservation Law and Part 500 of 6 NYCRR (Construction in Flood Plain Areas having Special Flood Hazards - Building Permits) and in no way signifies that the project will be free from flooding. tS. By acceptance of this permit the permittee agrees that the permit is eontingenl upon slricf compliance with the special conditions on the 95-2'0-4 (9/75) (SEE R£VERSE 51DE) .0 >V §C~,L[. ]0',. I' sit : ~nNil~i, 141 FIELD INSPEC~ZON~ COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180;~ Examined/~_ .~*. 4..~. 7..., 19 ~...~ Approved/~.~./...'~../.--~..,l~.~PermitNo./.~...~.?..~. ~ Disapproved a/c ....... ~ ................... :. / (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No../..2.~...~..7. ...... Date ............... 1 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 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 de~molition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housj~ code, and regulations, and to admit authorized inspectors on premises and in building for necessaw ins~pe~ti~/_ . / -// ~ ~>j~) [ ~o?~ (od~0 (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. ....C.~.~C.~/?~ ¥~<~. ............................................................................. Name of owner of premises .... /~.~.~....~. .... .~..~... /.'~.<ff~. ~ ~-/..~r. · .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) 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 .................................................. ~ ~. ~ ....... ~.4-..25. o:. ?. ~ ~..~....~. ~ ............ ~..~..~.~ ./,/U..o.~..7~.. ...................... House Number Street Hamlet County Tax Map No. 1000 Section ..... .~...~. ........ Block ....... ~. .......... Lot .... ..~. ~ .......... Subdivision .~.~..~. O~/C /q ~- ..................... ............ ~('~a~)' '~/'&~''/~'4t/-~-Q' FiledMapNo..././.~..?.4~.. .... Lot .~..fL... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .~.. ,~.~.-~..~J../..~. )q... ~..L7~..~..- ..................................... b. Intended use and occupancy ..... /..../~..~5~..~../..~ 52r... ~...~7..~...~....' ............................... 3.' Nature of work (check which applicable): New Building .......... Addition . .,'~. .... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ · ~./.~'~'"~ O .~.~.~ (Description) 4. Lstnnated Cost ........ ,d .... . ......................... Fee .... .O..~. ....................... ' (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 mixe~ occupancy, specify nature and extent of each type of use ..................... ....... : .... Height .... ./~..~' .... Number of Stories .................................................. Dimensions 9~ same structure with alterations or addition%Front .... C$..~ ......... Rear .... '~. ~. .......... r)epth ..... ZT. ............ [.. Height .... ,Z' ;Z..~._~;,... Yr' ..... Number of Stories ...... /. ......'/' ' i~ 8. Dimensions of entire new construction: Front ... ~,~.~'....~ .... Rear ...~. ff.".~..~ Depth . .~.c?..~. Height ............... Nun~ber of Stories ............... ~ ............................... 9. Size of lot: Front ....~. ~ ............. Rear ...... ~...~...,~. ?..~.o..~..' Depth/~../..~o. ~ ~/..~ ./......'x .... 10. Date of Purchase ........ ./~. ~. ~'. .............. Name of Former Owner . . ~....,~..~d..,~.<q/~,~ ......... 11. Zone or use district in which premises are situated .... r~... Z~. ~-2-. ~ ...................................... 12. Does pruposed construction vie!ate any zoning law, ordinance or regulation: ..... ~ .......................... 13. Will lot be regraded ....... . ./~'.c~ ................. Will excess fill be removed from premises: Yes 14. Name o f Owner of premises/~'d-~..~.. ~'/.~.g .~.~,447d~ddress/d~Z/~..~' ~25.~',*~... Phone No..~..~..~'.~ ~.~.~. Name of Architect .......... i' ;-; .............. Address . .4 f..././..5~.g.F. ...... Phone No ................ Name of Contractor ., ~.,./~. d~.~'./.~'./~.. O~r~-~ ..... Address .~'~ ..,Y,5',,'~a'2.~. ~t~. Phone No..~..77.--../7.~.ff.... 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 Bumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW~YOR, K~% ~ ,~ S ~ COUNTY OF,~. ,'~ (Name of individual sign!ng contract) above named. ~ sworn, deposes and says that he is the applicant He is the ...................... . ................................................................... (Contractor, agent, corporate officer, etc.) of saki owner or owners, and is dul~ 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Not Public,. __ unty No. 52,0344963 Suffolk County--.,, ~ommission Expires March 30~ J.~-~ (Signature of applicant) / '-/1 NO"~ 765,~~-- ,~ ~c ~, , ' ~. R~y'~i, ,~ CON~~'~l 3. ~-~ -' ~ ~n~"5~ ' ' .... ALL CO:~ ' oF THE