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Home My WebLink About14936-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z1448~ Date June 5 19~..6 THIS CERTIFIES that the building enclosed patio addit ion 74605 Main Rd. Greenport Location of Property ............................ House NO. '' 'S't/e~{' ....................... County Tax Map No. 1000 Section 45 .Block 4 .Lot Subdivision X .Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated J un e 4 1 ~,6. pursuant to which Building Permit No. 14 936 Z dated June 4 19 86 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 ......... Enclosed patio addition to existing one-family dwelling. The certificate is issued to GEORGE & MADELINE HUBER ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval iq / A UNDERWRITERS CERTIFICATE NO ............ Iq / A 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'.) 14936 Z Permission is hereby granted to: · . ~.~.. .~ ........ ...G.~.~...~...;V........z~.~.~..,J ...... ,. County Tax Map No. 1000 Section ...... ..C).,~..,~.Z .... Block ......J~...~ ......... Lot No......(~..~'~.. .......... to app,,co,,on do,~d ....... ~..~-..!~ ...................... , ,,..~.~., ond opprov~ b~ ,he pursuant Building Inspector. Fee $,~.....:..~ .... Rev. 6/30/80 FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL oOM~ENTS ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 BI.DG, DEFT, 765 - t80Z TOWi~ OF SOUTHOLD APPLIOATIO~ FOR OERTIFIOATE Instructions This application must be filled in typewriter OR ink, and submitted t~,---~, 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 featu res. 2, Fina{ approval of Health Dept. of water supplv 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of prbperty 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant_ Land%~C.O. $5.00 5. Upi:tared C.O. $15.00 Date ............. ~ Old or Pre-existing Building Vacant Land Location of Property. ~ ~'(~'~- ~ ~ .~.?/ ..~.~. ~ House No. Street ~1 Hamlet Owner or Owners of Property ~- ................... County Tax Map No. 1000 Section ....~. ~ .~ ...... Blo~ .... Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo.~l.~.~.~.'~-.. Date of Permit ~/.~.~o~ .Applicant Health Dept. Approval ..... /. · · .~t~/.,~. ........... Labor Dept. Approval ........................ Underwriters Approval ....... .~/./~. ............ Planning Board Approval ...................... Request for Temporary Certifical;e ..................... Final Certificate ...... .~'., .'~, ............ Fee Submitted $,. ,L~'L~... ...... J ,~.. ,(-.-~¢~4, ........ Construction on above described building and perrgit meets all applicable code~an.d regulations. ~?_~_~ .!?C[~( ~.-~ Applicant · '~'f/~~ · "~'~"" ~ .............. Rev. 10-10-78 '" , ,, ~ · FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Examined .... Approved ...~ ~..~. ·., 19~/e. Permit No.. ].ff 7:~. ~ .~ Disapproved a/c ..................................... Received ........... ,19. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 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 ai~ ~firi~Ose.~vhatever 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 hi building for necessary ~ ~.,.~ ............... '" i~(g~'a~;~f Jpplilant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises . g.~..~..~.~..¢;...~..~.¢'.4~.~.¥....~...~/.~..~'.~.~,(.~7 ¢..l./.W~..~..~, .~7~. ............... (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 .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...~.F..r./. ~..~.'.~.~;..~-..~..~... ~. P.¢.~..8'.p?y'..~. ............ House ....................................................... Number Street h~i'l&i~ ....................... County.~Tax Map No. 1000 Section . ~ ........... 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 . .~9~., ...................................... b, Intended use and occupanc ........................................................... 3. Nature of work (check which applicable): New Building .......... Addition t,~. i ...... Alteration .......... Repair .............. Removal .............. Demolition ............ Other Work ............... ' (Description) 4. Estimated Cost ................................... Fee ......... : ........................... (to be p~id on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling umtsi on each floor ......... : ....... If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each typo of use ..................... 7. Dimensions of existing structures, if any: Front...~. {'.' ......... Rear . ,2...~f... ...... Depth. ~.~..t .......... Height ~'. .......... Number of Stories / ~..~' ................... ~ Dimensions of same structure with alterations or additions: Front . .~..O., ...... Rear .;t4 ~ . Depth. ,~c ' Height a' ' Number of Stories /. 8. Dimensions of entire new construction: Front ~.o.I. Rear o-~ ' ~ .................... I ...... Depth .iq.t ........... Height' . ~.. .* ........... Number of Stories ... 7. ....... ; ............... ~ 9. Size of lot: Front .d~.*..t ................ Rear .. ~..a ................. Depth .8..a:-..~..~ ........ . ....... 10. Date of Purchase . d. I~ 7..~ ...................... Name of Former Owner ....~..~..~.~c~ ............... 11. Zone or use district in which premises are situated .............................................. 12. Does proposed construction violate any zomng law, or&nance or regulation: ./~ .0.., ......................... ~ 13. Will lot be regraded . ~..o .............. ............ Will excess fill be~ removed] frolll premises: Yes (~ 14. Name of Owner of premises .~.~. ? .~f.~./~...~.~.t~.~.~... Address ./~. · .~..~..~.~. ?.~.~."~hone No..z/~ ~..,,. ~.~.~. ~ Name of Architect ........................... Address ................ !...~ Phone No ...... . ......... Name of Contractor .C~.~..~.~.~..~.-:/-J.. ~.¢.~..~.~... Address .d'-~.~. ~..~'..~.~.~.R~.~"~Phone No. ~.~. ~.. 1~.~./. .... 15. Is this property locate~withinl.00 feet of a tidal wetland? * ~es ..... ~ ..... · If yes, Southold Town Trustees Permitp~DIAGRAM be required. Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate property fines. Give street and block number or description according to deed, and show interior or corner lot. all set-back dimensions fi'om street names and indicate whether 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 ............................................................. ; ........................... (Contractor, agent, corporate officer, etc.)I of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this application; that all statements contained in this application are true to the best of hisiknowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..... . ............ ~,~ ~. ..... day-,, of ................ ~ 19~..-- Notary Public, ....~...~.: . .v]5~.~. ~..~.. . County //. . / ~