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Home My WebLink About13258-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 5outhold, N.Y. Certificate Of Occupancy No ..... ~ % Z.7~.Z ...... Date ............ J%~gUD.%. gO .......... 19.8.4 THIS CERTIFIES th t tl b ilding deck addition a le u ................................................ 1325 Gull Pond Lane Greenport [~catio~! of Property ............................................................... House No. Street Ham/et 35 4 10 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ....... x ..... Filed Map No. x ...Lot No. x conforms substantially to the Application for Building Permit heretofore filed in this office dated June 25 pursuant to which Building Permit No 13258Z ...................... 198~1 ....................... July 2 19 ~ ~1 was issued and conforms to all of the requirements dated ............................. , ~ , of the applicable provisions of the law. The occupancy for wIdch tlfis certificate is issued is ......... deck addition to existing one-family dwe]..ling. FRANK & ALICE BISK The certificate is issued to ........................................................... (owner, le~e.e~'~) of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N/A UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector RIV, 1/81 1~0~'~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13258 Z Permission is hereby granted to: . ...... ........... ...I...o...o....%..~..~~ ...................... ~ ...~. ,o ,.~, ~!.....~ ,_.. ,, . ............. ~: ....................... ..3. · . .......... ~'"'~,,,~,, ~ c:~;.: ~. ' c~ ..~ ................. !. ..... '* ................... I[ ..................... IT'll ......... 0"'""'* ............... /~ ............... }~ ................. Z'"'~' .... / ~-,,-' vvr~' O0 ~'D~,x.O ~'~._. ot premises located at .....I..~,..%.~ ......... .~...~.~, ...... J .......... ..o~......~...~....~./..~.~ ........ ................. .~.~k....~ ..................... ~ ............................................................................... County Tax Map No. 1000 Section ...... ..~.....~.,.~.. ...... Block ........ ~ ........... Lot No ..... .J.....O. ............. pursuant to application dated ........ ~f~.....~....~.. .................... , 19.~...~..., and approved by the Building Inspector. ~nspector .......... ... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building 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: 1o 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. B. 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 naturat 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 [nspecti?n 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) .._..~ .... = fVacant Land ............ 1325 Gullpond Za~e Greenport Location of Property ,., ............ · ................................. ~ ........ ~.. ......... House No, Sf:reet Ham/et Owner or Owners of Property ~'razzk 8~6] Alioe~ BiBk O35 4 10 County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdvson[eordham Acres, sec. 1 .Filed Map No. 3519 part o£ 14 ................................. Lot No .............. o. Permit No...........13258Z Date of Permit . pplicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ...................... ,,. Underwriters Approval ........................ Planning Board Approval ....... ' . ~ .., Request for Temporary Certificate Final Certificat~ X_o ........ Fee ubm,tted $. ............. Construction on above described building and~oermit'meets all apPQcable~codes and regulations. Applicant .... : ............... . ..... Rev, 10-10-78 FIELD I~?ECTION ~' COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING e INSULATION FER N. Y. STATE ENEROY ~ODE ADDITIONAL COMMENTS: 6~;6'[ '[ AN 'NOI~VIN J.SV3 ~?~ Z~ o.J, ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined Disapproved a/c ..................................... (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 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 building for necessary inspections. .... _. · .............. (Signature of applic~,fnt, or name, if a corporation) (Mailing address of applicant) (Name and title of corporate officer) Builder's License No ...... ! .~!..q/.. ~ ........... Plumber's LicenSe No ......................... Electrician's License No ....................... Other Trade's License No ...................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... .~..~.A.~./.~ ..... .~..l .~. ({...CT.. ~ i .-~.'.~ ..................................... (as on the tax roll or latest deed) If applicant is a co~oration, signature of duly authorized officer. ~PPB~V~D' AS~l ,- NOTED DATE:~ tip. ~~ 765-1802 9 A~ TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION . TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLU~BiNG 3. INSULATION 4. FINAL . CON'STRUCTION MUST ]. Location~of land on which proposedf_~lcwork ~o~l)will be done[~EALE~.~ ED U;j~2~ ~}~~CONSC~F3p[RI~CETE'IONF~R'z~C: O:k~ MEET ............ ,~, ,,-~<'~,~u ~3 ..~.,~ '~: ¢: ................ ....................................... STATE CONSTRUCT~ e& ENERGy House Number Street County Tax ~ap No. I000 Section .... ~). }. ~ ....... OR. N~l:~erlON. Ek~R'S: ................ S,bdi~i,ion. ~q e. e (~ ~..&.fF. f. 5. ~..~,. I. Filed ~ap No..'~. ~( .~ ..... g~t .... (. (Name) CF ~ 2. State ~xisfing us~ and occupancy of pmm~s~s and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ~ ~ "~ [ Z ........................................ b Intended use and occupancy ,~)~ ~ ~e c /{ 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition.. ............. Other Work.. ~..~..~-. ~ ..... " (Description) 4. Estimated Cost ..... {~[ '~ .o, O .O. ~ ............... Fee ..................................... ' *" (to be paid on filing this application) 5. If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixeld occupancy, specify nature and extent of each type of use ..................... 7. Dimeqsions of existing structur0s, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... ;.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction'. .Front........~gl~-/~... . Rear ...... .........Depth ............... Height ............... Number of Stories ........................................................ 9. Size oflot: Front .. 10~o .~, .~ ~. pth 1.4..2-. ................... Rear../.o. 9.:..~. 10. Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which promises are situated ................... 12. l)oes proposed construction violate any zoning law, ordinance or regulation: ..../~...Q ........................ 13. Will lot be regraded ....... . .~. ?. ................ Will excess fill be removed from premises: Yes 14. Nam e of Owner of premises . .~ .~.4 .,~g....~./. g.~ .... Address ................... Phone No. 74 .z.,(. 7.~.7.-: 7..~. / .2_ Name of Architect ~ Address Phone No Name of Contractor . 1~. [.~. F. iP.~ ¢.~.g* .~../4/' ... Address lqOq..<e, q4-.~.q fi. .... Phone No..q(7. .7. ?..*--.~. ¢.~..'-.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. ¢ STATE OF NEW YOI~K, ~ S S COUNTY OF..~..of. f. ?.t.../.d. ..... ; · ,; iq '3,q O ·.. ~. J .'~....~.,....f~..'~...+'?..t'f..O...~..5/4..,'. ............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· He is the .... ~.o...~..'(-./~..~.c. ~ ?.../~. ................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 mann¢ set forth in the application filed therewith. Sworn to before me this · .... '. ........... ,..day of .............. 19~f. Notary Public, . ............ ................ County NOTARY PUBliC, State o~ New Yor~ . ~ ...... ~,. No. 4701878, S~Ifolk Couat][.._ ' . ' ' Term [xpues ~,!tlh 30j 19~[~ ~ (Signature of applicant) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ '1 FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [~ FINAL DATE /~/,,,~/~,~.~//// ,INSPECTOR 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work.. ~..~.~. ~<~ ..... (Description) 4. Estimated Cost ..... [~..~.. ~ .Q ~....'7'~.. ............... Fee ...................................... *" (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ..................... ................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions. ' existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or ~idditions: Front ................. Rear .................. Depth ................. , .... Height .................... Number of Stories ...................... 8. Dimensions df entire new constructi6n: Front . 73.. ( :~.../~ ..... Rear ~ .............. Depth .......... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ...I.e..%. :. ¢...~. ......... Rear../.q .o.: .X .~. .......... Depth ].4..2. ................. 10. Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... i2. Does proposed construction violate any zo~iug law, ordinance or regulation: ....,?..O. .................. 13. Will lot be regraded ....... . .,~..o? ................ Will excess fill be removed from premises: Yes ' ' 14. Name of Owner c/' premises . .E:.~/s .,!-/<... ~/..~ .... Address ............. ' ...... Phone No. 7-1.2-./.~7..7. x .7..¢ 17-- Name of Archite6t ........................... Address ................... Phone No ................ Name of Contractor . ~. [ .~./]../?.~. ¢ .~. g9~.,-5./4 j.... Address leoe..(.~.P.4-6.0..R. .... Phone No..t! .7 .7. 7..~.~. ¢. %.-.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. ~,' ~ o~.0o ~z TATE OF NEW YOI~K, ', 'OUNTY OF..~. c¢.~. f. 9~.l.~ ..... S.S ·. ~..I .a~.....T~,....~.~(~.~.Q.~ .~/~.,'. ............. being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) >eve named. isthe ~o~RAc~o ~ (Contractor, agent, corporate officer, etc.) f said owner or owne~, ~d is duly authorized to perfo~ or have perfomed the said work ~d to m~e ~d file ~s ~plication; that ~1 statements contained ~ this application are true to the best of his ~owledge and belief; and that the ork will be perforated in the m~ner set forth in the application filed therewith. ~om to before me this ............ .a y ........... , HEL[N K. D[ ~0[' ' ~ ........ ~/ o, . No. 47018~8, Suliolk Coun~ ' ' '~ ~' ~ ' ' ' Te~m [xp]1e~ March 30, 19~ ~ (Signature of apphcant~ "FORM'NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765':1802 Approved.. 3"~' :N .... , 19~. Permit NO/.~.~..~'"g...-~::.. Disapproved a/c ............... , ..................... (Building !nspector) 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 ets 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- :ation. 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 :hall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or hi part for any purpose whatever until a Certificate of Occupancy :hal! have b~en granted by the Buildiog inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 5uilding Zolne Ordinance of the Tbwn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations~ for the construction of buildings, additions or alterations, or for removal or demolition, as herein described Fh~e..applic~nt agrees to comply wit.h ail applicable laws, ordinances,.build'.m.g code, housing code, and regulations, and to tdmit authorized inspectors on premises and in building for necessary mspectmns. '- .. ..... '" i~'gnature'~f ~ppli ' '~L~, ~' ~l'e, if ~ I.o.o..o.. c.~..~.e...O..g. ~ s.r.,~e~ (Mailing address'of applicant) State whether applicant is owner,, le?s, ee, agent, arcMtect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ' (as on the tax roll or latest deed)' ' If applicant .... ~ of d~l~ authorized officer. ts a corporation, Slgnattllte ............................ * ..... ........" D^.'r~ ~ (Name and title of carper e o cer ~ : ,P. Builder's License No ..................... : NOTIFy ~OT~'i~G : ~rn~/M~:NT AT, ' 765-1802 9 AM TO 4 PM FOR THE Plumber's LicenSe No. ...... ¢ ................ FOLLOWING iNS~EC, TiONS: , , i l. FOUNDATION ' , ~ - TWo R~QUIRED Electrician s License N , I FOR POURED CONCRETE · ' : ' ' ' ' ROUGH '" : , ,,.';' ' 2, - FRAMING & PLUMBING '" Other Trade's License No. , ' 3. INSUI ATION i 4. FINAL _ CONSTRUCTION M '" 1. Location~.~of land. "' z;!' '~°n~ which., propo'sed! ~-~. Cw°rk" '~O° ~',Dwill'' be doue. ~- ~'¢' e~HEALL{~'E' I~ ~t ¥-!~[-~R.-~?~Tleg~N '$ ~L ~--M EETCONSCD'MPLR ,ETE,c IoFOR" . ~; O'.';.' '.'. ,~; '.~S1T' .... ............. ~"/ House,Number,, ~:::. ~,r;~,.,' , ,Ch"':', :,, 'i ,: . 'Street . cSTATE CONSTRUCT~Ie$'.~ L;~'"'~L2~'"c,'~;~'r , ' · County Tax Map No. 1000 SectiOn .................. I~[~ffL'N. OR. CONST' 19eTlON. RS1 ............. . .'. go^ p~-,~ At c~ ~ ~ · a o. .~./.q.. . l Subd,v,s,o, ............ f. ,led M p N ....... :et ......... ,.(/').. ,/ , .. .; (Name) ' .... ' · ,-.;!' (~,(:> ~ 2. State existing usa and occupancy of premises and intended use and occupancy of proposed c6,!l§tru'ction ' ' -'" ''. -',lb ~vc'l. 6 ,1.~(.~'- ,:,, , ,~, . a Exm,ng use and occupancy .,. t ...... ~..4 ..... y. ..... ~, ............. .. ............................... b. Intended us , ................ ./~ ........ ,.,,,. ................................,, , . ,