The URL can be used to link to this page

Home My WebLink About12646-Z �o�$uQFF tKcoG� Town of Southold 5/18/2019 P.O.Box 1179 0 C 53095 Main Rd dy�o� �yo� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 12077 Date: 5/18/2019 THIS CERTIFIES that the building DECK Location of Property: 4055 Bayshore Road, Greenport SCTM#: 473889 Sec/Block/Lot: 53.-6-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/2/1983 pursuant to which Building Permit No. 12646 dated 9/30/1983 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: a deck addition to an existing dwelling_ Note: 5/20/2019 corrected for Suffolk County Tax Map number and address only. The certificate is issued to Guido, Sally Ann of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED c ho ' e Signature J FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hale Southold, N.Y. Certificate Of Occupancy No..~129.7.7. ......... Date ...... N~.v.~.e.n. ] {~ ............. ,19 .8.3. THIS CERTIFIES that the building .-.~ ~1 .e.c.k...a.d.d.& g. $.o.n. ............................. Location of Property 705 Ba)rshore Road Greenport County Tax Map No. 1000 Section . . .0.7.3. ...... Block ...0.5 ........... Lot .... 0.2. .0 ...... ;..~ Subdivision.. X p N X X ............................. Filed Ma o ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .S.e.p .t.e.ra.b.e..~..2. ....... 19~3. pursuant to which Building Permit No...1.~6.4~..~ ........... dated .... S. e. D.~.e.m.b..e ?..3. 0. .......... 19.8..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 ......... a deck addition to existing dwelling The certificate is issued to SALLY A. GUIDO (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO.. N./A Rev. 1/81 Building Inspector I~OF, M NO. Il TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N?. 12646 Z Permission is hereby granted to: County Tax Map No. 10J)O Section .... ..~....~....~ ....... Block ....... .~. ........... Lot No ........c~.... .............. pursuant to application dated ........ ~.,efZ~......~.. ....... , 19..'~..~.~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Depa~ b~ent Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter 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. 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. C. 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 p.c.t. ................. Deck ~t.([~.tion to exietia& Zh~ellt~. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .. ?P~ .............. ~'.l~p.~.e..]~... .............. .~r.e.e.a~).o.~.t ........... . House No. Street Ham/et Owner or Owners of Property .S~-~3r A J33z. t.~.o. ..... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ;L~.6.h~..z... Date of Permit R/3P/.83...Applicant ....~.epsg, e. ~... }~e$ ................ 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~mit meets all applica/J;x/~b ~s and regulations. Ap p lican t.~-~_cj.c.{~F~:::~~ · · ·~ .......... I:EiI YOP~ STATE DF.P~I~T OF EI~rL?JaNI/ENTAL CONSEP, VATIOil Regulatory Affairs Unit Bldg. 40, SUrlY--Room S on~' B~-.--w~' --I1794 I; ~.516) 7.51-7900 Dear /l s. . ua/do 5 A review has been mode of your proposal to: New York State Department of Environ~mental Conservation has found the ., , parcel XX.)( project to be: Greater than 300' frOm inv~ntoried tidal wetlands. greater than 100' in length constructed prior tO September 20, 19~7..'" Landward of 10' contour elevation above m~an sea level on a gradual, nat- ural slope. Landward of topographical ct~st of bluff, cliff or dun~ in cmo*es of 10 feet in elevation above roman sea level. - ' -' Therefore, no permit under Article 25 (Tidal Wetlands of the gnvironmontal Conservation Law) is required at this time since the current proposal ;ts beyond Sta~ ~_dated ]~risdicrion purs~,~t to this act. ltow~var, any additional work or modifications to ~he project soy require a permit. It is your responsibility to notify this office, in writing, if such additional work of modification~ are contempla~d. Very truly you~, Daniel J. ~glonal S~e~or of ~la~o~ lffars ILIL: RNT: cz <I '"' u.7~°oo'4o''~. - I~ I.o ~ ~J FIELD i~SPECTION FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION FERN. Y. STATE ENERGY ~ODE COMMENTS ADDITIONAL COMMENTS: FINAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-18013 Examined.· . .-.'~. ~,.~ 19 Approved ....~~., 19 ~.~. Permit No../..~..~..~. ~..~ Disapproved a/c ..................................... Application No ................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . .~.r.i.1..2~. ........ ,19~3.' 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 m 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 pursuan~ 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 inspections. .............. .·i'i... Jl ......... (Signature of applicant, or name, if a corporation) ........ P...O....~qx...1.0..8~...$.qu.t.h.o.l.d:,..N..e~..~.qr.k..1.1.9.71 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder Name of owner of premises ........ S~lly .A .6uic~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. B.elrehore I~A. · .. 705 .............. l~v,~or,.~ .........................o. r .ee.n.~qr t., .~..~..~. o.r.t. .................. House Number Street Hamlet County Tax Map No. I000 Section .................. Block .................. Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy P:rl.v~.~.e ~.om~ · ~l. d~tton b. Intended use and occupancy .......... ~.e~: ..................................................... 3. Nature of work (check which applicable): New Building .......... Addition .. ~ ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ..... q000.00 Fee (to be paid on f'fl/ng 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 occupancy, specify nature and extent of each type of use ..................... 7. Dimensions 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 ............................. 1 1. Zone or use district in which premises are situated ....... ., ............................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . .8..al.l~..0.u.i.cl.o. ....... Address .7.0,5...Ba~.s. hp.r.e...I~...... Phone No.4.7.7..1.31¢.~ ........ 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 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 comer lot. ~ ~f~6ee Map Survey ~ DecK~'6"xl0' ami ~'x~0' around corner Underneath framing to be cca lumber ' ~ ~ ~op, rails a~i seats an~ steps to be Red Wood. STATE OF NF0~/Y~RIi/ /2/ ~ ~ ~ (Namo'of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the ......................................................................................... · 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 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 ..................,~ ,?~/day°f"'~ ,'~'~- ~~ nty f / .~.~ Notary Public, ~ .~'.."-'~'~ COU Notary Public, State of New York ........... No. 52-0344963 Suffolk Count~~' ' (Sigaature of applicant) Commission Expires March 30,