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Home My WebLink About16377-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z- 16098 Date August 26, 1987 THIS CERTIFIES that the building ACCE S SORY BUILD ING 615 Shore Drive Greenport New York Location of Property ............................ ' House No. '' 'S't/e~i ....................... ~r~ie~' County Tax Map No. 1000 Section 04 7 .Block 02 .Lot 0 I 7 Subdivision M/o Greenport Shores Sec. #1.Filed Map No. 1759 .Lot No. 3 & p/o 2 conforms substantially to the Application for Building Pemfit heretofore filed in this office dated August 24, 1987 pursuant to which Building Permit No. 16377 Z dated............................August 24, 1987 wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ACCESSORY BUILDING AS APPLIED FOR The certificate is issued to...........JOE & E RNE S T I NE CARY .......... ?oh;.'o;, .................... 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 FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, No Y. BUILDING PER~IT (THIS PERM)T MUST BE KEPT ON THE PREMISES uNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16 3 7 7 z =ate ..... ~..~...W.........O..~ .......... , Permission is hereby granted to: . ~ ...~.~ ....~. ....~.,..~.....~..:. ,.-... .......... ....,.~.~.~..& ...................................................... .......... , ~o ................................................... ~ ............. .~ ............. g.~... ..... County Tax Mop No. 1000 Section .... ..~...~....~. ....... Block ....... .,O,...-~... .... Lot No .......~...}....-J ......... pursuant to application doted Building Inspector. Fee $..~,5~... ................. and approved by the Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ 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 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: Additions $25.00 1. Certificate of occupancy New Dwelling,$25.Q0, Accessory',,$]O.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 .... .A.u.g. :..2.4.,.. ! .9.8.7. ...... NewCons truction ...... Old or'Pre-ex[sting Building ............ Vacant Land ............. Location of Property 6]5 Shor.e Drive. Greenport, New .Y.o.r.k House No. Street Ham/et JOE & ERNESTINE, CARY Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 04 7 02 0 17 ............... Block ............... Lot ................ Subdivision M/o. Creenpo,~.~..S.h,o,?.s,: .S,e,c,...l![., .Filed Map No. 1759. ..... Lot No. 3 & p/o 2 PermitNo...........16377Z Date of Permit 8/24/87 .Applicant William H. Price, Jr. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate, .................... Final Certificate ..................... Fee Submitted $ ]0.00 Construction on above dbscribed building and permit meets all applicable codes and regulations. Applicant William H. Price, Jr. - Rev. 10-10o78 .FIELD INSPECTION EOMMENTS ~ ~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY QODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION FRAMING 2ND [ /~SULATION [,/] FINAL REMARKS: TEL.: 765-1802 m,nedCi' 19 '.7 Exa ' ,,,,~,r'm¥ ...... Approved--~'~.,,.,..~, 19~ ~ Pe~it No..J.(e~?q,~ Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTII ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SE?TIC FORM ............. TOWN HALL NOTIFY $OUTHOLD, N,Y, 11971 CALL ................ - MAIL TO: Date .... A, .ug.u.s.~., .2,4 ..... 19.8.7 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink anti 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 applic~ition 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 o~ 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 ins~ ~.....~'~.~----~ ' (Signature of applicant.,~r-narue, if a corp,.oration) PO Box E, Greenport, New 'York (Mailing address of applicant) State whether applicant is owner, lessee, agent, arcizitect, engineer, general contractor, electrician, plumber or builder. Acjent ........................................................... Nameofowncrofpremises Joe H. Cary and Ernestine M. Cary (as on the tax roll or latest (Iced) If applicant is a corporation, signature of duly authorized officer. (Name and title of co~orate officer) ' ALI, CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. XhT~ ~l~l~'~. Shore Drive Greenvort House Number Street Hamlet County Tax Map No. 1000 Section .... 9.4.7 ........... Block 02 Lot .... 0:1.7 Map of Greenport Shores, Subdivision ....... .S.e.q .t.ip.n...1 ................... Filed Map No ..... .12.5.9. .....Lot .3...ap. fi..P../.O..2.. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing usc and occupancy Residential R'~sidential ~' b. Intended use and o 'racy ........... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. RemOval .............. 'Demolition .............. Other Work .A. qqe..s,s.qr. 7..S.h. .! · ~ (Descriplion ) 4 Estimated Cost $500.00 .................. 0. 9 ..................... ' '~ (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ............... Number of dwelling~units on each floor ................ If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . .' ................... 7. Dimensions of existing structurels, if any: Front ...... ' .......... Rear ............... Depth. ............... Number of Stories ' ' ' Heigbt ............................................. : ................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ! Height ' Number of Stories Dimensions of entire new construction: Front .... .1.0 .... '.. :.. Rear , 1.0 Depth 10. ight mb f St 1 He 8 Nu ero ories .................... 9. Sizeoflot: Front 75' i Rear ,.7.$.' Depth 125' 10. Date of Purchase ....... ~0/.~./.~10 .............. Name of Former Owner ... ,hutkD.xqski ............... 11. Zone or use district in which premises are situated. A-Res±dent±al 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... .N.q ........................ 13. Will lot be regraded ......... '....N9 .............. Will excess fill be removed from premises: Yes No 14, Name of Owner of premises ...C.a..fy ............ Address1.4...B.e.r.w..±.o.k..R..d .... Phone No. ......... AddressKendall Park NO' Phone ............... Name of Architect ........................... ·.. ~ ..... No. Name of Contractor .......................... Address .... : .............. Phone No ................ 15. Is this property located !within 300 feet of~ a tidal wetland? *Yes ..... No · If yes, Southold Town TrUstees Permit maybe' ~'equired. ' PLOT DIAGRAM Locate clearly and distinctly alii buildings, whether existing or proposed, and~indicate all set-back dimensions from property lines, Give street and block aumber or description according to deed, and show street names and indicate whethm interior or corner lot. See Survey Attached -8. STATE OF NEW YORK, ~S.S OCCUPANCY OR USE IS UNLAWFUL Wi'rHOUI CERI]FICAIE OF OCCUPANCY ..... ~..I..L.L.!A..M' .H....P..R~.C.~,..5.R... ................... being duly sworn, deposes and says that he is the applicaw (Name of individual sig~ing contract) above named. I atto.r p. ejf/, .ag.e. nt lle is the ................... .......................... . .................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duily authorized to perform or have performed the said work and td make and file thi: application; that all statements con{ained in this application are true to the best of his knowledge and belief; and that th~ work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ 24th .day o,f Au.gust ., 19 .87 ~ ' ~'5' ' ~ramt~,blio StiteotNe~gnatu~e o~applicanL