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Home My WebLink About13368-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.1.~5.1.1. Date June 1.1 1985 THIS CERTIFIES that the building ACCESSORY STORAGE BUILDING Location of Property 400 Kerwin Boulevard House No, Street Ham/et County Tax Map No. 1000 Section . .. 0. 5.3 ...... Block ..... 9 .2 ........Lot ,..0..2 5...1 ......... PECONIC BAY ESTATES , Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ·...A.u.g,. ~.6. .......... 19 .8.4. pursuant to which BuJlding Permit No. 1.~ $ 6.8.Z. .............. dated .... b.qg,. 2.4. ............... 19 ~.4., was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ·.. A~¢ ~s~.ar. y. ~.to raga. bu~Lld lng .............................................. The certificate is issued to .... .d.O~l.~.. ~....l~ ~I?.E. ....................................... (ownor,/~,~ ~,~ x xx of the aforesaid building. Suffolk County Department of Health Approval ................ ~ ./.~ ....................... N/A UNDERWRITERS CERTIFICATE NO .................................................. Rev. 1/81 Building Inspector lvO~'~ NO. J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13368 Z Permission is hereby granted to: ......... ,.,. ............... ~.~.~ ........ ~ ..... ~) ...... 4~:~c~...../i......~.,:..~....;. ................ ...... ..~~/~....=..~..,~ ......... ....... ~.~.~./~.~.cz:... ....... ~....¢..~.~.,~;4~,,~....~.~.~......~...4.~¥..,~ to at premises located at .......~...~1~.. ........ ~..~.~.....~./~5....~.....: ..................................... ¢oun~ To× Mop ~o. lO00 Sea.on ..0..~...~ ....... B~ock ...... .~....~ ..... ~at No. 0..~.5./.... pursuant to application dated .......... ~...~... .................. , 19 and approved by the Building Inspector. Fee $.e~...c .................. Building Inspector Rev. 6/30/80 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'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 buildings, property lines, streets, and unusual natural or topographic featu res. 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 pZ"operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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: I. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15,00 Date.../~(?.Z.-.//.../.~.C ..... New Building ............. Old or Pre-e~x~isting Building ............ Vacant Land ~ ........ Location of Property....~..~.?. ..... .~..~..~/.Z[~../..~.~.' ~..~,~. :~ ............ .~.~-~//~ ~.. House No. ~ ~ ,~-~ Street Owner or Owners of Property . .. ~-~. ~ .................................. County Tax Map No. 1000 Section .............. Block d ~' Lot d?F. ............................... Subdivision, ./~x;::...~..-3~... ~.~ .-'~. ............ Filed Map No ........... Lot No .............. Permit No../~. ~'''~ Date of Permit~/..~/..~..Applicant J~'~ .~7~,~-~, .~..~,~..' <~..~.~.. L b Dept Appro I .~'~/.'~. ' Health Dept. Approval .................. a or . va .................... Underwriters Approval....~..~./~.(~f. ~-.-~ ...... Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate ~ .................. Fee Submitted $ .... .-~..7.~.'~. ................... Construction on above described building and~ermit meets all applicable codes and regulations. Applicant .~ .......................... Rev. lO-10-7e FIELD ~NSPE~TION COMMENTS FOUNDATION (1st). FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE 4. FINAL ADDITIONAL COMMENTS: P Southold, N.Y. 11971 (516) 765-1938 September 12, 1984 Mr. John Rempe Kerwin Blvd. Greenport, NY 11944 Re: Site plan for storage building located at Greenport Dear Mr. Rempe: The following action was taken by the Planning Board, Monday, September 10, 1984. RESOLVED that the Southold Town Planning Board, following a field inspection, approve the site plan of John E. and Stac±a M. Rempe dated July 18, 1984 for the construction of a storage building located at Greenport. If you have any questions, please don't hesitate to contact our office. ? CC: Building Deparment _~ry truly yours, BENNETT ORLOWSKI, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 Approvedlob.. Permit No. ~/ / (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS r a. Tlfis application must be completely filled in by typewriter or in ink and submitted 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 st'feets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appb- 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 issued 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. 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 thc 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 building for necessary i,~pections. /' ~ ,~ ,~ ~x ·..~: ........ /....,-~/4~...,~.~... X .f:<:'? ........... /.... //(Signature of applica~nt, or ngme, if a corporation) .5. ................... (Mailing address of applicant) State whethdr applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... ~?..~d....:¢/f.~.....,, ............ ~ ............................ , ......................... Name of owner of premises...~z...C'.. :~.-~....~..~. · .............................................. //- (as on the tax roll or latest deed) If appl~ant is a corporation, ~gnature 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. Location of land on which proposed work will be done .................................................. l~ouse Number Street '/ .... County Tax Map No. 1000 Section ...t~..~..s ......... Block . .O...~"~Z.. .......... Lot..~...~...~.%/. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposeLconst~on: a. Existing use and occupancy.../~.. ~ ..... .~.~...~..e...~r..~-. .~..-~ .~.~..~.. ~~ ......... b. Intended use and occupancy...~.~ .~.~.'Y~..~/-¢~. ...... .................................................. ... 3. Nature of work (check which applicable): New Building .../~: ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ............................ Fee ......................... :' *'" (to be paid on filing this application) 5 If dwelling number of dwelling ~nits --'~ Number of dwelling nits on each floo If garage, number of cars ......: ................................................. : ./ ............... 6. If business, commercial or mixed occupancy specify nature and extent of each type of use . .~7'-.ff~ ......... 7. Dmaensao~s ofexastmg structures, finny. Front...,~..Q/ ........ Rear . ~.'. ~.i ....... lfet~th, f.~f~. ......... Height ~.a...~ ......... Number ofSto, ries .... ~. ................... ~ .................... ~. .......... Dimensions of same structure with alterations or additions: Front ...':~/..~. .......... Rear..~...~. ........... Depth .... ~.~. ............. '.. Height . ..~..~. ................ Number of Stories .... ./ ............... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height Number of Stories Size of lot: Front r Rear Depth I0. Date of Purchase ........... .................. Name of Former Owner ............................ 11. Zone or use district in which premises are situated .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................... 14.13' Will lot be regraded ........ ' ....... ' ...... AddressWill excess fill be removed from premises,,'v~-Yes ._ No Name of Owner of premises ................... ................... Phone No.x,'.~.. Name of Architect ......... ; ................. Address ................... Phone No.-~. ...........~"- ... Name qf Contractor ........ i ................. 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 street and blockinumber or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, i S.S COUNTY OF ................. : ................................................ being duly sworn, deposes and says that he is the applicant (Name of individual sigr lng 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 and to make and file this application; that all statements contained 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. Sworn to before ~ne this ' Notary Public ........ ~ H£[£N K. b£ VOE NOTARY PIJBLIC, Stale of New York No 4?07878, Suffolk ~,0unt~,-.--- le~m Expires March 30, 19~_, County ~ . (Signature of applicant)