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Home My WebLink About16337-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16083 Date August 20, I987 THIS CERTIFIES that the building DECK ADDIT ION & FENCE tocation of Property 415 McCann Lane Greenport, New York House No. Street Hem/et County Tax Map No. 1000 Section 033 ...Block 03 .Lot 33 Subdivision M/o Eastern Shores ' ...Filed Map No. 4021 .Lot No. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated June 12, 1987 16337 Z ....................... pursuant to which Building Permit No ...................... dated .... Au...............gust 17, 1987 was issued, and conforms to aH 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 S FENCE CRAIG & BARBARA RICHTER The certificate is issued to ..................... [o~n~), '~;~gWo~X ..................... of the aforesaid building. Suffolk County Department of Health Approval ............. .N/.A. ............ . ............. UNDERWRITERS CERTIFICATE NO ............... N / A PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FOB.~ NO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. ¥. No_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16 3 3 7 z Date ....~.*~.......W. ....... !...7. .......... , ,,~..7. Permission is hereby granted to: ....-~o - ~ ..... .......... . . ~ ............................ ;";"~"'%'~'1';2D'_' ........... ~ ............... 75 ..................... ~ ................... at premises located at .~.f...~.........r~.../......~.....l~....~ ....... .L~~.~..~ ................... County Tox Map No. 1000 Section .....C~.,~ ...... Block ......,~, ,.,,~. ....... Lot No .....~a.~ ......... ~ I ~- ]~.~., pursuant to application dated ...... ~ ........................... , ..... and approv~ by the ~uildlng Inspector. 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 OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted i ~ 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: 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. Certificateof_occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Cop¥ 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 .......................... NewC°nstvuc%i°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...... .~./..~7.....~..C..~..~.~ ...... ~ .................. House No. ~~ ~' . Street¢ /"30 Ham/et Owner or Owners of Property ,. ! .......... ~ ................. County Tax Map No. 1000 Section .. ~,.-~ ......... Block ....~,~ .......... Lot...~.4~. ......... Subdivision ?-~)~,~..-¢v~CcP. ................ Filed Map No..*/.O~.l ..... Lot No..~. .......... Permit No)~$.?.~-... Date of Permit ~.}J? ]~'.'Z..Applicant . . .4. ~ .~,~4~... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $. ~,.C~).. ..................... Construction on above described building and permit me/~l., ~.p~p t i~e c Rev, 3o 3g- UNDATION (1st) UNDATION (2nd) UGH FRAblE & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL , ADDITIONAL COMMENTS: 2'65-1802 BUILDING DEPT. INSPECTION FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~SULATION I' ] FRAMING [/] FINAL BOARD OF HEALTH ...... ..... ~'~; ~ ~ 3 SETS OF PLANS ....... 1~,~9~7 BUILDING DEPARTMENT SEPTIC ..... : i.l TOWN HALL NOTTFY · $OUTHOLD, N.Y. 11971 ~O_ G TEL.: 765-1802 CALL MAIL TO: ·.,' 19~..~. Approved~¥~..~'~.. }..-/.., 19~. ~. Permit No. I .~ .............. ~ '~. 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, bui/ding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation0 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ~..(~.~.~....~..~.~..B O'..~.~O.~1~.41- .... .~.~ .e,.~..~.O~ ...................... (as on the tax roll or latest deed) If..app'. ~is a cor~ri:ed officer·, (N~e ~nd title of corporate officer) . AL~L .,C,O~,_T~R~?TOR'S MUST BE SUFFOLK COUNTY LICENSED Builder s License No ...... I .~ ~. l . . .~ ~ ..... Plumber's License No ......................... ~. Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .... t ........ ........ ....................... ' House Number Street Hamlet County Tax Map No. 1000 Section ...~...~..-~.. · Block ....... ~ ........ Lot... ~ · .~...~..... Subdivision .... ~.~,,~."~.~rl,¢.. ~..~.O~.e& .......... Filed Map No....t40..'~r.I. ..... Lot.. ~ 3 ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occu.'anc- 4[ ~.~v~, t" ,1,~.* $;~, ~JJlr ~. ;(,., _ - ............. ....'5." . q .... .'". .... Gl ........ 'Fi ...... b. Intended use and occupancy ...... ~/..."~. ,q v'~, '~7 .... '~"~' '~3'0 ' '~' ' ' '~ '~' '[''' '/('/~& ''~'' "JT'.,Ste~.e.,4-,~ .... 3~.RepairNature of work (check whiChRemovalapplicable): New BuildingDem01ition ' Addition ~) .~..~ ~ .~'.AJte~a.~ion~-.~: 1:~-~, ......... ,· .............O~er Woi-k,7.. · '~.. · I --, -~ : (D'e s~'fil~fion ) · Estimated Cost ....... ' ~- Fee ...... ~.. .......... ~ -~a.,~ ...... · · · ~' ' (to be paid 6n filing this applicatipn) 5. If dwelling, number of dwellinglunits ............... Number of dwelling units.on each, fl,~O~.;..,:,~,z .......... Ifg ag umb rofc i " 6. If business, commercial or mixed occupancy, specify nature and extent of each type of~use . .':'. ................. 7 Dim io f xisting tructur~s ifa y Front ' Rear Depth Height Number of Stories Dimensions of same structure ~lth alterations or additmns: ~Lont ... ~.q..~.'Z.~ .... Rear .................. Depth ................... ~... Height ...................... Number of Stories ...................... ~--8. Dimensions of entire new construction: Front .......... ' ..... Rear ............... Depth .............. Height ............... Number of Stories .................. ~ ..................................... ¢ 9. Size of lot: Front ...... ~. ~-~ .~..: ......... Rear ....... 1 .'~.1~ .......... Depth .... I. (~ I0. Date of Purchase ........ [.~..:g~ ............. Name of,,Forrner, O,ivv, er ............................. 1i. Zone or use district in which premises are situated ...... ['~.-~.~\ {~..~ .~.. ............................... 12. Does proposed construction viglat9 any zoning law, ordinance or regulation: ...IxJ. ep .......................... 13. Will lot be regraded ....... ~/(. ~ ................ Will excess fill be removed_from premises: Yes No 14. Name of Owner of premises (2V~...f~..~q.,~"~:~... Address ~...~: .~.o.~..¢.'7.6.. h~. Phone No..~.'~7..-.I.Z..~5~... Name of Architect ........ ~. ....... Address .............. 'Phone No ........ Name of Contractor .... i ' Address .... : ......... Phone No ........... 15. Is this property locatedlwithin 300 feet of a tidal wetland? *Yes ..... No ..~... · If yes, Southold Town Tr6stees Permit maybe required. PLO~F DIAGRA~ Locate clearly and distinctly al property lines. Give street and block interior or corner lot. buildings, whether existing or proposed, and, indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether STATE OF NEW YORK, coUNTY OF . . S.S ............................ , ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dtlly 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 ther.ewith. Sworn to before me this Notary Public, . .~.. ~.'. ~. ~..~..~.. ........ Coun:y N0~0.~. ~0~[J~e, S~u~ol~t~,~ ' ~ ~ (Sl'gnature of applicant)