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Home My WebLink About15704-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy PLUHBERS CERTIFICATION DATED: No. Z15303 Date February 25, 1987 THIS CERTIFIES that the building Addition Location of Property 805 KERWIN BLVD. GREENPORT h/~f~ hid ....................... 'sb~i ....................... i~iei County Tax Map No. 1000 Section . .0.5.3 ........ Block 03 .Lot 17.2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...F.e.b....5.,..1.9.8.7 ...... pursuant to which Building Permit No.. 1.5.7.Q4.R .............. dated . .F.e.b....2.5?..1.9.8.7 .............. 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 an existing one family dwelling. The certificate is issued to BEATRICE DUCROT & DOROTHY MOORE ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval ...... bI/.A ............. UNDERWRITERS CERTIFICATE NO .............. ~/.A ......... 'I~p¢ctor ''' Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT M, UST BE KEPT ON THE PREMISES UNTIL FULL COA4PLETIoN OF THE WORK AUTHORIZED) N~ 15704 Z Permission is hereby ~3nted to: ..~~ ....... 3.~.~ ....... ~....~~....~ ........................................... =t p~ ~t~ ~t .~.~.~. ...... ~.~.....~.~..~.....~.2.s.~ ................... ~ ~ ~op ug moo ~,~,o~ ...~.~.A ...... ~,~ ....... ~..~ ..... ~, ~o ...... ~.~.,.~.~ pursuant to application datec~ .... I..(~ ............... , 19.~.1., and Building Inspector. ' approved by the Bultlding InsDector Rev 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application mus: be filled in Wpewr~ter OR ink, and submitted ~ ~ to the Budding Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of ali buddings, property lines, streets, and unusual natural or topographic featu res. :2.Final approval of Health Dept of water supply and sewerage d[sposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildi,ngs, Industrial buddings, 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 Bbard approval of completed s~te plan requirements where applicable ~ ' mI ' r~ r to ' r~ 19 Non n'ormln r ' n s ' B. For existing uudd' ~ts [p 'o /~p '1 57), -co t ' g uses, o ouildi g eno "pre.existing" land uses: I 1. Accurate survey of property showing all property hnes, streets, buddings and unusual natural or topographic features. 2. Sworn statement df owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any houmng code or safety inspection of buddings or premises, or other pertinent mforma- t~on required to prepare a certificate. C Fees: ~ 1. Certificate of occupancy New Dwelling. S25.00, Accessory ,$10.00 Business $50.00 2. Certffmate of occupancy on pre-ex~stmg dwelhng $ 50.0 0 3. Copy of certff~cate of occupancy $ 5.00, over 5 years $]0 00 4.Vacant Land lC.O. $ 20.00 5. Updated C. O ~ $ 50.00 Date ..... ~.U~..~ ·. ~.9.~.. NewConst~uction.' ..... Old or Pre-existing Building D~C~. 19.7.4. Vacant Land ............. Location of Property . Owner or Owners of Pro County Tax Map No. 10 805 Kerwin Blvd. Greenport, NoY. 11944 ~ No. Street ~amlet ~erty ~e~r~ce.D~cro~..~.~P~Q~b~ ~Qg~ ....................... 30 Section .. ~3 .......... Block . .~ ............ Lot... ~.~gP~ ...... Subdivls~on .......... I ..................... Fded Map No .......... Lot No ............. Permit No ' Date of Permit Apphcant Health Dept. Approval ........................ Labor Dept. Approval .................... Underwriters Approval ......................, Planning Board Approval ..................... . Request for Temporary ~ert~flcate ..................... Final Certificate ...................... Fee Submitted $....2 5 ..010. ...................... Construction on above C Rev 10 10 78 escribedbudd~ngandpermltmeetsallapphcablecodesandregulations. Applicant .................................................. Paul J. Heffernan as agent for Beatrice Ducrot & Dorothy Moore. OUND~TIO:~ ~lst) OUNDATION (2nd) OUGH FRAME & PLUMBING NSULATION PER N, Y. STATE ENERGY CODE FI~AL ADDITIONAL COMMENTS: f~Oet' ~oCf° foce 8 NOTE m .- MONUM~tT 1985 YOUNG & YOUNG 400 OSTRAHI~£R AVEHUIE, ~IV£RHEAD, NEW YORK SURVEY FOR. BEATRICE DUCROT AT ARSHAMOMOQUE Tow,,; OFsouTHoLD Examined ~.~e,,~ gl b~ Approved ~'~o~'1 .%.%,' Dmapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y. 11971 TEL,: 765-1803 ,198') , 1~~/ Perm:t No / fifo ~ (Bulldmg Inspector) APPLICATION FOR BUILDING PERMIT Date Fe~.ru~.r~ 5,, .... 19~ INSTRUCTIONS a. Tins apphcanon must be completely filled in by typewriter or in Ink and submitted to the Building Inspector, w~tl sets of plans, accurate plot plan t6 scale. Fee accordmg to schedule b Plot plan showmg locatmn of lot and of buildmgs on premises, relahonsh~p to adjoining premises or public stre, or areas, and glvmg a det~Jed_d~scnpt,on of layout of property must be drawn on the diagram wluch m part of this ap! canon. · ~ c. The work covered by thcs application may not be commenced before msuance of Buildmg Permit. d Upon approval of this apphcat~on, the Building Inspector will issued a Buddmg Permit to the apphcant. Such pe~r shall be kept on the preml}~S ay ~a~lable for mspecnon throughout the work. e No bmldmg shall be ~cc~Led or used ~n whole or m part for any purpose whatever untd a Certificate of Occuptm shall have been granted by the'Bu!l ~6.[n./~ Inspector APPLICATION IS HE~EI~t MA~DE to the Buddmg Department for the issuance of a Building Permit pursuant to Bmldlng Zone Ord~nanc~ofJhe'.Town of Southold, Suffolk County, New York, and other applicable Laws, Ordnances Regulations, for the constr%~nt~n of bufldmgs, additions or alterahons, or for removal or demohtion, as herein descnb The applicant agrees to t'om!31y' with all applicable laws, ordinances, bufldmg code~ousg{g ~od.e, jjlqjzlTreg~tatl'~ one, and admit authorize8 mspectors on premises and m braiding for necessary ~nspectmns ] D~cro?. ~ ...... Paul Heffer~an agent for Beatrice Doroth~ Moore. (Signature/o;/'t/'/')ff'/fF/''~;pC~:/°~/f"~ame:If a corporation) Rt # 48 & Goldin Lane, Southold, ~ 119Vl ............ New State whether apphcant is owner, lessee, agent, architect, enDneer, general contractor, electrzc~an, plumber or Agent for B~atrice Ducrot & Dorothy Moore. B~atrice Ducrot & Dorothy Moore. Name of owner of premises , ............ Il (as on the tax roll or latest deed) If appbcant ~s a corporation, sighature of duly authorized officer (Name and htle of corporate officer) Builder's License No Plumber's License No Electrician's License No Other Trade's License No Locahon of land on which 805 Kerwin [louse Number ~ County Tax Map No 10001SecUon )roposed work wilt be done D~ck- was buil~, a~ong, ~;t%h ho~se 197-~ ~lvd. Greenpo .rt, New York 11944 Street Hamlet 53 Block 3 Lot. ]~7.0~2 2 Subd~vlsmn State eXlshng use and occu a Exlsnng use and occupahcy b Intended use and occupancy Filed Map No Lot (Name) )ancy of premises and mtended use and occupancy of proposed construction 7. deck 3. Natdre o~,wor~ (d~e/ck~lth applicable)' New Budding ..... Addition ........ Alteration ...... Repmr ~ ¥~moval ...... Demoht]on . . Other Work .... existing~hfle~lw~t~ S0 CO obtained by builder in 1974 when house was (Descnptlon) 4. Estkmated Cost ~t~_~ ....................... Fee . .S.50.: .0.0 ......................... '" , ?L" i ~ (to be paid on rifling thru application) 5. If dwelhng, number of dwe~mg units ......... Number of dwelling units on each floor ............. If garage, number of cars ................................................... If business, commercial or ~alxed occupancy, specify nature and extent of gash. ~y~,e of use ............... D~mensions ofexistingstru~tures, if any Front .1.1.3fe..et.... Rear . .J'J'...f..ee.t... Depth..1.0..f.e.e.t... 40 inches I Height ............... Number of Stones ...................................... Dimensions of same structdre with alterahons or additions Front ............ Rear ............. Depth .... ~ Height Number of Stones 8. Dnnenslons of entire new c~nstructlon Front ....... Rear ............. Depth ........ Height ......... Number of Stones .......................................... ~,zeofl~t ~r~n* 105 'feet Rear 105 feet ~ .. " ~7~ ~'~e~ ' ........... , ............................ ............. 10. Date of Purchase J.a.n.uar. y...1.9.8.4. ......... Name of Former Owner M. a.e..1.~.a.?.e ....... 11. Zone or use d~stnct in wluqh premises are situated, re$£den~r, ial ................................. 12 Does proposed constructlo~ violate any zoning law, ordinance or regulatmn' . JlO ...... 13. Will lot be regraded .... J%O .................. Will excess fill be removed from premises Yes 14 Name of Owner ofpremlse~ ~.~t%rig.e .Dg.c.rot.. Address .33.0.. E .49..th.S.t..N¥.Cphone No.{ .2 .12. ). .8 .3 .2 --. 01. ~. Name of Architect ..... I .......... Address ............ Phone No ........... Name of Contractor ' · 'i ............... Address .............. Phone No. 15. Is this property loc~ted within 1.00 feet of a tidal wetland? * ~ .X,-. No ..... · If yes, Southold Tow~ Trustees Permit may be required. ~ J PLOT DIAGRAM ~F~ Locate clearly and dlstm.c.[~y all buddings, whether existing or propose~,~j~ll~mat~ ~,,,~;back dlmenslons fr property hnes Give street and block number or descnptlon according to dl~ aT~w ~t~t ~a~and indicate whetl mtenororcornerlOtinterior lot ' [~':% see enclosed s~rvey -~ ~7~;/' ,~6.~2 ~ ~'_d~ONS. --STA~ OF NEW YORK, S.S COU~Y OF ....... ~, .. ..... *aug. g iie *q .... (Name of individual Sl~lng contract) above named ' being duly sworn, deposes and says that he is the apph, He ~s the . Ag~n~. fo.~ B~ri¢.e .~¢~.o~. ~ .D.o..rot. h.¥. Mqor. e. (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file appllcatmn, that all statement~ contained m this apphcat~on are true to the best of his knowledge and belief, and the, work will be performed in the [nanner set forth m the application filed therewith Sworn to before me this ~ I "- ..... ./~...... . ~day of ..... 7.~.'- . .... , 19 J7/7...,~3 , ~- Notary Pubhc, .~.. i. ~:...~..~...~.~.~. .... Count~d~./~lg~ Ne 4707878, Su~lk Coumy~ 7 T~'m Exp,r~ Much 30,19.--.~-~r