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Home My WebLink About10670-zFOR~ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20039 Date JUNE 28, 7991 THIS CERTIFIES that the building. Location of Property 2500-2AM/~PLE I2LME House No. County Tax Map No. 1000 Section 38.01 Subdivision ADDITION GREENPORT~ N.Y. Street Hamlet Block 1 Lot 2A Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1_z_1980 .. pursuant to which Building Permit No. 10670-Z dated MAY 12~ 1980 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 SCREENED IN PORCH ADDITION TO EXISTING DWELLING The certificate is issued to EDWARD V. BORG (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL_ N/A UNDERWRITERS CERTIFICATE NO. N_~ PLUMBERS CERTIFICATION DATED N/A - ' Buil~ding -inspector Rev. 1/81 l~OE~ NO. ~ 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? 10670 Z Permission is hereby granted to: ...... ~,~/c.~.....Al.,. ....... ~./z~ ........ ....V:/~.~.r~.~..~.,.~--~,~::~...,.~ ..... z/7 ~/: . , to ... ~.~.~7:./~r~. c~........~.c:/~:~_..~/.c/~'.D... _ z./~.......~..:& ~c.~Z....~.z~g ~:~ ...:z~.....~. :~..~ .:./..,~.cn....c~,~.//z.~ ............ ~ ............................................................. at premises located at~ .-~../4t~.,a.~.'~'-~?.~....../~. ~ ..;~.-X.~.~,.,~'~..?......¢Cf~L;::c~'f~..7.~./~: .d,c~.~.z....~.l..~--~.~.,.'x,,'~.~ ............. &~.,:/.z~... 2 ............ the Building Inspector. ; · Building Inspector Form No. 6 BUILDING DEPARTMENT TOWN t~LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~-- FOW~-~F~5~.~ ~i_1 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new buildzng 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 from Health Dept. of water supply and sewerage-disposal(s_9 form). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contazns less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code C~pliance from archizect or engineer responsible for the building. 6.Submi[ Plannzng Board Approval of completed site plan requirements. ,. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect smgned by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ~. Fees 1. Certificate of Occupancy - New dwelling ~25.00, Additmons to d~ellieg $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 OVer 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ew Construction ........... Old Or Pre-existing Building. .~ . ocation of Property..~. ....... ~ ....... L~' ~ ................. ~ ~V/°o~e T Uouse No. ' ''' Street ............ Hamlet lwer or Owners of Property ~--~4//~ ~O~G~' ~unty Tax Map No 1000, Section ~o.~.~ .Block... / ~. ............. Lot .......... ~bdivision .................................... Filed Map ...... Lot o .trait No... . ...... ate Of Permit ................ Applicant ................ alth Dept. Approval ........... .. ' ' Underwriters Approval arming Board Approval ............... quest for: Temporary C rtificate ........... Final Certicmte.. . S bmitted: $ .... ...... ' ....... '- ' .... ......... ..... .... . ....... t. FOUk~DAT ION ( I st ) FOUNDATION 2. ROUGH FRAME& PLUMBING (2~a) INSULATION PER N.Y. STATE ENERGY co~z FINAL ADDITIONAL COMMENTS: ~ i C~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802- .......... . APPLICATION FOR BUILDING PERMIT Date .......... ~¢7..~ {., 19. ~ 9 a. This applicatmn must be completely filled ~ 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 deschption of layout of property must be drawn on the dia~m which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approv~ of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such pemit ~1 be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu~ose whatever until a Ce~ificate of Occupancy sh~l have been granted by the Building Inspector. ~PLICATION IS HEREBY MADE to the Building Depa~ment for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for ~e construction of build~gs, additions or alterations, or for remov~ or demolition, as herein desc~bed. The applicant agrees to comply with all applicable laws, ordnances, bmlding code, housing code, and regulations, ~d to admit authohzed inspectors on premises and in buildings for necessa~ ~spections. .................. (Signature of applicant, or na~e, if a corporation) 88 Dunlop Rd, Huntin~ton~ ~.Y. 11743 (Mailing address of applic~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises Edward V. Borg and Margaret R. Borg (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 ....... B.¥..O.w.n..e.r .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done....I~.gP..1.e..L. 9.n.e.,..C..r.e?.o.e..n~..B.e. 97.h' .C..op.d.o.m..i.n.i.u.m.. East Marion, N.Y. 11939 Unit #2 .... ~. House Number Street Hamlet County Tax Map No. 1000 Section 38-01 Block 1 Lot..U.n.~.~...~.2 .......... Subdivision .C.r.e.s..c.e.n.t.. B..e.a. qh...Qo.n.d. 9.m.i.n.$..u.m' ..... Filed Map No .... .6.2 ......... Lot . .U..n.i.t..~2. ..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and'occupancy . .S.e.~.s.o..n.~.l?...s.u..m~.e..r..b.e.a..o.h..o.o..n.d..o~.1..nium (4/1-11/1) b. Intended use and occupancy Same, with add±t±on of screened in porch X ilding 3. Nature of work (check which applicable): New Bu .......... Addition .......... Alteration .... '. Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4 Estimated Cost ~.l. 1. Q.01 QQ ..... rFce $15 qq i (to be paid on filing this ~pplication) 5. If dwelling number of dweliinglunits ............... 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 15existingft. structures,_ if any: Front... 2. one'0' .fi;. ' ' ' ' i' ''"Rear. .1t5..ft ....... Depth . . .2 6. f.g ...... ttelght ............... Number of Stones ..................................................... Dimensions orsa,~ structure with alterations oradditions: Front . .2.0. .f..~: ......... Rear .7§. ~.t;, .......... 3~ "~i. . 15 ft. · one Depth ..................... Height ................. Number of Stones ...................... 8. I)nuens,ons o t new construction: Front 1..6 .f.t. Rear . 16 ft. . De thl.2 ft. . {~n ~. . ................... p ............. tieight Number of Stories .o..n.e ................................................ 9, Size of lot: Front .qg.m~..qn.. 9,w.n. 9.r.~.h.i.P.. Rear Cr.~¢~r~t; .l~e.a, ch. CD, ndOepth . Ap. Drox....5. ag=es. 0 ' 10. Date of Purchase .. ~,/~../.7B; .................. Name of Formar Owner .James. P.o..Kav~nagh ........ 11 Zone or use district in ' ' ' · which premises are situated .................................................. 12. I)oes proposed construction violate any zoning law, ordinance or regulation: ...r~o ........................... 13. Will lot be regraded ..... n..o. 4 ......... §~ ........ Will excess fill be removed from premises: Yes No 14. · Edward V. rg address 88 Dunlop Rd. Ph,,,,~,, 516-549-4gl Name of Owner of premises .. · none Name of Architect ......... ~ ................. ,~,,u~ '1'I- 21' ' '~ ............. "" '"' ................ none. 7 3 Name of Contractor ........ 2 ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all: buildings, whether existing or proposed, and, indicate ail 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 corner lot. 12' x 16' concrete slab on footings with screened in porch with r6of. STATE OF NEW YORK, COUNTY OF Iq¢~..y~w.~ ... '' ·. ,~ ~ .~.d .~.~...~.,. ~9 ~ .~ .... ~ .................... being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) above named. He is the.. '.~ .~ ~.~ ~ ....... ; ................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, md is dul~ authored to perfom or have perfomed ~e said work and to m~e ~d file this application; that all statements contained ~ this application are mm to the best of his ~owledge and be~ef; ~d that the work will be perfomed in the m~ne~ set forth ~ the application filed therewith. Sworn to before me this v .... .tg. . .day o ..... . .. . ....... ~ualifled In C~lsslon ~pires Mamh~O. ~.~