HomeMy WebLinkAbout10660-z
~ FORM NO.4
, ..
TOWN OF SOUTHOLD
BUilDING DEPARTMENT
Office of the Building Inspector
Town Hall
South old, N.Y.
Certificate Of Occupancy
No.... ?-.l.~?~.4...... Date.. .~~~.r.~~:y. .i.~ 1. .l.~~?........, ...
. Unheated addition to existing dwelling
THIS CERTIFIES that the bUlldmg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. 420 Wilmarth Avenue Greenport, N.Y.
LocatIOn of Property ...............................................................
House No. Street Hamlet
, 41 I 23
County Tax Map No. 1000 Section .,......... .Block .............. .Lot . . . . . . . . . . . . . . . . .
. .' Mlo Washington Heights . 651 42
SubdIVIsIOn. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. ....... .Lot No. .............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
April 30, 1980 , . pursuant to which Building Permit Na. .. I. ~ ~ ?.o.~ . . . . . . . . . . . .
..... ..... .,... .,... " dated .. .I-!~~. .I.~ ~ . .1.9.~ ~ . . . . . . . . . . . , , 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 . . . . . . . . .
UNHEATED ADDITION TO EXISTING ONE FAMILY DWELLING
..... ,.......,........... ,.... -..... ........ ........ ... ..... ,. .......... ... .....
. . .. STANLEY & JEANNE HARRIS
The certifIcate IS Issued to ........,................ 'XiS~"6~'h'tf. . . . . . . . . . . . . . . . . . . . . .
(owner,
of the aforesaid building.
NIA
Suffolk County Department of Health Approval ..........................................
UNDERWRITERS CERTIFICATE NO. ............... .~7.9.3.~9;3.........................
PLUMBERS CERTIFICATION DATED:
.~~}t.~................
Building Inspector
Rev. 1/81
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FORIII NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOlD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE pREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 10660 Z Date ..................Ma.y....1.J$........................, 19.60..,
Permission is hereby granted to:
........,$t&n;I,.ey...J.....HBF-l'!& . ........................
........5Y..'W1'lm-ar'th..:A:venue.j....' ,....,.."..... '
..... ... Gr.aenpor.t.....N.ew.. ,Yor.k. ..l1.944...
to ....00DSt.I'U0t....Ad41:tj,<m...(.Unhe.at.ed.)..,to...ex1S:t;1ng...~w.~:J,1~P..e;............,..,.. ,....,.. "
................................................................................... ............................................................................
ot premises located at 420..Wi.:l.marth..:Avenu-e.;........ ,.................................................".. .............
..............,........ .............Gr.eDnpo.r.:t...., !I!.Y....,..... ....,..... ,............ ....................................',... ...,...,.....,
Sub_<:l1.........:\te.s.h1ng:tOn..H.eightEl. ...Ma.p.. #.65.1.,. ..Lo.t. .#.42............. .................... .... ........... ..
pursuant to application dated ...............Apl':iJ,...;O"..................., 1980..., and approved by the
Building Inspector.
Fee $....1.5...00.........
1000-41-1-23
. .............:~~g.::2;;?!ct~L;:,............
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FORM NO.6
TOWN OF SOUTHOLD
Building Depanment
Town Hall . .
SouthoJd~ N. 't. 11971
APPLlCATIO;\J FOR CERTIFICATE OF OCCUPANCY
Instructions
A. Thl' "Dpl,cot,on must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor ,..",n the following; for new buildings or new use:
1. Final :ur/cy of property with accurate location of all buildings, property lines, streets, and unusual
rL1~Ur.31 ('):' tODoaraohic features.
2, F,nOI zporaval ~f Health Dept. of water supply and sewerage disposal-(S.9 form or equal).
3. '\opra'/ol 01 electrical installation from Board of Fire Underwriters.
4. Co,,,merclol 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. Suomlt Planning Board approval of completed site plan requirements where applicable.
B. Fcr existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uoes
1. Acc'Jrate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topo-:;rZ!ohic features.
2. Sworn 'tatement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date 01 :ny housing code or safety inspection of buildings or premises, ar other pertinent informa-
tion rcqurred to prepare a certificate. /
C. Fees:
1. Certificate of Occupancy $5.00
2. Certti,cate of Occupancy on pre-existing dwelling or land use $5.00
3. Cop'! of certlflcme of occupancy $1.00
Date. . . .. , ..
Ne'N Bur/ding..........:.. Old orPre.existing Building(X). -X- __, {Vacant Land -.........,..
Location olPrcperty .,j--:JJ:I~.~.~:...................~....
House No. ~ Screer' Hamlet
Owner or Owners of Property ./ &~.--$~ ,_ . . . . . . . . . . . .. . . . . .. . .. . . . . . .. . . . . .
Countv Tax ;"1<10 No. 1000 Sectian 1/:1.';I.~~.3.. . .. Block.. _ . . . . . . . . . . .. Lot................
Subalvlslon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fiied Map No. . . . . . . . . . .Lot No. .. ...........
Pe,ml! No. ){!/r?:.o... Date of Permit .;pfJ/ftJ. .Applicant :f~.~~...........
Health Dept. Approval. . . .. . . .. . " . . . . . . . . . , . .Labor Dept. Approval " .......... ,... ......,..
,
Undcr.'"iters Approval. . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval '... /. . . . , . . . . . . ." . .,
Request for Temporary Certificate. . . . .. . . . . .. . . . . . . . . .Finai Certificate. . . ..~. . . . . .. ^
Fee Submitted S . . . \S-~ . .{-:fr. .1.:5.79. . . .
Construction on above descrrbed budding and per';it meets all appJ.i,cabl~odes and regulations.
~'-t, Appiicant "'. .~~..~...................
R6V. 10 10.78
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'f(j.t3:f 7y3 FORM NO.6 'I ' .
TOW.~OF ."OUTHOLO " L.u; - I.
~.vf-'(9'1i
BUIIOIng uepanment t I
Town Hall BLDG. DEPT.
Southold, N.Y. 11971... TOWNOFSOUTHOLD
APPliCATION FOR CERTIFICATE OF OCCUPANCY t~ \6'1(:, w1\1>~
Instructions
A. This Japlicotlon must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec.
tar "IIth the following, for new buildings or new use:
1. FinJI our/ey of property with accurate location of all buildings, property lines, streets, and unusual
n:1iUrJI or tODoaraohic feJtures.
2. F Inol epprovai of Health Dept. of water supply and sewerage disposal-(S.9 form or equal).
3. AcprovJI of electrrcal installation from Board of Fire Underwriters.
4. Commercial buildings, Industrrai 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 PIJnnlng Board approval of completed site plan requirements where applicable.
B. Fcr eXisting buildings (prior to April 1957), Non.conforming uses, or buildings and "pre.existing"
land u:;cs:
1. AccIJrJte survey of peoperty showing all property lines, streets, buildings and unusual natural or
topoqroph IC features.
2. S,'/orn s,orement of owner or previous owner as to use, occupancy and condition of buildings.
3. DJte of ony housing code or safety inspection of buildings or premises, or other pertinent informa-
tion requited to prepare a certificate. I
C. Fees:
1. Cortd,cate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date. . , .. ..
New Building. ., . .. ... . " . Old or Pre.existing Building(X) .7-- ._, (Vacant Land -.. . . " . " . ..
LocJtlon of Property .07.-... .~~~.~(........ ~~....
House No. Screer Hamlet
Owner or Owners of propert~~7:'#~' '" ... . .. .. .. . .... .. . '" ... .. ., .
Countv Tax Map No. 1000 Section .#~/:;;,23... Block............... Lot................
SUDdivlslon , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .lot No. .... .........
Perm It No. //5. t.>,i?O.. Date of Permrt0'"' ?-Y..fif. ..'\pplicant ~;j/..# ~. . . . . . . .
He31th Oept. Approval. ..... ...... . .. . ...... . .Labor Dept. Approval .. .......... .... ..... .,..
Under\';riters Approval....................... .Planning Board Approval................... '..
Request for Temporary Certificate... .., . . . ... ... . . ., . .Final Certificate. . .~._... .... " '
Fee Submitted S .~-;-~. . '111:./.'9.79. . .. . _ .
Construction on above described building and per~it meets all appupbleu:odes and regulations.
C,O.#--'t. /SJ,'i5'i - ,?'f::' .
~.'-j1,o, 3);),70 Applicant..,. -. . ,.. . ..~.................
Re.... 10 10.78
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THE NEW YORK BOARD OF FIRE UNDERWRITERS -
=<
\ BUREAU OF ELECTRIC;;ITY
February :1.1, 198-J!S JOHN STREET. NEW YORK. "'EW,f$~~,,~'i'
Datt> Applif"ation No. on Jile N 193393
THIS CERTIFIES THAT
"" only the eledrical equipment as described below and intl'Oduced by the applicant no:med on the abQve application number in the premises oj
==
~ SLa.<lley Ha:t,t.'is , ~7 Wilmarth Avenue, Greenport. , N.Y.
~ in the jolfol-Cing IOfjqfL~6a';t'~ ~:-sPiW'~ tJ 1st"". o 2nd FI.
~ -"'ef"tion Blof"k Lo'
IE was examined on and found to be in compliaru'e u'i,h the rf'flUlremenf"l of this Board.
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~ FIXTUtIE. ECEPT AClES SWITCHES fIXTURES RANGES COQklNG Oec.kS OVENS DISH WASHERS EXHAUST fANS
I OUTLETS INCANDESCENT FLUORESCENT .. NOT KW AMT KW AMT KW AMT K W NOT H'
VAPOR
2 6 3 ~>.
I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME-hoCKS BELL UNIT HEATERS MULTI_OUTlET DIMMERS
NOT Oil H' GAS H' NOT AWG NO' AMT" TRANS. SY$rEMS AMT
KW, NO NOT AMPS 'MT H' NO OF FEET WATTS
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i SERVICE DISCONNECT NO. OF S E R V I C E
NOT TYPE METER NO OF CC COND AWG AWG AWG
AM' EQUIP l.J1j2W 1)lJ3W 3H3W 3J14W PERH OF CC CONO NO OF HI LEG OF HI lEG NO OF NEUTRALS OF NEUTRAl
I OTHER APPAR.A fUS.
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, Stanley Harx is
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~ Box 783
. GrQI;;~n.J;!i;;)rtf 1-1. Y 1J 944 ( ~~,Ne~~L MANAGER
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I Thi~ cer'ific.O'I'e must not be a\tered in any manner; return to the office of the Board if! inc6rrect. Inspectqrs may be IdentifIed by their credentials
CO~~ ~OR BUILDING DEPAR"Pf\ENT, THIS COPY QF QE~Tlf,r.;A T~ 1t1~~T!~~T: BE:ALr~RED:,IN ANY MANNER
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TEL. 765-1802
TOWN OF SOUTROLD
OFFICE OF BUILDING INSPECfOR
PO. BOX 728
TOW)\; HALL
SOUTHOLD, N.Y. 11971
~
~t~l..., ,\. \\Q~ - Applicant
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\....) ~M.\Q,_ . J.:R
G, "'.,-",,~,vct . /<.:).~.
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Dear ~ \-\. 0 JV\ ..:., :
This is to advise you that ~ Build1.ng
Perr:at No. )olol.t> issued to
on $\ I~ \ 'i 0 for' and
a f~~al lnspectlo~
In order to complete this f'ile, it is necessary t::-.2. t
a Cert:Lficate of Oc(:u;;2ncy be .:.ssued. Please fill out t.he
enclosed fcrm(s)J ret.urn saf.1e to the a::;ove offl.ce w.1"Ch a
check [or $5,00 payable to the Town of' Southald. Ple3.se
inc2ca.te to whom the CertJ...flcate of' Occupancy 1.s to be Ii2.:..1cc,
and arrange with th~$ office for an inspection date.
Thank you for your prompt attention.
Very truly yours,
--./' ,
Y'::cL
7.:'}x . l.
u <J....<) CI...-i...(, ~
Victor Lessard
Administ.rator
VL:ec
Enclosur~s
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L!77-)~q5
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FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
. ~} TEL.: 765-180:<1 .. ItJt;~[!
)J1th n :?Z
Exammed . . . . . . . . . . ./. . . ., 19 . . . Apphcation No. . . . . . . . . . . . . . . . . .
Approved. . . , , . . fl.1~~1. .r? 19. .Y1{rmit No. f.q.~ G, ~ .~
Disapproved alc ..".,. .~.. . ,...................
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(Building Inspector)
APPLICATION FOR BUILDING PERMIT d,.n. ? (/ H
Date. . . . . '. . . . . . . . . . . " 19. . .
INSTRUCTIONS
a. This 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 penUlt
shall be kept on the premises available for mspection 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.
I 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 insp, ct' ons. /f~ ..... .....
(Signature of a licant, or name, If a corporation)
01.}f~~t2J. ~~, Jty..
(Mailing address 0 applic t) i I f W
State whether applicant IS owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bUllder,
. . . . . . . . . . . . . ......................... '......
(Name and title of corporate officer)
Builder's License No. ..,...,.. ,6.1;Y~...
Plumber's License No. ,.',....,.... ,... . .. "
Electrician's License No. .... . .............. .
Other Trade's License No. ...... . .... ..,.....
1. Location of land on which proposed work will be done. ...."........."................".,....,...,...
l-/dP..zr;( ff~.~..,.." .~...., ..,......,....
House Number Street Hamlet
C T M N 1000 S .' -c9 /f f G. 'f'/ If! I ~ .:2.3
ounty ax ap 0 . ectlOn ~.............. Block ..............., .. Lot.. ., .', . , . . . . . . . . . ,
SUbdlvisionft~~. ..~...... Filed Map No. .....t;>.-1/... Lot ....~~...
(Name)
2, State existing use and occupancy of premises and intended use and occupancy of proposed construction:
"&1"'''000'0'0000'",0' .... .~~ .~<G.""............".".
b. Intended use and occupancy ......4!........ .Cf/.>#... .C?c!.~r:'.. . .,~. &??f't{ j. . .. . ., . . " ..
.-
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3. Nature of work (check which applicable): New Building. . . .. .. . .. Addition . .~.. . ... Alteration ..........
'Repair .............. Remov~l . . . . . , . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . .
",' / (Description)
. /...5-dO , I ~
4. Est.1mated Cost. . . . . Y' . . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
5. If dwelling, number of dwelling urtits . . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . .
If garage, number of cars ......;..................................................................
6. If business, commercial or mixed bccupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . .
7. DiJ,l1enSions of e:!s;J~ structures,; if any: Pront . . ...;J:."l/. . . . . Rear ... J~ . . . Depth . .J.~ . . . . . .
Height .. d,sp . . . . . Numb,er of Stories. . . /.tJ.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front ................. Rear . . . . . . . . . . . . . . . . . .
Depth. . . . . . . . . . . . . . . . . . . . .j. Height. . . . . . . . . . . . . . . . . . . . . . Number of Stories. . . . . . . . . . . . . . . . . . . . . .
8. Dimensions of entire new constru,ction: Front. . . . . . . . . . . . . .. Rear . . . . . . . . . . . . . . . Depth ...............
Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front........... .J.......... Rear...................... Depth......................
10. Date ofJ'urchase ............'................. Name of Former Owner .............................
I I . Zone or use district in which preJj1ises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ..........1.................. Will excess fill be removed from premises: Yes No
14. Name of Owner of premises. . . .'. . . . . . . . . . . . . . . . Address. . . . . . . . . . . . . . . . . . . Phone No. ... . . . . . . . . . . . .
Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. .. . . . . . . , . . . . . .
N!une of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. .. . . . . . . . . . . . . .
PLOT DIAGRAM
Loeate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensians from
property lines. Give street and block number or description aecording to deed, and show street names and indicate whether
interior or corner lot.
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. . . . ,~. . . . . . . . . . . . " being duly sworn, deposes and says ~he is the applicant
I (Name of individual slg*ng contract)
abov amed. '
,
.;He is the. . . . . . . . . . . . . . .~. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
, (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 con~ained 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.
Swom to before me this
.......... ~~. .dayO!....~......., 199b
Nota~;'l~'" .. . county~ .,-/ .
-'~r~--'" BETHANNN ILtJI... '...~~~............
I V !'\JULIO, State of NdW tlu (Signature of applicant)
No. 52.8125850. suffolk Cgu~1
T8I'm EMpire. March 30. 19.!.