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Home My WebLink About15536-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy N°....Z:.I. 7.0..T9 ....... Date July 7, 1988 THIS CERTIFIES that the building ADD IT ION Location of Property 1495 Island View Lane Greenport, N Y. - h3~sb hid ....................... 's't/e~i ....................... County Tax Map No. 1000 Section 05 7 .Block 02 .... Lot I 2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated November 27, 1986 ..................... pursuant to which Building Permit No. 15536 Z dated ...D..e 9.e.m.b.e. ~'..1. ,...I .9.8.6. ...... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occnpancy for which fifis certificate is issued is ......... ADDITI'ON TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR Th¢ certificate is issued to ....EDWIN & CONSTANCE LATSON ................. ?o¥.'o;, '/-~':~'~' f .................... of the aforesaid building. Suffolk County Department of Health Approvai .... .Iq / A UNDERWRITERS CERTIFICATE NO. NO 8655 - June 23, 1988 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FOBM NO. ~ TO~N OF $OUTSOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15536, Z Permission is gronted to: .../,.~.~..~...~......,,~&...~., ............ .~,..~~...,,~.:~.:,,,.,L!.~.~..~ ..... ~.~..~..~...~~~ ................... .~ .................. = ....................................... o~ p~,~,~ ~t~a ,t ...l..~.~.~...~..~..~.,....m~ ............. ~.~72~....~...~...~~....~.~ .................................................................. .... ~ ............. kot ~o. Coun~ T*x ~op ~o. 1000 Section ....... .~.~.~ ......Bilk ~ ..... ~.~': ............. pursuant to opplicoHon d~tod ..~.~~.....~ ........... , 1~.~., ond ~pprov~ by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building 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 -. ~ to the Building In~ec- 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 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupanc¥ New Dwelling $25.00, Accessory '$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 4 .Vacan'c3' Copy of certificateLand C.O.°f occupancy$ 20.0055.00, over 5 ye ars $] 5,Updat, ed C.C, $ 50.00 Date ................. New C ohs t~ r u c b i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property t - House No. ~ Street HanlJer Owner or Owners of Property .... ..~;~.P, ~.C~, ~.~.;.~...,/~t~ &c~T!-~O .~. County Tax Map No. 1000 Section . .~..V. ......... Block .... ~-~ ........ Lot... [.~',,~ ........ ......... ;. ................ .... : ...... ,_ot,,,o.. ............. Permit No.}.~'~.. ~.~..~ Date of Permit /.~.. ~.Applicant. Health Oept Approval Labor Dept Approval Underwriters Approval · Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ..................... '.. Fee ub ted '~ S mit $ ...... 4,. P ............. Construction on above described building and permit meets all applicable code,~and reg~l_~ations. ......... . .... ............. . . Rev. 10-I0-78 TOgrN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX TOWN IIALL SOUTIIOLD, N,Y. 11971 February 23, 1988 TEL. . John & Sharon Latson 12425 Sound Ave. Mattituck, N.Y. 11952 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. J(_-~ An application for Certificate of Occupancy is not on file. (ENCLOSED) /K_--~ NO Underwriters Certificate on file. /k.~ The check [:;(~g~/not on file.) $25.00 /~/ No Health Dept. Approval on file. /~/ No final inspection lids been made. Please contact ()ur office on this matter. Thank you for your cooperation. lhL[lding Permit tt 1 5 5 3 6 Z Building Dept. ***/--/ Ho Plumber Solder ~ r ' ' _ Ce t.lflcate on file. ( all permits involving plumbing being issued after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS P~o~. ~ ~ooo~.~.~. ',UREAU OF E,.ECTR,Cr~' J-'-- 85 JOHN STREET. NEW YORK. NEW YORK 10038 Dat~ JUi~q/E 2~1,1988 ,4pplicationNo. onfih, 5~]261788/g8 ~ 0186BA THIS CERTIFIES THAT o~ly t~e electrical equipment ~ ~ ~ ~ int~u~ ~y t~ a~t ~ on t~ ~ ~t~ numar in the p~m~ o~ in t~ f~lowing I~ation; ~ ~e~nt ~ Ist Fl. ~ 2~ ~'1. ,~tion Bilk ~t ~s examln~ on ~ ~6,19~ and foUnd to ~e in ~mpli~nee with the r~ui~menl~ o~ ~his B~d. SERVIC~ D~NNECT S E R V I C PAUl, R. BURNS $OUTHOid), GINIRAL MANA~III LICr, NS~: NO. ?.82 E P~r. This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUI ~DEPARTMENT' THIS COPY OF CERTIFICATE__ MUST HOT BE ALTERED IN ANY MAI4HER. OUNDATION ~ (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION INSPECTOR~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~- ] ROUGH P~LBG. FOUNDATION :~ND [ ] INS/J~TION FRAMING [//]/FINAL "ATE~ !~ INSP£CTOR ~/~ ~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] IN/SULATION FRAMING [ ,P~=I NAL REMARKS: ·, , 76S-1802 BuILDIN~ DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. i~O MNDATION 2ND [ ] INSULATION ING [ ] FINAL ,.mm(s, ~/.~ ~-~_/~ 765-1802 BUILDING DEPT, INSPECTION ~,.~~UNDATION 1ST [ ] ROUGH PLBG. UNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTO Examined.}~.~. ~.l... Approved .--'7~..ept~...{,AH,..../... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 76§-1802 ., 19 ., 19~.k.. Permit No./.~ .'~.~.~.~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,~9... IN STRUCTION S a. Tiffs application must be completely filled in by Wpewriter 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 tiffs 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 untii-~t 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 inspectbrs on premises and in building for necessary insl~cti~ns. ..... .,~1 og~,~..~...~n4~. ?...c.~.-!.~.o.~....~ :.;. !... (S~l~ature of applicant, or Bam~, if a corporation) (ma±ling address of,,appl~cant:) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... ..... , ............................................................. Name of owner of premises ......... .~. j.%...~......~.. .~. . .t! .c.~ ..... .o..Pl. .................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...I.,g~. 9. .~. .0.. .-. ./-J. ~. ....... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No .............. ' ........ .~. ........... 1. Location of land on which pr pose ill be done ........ 7~../",.~ .~..Y~..~../'b..~. .... }~. c~3 ,.~fi. [a~, t ~'~ Street ~ P~ House Number Hamlet County Tax Map No. 1000 Section ...O..ff..77.,~ ./...~. Block .................. 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 e~.. r ~. c'~ b. Intended use and occupancy ....... <5.. r. ~..c..~% .................................................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ......... Repair .............. Removal .............. Demolition . Other Work .~j .~./ : (Description) 4. Estimated Cost ............ ~ t ~ ................ Fee ....................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... I ......... Number of dwelling unit~ on each floor .... l ........... If garage, number of cars ............................................. ................... ? ....... 6. If business, commercial or mixed occupancy, specify .,n~ture and extent of each tvp~ of use ..................... 7. Dimensions of existing structures, if any Front... ~.~. t. ....... Rear . ~ P..~..i ...... Depth .fl~O. (-. ,~.~.: .... ight . He .............. Number of Stories ................. t' ' Dimensions of same structure with alterations or additions: Front ... Depth ..... ~..O: .-..¢.q ~ ........ Height .... J~;'" 'r ............. Number of Stories ...... ]. ............. 8. Dimensions of entire new construction Front .I '~ ~ ir Rear t '7 r /~ ~, n,m~h ~'D ~ ,t ' ' Height ...t..¢.. fT.! ..... Number of Stories ...... 1 ...................... .......................... 10. Date of Purchase ............................. Nfi0n~e o.~r,o~r,.er/Owner . ..~ 11. Zone or use district in which premises are situated ..... : .'-*~t~f¢ .~.. ~.t. ...... .., ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....~J, .~. ........................ 13. Will lot be regraded ............................ Will excess fill bern,movedi from premises: Yes No Name of Architect ........................ Address ..... ' ..... ' :' Phone No ...... 15. Is this property :Located within 1.00 feet of a tidal wetland? * ?es ,4~.. No .'~ · If yes, Southold Town Trustees Permit may be required. PLOT DIAG RA/Vl Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. 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 ........... ~'0.~ ~.e..~../~,),~. ~q~.j?4 ?. ................. being duly sworn, deposes and says that he is the applicant (Name of in0Jrvidual signing contract) ' above named,f~w~ (Tf~ (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 UNDA O./LOOPER ............. Nota}y Publlo, State of New York~/ (Signature of applicant) No. 4822E63, Suffolk County Term Expires December 31, 19 ~,[LO ~ 7'--~." ~Jixx'e- z/ VIEW F-J =U' ' -[ ~ln / ~ ~)A; ~ ~.¢ , " u .:1..,.. : t''~' ,st 5F/£ET ~