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Home My WebLink About15856-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16285 Date October 14, 1987 THIS CERTIFIES that the building DECK & GARAGE ADDITION Location of Property 1600 Bay Shore Road Greenport, New York County Tax Map No. 1000 Section 53 .Block 04 .Lot 31 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 30, I987 pursuant to which Building Permit No. 15856 z dated .... A.p.r.~.l..4.,..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 & GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING PAUL & MAUREEN CLANCY The certificate is issued to ..................... ?o;4n.o,r,~r~X~ ................... of the aforesaid building. Suffolk County Department of Health Approval .... N/A UNDERWRITERS CERTIFICATE NO. N832031 N/A PLUMBERS CERTIFICATION DATED: Building Inspector 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~ 15856, Z Permission is hereby gronted to: .... ~..~. '~ ¢ · .~.....~..:.~.:....../.!.~Z~ ...... ,o .~....~...~.~.~..~.~.~....=~.~...~.....~..~ ~~~..:.:~....~' ........ ~ .................................... L ' ~..~ ......... .~ ~ :~ .................. ot premise, Iocote~d et ..b..~..L~......~.~....~ ........ ..~../.~~ ......................... County Tax Map No. 1000 Section .... ..~.....~....~... ....... Block .......0........~. ..... Lot No.....~.l. .............. Building Inspector. Fee $..~..:.~ approved by the Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department '[own Hat~ Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted mlm~mmmm 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 bu.ilding. 5. Submit Planning Board approva~ of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. Fees: 1, Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3, Copy of certificate of occupancy $1.00 4.Vacant Land C.C. $5.00 5. Updated C.C. $15.00 $15.00 Date..¢A!~.7.,..~9~l ......... New Building ..... .~ ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ....... ,6.4,~,, .. ~a.y.s.h.q~ .e..R.qa. ~t ......... G.r. 9.e.n~gr..t .................. House No. Street Ham/et Owner or Owners of Property Paul and Maureen Clancy County Tax Map No. 1000 Section .0.5.3. ........... Block ....0.4 .......... Lot...3.1 ............ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 1. .5.8.5.6.....~. Date of Permit . . .A:-.4.nS. 7.Applicant . .R. PA .I~.o.~j.~.~.o...]3.u.~. 1.¢.e.K ,...Z.n.q;.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... X. ....... Fee Submitted $.....'~..". O, ,0 ................... Construction on above described building and/~it meets ~lB~ap~olicable codes and regulations. Applicant ........................ Rev. 10-10-78 ]65-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION ]FRAMING [~FiNAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. I N,~.,ATION [/-,~NAL REMARKS: INSPECTOR_ BUILDING DEPT. INSPECTION ~FoUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL ,,,~,^,,,~s:/~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] IN~U~TION [ ] FI~MING ~INAL REMARKS: / 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND ['~SULATION [ ] FRAMING [ ]FINAL REMARKS: ~~ ~ ~ ,/~*~ DATE ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] I~ULATION [ ] FRAMING [~INAL DATE YE Z'~ N IY.I -I Guaranteed to ~Soulhold Sav/na$ Bank ~*'~ .~- S~curity T~tle ~ Guoranly Ca, Paul& Maumen Clancy P/~T T.' SECC/~FICO. ~,4 z ~-.. /"= 20 BUILDER, INC. P.O. BOX 789 · Main Road, Southold, NY 11971 · (516) 765-5772 OCCUPANCY OR ~ USE IS UN~WFUL WITHOUT CERTIFICATE OF OCCUPANCY BUILDER, INC'. P.O. Box 789 · Main Road, $outhold, NY 11971 · (516) 765-5772 ?~ c~x ~ ~ Sep~:e~bar [6 1~'8~E NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YO"K, X in the following locati~R}~_t,~ 8ds,~J,~7 [] ~t r~. [] 2nd FL Section Block Lot ~s exatnined on and found to be in compliance with the reqt~iretnents of this Board. FIXTURE SWITCHES FIXTURES RANGES OVENS DISH WASHERS FLUORESCENT SYSTEMS NO. OF FEET E R V I C E PER ~ OF CC COND OF HI-LEG 275 Town,arbor Lane 8ou~ho~d New York 11~71 ~N~A~ ~A~A~ Per , This ce~ficate must not ~be altered in any man,0er; return to the office of the Board if incorrect. Inspector~ ,moM be identified by their credentials. COPY tTMENT. THIS COPY OF CERT ALTERED: N ANY, MANNER. OUNDATIO,U ( 1~'~) OUNDATION (2nd) OUGH FRAME & ?LUMBING 'NSULATION FERN. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: BUILDER, INC. P.O. Box 789 '~ Main Road, Southold, NY 11971 ~, (516) 765~5772 // OCCUFANCY OR USE IS UNLAWFUL VfB'HOUI' CERI'IFICAI'E OF OCCUPANCY BUILDER,INC, P.O, Box 789 · Main Road, Southold, NY 11971 · (516) 765-5772 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..(~..q ..... ,19~..~. Approved . .<~..~ ...... , 19~..~. Permit No. 1 .~.'-?..~...~.. Disapproved a/c ..................................... ................................ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEFT, TOWN OF SOUTHOLO~ Received ........... ,19.. · 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, building 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 corporation) ?. o.. y,./. .7/. ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... .0<< o. ¢ r. .o4. . . Q o. .o. ao. .to. . r. ............................................................ Name of owner of premises .. ?..Or. ~ .O~... ?.. · .~}. · .Ox.O.~..(.P.e..~.....~..~.O'~. · .l). · .0N.. .............................. (as on the tax roll or latest deed) If appli, o-a~ is a corporation, signature of duly authorized officer. .... ; ......... Builder s License No..(0.-7 ~ .~..-. ~.~ .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ....... . .~...~. ......Block .... .~7 ............ Lot.. -.~.! .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................ ,.... .......................... b. Intended use and occupancy .............. ~. ~ .... ~." .'~ .~... ~...~~.'.. Kepair! t i'2 ........... Remo'k~ai .......... Demolition ............ Other Work ............... ' ' ' ~f ~ :'/' '~Z)~[ 1,~ (Description) 4. Estima ea ). ................ ...................................... n ~O' ? ?~OV ~' (to be paid on filing this application) 5. If dwelling, num~*~e~nits ..... i .... .~.. Number of dwelling units on each floor ................ If garage, number of cars ... ~ .......... [..~.~ ..................................................... 6. If business, commerci~ or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories .... [ ................................................... D~ensions of same structure With alterations or additions: Front ................. Rear .................. Depth .................. ~... Hel~t ...................... Number ofjtofies ............. 8. Dimensions of entire new construction: Front .... /~. ( ...... Rear .... ~..'. ...... Depth ~ ~" ..... Height ............... Number of Sto~es ...... [ ................................................. Size of lot: Front ......... J ............ Rear ...................... Depth Date of Purchase ......... ~ ......... : ......... Name of Foyer Owner ............................. Zone or use district in which premises are situated ................................................... Does proposed const~ction violate any zoning law, ordinance or regulation: ................................ Will lot be regraded ....... ~ .................... Will excess fill be removed from premises: Yes No Nme of Owner of premises .; .................. Address ................... Phone No ................ Nme of Architect ........ ; .................. Address ................... Phone No ................ N~e of Contractor ....... ~ .................. Address ................... Phone No ................ 10. 11. 12. 13. 14. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, 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 comer lot. STATE OF NEW YORK, COUNTY OF.. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) above named. He is the ..................... : .................................................................... i (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 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 therewith. Sworn to before me this