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Home My WebLink About13625-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...z.l. 4..1.6.6 ......... Date ...... J.a. ,n.u.a.r.y .... 1. 6. ............ ,19.8. ,6 THIS CERTIFIES that the building ..... A..c.c.e.s..s .o.r.y. ................................ Location of Property .2.6..0 ................ R..o.b.~.n.~..o.n..R.d.: ........ Greenport House No. Street ................ County Tax Map No. 1000 Section . .0. 3. .4 ....... Block . .0.5. ........... Lot . .0..1.2 ............ Subdivision ....... .X. ...................... Flied Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .D.~qfi~h~¥..1.2...., 19 .8.4. pursuant to which Building Permit No....1.3.6.2..5.Z ............ dated ............................December 13 19.8.4. , 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 ......... ..... Accessorl< Deck & F.e, nce Around an Incjround Pool) The certificate is issued to COPAS; ROBERT & CAROL ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval ...... .N./.R, ........ .... UNDERWRITERS CERTIFICATE NO .............. ~/..R ............................... Building Inspector Rev. 1/81 FO~M' NO. ,A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥, BUILDING PERMIT (THIS PEPu~AIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13625 Z Permission is hereby granted to: .......... .~..~~ ~...~ .... ..~...~.~,...~..:~.,...~/...~...~.~ ......... ,o ..~.....~.~..~.....~...~....~....~ ..~......~....~...~ ...... ~ , , ~ ~/ · ~.....~...~..,...~...~.~...~.0.~..~ .... ~..~.....~.~...~...~ o, p~m,,, ,~oted o,..~.~.~..~~...~.: ......... C~.~.~ .................. County Tax Mop~No. 1000 Section ..... ..~. ............~..~. Block ...................... (~ Lot No ..... ..~..!....~.. ....... pursuant to application dated' ...'...~.~.~....L'~.. ................... , 19.~..~.., and approved by the Building Inspector. Fee ,..~.,..~ ..... ~l~uildlng Inspector Rev. 6/30/80 lvO~1~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPOV~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13496 Z Permission is hereby gronted to: ..~..........~....~.~....~.,.~....~..~... ~~:+~.....~.:.~.:......t.~..~..x.....~ .............. . ,o .~~.~,J, o- .......... ~...~.....~.~....~......~......~....~ ot premises located at .....~.....~.. ....... ~~.~4..,.....C~.~ ......... County Tax Map No. 1000 Section ...(~..~..~ ......... Block .....,(~...~,. ....... Lot No..,C~..).....~....::..:... / pursuant 'o application doted ....x.~..~..~ .......................... , 19..e..J., and approved by the Building Inspector. Fee,. ~'~ Rev. 6/30/80 Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 765- 1802 APPLICATION FOR CER-~IFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted lllaaaa~a~a 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: I. Accurate survey of p~operty 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date .... ./.~-..4~.....o..~. ......... New Building .~?~...' .~Y/~.... '(3Id or Pre-existing Building ............ Vacant Land, ............. Location of Property ....~..~..~(~. ........... '....~. ~. ~/~. ~.~..~,. ~Z~ .~. '.~..-~/.~..~..~./."'~.. House No, Street Hamlet Owner or Owners of Property .... .~'.~.~..~'~.. '.~. ~. (~Z'~/~;C~.L, ..... ~)~"~. ~. ..................... County Tax Map No. 1000 Section ......... Block ,, ,~., .......... Lot.../. ,~. . ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. /.~(~.~.~.~.Z,. Date of Permit/,~..~.~ .~?. ~.Applicant . ./~ t..Q~.)' '~'~/'~/-..¢'¢~'~' .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval . :..: .................. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $..~ .-~.~. ........................ Construction on above described building and,~)er~t meets all a~cable codes and regutatibns. ~_~ ~'~t~ ~ ~- Applicant .~'~ ~'~,~. ........................... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P,O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 7654802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. /~/ An application for Certificate of Occupancy is not on file. /5/ No Underwriters Certificate on file. /2/ The check is(.~e~te~%~not on file.) /5/ No Health Dept. Approval on file0 /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit #' } ~ _~ o~ ~ Z Building Dept. ~/~ ~ ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 THE 'NEW' YORK BOARD~OF iFIRE UNDERWRITERS ~ E~UREAU OF: Et. ECTRICITY ~.000708 B5 JOHN STREIET,'NIEW YORK, NEW YORK 1OO~ THIS ~ERTIFIES THAT ~ C~s, 260 R~in~n ~d, Gre~rt~ N.Y. ~.~ e~,,m~..d <,,, AugUSt §, 1985 F~XTU~. ~ .... ' ............. I 1 1 1 DRYERS' FURNACE MOTORS 'FUTURE APPUANCE S E FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: Environment East, Inc. R. R. No. 3 - 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 December3, 198/~. Southold l~uzlolng Dept. Niain Road Southold, N'Y 11971 Re: P'ermit ~?~'!' 13~t96Z To }r'hom it May Concern: As ~pp!ic~nt for ~oermi(; ;'/ 13~i~96Z we wo~ld like to in- form you of t~ concelation of {~is project. ~e per- reit w~s issued to ua on !0/2[1./8!~ as agent for Robert Copras of 260 Robertson Road, Greonpor~t, NY for the c6n- structiom o'~ ~ deck arou~d ax~ inground swi~'ar~i'ag pool, No work that Ne7 h ye been done or will be in +~he fu- ture is a rcf~c~ct<op of plans or perr~its dr~wn or filed by E~viron~at ;{asr, Inc and should not be considered ~ Yalid re, s<~onsibility of this corporation for design or a ~,oRracy. ~'.ie~ tnere..._ore~ resp. ectfu]ly request the can.elatzon of the shove mentioned permiLo i'h~nk you Peter N. ~'6utenbnPgh '~nvmS~mant ~ast, Inc~ PR.~. OM FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180;2 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No..' ................ 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 BuildingPermit 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. 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. 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. . &y. .-/:. . ?. . .. ?.,.V.¢: ........ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) {l~d~ State whether applicant is owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or builder. Name of owner of premises ~.~. ~., .-~.. ~..~. ~ .6-. (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..~. ?..'~ .~'. (.~. .... ./-./.' .~'. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... .~..~.,~.~..~.,/f..?,:/f..~../.....................,'~'D~'/;~/cf '~ · .. ... ............. .................. .................... House Number Street Hamlet County Tax Map No. 1000 Section ....~.~...z] ........... Block ,. O ~ Lot , .0/.~. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: . d< ¢..,'&: a Existin~ use and occupancy .~'. . .v.~:.~. -t~ ~.~.: ~ .... ,~ ~,~.,,,~,.'n-,'~-~(~.~''~ , P ih o. ln[enoeo use aha occupancy ................. r, ., ...... ,~,.. ~ ~.. ~,, ........ ' ....... 3. Nature of work (check which pplicable): New Building ... ~ ...... Addition .......... Alteration .., ........ Repair .............. Removal .............. Demoht~on .............. Other Work .... r. ¢,.. ~...~.. 4. Estimated Cost ............ ~t~O~ .................. Fee ...................................... ~ (to be paid on filing this application) 5.If dwelling, number of dwellin~ units. ~.'. ~: .... Number of dwelling units on each floor ................ If garage, number of cars ... ~ .~ ........................................................... - 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ..................... 7. D~ensions of existing structures, if any: Front ...... ~ ~ ..... Rear ..... 5~. ...... Depth, Height ..... d~. ....... Number of Stories .... A ............. ~... ~ .............................. Dimensions of same structure ~ith alterations or additions: Front . ~.q.. ~,~ Rear .................. 8 ~ D~o~co~s~ructlon: Front .... ~ .......... Rear ............... Depth ............... 10. pat~ o~e ~ ....... ~ ................... Name of Fomer Owner .~,q.~..G~~ ...... 11 ~o~e or use district in wh?h premises are situated ..................................................... 12 ~ ~e~d g0nstmetion violate any zoning law ordinance or re~lation: t 3. ~fll~~d .~ (~.~_~ ~..~...~ .............. Will excess fill be removed from premises: Yes No 14 Nme of Owner of premises : ~{ 'Address ~ ?~ff. Phone No N~e of Architect , , ~ ........, ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from · property lines. Give ~treet and blocl: number or description according to deed, and show street names and indicate whether interior or corner lot. COUNT ' ' 'i ~~' c~'t~ ' being duly deposes and says that he is the applicant sworn, above named. He is the .................... ~ ....... ._~,~,-~. - ~ ................................................... i ~C,~on~ agent, corporate officer, etc.) of said owner or owners, and is dgly author-'lzcd to perform or have performed the said work and to make and file this application; that all statemehts corRained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mantlet set forth in the application filed therewith. Sworn to before me this v NoteryPubfk~,Bte#,ofNewyoW '~ ,./ ~/~./[~:,Z..'h..J. ~. . ........ ,' coNm°~e6'1~me---r. ~M~M~.,, ~,, ~-~n~~ . /-~ ~ ~'~' "~' ':/'~ ..... ~ ....~1 ~Signature~ of. applicants 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL F~UTHOLD, N.Y. 11971 TEL.: 765-1803 pproved .'~'~... r.4~.~... I .~., 19~. J. Permit No. ] Received ........... ,19... qsapproved a/c ..................................... (Building InSpector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- trion. 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 issued a Building Permit to the applicant. Such permit roll be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in wliole or in part for any purpose whatever until a Certificate of Occupancy tall have been granted by the Building Inspector. APPLICATION IS 'tEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the u;~a;,, 7,,~ c~m,a,,itt~ of the Town of Southold, Suffolk County, New York and other applicable Laws. Ordinances or ~egulations, for the c!'~struction of buildings, additions or alterations, or for removal or demoht~on, as hereto described. 'he applicant agrees tb comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. , -- (Mailing address of applicant) ~tate whether applicant is owner, lessee, agent, architect, engineer, general coutractor, electrician, plumber or builder. x!ame of owner of premises .................... . ........................................... ~/ (as on the tax roll or latest deed) If applicant is a corporation, signature of duJy authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No .......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on whichproposed work will be done ...... ; ........ .-.... ............................. .... ' '" ........ ...... ........................ County Tax Map No. 1000 Section .., .O, .~.. ,~. ........ Block . ,O. ~ ........... Lot .... .O../...~. ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises'and intended use and occupancy of proposed construction: a. Existi~g use and occupancy ..... :...~.~.-[~...~...~'~ .... b. Intended use and occupancy ................................. ppli , , ~c~ 3. Nature of work (check which a cable): New Building .......... Addition ........... Alteration .......... Repair .............. Removal .............. Demolition ........... :... Other Work ............... 4. Estimated ~ost ............................... Fee ............................ '~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unifs on each floor ................ If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e of use .................... 7 ..... Front Rear ~ Depth ~ · Dunenslons of existing structures, If any: ............................................ lteight Number of Stories Dimensions of same structure with alterations or additions: Front '~ Rear Depth ...................... Height ...................... Number ell Stories ................... 8 Dimensions of entire new construction: Front Rear ' Depth Height Number of Stories ' ~ 9 Size of lot: Front Rear ' ~Depth ': 0. Date of Purchase ............................. Name of Former Owner .! ......................... 1 Zone or use district in which premises situated ~ ~ · are ......................... , ......................... 2. Doesp oposedconstructlonwolateanyzomnglaw, ordinance or regulafion: .... i ......................... 3. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 4 Name of Owner of premises Address Phone No Name of Architect ........................... Address ............... ~ ....Phone No ................ Name of Contractor .......................... Address ............... .... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and shoWY street names and indicate whether derior or corner lot. FATE OF NEW YORK, S.S OUNTY OF ................. .................. ~ ...................... ' ........ being duly sworn, deposes and says that he is the applicant (Name of i~{tividual signing contract) e is the .........../~ .... ' ................................................................... (Contractor, agent, corporate officer, etc.) ~ said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~plication; that all statements contained in this application are true to the best of big knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. uorn to before me this ....... ' .... /..~). ........ dayof ..... ......~..~....._ ....., 19 .~. % : ' :~tary Public ........ ~.~:~...'.~.: .... ~g ~'/d'~.: ....... County,,,~.~ ~ ¢7..~.~