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Home My WebLink About15937-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16446 Date November 30, 1987 THIS CERTIFIES that the build~g ADDITION TO EXISTING ACCESSORY BUILDING Location of Property 67780 Main Rd. & 55 Kerwin Blvd. Greenport, N.Y. ~6~ ~oi ........................................................ Street Ham/et County Tax Map No. 1000 Section ....0 .5.3 ...... Block 0 2 .Lot 20 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated April 16, 1987 pursuant to which Building Permit No. 15937 dated ... ~.p.r.i..1..2.7.:..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 ......... ADDITION TO EXISTING ACCESSORY BUILDING AS APPLIED FOR GUIDO & ANN CIACIA The certificate is issued to ..................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO ............... N/A N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 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-° 15937' Z Dot. ..... ~.~ ...................... ]~.~. Permission is hereby granted to' ~.~~ ~..... ~l~ ~'""'~'i"~"'"~':' ........................ : .................. :'"~"';"'"~ ....... ~ at premises located et .,.~..~...~..~-(~......~.....ek~..~.,.,~....~....~......~...-9:~..~..~..~.......~..~/~.V. County Tax Map No !000 Secti/g~....O.~..~ .... Block, ...... .O....:~m .... Lot No .....~,~.4~.. ........ ' ~. pursuant to application dated. ./.~. .................... , 19.~ .~ .... , and approved by the Building Inspector. Building I~tor Rev. 6/30/80 BLDG. D~PT. , TOWN OF SOUTHuLD 828 FRONT STREET, P O BOX 803 GI~EENPORT. NY 11944 December 15, 1987 Building Department Town of Southo.ld Main Road Southold, New York 11971 Re: Guido and Anna Clacza Gentlemen: I have enclosed a copy of the proposed set-off map, pursuant to Mr. Ciacla's request, so that a certifzcate of occu- pancy for the ~dditzon to the garage can be issued. Very truly~uffs~ ~ JKM/lg h~l'~n Enclosure OUNDATIO.U ( 1 s t) OUNDATION (2nd) OUGH FRAME & PLUMBING ~USULATION FER N. Y. STATE ENERGY CODE FINAL ~ 0 ADDITtO~AL CO~U~ENTS: .~...,~.'~. , 19 ~ Examined q . Approved([~3~ .~'-} , 19~r'/ PermltNo. }.~"~.~"~..~. Disapproved a/c ........... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF IIEALTH ......~. 3 SETS OF PLANS .... FORM NO. I SURVEY .... TOWN OF SOUTHOLD CHE CE ~ ~5.?J~ ~°'~, BUILDING DEPARTMENT SEFTIC FORM ............. : TOWN HALL NOTIFY SOUTHOLD, N.Y 11971 TEL. 765-1802 CALL ................ MAIL TO: ")'}~. ~ Date ., 19 INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, 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 pubhc st~ or areas, and gtvmg a detmled description of layout of property must be drawn on the &agram which Is part of ttus ap cation. c. The work covered by tins apphcatlon may not be commenced before issuance of Budding Permit d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant Such pm shall be kept on the premises avazlable for inspection throughout the work e. No bmldmg shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa shall have been granted by the Bmldlng Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmldlng Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Law% Ordinance Regulations, for the constructign of braidings, additions or alterations, or for removal or demolition, as herein descnl_ The applicant agrees to comply with all apphcable laws, ordinances, bmldmg code, housing code, and regulations, am admit authorized inspectors on premises and m braiding for necessary inspections (Sl.gnature of apphcant, or name, if a corporation) (Mailing address of applicant) ,'1%" 7/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or built Name ofowner ofpreimses..?--~./~Z Z, 4-~ Z:''~- (/(.~'.~ ;~.---'(7~, f~q. ff. qxb,~L,~ (as on the tax roll or latest deed) If applicant ~s a corporation, s~gnature of duly authorized officer (Name and title of c~rporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ....... Plumber's License No Electrician's License No Other 'i~rade's L~cense N° ....... C 77 33 Location ot land on winch proposed work will be done 'd~'~ ~' ~.-t ,'~: ~' ....... 7/A%, ~ ~ /d' ........... /~?~ t ~ ~ / t, ~(~'~... }louse Nuluber Street Hamlet ~ ~ County Tax Map No 1000 Section ~ ~ Block ~ . Lot ~ ..... Subdivision Filed Map No Lot (Name) State exlstnlg use and occupancy of premises and intended use and occupancy of proposed construction a Exlstmg b Intended use and occupancy t 3 Nature of work (check which applicable) New Budding Addition . ./~ Alteration Rep*ar .. Removal ,.. Demolition ...... Other Work ..2~O (Description) 4 Estimated Cost ' 7 .... (to be paid on filing this apphcahon) 5. If dwelling, number of dwelling umts ..... Number of dwelling umts on each floor. .. If garage, number of cars ...... /. business, commercial or m~xed occupancy, speclfY~atUfe'and- '-- - - --- -extent'of'eaCh'tyPe t}f't~de ~~ 6. If 7. Dlmenmonsofexmtmgstructures, lfany Front , ~ .... Rear .g ~ .... Depth . ¢' :l'~ ..... Height .. ~' ~ .... NumberofStones ! .. Dmaenmons of sarr)e structure with alterations or a~dltions Front ~'- 3~' ~ ......... '~ .... ~ ..... Depth . ~[3 J~ ~T& ..... Height ~ ......... Number of Stones . / ...... Dlmenm6ns of e~tire new construction Front ...... Rear ......... Depth . . Size of lot Front . ~i[~. ..... Rear ~.-.{O ..... Depth .al,fA .*~ . Date of Purchase /'~-~ ..... Name of Former Owner .~,v:.. ~2 ~.~J.¢.t 4. Zone or use district in which premmes are mtuated ~W ~ / q / .AJ ( ~ .~ Does proposed constructlon'v?Iate any zoning law, ordinance or regulation ~ ............... WflI lot be regraded . .~. '.C3. .......... Will excess fill be removed from premises' Yes NameofOwnerofpremlsesr~ ,.~,~.~.~.~.o_:. Address ~ t.2'/7~., ~ .,6 . PhoneNo.-/?/,-~.[ Name of Architect ............ Address . Phone No 15. Is thzs property located withzn 300 feet of a tzdal wetland? *Yes~.. No ~.. *If yes, Southold Town Trustees Permit maybe required. PLO~f DIAORA~ Locate clearly and distinctlM all buddings whether existing or proposed, and mdmate all set-back dnnenmons fro~ property hnes. Give street and block number or description according to deed, and show street names and indicate wheth, mtenor or corner lot ,~'-':'~L~4-%, ~Z/~ ~w 9. 10. 11 12 13. 14 STATE O F NEW.YORK, oF .., s L (Name of lndlvldual:m~mng contract) above named being duly sworn, deposes and says that he is the apphca He ~s the ............. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authomzed to perform or have performed the said work and to make and file ti application, that all statements contained m this application are true to the best ofhm knowledge and behef, and that t work will be perfomned in the manner set forth m the application filed therewith. Sworn to before me this ............. day of ....... 19 Notary Public, ............ County (S~gnature of apphcm 49618 PECONIC ~'~'/ L-v//RVEYORS ~ ENGINEERS ~P C (516) 765 -5020 P 0 BOX 909 MAIN ROAD SOUTHOLD, N Y 1197l LOT 178 AREA 6250 SQFT P10 LOT 177 AREA : 4688 5Q FT TOTAL AREA = 10938 SO FT 0 0 KEYMA l~ PROPOSED SET OFF FOR GUIDO 8, ANNA CIACIA ,AT ARSHAMOMOQUE TOWN OF SOUTHOLD SUFFOLK COUNTY , N Y I000 053 - 02 20 SCALE I": 30' MAY 14,1987 SCHOOL DISTRICT GREE NPORT FIR£ DISTRICT 31 CERTIFIED TO SOUTHOLD SAVINGS BANK PECONIC ABSTRACT INC GUIDO CIACIA ANNA CIACIA 87 - 384 _->.-? ........ NOTI~ ~ILDING DEPARTM~ ATr 765.,1802 9 A~ TO ~ PM ~R ~E FOLLOWING INSPECTIONS: FOUNDATION TWO REO~RED ' ' ROUGH FRA~ING & ~UMBING 3. IN~ULATIOH · ~INA[ CONSTRUCTION MUST,, ; ~SE COMPL~E ~OR C.O. AEL CO~RTR JCT ON SHALL MEET' THE REO,U r E~ENTS OP THE N.Y~ ' ~TE CONSTR~CTI~ & ENER~ ~b~ 0~ CC'NSTRUCT ON'ERieS, i, OCCUPANCy OR~,~ : ' ~ '::, ' PltoT~ USE:tS UN[),~L ' ~L_Q~ ~ ~T ; '; ' ' - ~, ( , PORT, N.Y, 11944 ::...,~,, , ~. ,F~V ....... -/ WiTHOUT.cERTiFiCATE ,,~, ~ ,-,-~-: ,,~:, :, , ....... ''' ? : g: ' " ' ; OF OCCUPANC~ ' ' - "' Mpin Road