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HomeMy WebLinkAbout10527-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No, Z13722 Date August 7 85 THIS CERTIFIES that the building deck addition. Location of Property .... 6. .4.5 .................. Tasker Lane Greenport HOUSe No. Street Ham/et County Tax Map No. 1000 Section 33 .Block 4 ..... Lot 25 Subdivision ....E.a..s.tp.r.n...S.h.o.r.e. ,s ........... Filed Map No...4,0.2.1...Lot No. 48 conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... .D.e.q .e~.b. er 17 ., 19 7.9. pursuant to which Building Permit No. 105277. dated ........ D.c..c.e.m.b.e..r..~.9. ....... 19.7.9., 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 ......... ........ .D~p.k..~.d.d.~.L.~.9~..~.9' p.x.i..s.t.i.n.c3 one-family dwelling. The certificate isissued to .ISTEPAN & SARAH MURADYAN . .................... io¥.'e;', ~W~3~Y~Ve~,Er~ ..................... of the aforesaid building. N/& Suffolk County Department of Health Approval ......................................... UNDERWRITERS CERTIFICATE NO ......................... I~../.~. ..................... Building Inspector Rev. 1/81 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, hi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10527 Z Permission is hereby granted to: ...... /,2. r~...~A/¢. ¢. f.,)"/~/4./-/.,..///f,, ./r_,4/,) yxi/J 4:¢..~..........~.,~. ~....,4'~ ~ ........ <q~,~..,,,~,~: ~....¥, ...... .//..~,/ , ,o ~....,o,~,~..~.~......,.-~.... ~,.,~.~/,,~-~.....~,.~--~,~ ........... .... ~./~ ....................................................................................................... ~. .......... Building Inspector. Fee $.~..~ ......... FORM NO, 6, TOWN OF SOUTHOLD Buliding Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. Th;s ceol.cation must be filled in t'/pewriter OR ink, and submitted in duplicate to the Building Inspec- tor ,.v~tn the iai!owing; for new buildings or new use: 1. F:nal suu,'ey of property wkh accurate location of alt build,nBs, property lines, streets, and unu~al ~. Fma~ ,'aDrcv81 Of Health Dear. at waler SUDDIV and sewerage disposal--(S-9 form or equal}· , *~C2[C','31 Of e!ectncat Installation from Board'of Fire Undea~zriters. 4. Commerc~:l buildings, Industrial buildmes, Multiple Residencss and similar buildings and installa- tions, a car[lflcate of Code compliance from the Architect or Engineer responsible for the building· 5. SuamK Plaamag Board approve of completed site plan requirements where applicable. B. For existing buildings (prior to Aprd 1957), Non-conforming uses, or build,nos and "pre-existing" 1. Accurate sunzey of peoperty showing all prooerty lines, erects, buildings and unusual natural or 2. S,.'.om sratamen[ of owner or previous owner as to use, occueancy and condition of buildings. 3, Date Of aR'r' housing code or safety inspection of bufldines or premises, or other pertinent mforma. C. Fees: L Cecal,cate of occupancy $5.00 2. Cart,beale of occupancy on pre-existing dwelhng or land use 3. Ccey of certificate of occupancy $1.C0 ~ ~ n OId or Pre-~x~stin ," ' ~ ' g : /Vacant Land ............ , ......... .... .... .......... Owner or C'.vners of Property /~ .~ ¢ ~, ~. ~.~~ .................... Ccun~v Tax ,M,m NO. 1000 Section ........... Io .... ~.~. Lot..~.~ ........ Suo~,v,s,on .~~. ~~. ....... Filed Map No ........... Lot No..~ ........ P~rm,~ No /0 ~. ~ Date of P~r,,,,t .... ' ~' /~ ¢~ ~ - qcsnt .. ....... Health Oept Approval ' ........................ Labor Dept. Approval .............. r ........,. · Under. vr~ters Approval ........................ Planning Board Approval .................. Reques~ for Temporary Certificate ..................... Final Certificate ........ - ......... Construct.on on above described budding and per'il meets all aPPhpabl~odes and regulations. F IEI~D I~SPECTION FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY co E FINAL COMMENTS ADDITIONAL COMMENTS: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. (q .~..~..7 ...... INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted in triplicate 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 issue 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. ~P'PL~CATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordmance 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 buildings for necessary inspections. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................. ._.. :,¥ ....... ...... ' -- ~ ,~ ~z~/~P?~©~:~ Name of owner of premises . ~.~...~ ~~. · ~,~g~g:. ...... ~ p'',~ .............. (as on the ~ax' r~l~ o> 1~:;~ ' E FE: .......... BY: If applicant is a corporation, signature of duly authorized officer. NOTIFY BLqLT)~G ............................................ FO[.LOV:I ~G (Nameand title of co~orate officer) J. FOUN, ~,,1 Builder's License No...~. '~' ........ 2. ROUGH - 3. IhJSULAh Plumber's License No ......................... 4. FINAL - Electricmn's License No ...................... ALL~u,~.-,,~,,-~'~T~>t ,¢'Tm4. +.,, c->, ~... _ :~,:.' ~ ~-~', Other Trade's License No ...................... STATE CONSTRUCTION 1. Location of land on winch proposed work will be done.. ~'~.~. . ¢ :*',.,. ,'. *,, ',~ 0%% ...g~...~<~ ...... ~¢C. ......... ~ ~~ ~ .... ~..//7.v.~ ..... House Number Street Hamlet ......... ........... ~oun~y T~x Map No. 1000 fieetion . . ~.. ~. ......... Bin~k ...... .. ............... rot...q ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructi°n: a. Existing use and occupancy... ~..~.~..~ff[F[~.: .......................... b. Intended use and occupancy ~~.- ~. ~f~(~ ~.~ .~[~ :~ ........................ 10. 11. 12. 13.. Will lot be 14. Name c 3. Nat re of work (check whxch apphcable): New Building .......... Ad&h0n .......... Altetatl011 ....... '. Repair,· ............. Remoyal .............. Demolition .............. Other Work.. , ~.._ (Description) 4. Estimated Cost ..................................... Fee ............................... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling ¢nits ............... Number of dwelling units on each floor If garage, number of cars ......................................................................... 6. I1 business, commercial or mixe4 occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height' Number of Stories Dimensions of same structure " ' additions: Front ... Rear . with alterations or ............................... Depth ' Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front ....................... Rear ...................... Depth ...................... Date of Purchase ........... ! .................. Name of Former Owner ............................. Zone or use district in which pre'mises are situated ..................................................... · ' di gulation Does lol~tte any zomng law, or nance or re : ................................ Will excess fill be removed from premises: Yes No ~ ........... Address ................... Phone No ................ · ............ Address ................... Phone No ................ ~ Address Phone No PLOT DIAGRAM whether existing or proposed, and, indicate all set-back dimensions from ~tion according to deed, and show street names and indicate whether / II STATE OF NEW Y..ORK. 'S S COU~ZY OF...~q.~&~,.. ; ' ~,*.l~[~m... being duly sworn, deposes and says that he is the applicant (Name of individual sign3ng contract) above named, i He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfomed the said work and to m~e and file this application; that ail statements contMned ~ this application are true to the best of his ~owledge and belief; and that the work will b~perfomed in the m~n{r set forth ~ the application filed therewith· Sworn to before me this . ....... ..... day of.... ~~ .... ,19 17. ~ot~w Public, ....................... ~C6unty LrNDA F. KOWAEsff[ ~OTARY ~PU8[~C, State of i No, 52-45247~i ~~n~ of applic~t) Qual~hed m Suffolk C~u ty ~ ~omm~sst? Exp~r0s March 30, 1980