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Home My WebLink About12361-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z. ] .~ .0.17. Date NovembeP 21 .8/4. THIS CERTIFIES that the building .. S. ?.l,a?.. ~.p.e.e..n.~.o.u.a.e. ........................... Location of Property ........ ~.aa 0. b.J& ¥¢.p.m.~ .r.e..~ o..a.d ................ 9~.e.e.n.p.o.~.~....'.. House No. Street Hamlet County Tax Map No. 1000 Section .... 4.7. ......Block ........ .2 ......Lot 12 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...~..a y..1. 0. ............ 19 8..3. pursuant to which Building Permit No ...... J .2.3. 6. ! ,g ......... dated ...... ?.u.g:..4 ............... 198. .3., 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 ' ...$ f)kav., g?.e.~ uh.o.~ ¢. ~.4d.e..O..%q..f?.a.m..e..c.q ~..~.a.~e...d ?.e.Z.Z..i.n.g.: .................. The certificate is issued to ....... .~.qh.n...]3....B. ?.a.n. qt3. 9..&..¥}~.e. ......................... (owner, 1~.~,~ f~'~PJx of the aforesaid building. Suffolk County Department of Health Approval .... N/A UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FOB~C NO. ~ TO~N OF $OUT~OLD BIJILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) N? 12361 Z Dote ....................................................... , 19 ....... Permission is hereby granted to:/I ....... ~..~......~......~.~.~. ...... ...... Z...../.~.....,~.....~ ........ ..................... ~~. .. .. ~. ., .... ,o ~, ~'~i!..~i"ii~...=~ ................. :. ............ ~..~.~......~..~..... ..................... County Tax Map No. 1000 Section ;~ ......... · .~...Z.... Block .......... ~ ..... Lot No. pursuant to application dated ~.~/! 0 19,..~.?.., and approved by the Building Inspecto~ r. Fee $....,~....Z...~.~ ..... B ,uildlr~} Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in Wpewriter OR ink, and submitted 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 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 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. C. Fees: 1. Certificate of occupancy $5.00 ~ 5-/ 2. Certificate of occupancy on pre-existing dwelling land use $/ $5.00 3. Copy of certificate of occupancy $1.00 ~,,~ate... ~.. ~...~...~..~.~..L ~'..~. ~ New Building ............. Old or Pre-existing Building .. Vacant Land ............. Location of Property .~. ~..~.l.[~.~.~ff~ff. ~ ............ ~ Hou~ No, Steer Owner or Owners of Property ..~,~.~ ~~, ~: County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. /..i~...~. ,~.1. Date of Permit ,~.. ,~,, .°~.Applicant.. ,0~., , ,~?... ,/.'~. /~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described bu ilding and p~:: airlines and reg~.la~_.~. Applicant . .~r. ,u...t.~'.?,~./. (.~...~...'~......~..,...~,~.~... ~ ....... Rev. 10-10-78 JOHN B. BRANCHE, M.D., ~A.A.~ October 25, 1984 Town of Southold Office of Building Inspector P.O. Box 728 Town Hall Southold, New York 11971 RE: Building Permit No. 12361 Z Silvermere Road , Greenport Dear Sir: With reference to your letter of September 1926, I am enclosing a new check in the aount of $5.00 to obtain a C.O. for the above renovation. This only includes an open greenhouse - type addition which is entirely visable from the outside. If this is not satis- factory, please notify via mail and I will foward a key. B. Branche, M.D. FIELD,INSPECTION 1. FOUNDATION 1st) FOUNDATION 2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY COMMENTS C~ODE FINAL ADDITIONAL COMMENTS: ROAD JOHN B. BRaNCHE DELLA J. bRANCHE 15 FLOWER ~TRE~T 278O ~ ~_~ DOLLARS We are unable to complete your Certificate of Occupancy because of the following reasons. 1) The check is out dated. 2) No final inspection has been made. Please contact our office on this matter~ Thank you for your cooperation. Please find check $2780 for $15.00 enclosed, the correct amount we need is $5.00. Building Permit $12361Z for Branche. JOHN B. BRANCHE, M.D.. F.A.A.P. 481-6674 23 May 1983 Building Department Town of Southold Town Hall Southold, N.Y. 11971 Att: Mr. Fisher: Dear Sir: Enclosed please find application for Building permit for the erection of a solar greenhouse as an addition to my cottage on Silvermere Road in Greenport. I have tried to supply all of the forms you suggested at Qur previous meeting. Enclosed, please also ling check in amount of $25.00 for permit. It would be most apprecited if this small project could be given verbal approval to start construction, so that it might b~ completed before the full summer season. If there are any questions or additional information that is re~ quired, please telephone me at 516 481 6674. Your cooperation is most appreciated, Very truly yours~ John B. Branche, M.D. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765~1803 Approved ......... t-rv4.~. ~.2/. ., 19... Permit No. ........... 1/.~ 36 f Disapproved a/c ........... ~"'~'" · · · ....... : (Building Inspector) APPLICATION FOR BUILDING PERMIT z6/ 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 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 necessa~~-~ ,/ (Signature of applicant, or name, if a corporation) .. ,~M. ..................... ~/.". 7','j~.~.": ........ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or builder. Name of owner of premises..~..~Q... (~..,... [~...~....~...C...~.?._~.. .... ~.. ~. ..................... (as on the tax roll or latest deed) 0 If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ~ ..... ...... Plumber's License No ......................... Electrician's LicenseNo ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done..~.t. Jy.e.p..~.~..~.~...~..0/.~...~'..~.C.e..~.~)fl.~..~...-. ~.~. .... House Number Street Ha~et County Tax Map No. 1000 Section ...... .~...~. ...... Block ..... ~ ..... . .~x~Lot .... /...~. ......... '.. Subdivision .....................................(Name) Filed Map No ............ x~ Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed con~,truction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ........... : ................ ........................................ 3. Nature ofwork (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. ,,OAher Work ............... , '"' ~'~0 ~'~ F ~ (Description) 4. Estimated Cost ....... (~.... ~.0..0.O.~ ........... : ........ Fee ...... ~ ............................. (to be paid on filing this application) 5. If dwe!ling, number of dwellingiunits ....... ./ ....... Number o f dwelling units on each floor ................ If garage, number of cars .... i .......... ~. ....................................................... 6. If business, commercial or mixed occupancy, specify n.a~tu, rre an,d?xtent of each type of ~u~e . ........... ,, ........ 7. l)imensions ofexisting structur~s, ifany: Front.. ~..r..~. f... Rear . .ca2. ~..)'.'7..~. !.Depth . .~.~..-~--l' ...... Height ~/.../.0.r. ...... Nurnber of Stories ........ /. ............................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... ~.. Height ............ .,t/· ./ ...... Number of Stories ....... ' ;'-:' 8. Dimensions of entire neb' construction: Front./.~../-...~..~.~.'... Rear.../. ~f.~.(~..~/~... Depth /. ,~. :...~r. ~:-. .... Height . ~.../.'*. ~?t/~ . . . Number of Stories .................................. 9. Size of lot: Front .......... ; ........... Rear ...................... Depth ............ ......... 10. Date of Purchase ...... /.q.~.~.. .............. Name of Former Owner ./~. (~r,e v) 11. Zone or use district in which premises are situated ...... ~(~.~ .Y:'..~.,[ ...................................... 12. Does proposed construction vioiate an, zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...... ~...,~r~_ ........... Will excess fill be removed .e~om p. re~i_so~: .,~/ (~7-e~-3 No 14. Name of Owner of premises ~J. ~.h ~ ~5..~O?YC..~.~Address/. 4...~2[~,~,..d~..~..../P~T~o.... Name of Architect ......... i ................. Address ................... Phone No. ~ r *~M ~/~.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. G,ve street and block!number or descnptmn according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF~... ,~ ........... ~.~ ~S.S f /(F ' ' ' ual signiing contract) above na~d. i " He is the ........... (~)..~.. ,~. ............................................................ i (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 contoined 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 ..............F'~:~~~ ~ ~, ~/ .'~....~...day o! .......... Notary Public, .~? .~,,4Z-.. ~ounty //~,~ / ; .... .................. ./ ' 0u~llfl~t In Ua~au C~unty (.,,~ / / (Signature of apphcant) ROACH ROAD pipes ~coVF- ? MAP OF PROPERTY PER DEED OF ALBERT FROHN~:[ GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY,, N.Y. $CALE' I''= 40~ SEPT~ 28~ 1967 LAND FLASHING N.I.C. ~ BACKER ROD INSULATED OAP G LAZI NG CORD CAP GLAZING BAR ¢ INSULATED ACRYLIC, ',MAL BREAK SILICONE-- GLAZING COl GLAZING MUNTIN BLOCK ------. INSULATED SILL CAP E~UTYL TAPE- SILL FLASHINO GLASS~.. II GLAZING BAR SILL x; I I 3RNER TRIM S ILICONE- BUTYLTAPE ~ LKING RIDGE VANDEF