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HomeMy WebLinkAbout16567-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southoid, N.Y. Certificate Of Occupancy No. Z-16332 Date October 26, 1987 TltlS CERTIFIES tbat the building FINISH 2nd FLOOR OF EXISTING ONE FAMILY · ' I3WE'frg I f~h .................................... Location of Property 45 Marine Place Greenport, New York House No, Street Hamlet Couttty Tax Map No. 1000 Section 035 .Block 06 .Lot 09 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October I 9, 1987 pursuant to which Building Permit No. 16567 z dated . .... October. .............. 26, 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 ......... FINISH 2nd FLOOR OF EXISTING ONE FAMILY DWELLING BUILT BY PERMIT "'¥/~'7'~ ¢~ ...................................................................... The certificate is issued to MARIE GUHL (owner, ~gzeToX ~F~)~X X of the aforesaid building. Suffolk County l)epartment of tlealth Approval ............ ~ ./.A ........................... UNDERWRITERS CERTIFICATE NO. PENDING N/A PI. UMBERS CERT£FfCATION DATED: Rev. 1/81 FORM NO. ~ TOWN OF soUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, FI. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UFlTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 16567 z Permission is hereby granted to: .... ...-i'.~.o...~.....~h .............................................. ...~..~.~.~....~.:~.:...J~..~..~ ............ q' ............ ..~..~.....~.~..j.~.~' ~ ~.z,~..,, xo County Tax Map No. )000 Section ...... ,0...~...~. ..... Block ....... .D....~.., ..... Lot No ...... ..~..ql ........... pursuant to application doted .... .~.~~....I...q[ .............. , 19.~JJ..'~., and approved by the Building Inspector. Fee $...~..~...:.~. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m m,,~-~, to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of propertv 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 property 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 requ ired to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling.$25.Q0, Accessory ~$]0.00 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 ...0. 9~t.qb..e.r..2.6.,..1.9.8.7. .... NewConstruction. X Old or Pre-existing Building .... Vacant Land Location of Property 45 Marine Place Greenport, New York House No. Street Ham/et CHARLES & MARIE GUHL Owner or Owners of Property ............................................................ 35 6 9 County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ............................. Health Dept, Approval ........................ Labor Dept. Approval ........................ PENDING Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ 2 5.0 0 Construction on above described building and permit meets all applicable codes and regulations. CHARLES GUHL Applicant .................................................... Rev. 10-10-78 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765-1802 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: Examined. O .~..4~.....~..~., 19~. Approved .O...e~. ~ .~..~.., 19 .~.3. Permit No./..(4..~..'~..'/..~. Disapproved a/c .................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ~..~¢/..~. ......... ,197~? a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street or areas, and giving, a detailed description of layout of property must be drawn on the diagram which is part of this appl 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 permi · 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 Occupanc 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describer The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit author/zed inspectors on premises and in building for necessary inspections. (Mailing address of applicant) [ 19 ~ q State whether applicant is_.owner, lessee, agent, architect, engineer, general contractor, electrician, plumbez' or builde ....... .......................................................................... Name of owner of premises . .Q..~..~..~..~.',~....'~.,,'~.~tdG''~ ~ ~J ./q/m. .............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED 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~ ................................................ ...... .... .qC ...................................................... House Number Street Hamlet County Tax Map No. 1000 Section .7 .~..T .......... Block ~ ' Lot...?. Subdivision ..................................... Filed Map No ............... Lot .............. -. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy . .~....~..~5. ~/,~/C. ~]~4ZC~ {... ~. l,'tJC9 b. Intended use and occupancy % ~'6)t-~ -- (.~_ AIc__(- 0,~ ~ ~C- 2..- ~" 0HJ/~ 3. Nature of work (check which applicable): New Building ' Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... : (Description) 4. Estimated Cost ................................. ..... Fee ...................................... I ' (to be paid on filing this application) 5 If dwelling ' ' ' Number of dwelling units on each floor · , number of dwelling umts .............................. If garage, number of cars . .................................................................... 6. If business, commercial or mised occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures if any: Front ............... Rear ............... Depth ............... Ndmber of Stories ' ; '...' ........ Height .... Dimensions aL{same structure with alterations or additions: Front ................. Rear .................. Depth .... ill.... ~ ........ i ....Height ...................... Number of Stories ...................... Dimensions of entire new construchon: Front .......... . ..... Rear ............... Depth ............... Height ............... NUmber af ,qtorloq .................................. ~.~,. 9. Size of lot: Front '. ........ ~ ......... ' .... Rear...:.: ................ Depth ...................... 10. Date of Purcfiase .............................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction v!olate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ....... ! ..................... Will excess fill be removed from premises: Yes No fp 14. Name of Owner o remises .: ................... Address ................... Phone No ................ Name of Architect : ............................ Address ................... Phone No ................ Name of Contractor ~ Address : Pimne No 15. Is this property locate~ within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit maybe required. I PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property fines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S ..... COUNTY OF ................ ~ ........................... , ...................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ~ He is the .................... i ..................................................................... (Contractor, agent, corporate officer, etc.) of said owner, or owners, and is duly authorized to perform or h~/ve 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 manher set forth in the application filed therewith. Sworn to before me this Notary Public ...... ~ ...... Coun . NRENK.~VOE NOTARY PUBLIC, State of New York ........................... : ' ', No. 4707878, Suffolk tC~u~ ntY~ (Signature of appfican,t~l Term Expires Ml~rch ~0.1. -/ .