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Home My WebLink About13165-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. Z-16227 Date September 30, 1987 THIS CERTIFIES that the buildh~g .... DECK ADDITION Location of Property 735 Wiggins Street Greenport, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 04 8 ., .Block 0 I .Lot 2 I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 18, 1984 pursuant to which Building Permit No. 13165 Z dated . . . .M.a.y...2.9?., ! .9.8.4 ........... 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 ......... DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to JAMES ATWELL ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval N / A N/A UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 I~OB~ 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? 13165 Z Permission is hereby granted to: ~...~....!..~.~ ........................................... at pr rn ses located at ...'..~.J...~.........~...L4~.~.....~.., ......... .~..~.?..~...: .......................... ........................................................................................ : .................... CountyX~ax Map No. I000 Section ........ ..O.....~...~. ..... Block .......... l .......... Lot No ...... ~...I ............ pursuant to oppJicotion doted ..... ..~...,..~.L...~. ......................... , 19.~...L~.., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPAN TO sou,,om Instructions A. This application must be filled in typewriter OR ink, and submitted ,,, ~ma,mmm 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.. 00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5 .Updated C.O. $ 50.00 Date ....S.e.~ .t.e.m.b.e..r..2.8.,...1.9.8.7.. NewCOnstPuction...X... Old or Pre-existing Building ............ Vacant Land ............. of Property .......................................................... Location 7.18 Wiggins S.t~.e. et.. Gr.e..enport House No. Street Ham/et James Atwell Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 048.... Block 01 Lot 21 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..~.~.1.5.4. S... Date of Permit .5./..2.9/8.4..Applicant William Grigonis Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. 25.00 Construction on above ~escribed building and perm~~nd regulations. Applicant ..... William H'f. Rev. 10-10-7S FIELD t;ISPECTION [OiL DA~ IOIl (l~t,~ FOUND/V~ I0!1 ( 2nd ) FHAME & PLUMBING ?' IoULArlON PER C,ODE //DDITIOi'IAL COM['4EI'ITS: TOWN OF SOUTHOLD OFFICE OF BUILI)ING INSPECTOR P.O. BOX 7:;8 TOWN HALL SOUTtlOLD, N.Y. 11971 TI.L. 765-1802 Thls is to advise ~on that the job under building permit no'. 1316~Z{ssued to James Atwell on __.~9~4____ for Addition is completed a final inspection has ( ) has not ( x)--been done. and rn order to complete this file, it is necessary that a Certificate nf Occnpan~y be issned. Please fill out the enclosed ~orm, retnrn same to the above office with a check for $25.00payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection (late Occupancy or usc i:, unlawfu! without n Certificate of Occupancy~ Please. help us to clear up th~s matter so that legal action does not havo to bc taken. Than you for your prompt attention. Very truly Victor Lessard Executive Administrator VI,: ga r encl . 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~,~I.~AL REMARKS: DATE ~//~~ 2 INS_ECl'ORP ~-"~ ~._.~-~ 'FORM NO. 1 TOWN O'J: SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined.. 19' . f. Disapproved a/c ..................................... Rece±ved.,..,~.~.( (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 ~remises 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.~ ,~-~ z~ ' (Sign of applicant, or'me, ifa corporation) · ' (Mailing ~'ddress of applicant) q-Y State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluml;er or builder. Name of owner of premises ...... .,..ff.~l~/fl. ?..S ..... .~. ......................... (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 .................................................. .... ~. ~.a .s.~. ....... ?...~..~?.~.~ ..... ~.~. .............. ..~ ~.'..~. · .~?.~.~.. ......... House Number S t~/e~ Hamlet County Tax Map No, 1000 Section , ,.,~.. Block ..... /, ............ Lot., ,~. ,/, ............. Subdivision ..................................... Filed Map No. . . ~ .... Lot ...~ .... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... . .~. ?..~-'.~../.?.~.'Y~..'5.:q. .~. .......................................... b. Intended use and occupancy ....... ,(~..~..~'.~.w2.' ~.,ff.q .~. q .c~.... ~,. ~q~ ...................... 3. Nature of work (check which applicable): New Building .......... Addition .... . ...... Alteration .......... Repair ............... Rem6vai ............. Demolition ............ - - Other Work...'7~'~2~..~..C_..ff~.... 5. .... (Description) 4. Estimated Cost ......................... Fee ................................ (to be paid on filing this application) $. If dwelling, number of dwelling bnits .......... 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 of existing structures, if any: Front ..... ~...~.. ..... Rear ... ?.T-: ....... Depth .... ~..5. ........ Height ....z~..~5 ........ Number of Stories ... ~ .................................................. Dimensions of same structure wffh alterations or additions: Front ................. Rear .................. Depth .................... I. · Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .... ~. o r Rear ...~...( ...... Depth .... ~ ........ /~: ~-r NumberofSt ri Height ............. o es ........ "7 .............................. 9. Size of lot: Front .... .~. ~'.O.t...5'~2. ........ Rear ..... ~'~../J~. ........... Depth /~ ~T~ ........ 10. Date of Purchase .... .7.°. 7.. (~.( .............. Name of Former Owner .... . .~.~ .~.'*..~r. ~'. ...... 1 1. Zone or use district in which premises are situated ..... .~.~, .5. (W?..~.~. ?..AT~ ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation. ~ q3 .... 13. Will lot be regraded ...... .~._.z~( ...... ~ ........... Will excess fill be removed f?m premises: Yes No 14. Name of Owner of premises . .-Jx~*~r~..~4:r.. ~.~.-.tr~:.... Address . .7../?...c~. ~. ? .~/.~. ~.- .57.,. Phone No...r~/.7. 7.'7..~.~..-~'. Nmne of Architect Address Phone No Name of Contractor .c-'b.o.~... ~.~. ¢??f. (~. ....... Address .~-~.oS.r.:CT.~../~'q~.rr.~o..~. Phone No.. ~.~,~5~.~ .~../..2;.q.. 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 humber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF .... ~.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sign!ng contract) above named. He is the ' i (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 am true to the best of his knowledge and belief; and that the work will be performed in the manne~ set forth in the application filed ~tlrerewith. Sworn to befor~ me this .......... ~.~../.g....day ofi ...................... 19 .~. Notary Public .......... . County '-~ HEtEN K. DE VOE "~"-~ ' ...... PUB G, stero of New Yo~I~ .................... N0. 4707878. StlJ[O[k O0tlfl, tff, t~ ~XSignature of applicant)