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Home My WebLink About13237-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13071 Date December 18 8.4. THIS CERTIFIES that the building ..... .0 .n.e..f.. a..m.i.l.y...d.w.e. 1..1 .i.n.~ .................... Location of Pro~ertv ~60 Gull Pond Lane Greenport County Tax Map No. 1000 Section ... ~) ~ 5 ...... Block ......... 0. ~ .... Lot ....... 7.: ~. ....... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated H a y. 3 0 "~ 193.4. . pursuant to which Building Permit No. 1 3 2 3 7 Z dated .... .d. ur; ~. 2.q ............... 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 · ...O. ne. f.<ra J. ~[ 7..4we J-.3.~,r~g ...................................................... The certificate is issued to HELMUT SFZTZENBERGER ..................... i ..................... of the aforesaid building. Suffolk County Department of Health Approval ..... .1 .%%_5 Qr.1.3...13./. ~ ~/.~4. ............... UNDERWRITERS CERTIFICATE NO ............. .F.e.n.d..~.n.~.... 3 2./. 1 7/.S. 4. ............... FLUHBERS CERTIFICATION DATED 12/10/84 Rev. 1/81 Building Inspector !'011~[ NO. B TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13237 Z Permission is hereby granted to)) ':'"%'~'~'"~':~'~ ............................. i ...................... ..~.~.~.....~...:.~.~ ....... i...~.~.~ ............. ,o..~~.~..~.~...'L. ' ~. ,.. o~ ..... · ~,.~ ........................................................................................ ._.-~ ................. ~ .................................. o~premises located at ...,~q.O. .......... County Tax Map No. 1000 SectionV.....' ..~....,~...~..~ ...... Block ........... ~ ....... Lot No....:..-7..:..~...~ ......... pursuant to application dated ....... ..~.....~...~... ......................... , 19:~..~..., and approved by the Building Inspector. B~ldlng Inspector Rev. 6/30/80 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 Jtme 4, 2001 Joseph A. Bollhofer, P.C. 291 Lake Avenue St. James, NY 11780 Dear Mr. Bollhofer: RE: 565 Gull Pond Lane, Greenport, 1000-35-4-28.27. The plans for the above referenced property do show the deck was constructed with the original dwelling, however, the shed was not. A shed under 100 square feet with no electricity does not require a Building Permit from*us. However, any structure within 100 feet of water requires Southold Town Trustees approval. To correct the Certificate of Occupancy, you may apply for an updated Certificate of Occupancy for a fee of $50.00. (The application is enclosed). Sincerely, Southold Town Bldg. Dept. FOUNDATION (1st) COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COMME~ITS: 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND'[ ] INSULATIO~ [ ] FRAMING [~FINAL REMARKS: /~/// DATE 3 ~/ INSPECTOR, FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ,~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted--i~:~up!~c.".,'~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 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/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date D~-~,~..~...Z ~./~. ....... New Building .... ~ ...... Old or Pre-existing Building ............ Vacant Land ............. House No. Street Ham/et Owner or Owners of Property ..~. ~..L..i??.~....~..~.~'.~..~-.. ~.~.[~. ,e~,.~.C¢,~.C~.-..~. .................... County Tax Map No. 1000 Section ... ~ .~..~. ..... Block .,..zr/., ......... Lot...~.~, .~. Subdivision....' .-U-. ........................... Filed Map No...-'7 ....... Lot No..~..~.-. ....... Permit No. Z'.J~-~.~ .~-~ Date of Permit ~, ./-'~?/'~P~.Applicant x~4~A/4¢, ,~.-~'._,~./-~,q/?..~=.~.'. ?~',/. ~ '., Health Dept. Approval ./~,~ .3..O./..~.-.--. Z.~/R .~/~..~.. Labor Dept. Approval . ~ ..................... Underwriters Approval .~..~.~..o.~ .q.~ .............. Planning Board Approval . ~ .................. Reques[ for Temporary Certificate ..................... Final Certificate . .~..~.. ............... Fee Submitted $... [~T.0. .~. ................... Construction on above described building and p~mit meets all applicable codes and ragu lations. Applicant .~.-v ~,;.~.~.., ..................... ,, TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. (Please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (~lu~ber ' s signature) Sworn to before me this /~day of /3~c,~. , 19 ~. Notary Public~//~ County JANET G, RYAN Notary Public, State of New York No. 4817569 Oua)ified in Suffolk CountY Commission Expires March THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8.5 JOHN STREET, NEW YORK, NEW YORK '10038 THIS CERTIFIES THAT Helmu~ Spit~,~'g~r~ ~0 Gull ~nd i~o~ Gr~, N.Y. '~'~ 4 7 FIXTURE OUTLETS 32 DRYERS FIXTURES RANGES OVENS EXHAUST FANS INCANDESCENT FLUORESCENT 45 44 31 1 SYSTEMS NO. OF FEET OTHER APPARATUS: Tr¢~'k Li~'~tiug 32'0" 16 Lites. E R V ! C OF CC. CQND OF HI-LEG - OF NEUTRAL ~/o ~/o Rt. 1 Box 45M Sound Avenue , PAv~rhe~d~ N.Y. 11901 Lic. 3327 '" OENSRAL MAIqAGER<i Thi~ certificate m~st ~ot be a~tere~ ~ ~y manner; r~t~r~ to the office of ~be ~oar~ ~f incorrect. Inspector~ may ~ i~e~tifie~ by their credentials. ~J COpY FOR BUILDING DEPARTMENT THIS COPY OF CERTIF CATE ~U~T NQT BE~LTERED~ IN ANY MANNER 765't8~2 BUILDING INSPECTION //~FOUNDATION ZST [ ] ROUGH PLBG~ [ ] FOUNDATION ZND [ ] INSULATION '[ ] FRAMING. 1' ] FINAL ~ REMARKS: ~ DATE 765-~,802 BUILDING DEPT. INSPECTION [ ] 'FOUNDATION 15T [ ] ROUGH PLUG. [ ] FOUNDATION 2ND[~NSULATION [ ] FRAMING FINAL REMARKS: ~/~ DATE INSPECq'OR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL,: 765-1802 Examined . .~....~/D~... ?.o..., 19~ .q. Approved . ~.~..~. O..., 19 ~. ~.. Permit No. }. ~..~.%..~. ~ Disapproved a/c ..................................... Received .......... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This 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 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 issued a Building Permit to the applicant. Such permit shall be kept on the promises 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 regulation?, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation), ................................... l.t .~..~..~:... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, gene~'ai contractor, electrician, plumber or builder. Name of owner of premises . ~-. ~,, .~..~.~.%.....~'.~. i~i .~..~. ~--?...g.l~..g.~..~...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....7..~..~.T'...~. ........... Electrician's License No..~.~.. ~. '. ~ ............ Other Trade's License No. '- 1. Location of land on which proposed wart- will be dnn~ .............. .......... :3.., ....... .e.o. .... .... House Number Street Hamlet County Tax Map No. 1000 Section ....O..~..~. ......... Block . ..~. .............. Lot ~.~7,.~.... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State ex/sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~../5..cc..~..~.~.[...~. ~ .~..~..~ ............................................ b. Intended use and occupancy . ~. t4. .~....~. ?...~'.~..Cz..~....~.~..1~...~%,.~. ~..t~.' ~ ............................ 3. Nature of work (check which applicable): New Building....../ .... Addition .... ...... Alteration .......... Repair .............. Ren)oval .............. Demolition .............. Other Work ............... i (Description) 4. Estimated Cost ""~/(.,-.~ O ~./,) Fee ........................ I (to be paid on filing this a~pJfi~on) 5. Ifdwelling, number of dwellin~ units ...... ~.. ....... Number of dwelling units on each. fl .o .o ~ ,.~. ?i'.~/.:.~...~..~./-. If garage, number of cars . .,*Q~ ...................... ' 6. If business, commercial or mixed occupancy, specify na.,,~J~/e and extent of ~pe of use ....... ~ ........... 7. Dimensions of existing structures, if any: Front.. ~ ....... Rear ., .~... ........ Depth ............... Height ..... : ~. .........Number of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... i... Height .......... r ........... Number~of Stories ......... · . . 8. Dimensmns 9~f entire new construction: Front .z~,~ . Rear ~..~ n~,,u "~ ...... Height ..~..~.: ....... Nutmber of Stories .~ ~ ~ v.. .~. .......... 9. Size of lot: Front ... J~-~.t~..i ............ Rear /~,{.,~ Denth ,~..~." ............. 10. Date of Purchase ..... ./.~. ~i~). ................. Name of Former Owner ~ .~ ........... i ....... i ..... I 1. Zone or use district in which premises are situated ..................................................... 12. Ddes proposed construction vi01ate any zoning law, ordinance or regulation: .,~(..~. ........................ 13. ~ill lot be regraded .../~.~..;..,... ~ .zz..~ ....... ,~ kg~ll ex.qes~ fil! .be~re~Bo¥~e, lt .from premises: Yes 14..Name of Owner of premises .~. ~.~q.I...,5..'~i.[.Z4~.~. ~.~.~'d~ess .~,~;~.~.,T,~?~ .~. Phone No. Name of Architect .. ~[.~..~/c~..~..~....~(.~t~t.~:~. Address .~.~ ~*t~..~-~.~.~ .... .~Phone No. Name of Contractor . ~, ~.~.~.~.. r~?. ~..~. ~ ~/~.~;. Address ~1~O4 0-)[-~.~t~*~ (~ C 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 bloc~ number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, ... k, ~.~'...~r...C~...c. 7~-r....[--. [..~.O.!..~ ~ ................being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the i , ' ~ ,.~ ' ' ~ (Contractor, agent, corporate officer, etc.) of said owner~ owners, ~d is dul'y authorized to perform or have perfomed the said work and to m~e and file this application; that'all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work w~l be perfomed in the m~ne'r set forth in the application filed therewith. Sworn to before me this : ~o. 470'1828, $Uf~lk Counl~$~ (S~nature of applicant) .J (g -J j o i