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Home My WebLink About16385-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22361 Date MAY 26~ 1993 THIS CERTIFIES that the building ALTERATION/ADDITION Location of Property GREENWOOD ROAD AND TYLER LANE~FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 12 Block 1 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 27~ 1987 pursuant to which Building Permit No. 16385-Z dated AUGUST 27, 1987 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 ENCLOSE & ADD TO AN EXISTING PORCH OF EXISTING DWELLING. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ROGER BARMACHE & WIFE 'Building Inspector Rev. 1/81 TOWN OE $OUTHOLD ~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, bi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby gr<znted to: ..~_~:~.....ff.. ...... ~......~..~.... .... ....... County Tox Mop No, I000 Section ..../..~.. ......... Block ........ .~....~., .... Lot No ..... .~.....~......~..... pursuont to (3pplicotion dated~.....~.......~...~ .......... , ,9~..Zand~'-- approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be figled in by ~ypewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.' 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildimg and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 ~ 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 I 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building .... .~.~.~..~ ....... House No.~ ' "~' ....... Street Hamlet ~ounty ax ap o , Section ........... o ............ ~.Lot ................ ~ubdzvms~on .................................. · . Filed Map ........... · Lot .... ~ ............... tealth Dept. Approval .......................... Underwriters Approval. ~lanning Board Approval ........................ [equest for: es Submitted: Temporary Certificate ..... · -..-- Final Certicate..V~. ........ APPLICANT UNDATION (1st) UNDATION ( 2n~ ) UGH FRAME & FLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 3 ROGER BARMACHE 8 3 7 BETTY BAI~MACHE 117 E, 77TH ST,, 5A NEW YORK, NY 10021 "~'7 /19 F CUS ~-Fifth Ave., 5th Floor ~ ,,~/~,~ New York Y. 10103 ~ _ Memorandum from .... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN H^~[, SOUT~o~, N. Y. 11971 765-1802 Augus~ 27, 1987 Mrs. Bet ty Barmachc P.O. Box 6 Fisbers Island, N.Y. 06390 Dear Mrs. Barmache: Pursuant to our telephone conversation, enclosed please find your building permit. Also enclosed is your duplicate check #837 in the amount of $50.00. SOUTHOLD TOWN BUILDING DEPT. Georgia Rudder, Secretary FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL,: 765'1803 Approved ................. 19... Permit No .......... Disapproved a/e .................................... 3. Nature of work (check which applicable): New Building .......... Addition ....~.... Alteration ~.. ..... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ..................................... Fee ...................................... (to be paid on filing this application) S. I f dwelling, number of dwelling units ............ Number of dweIling units on each tloor ............... If garage, number of ear~ '. ......... .............................................................. · . . ~ ~-~ . , yp of e .................... .~ght ....;~ ........ Number of S;ories.: i :i ii::: i: i :: i .... ': ............ ,~t. ............... D?th .. ............... : ..... H~ight ....... .:~z~ ........... Number of Stories ....... Height .. ;P~ Number of S ones ............... Depth .... ~l~ ......... 10. Date of Purchase . ~ ........................... Name of Former Owner ........... ' .... 14. NamoofOwnerofpremises ...i.. .............. Address ................... PhoneNo ............... 15. Is this proper~y-lo~ated withdnlO0 feet of a tidal wetland? * ~'. .... ~o'~'~..' ........ PLO~ DIAGRAM interio~ or comer lot. STATE OF NEW YORK, (Contractor, agent, corporate ofEcer etc,) ......... L .......... day of.~..~ ........ 19~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 .TEL.: 765-1802 Appro,,ed l .?eermit No./. Disapproved ale ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. Tins 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 ~ 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 necessar~inspectid~Q~ --,~ ..... ......1(.]..~b/M l~5.-z~.~; ~ ............ . e'of applicant, or name, if a corporation) .(F, o? g ~ .~- . ................ (mailing address o ~pp can State whether applicant is owner, lessee, agent, architect, engineer, general coritractor, electrician, plumber or builder. Name of owner of premises ...... 9 .G. ff~t~- .... g'rXQL,~.~cc~/.~5~.~ . ~..' ~.'X:..~ ..... .(:-v~,~i4~:..d .~. .... (as on the tax roll or latest deed-)-x If applicant is a corporation, signature of duly authorized officer. (Name and title of corpo~ 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 .......... ; ....................................... ..q~.,.~..~..~.,e-. a'~.~.,,,.,,~..¢~.~..~.':t..,,~ ,~e~... ~.,~,~' .~.. . Street Hamlet House Number County Tax Map No. 1000 Section I~].~.~.~ ...... Block . .O..[.~.~. ........ Lot~. 0.~. ~ .O.0. ......... Subdivision ..................................... Filed Map No ..... ....... '.., Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of p~roposed construction: , a. Existing use and occupancy .... (t.~.5 .~ :bC,.V~21.4 ~ ' ............ b. Intended use and occupancy ..... t:oq,-~x ~ .~ ....................................... N~ture, of work (cheek which hpplicable): New Building Addition..· · .x/-~. · · · Alteration ~..'... ; pmr .............. Refnoval ............. Demolition .............. Other Work ............ 44 stnn t .................. Fee .................... -.,.. ' ~ ,: '/ ~ ' (to be paid on filing this application) 5.i If~ dwelling, number of dwelling units ............... Number of dwelling units on each floor .............. If garage number of cars ' · 6. If business, commercial or mi~ed occupancy, specify nature and extent of each type of use - 7. Dimensions of e~isting struc{t~r~, if any: Front ............... Rear . .. ' - ~, Height .... 17."~. ........ N~mber of Stories ................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................. i .... Height ....... .;~ ~., ........... Number of Stories ............. 9' ........ 8. Dimensions of entire new construction Front -~ Rear Denth /& Height .... ~ ......... Ntlmber of Stories .......... :i".' ............................ : ........... 9. Size of lot: Front ........ :'. ............ Rear ...................... Depth 10. Date of Purchase i ......... Name of Former Owner ............................. 11. Zone or use district in which premises are situated ................................ 12. Does proposed construction vlolate any zoning law, ordinance or regulation: .................................. 13. Will lot be regraded ....... ~ ..................... Will excess fill be removed from premises: Yes No 14 Name of Owner of premises . .................. Address ................... Phone No .... ~ Name of Architect ' ' ........................... Address ................... Phone ~No ............... Nam~ of Contractor ....... ~ ................... Address ................... Phone No..., .~ ......... 15. Is this property located withinl.00 feet of a tidal wetland? * Yes ..... No .1~... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, an& indicate all set-back dimensions from property lines. Give street and bloc ~ number or description according to deed, and show street names and indicate whether interior or corner lot. , rz~,5-1802 9 AM ~u ,, ~ ~LOWING iNSPECTIONS: N ~O REQ ~I¢ED ~,,~, FOUNDATIO ~ ' ~ FOR POUR~D coNCReTE ~, ROUGH - FRAMING & PLUMBING j ~. INSULAT ON j ~, FINAL ' CnN'STP, UCT ON MUST : ~' BE CO~DtFTF FOR C.O. J ~ CONSTRUCTION sHALL MEET ~flfi ~E~U~REMEN'TS OF THE N.Y. ~ ~A~ ~ONSTRUCTION & ENERGY ~ ~. NOT RESPONSIBLE FOR ~ OR CONSTRUCTION ERRORS. STATE OF NEW YORK, OUN ¥ OF ................ ' · ·, ing duly sworn, deposes and says that he is the applicant (Name of individual signing cont'kact) - - above named. He is the ' ! (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 pphcanon; that all statements contained m this application are true to the best of his knowledge and belief; and that the work will be performed in the manger set forth in the application filed therewith. Sworn to before me this I ~ No.1 31-7827910 ~ (Signature of applicant) Qualified il~ flew York Cou,~ty ~.ommission Expires March ~tO, 19'o