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Home My WebLink About11459-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southotd, N.Y. Certificate Of Occupancy N°'Z'l' ] '3'5'1 ........... Date December 13 198..2. THIS CERTIFIES that the building add±tion Location of Property .55.4.9.5 ... North Road Greenport House No. 's'tle;i ............................ Ham/et County Tax Map No. 1000 Section ...0~fi. ...... Block ..9.~ ........... Lot ..9J.1 ............ Subdivision X X X ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. 0. 9 ?.o.~ e..p..2.8. ...... , 193. !. pursuant to winch Building Permit No. 1 ~ ~ 5 9 Z dated Novmeber 1 7 19~. 1 , 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 ......... 'an addition to an existing dwelling. The certificate is issued to Henry Paterson /owner, te~ or t~martt) .................. of the ~foresaid building. ~, Suffolk County Department of Health Approval N/R UNDERWRITERS CERTIFICATE NO. N 5 71 06 7 Building Inspector Rev. 1/81 FORM NO. TOWN OF SDUTHQLD BUILDING D~PARTMEN TOWN SOUTH'OLD, BUILDING (THIS PERMIT MUST BE KEPT ON 'I~H, IS S UNT LL COMPLETION OF THE WORK AUTHORIZED) ' Zi:Z, ,.... ~..-., / -'7 19.~'[,~. N? 11459 Z Date :,~.~.Q~.~*.~ ....... ' ..... Per~issJon is hereby granted to: , .~. .... ~ ...... ZC~,~ ~.~:~. ~ .....:.~ ..~.~., ....... ~~.....~..>~:x_....~...~ ........... ,,~.,~..,~......~, ................ :: ....... ................. ~ ........................................... .................. . .;...; ....... ; ....... ; ...... ;;......; i.. ........... ........................... . COU~ rdx Map No. 1000 Section ..O:~ ~ Blo*k ..... ....... ~ /.~/. ........... pursbant ~o application dated ..... , ....... , 19., and ppproved by the :Buil~lng 1(3speCtor. Fe~ ~$/..,,~ ............. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and sdbmitted 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. Fees: 1. Certificate of occupancy $5.00 2, Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.0O Date Re~%ember 17~ 1982 New Building ............. Old or Pre-existing Building . .~X..X ....... Vacant Land ............. 55405 ]kror%h r(l. (¢,~ 48) Green~ort, ~T. Y, Location of Property ................................................................... House No. Srreet Ham/et Henry ~'et~ers on Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section . .q~..~ .......... Block ....0.1 .......... Lot...0.1.1 ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.l.l.~..5.9 ..... Date of Permit ]-0/28/82Applicant C. ., ~e~r~!l, BuzlS. er Health Dept, Approval . .~.°A .r..e¢.u~J;r. ?,¢ ......... Labor Dept. Approval . .~;o. ~. ?.e.~..~?%r~, ........ Underwriters Approval #57~067' ' ~it* .Planning Board Approval Request for Temporary Ce?ficate ..................... Final Certificate ~ Fee Submitted $ ~.,.0.0....~/.. ................... Construction on above described building and permit meets all a~icable codes and regulations. Applicant..~..,4~-~¢.... ,C¢?...~.~ ........................ THE NEW YORK BOARD OF FIRE UNDERWRITERS E~UREAU OF ELECTRICITY THIS CERTIFIES THAT only the electrical equipment as ~scribed bel~ and introduced by the applicant nat~ on tb~ ~e application number in the premises in the follo~[ng location; ~ Basement ~ e.,,,.i.ed o. Jt~y 25, 1982 FIXTURE OUTLETS RECEPTACLE~ SWITCHES FIXTURES [~ 2nd FI. Section Block Lot and found to be in cotnpllance with the rqquiretnents of this Board. RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET )THER APPARATUS: t-G.~. I. E R NO, O~E~C~COND. C NO OF NEUTRALS Town Iiarbor IA. Sou~h~d, N.Y. 11971 lic. 282-E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified ~heir credentk~ls. COPY FQ~ BUILqlNG DEPARTMENT? THIS COPY O~: ¢~ERTJ~F~J~M~ [r~Q~T ,~_~;~I.~,~RE,~ !~:ANY MANNER. FIELD ~NSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,~DE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEFARTME~IT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .~../.g ................. 19....~.~..' Approved .~.../...~. ................ 19~./... Permit No..g(./...~..~ .......... Disapproved a/c ................................ ,/"~"".~'~t .................................... .........../ ~,BUilding '~''""~-'!"'-- "1 nspector) .... ~- Application N o. ~.~'..~...---~..~.. .................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or] in ink and submitted in triplicate to the Building Inspector, with 3 set~ 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 o~ areas, and giving a detailed description of layout ofproperty musi be drawn on the diagram which is part of this application. 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. APPL!CATION 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 buildings for necessary inspections. (Signature of applicant, or name, if a corporation) 880 l~o~so~ Ree,~, Gree~or~ N. !~. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. BullS. er Name of owner of premises ...~?.~..r.,v....~..~..~..r..s.?.~. ............................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. P. 3 Plumber's License No ..... .,(~..~6,~.......~...¢,~ Electrician's License No...~.~......../~.~.....,.~:2'''---''~ Other Zrade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ..... ~..~...~..~..~.. ........................................................................................................................... Municipality 2. State existing use and occupancy of premises and in?ended use and occupancy of proposed construction: a. Exisiting use and occupancy ....... ~.e.~..~.~..e.?.?~.~:...?~.e..1...]..~..~. ......................................................................... : ResiS~tisl Dwelling b. Intended use and occupancy ................................................................................................................................ 3. Natqre of work (check whichlopplicable): New Building .................. Addition .X.~.~. .......... Alteration ................. Repair .................. R~eval .................. Demolition .................... Other Work .................................................... ~ ~, ~ (Description) (to be paid on fiJing this application) 5. If dwelling, number of dWellJpg units ...... ?~..e; ............... Number of dwelling units on each floor ............................ If gaYage, number of cars ..... ~ ....................................................................................................................................... 6. If bus ness, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structuies, if any: Front 42' Rear 4~,~ Depth 28 Height .1.4 ~ Number of Stories o~ e Dimensions of same structurel with 'alterations or additions: Front 42~ Rear Depth 88 "' Height ,.:~ ....................... Number of Stories ....... .o.~.~ ................... 8. Dimdnsions of entire new con,structi~n: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size 6f lot: Front .................. ...................................... Rear .......................................... Depth ................................ 10. Dote~ of Purchase .................. i ...................................... Name of Former Owner ........................................................ ] 1. Zone or use district in which premises are situated .... ~.e..s..~[..~...e..~.?..[.~..]:. .................................................................... 12. Does proposed construction viblate any zoning law, ordinance or regulation: ....~..?. ................................................ 13. Will lot be regradedl ~.o i ...... Will excess fill be removed from premises: ( ) Yes (~) No 14. Namejof Owner of premises Ro' 'Pe~,e~so~ Address ~ett%b_e!~. PhoneNo. ?65 5302 Namb of Architect ................ : .............................................. Address Phone No. Name of Contractor C. ~o~ l~e~el 1 ........... ':.., .............................................. Address ...G.~.~.~?..~ ......... Phone No. ~77 0995 PLOT DIAGRAM Locate clearly and distinctly all buildings whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and blo~k number or description according to deed, and show street names and indicate corner lot. I0 STATE OF NEW Y'e~K,,, .,,~ [~ COUNTY OF .-%.,,~~....)' '~''~ ................... ~ ............................................................................. being duly sworn, deposes and 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, and is dul~ authorized to perform or have performed the said work a,nd to make and file this application; that all statements~contained in this application are true to the best of his knowiedge and belief; and tha~ the wofl~ will be performed in th~ manner set forth in the application filed therewith. Sworn to~efo~ me this ~ ..... ........... .......... . ............ ...... ..................................... ~ ELIZAB~H A~ NEVILL[ NOTARY PUBLIq, St~te 0f t NO. 52-8125~50, Suffolk C0~ - : ~rm Expire~ March 30, I0 It '~ ..,~,,"~ ~C ' ~' '~'~HE N.Y' T~E R~ ~)NsTRUCTIOM ~LE FOR sTATE ~ ~'OT REsPONbI.~ ~RORS. CODES' ~ ~iST~UCT~Om = oEStG~ O~ ~