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Home My WebLink About11209-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ................................................ ~ ~ ' ~oad (Front St.) q. reenoo~t Location of Property .. Y5.2[ ?.5 .............. .-' I~,~.n .................................... House No. Street Hamlet County Tax Map No. 1000 Section .. 0 JB. .... Block . .0..~ ........... Lot . .,0..0:-~ ............ Subdivision '~ X X ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this offi?e dated ·. &pz, i& .'..)6 ..... 19. ?3pursuant to which Building Permit No. .1.1.20R. · dated ..... J u n.e.. 26 ............... 19 .~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 ......... ..................... an. a.ac eaz~.ap.y, ga~.ag~?. ................................... The certificate is issued to ......... g.e.~ ~la..&../lr.d.e3~. ~.c.q b.' .fi..H.q q ~Mn3~. .................. (owner, le.s~ae.~ of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO ............ r~Z~ .................................. · Zoning Board of Appeals approval, # 2830, 6/1]/81. Rev. 1/81 Building Inspector ission is hereby granted to: .~ ~: i BUILDING :IXERM!TI (TH S PERMIT MUST BE KEPT ON, ~H,~:PP,~/~IS S UNTIL LL COMPLETION OF THE WORK AuTH~RIZEDi ...~. located ot Cou,nty Ta]x Map No. 1000 Section pors~ont to application doted Bgil~lng I~spector. FORM NO. 6 TOWN OF SOUTHOLD J~uiJding Department 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 buildin§s, 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. B. For existMg buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property Fines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, Occupancy and condition of buiMings. 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 $5.00 Date ..... New Building ¢¢~ ~.~.~.~. ..... Old or Pre-existing Building(X} ;._ ...... =/Vacant Land .......... Location of Property . .7.~. ~ .,~.. .................. /~¢/.~.../~.~.,~. ........ ~'. ~..~.../¢._.~....~.. .... House No. Street Hem/et Owner or Owners of Property , , ,/{¢/./z,~ ................................. County Tax Map No. 1000 Section . .~.f¢ ........... Block ...J ........... Lot..,~. ~ .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ll~,O~ ...... ~- Date of Permit ~;,~, ,',~./, ,Applicant ,/¢~¢,~. ,~'¢4~,, ~,,L;/' ;f'~ ~/~,~ .... - ...... Health Dept Approval ~"- Labor Dept Approval ------- Underwriters Approval,, , ,-~,,," , ............... Planning Board Approval ,~,f ,~,/¢,/. ~/Z~'.~.~,. Request for Temporary Certificate ..................... Final Certificat~ .....~....- ......... - Fee Submitted $ .~). .......................... Construction on above described building and pe,~mi~meets ~ app~cable~codes and regulations. ~,0, ~(~¢~ (_o:~ Applicant .................... ;' IZ , .. / ... , FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Fiie No ................................ To /J~.~.~..--~.~o/../..~.. PLEASE TAKE NOTICE that your application dated . / ~ ~-' ~o~ ~ ~o com~...~.~.&~:~. ~.: ~:~ ....................... co~v ~= ~ ~o. moo ~o~ .. ~. ~.~ .... mo~ .. ~{ ......... ~ . :~ ~ ...... Subdivision.. - Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds, r.~. · ~" ~ ~:~'' '~'' :~':'~:'' ~'~' · :~' '~7 .... ./~)~ .z~. . . .~ ~-.~ ~ . .z ~;.~.~.~-. ......... '... ~ ................... ,d. . .... Building Inspector RV 1/80 IHembers Absent, i£ any: ~ // Appeal No. 2830 Agenda Item/,'datter of: .. Mc_C~_~2~... KEITH & ARDEN SCOTT T)~pe of Variance or Appeal: GaraKe in sideyard area a__t_7_65_~Z.~ Main Rd., Greenport Resol'ution made by: Seconded by: A ctlon: G~harles ~)eory%en Robert ~ G~rard ~oseph. ;~ Douglass uoenrmger aawlcK! ( ) ( )/ ( ) ( ) ( ) ( ) (~ ( ) ( ) Approve as applied for ( ~App~ove with the follow?g conditions: /. Deny ~ )~ ~.c~, · ~' Deny without prejudice f ~/~k&,'.~iz~J .z/~i~'2ze~ ..~, Withdrawn without .[ ~) .Subject to County Planning referral Prejudice ~ ( ) kubSect to ~iannin9 Board approv'al ~ . (.).'Sub~iect to D'.E.C. regulations ( ) oth'kr: ( ( ( ( ( Findings of the Board are as follows: ( ) ( ) If so~ °/o. ( ) Hardship not sufficient (' ) Hardship or Difficulty Not Unique ( ) V/ill set a precedent in the neighborhood ( ) Area is already very congested ,( ) Interests of justice served by denying ( ) Not Vlithin the Character of the Neighborhood Variance is Substantial in Relation to Code Vote of the Board: Ayes: Nay: Abstain: Absent: // Other: Granting the Relief Requested is within Notes: /spirit of the zoning code ( ,V)~/~e~ lief is not substantial ( k)' Burden of hardship or difficulty shown . ~nd is unique ( ~/Variance will not change character of /-the neighborhood (~f Interests of Justice served by §rantin9 ( ) (b/RD ( ( ( () () () () () () ~ 1. FOUNDATION (1st) FOUNDATION {2nd) 2. ROUGH FRAME & PLUMBING 3. INSULATION PER N. STATE ENERGY C~DE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1'1971 TEL.: 765-'1802 )~sapproved a/c ,~(/.2.~.. . .~.~q'~A~..... ~ . . ~ ...... ~Z~O ~/~/ APPLICATION FOR BUILDING PERMIT ,/~ ~,~ ~/.~,~0~' ~ 'Date ~/~ ~..~ .... 19 ~/ 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 sclc. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining p~mises or public streets *r areas, and ~v~g a det~ed description of layout of property must be drawn on the diadem 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 pe~it ;h~l 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 purpose whatever until a Certificate of Occupancy ;1~I have been granted by the Building Inspector. ~PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pe~it pursuant to the 8uilding Zone Ordinance of the Town of Southold, Suffolk County, NewYork, and Other applicable Laws, Ordinances or Regulations, for ~e construction of building, additions or alterations, or for remov~ or demdition, as herein described. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ~d to ,dmit autho~zed inspectors on premises and in buildings for necessa~ inspections~ ~ .... ................ (Signature of applicant, or na~e, if a corporation) ......... ~ .......... t ....... y~ ............ (Mmhng a~dress of apphcant) 5tare whether applicm~t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. c~ Xlame of owner of premises ...}(.~.;~.~.~...~.d6O. S~.°.~../~..al.tR..~.~. ......................................... (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..~,44.5:~. ................. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed wor)g will be done .................................................. (. F.o 'T ) /:.,.. ........ ;, ........................ .7. ......................................... if ........... House Numb · Street Hamlet County Tax Map No. 1000 Section ...q.~. ............ Block ..... ~ ............. Lot....9~. .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occnpancy ..... /. ..... tq.¢ ............. b. Intended use and occupancy ..... .~ q~,c.~fl.e~ ......................... ~ .......................... Nature of work (check which a e): New Building ................... Alteration .......... Repair RemoVal ' Demolition Other Work ~ (Description) Estimated Cost ,~..I.Ot P O.O, ; Fe : (to be paid on filing this application) If dwelling, number of dwelling t~nits ............. Number of dwelling units on each floor ................ If garage, number of ears . ,~...: ................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... any: .................................. Dimensions of existing stmcture~, ~f Front..q.~: Rear 'f.~ Depth ~'o ' Number of Stories Height ....................................................................... Dimensions of same structure with alterations or ad&Uons: Front ................. Rear ................. Depth .................... .. Height ...................... Number of Stories .................... Dimensions of entire new construction: Front.. ~P. ~ Rear . .~. ~P..~ .. Depth ~ ''/' Height /.~.t. Number of Stories ! Size of lot: Front . ~q.of... ' ...... Rear . ./q/.: .5/~ ............... Depth__-- ./.ff'./.,..o.~. ........... Date of Purchase . J.q.2.g .... , i... i ........ Name of Former Owner ~,. ~c~s..~.~. ~.qe-,t77/ ...... Zone or use district in which premises are situated ..... G ............................................. Does proposed construction violate any zoning law, ordinance or regulation: . ./q. ~ ......................... Will lot be regraded .... A].O... ....... t ............. Will excess fill be removed from premises: Yes No Name of Owner of premises .~ .~}q.t~ .8 .~.~. ~ '~0tAddresst ~' '~''$'ff't, ,o'~'re'~/~'°~'U'.._ Phone No.'4...7.~'.:0;47.,,, ~ ..... Name of Architect .......... ................. Address ................... Phone No ................ Name of Contractor ~ .~ t ........... Address tt Phone No PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate all set-back dimensions from ~'opeIW lines. Give stre6t and block number or description according to deed, and show street names and indicate whether ~terior or corner lot. ~ 61o /:'Re,vT SE TATE OF NEW YORK, OUNTY OF ................. ,,. ...)./0F. O~q.~..?.~.~..F~....d~;( .C..~..~.~...nq,~ ............... being duly sworn, deposes and says that he is the applicant (Name of indiwdual sigfiing contract) bore named. (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this applieafion are true to the best of his knowledge and belief; and that the ~ork will he performed in the manner set forth in the application flied therewith. worn to before mp this .................. · Iota, Public, .... ~J~.~..--. ...... x'" =.~ounty,/ . blOTARY PUllLli~ State of Ne'w York / ...... /. [r~- .... /~-..'.: r..-. ~. ........ ~ ........ , ' _Suffolk County- No. 4730135~ "/ ' (Signature ~f applicant) ~: ~_~__.B¥: ~T NOTTF-Y: ~U!LDING DEPARTMEF 765-~802 9 AM TO 4 PM FO~ THE ~OLLOW]NG L FOUNDATION - TWO FO~ POURED CONCRET~ 2. ROUGH - FP~MING & PLUM~f~G ~. INSULATfON 4. FINAL - CONSTRUCTION BE COMPL:~ FOR C. O. ALL CON,RUCTION SHALL MEET · HE REQUiReMENTS OF THE N. ~ATE CONSTRUCTION & ENErgY CODES. NOT RESPONSIBLE ~T3 :: P c~:)~c, yC% .~ Y~cl~'~' ., .F P--_ot4T · ~I~ROYED AS R'OTED 7~5-1802 g AM TO 4 PM FOLL~ING JN~ECTIONSr 1, FOUNDATION - ~O FOR POU~ED CONCRETE 2, ROUGH - FRAMING & ~, [NSULA-rlON 4. FINAL - CO~TRU~tON BE COMPLETE FOR C. O ~[~ OR CONDUCTION ER~. f, d