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Home My WebLink About14774-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18764 Date FEBRUARY 5~ 1990 THIS CERTIFIES that the building. ADDITION Location of Property 58365 COUNTY ROAD ~48 ~REENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 44 Block 2 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 1986 pursuant to which Building Permit No. 14774-Z dated APRIL 22, 1986 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 SOLAR ROOM ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to 3q~DITH LaMAINA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H-013913 - JANUARY 31, 1990 Rev. 1/81 ~ORM NO. ~ TOWH OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING pERMIT (THCS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14774 Z Date .......................................... , 19. Permission is hereby granterS, to: .... /.~....~.~....~ .................... ..~.~.~........~..:.~...: ...... !.!...~..~.~ .... ....... ot premises located at ......~..~..~....~...(~..~ .............. .~....~...~.. ......... ...~...~.~ ............... pursuant to application dated ..~~......J.....~... ..................... , ]9..~...~..., and approved by the Building Inspector. ~,~). ~ Fee $ ........................ Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN BALL SOUTItOLD, NEW YORK 765 ~ 1802 11971 APPLICATION FOR CERTIFICATE OF OCCRPANCY DATED~9~.12, 1989 NEW CONSTRUCTION J~ ..... OLD OR PRE-EXISTINO BUILDING .... VACANT LAND.. Addition:.3 to Dwelling '' . ..... Location of Property.. qo ~ ~q~h ~q~4 Greenport IlOUSE NO. STREET HAMLET Owner or Owners of Property Judith LeMaina County Tax Map No. 1000 Section ~..~0. Block Subdivisinn ....................... Filed Map Permi[ Health Planning Board Approval No. 14774 ..... ..... Date of Permit '~--Applican£ ~p~ .... Dept. Approval .................. Underwriters Approval .............. Request for Temporary Certificate ....... Fee Submitted: $.25.00 Final Certificage XX JUDITH ~v. 10/14/88 FIELD INS[~ECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: / // ~sual I ;ffect ~ yo~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined . .~...~..~ .... , 19 ~.~. .~..~.~. .... 19 .$.~. Permit No. ! .~.~. 7.q. ..~.. Approved Disapproved a]c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS -- BLDG. DEPT. TOWN OF SOUTHOLD Received ........... ,19... Date .......... 19... a This appti~cal[19p?~,u$~be, .~J:nl~let6)y filled In by typewriter or in ink and submitted to the Bm ding Inspector, with 3 sets of plans, gccurate plot21an t~ sc~. Ieee according to schedule. b. Plot planis[~W~g l~c~ti.~rI~lb~ ~fft~bmldm~s on premises, relatmnshlp to adjoining premises or public streets or areas, and ~i~tng~a ~det~i~e~l~ d~s~lSi)'0hk~f~lfi~yCtfiti~f~.property must be drawn on the diagram which is part of this appli- cation · · '"~' ''~ ?'~, , ~ ~ ~,.q~. . ' c. The wo~rl~:~ve~ed, b~ ~.t~i!~pPli~ r~y not be commenced before issuance of Building Permit. d. Upomapprqyal pf, th~s~appl, icat,i, gn,~'guilding Inspector will issued a Building Permit to the applicant. Such permit shall be keption ~l~e'~r~i~se~ ~x/ail~bli'~nspection throughout the work. e. No building shall be occupied ~[ised 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 buildh~gs, 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. · ' '(maJ.~_±ng address of app/[±c~nt) ~ State whether applicant is owner, lessee, aden,t, architect, en~neer, general contractor, electrician, plumber or builder. (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....-~..~..~..~..C .... .~..·..~.'.~.? .~. .... . .~.~:...f~.... House Number Street Hamlet County Tax Map No. 1000 Section ..... ~z/r .~. Block .... ..~ ........... Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 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 ........ ~ .... ~..~.. ~" ............................ 3. Nature of work (check which applicable): New Building .......... Addition ....... Alteration ..........~ Repair .............. Removal ......... ..... Demolition ............ :.. Other Work ............... ~ : (Description) ,, 4. Estimated Cost ........................... Fee .. ~ '-~' .--7 (to be p3id on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor ............... If garage, number of cars ............................................. .......................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ i ...... Depth .............. Height ............... Number of Stories ................................................ i ...... Dimensions of same structure with alterations or additions: Front ............. : .... Rear ................. Depth ...................... Height ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............... Number of Stories ............................ i .......................... 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner .; .......................... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate 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 ............... i · · · Phone No ................ Name of Architect .~, .... ~ .................... Address ............ i ' ' ' Phone No ................ Name of Contractor .+'..0~.. ~..o~.~....~. 45'.~. Address ~ ~."~ fi&..%. ~ .°Cl~ne No. ~...~.7 .'..1 j ./.~... 15. Is this property located withinl.00 feet of a tidal wetland? * Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and. indicate all set-back dimensions from property Hnes. Give street and block number or description according to deed, and sho~ street names and indicate whether interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED NOTIFY BUILDING OEPARTMENT AT 766-1802 g AM TO 4 ~ ~R THE FOLLOWING iN~PECTION~: 1 FOUNOATIoN ~O R~QUIRED FO~ POUREp COMC~fE 2 ROUGH FRAMING & pLUMBING 3. INSULATIO~ ~, F~NAL CO~T~UCT~ON MUST AU. CONSTRUCTION SHA~ ME~ THE REQUIREMENTS OF THE N,Y ~TE CoNST~CTION ~ ENERGY CODES, NOT RE~NSIBLE ~R mESIGN OR cONSTRU~ON 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. Hi is the ............................................................. i ............................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the ~aid work and to make and file this application; that all statements contained in this application are true to the best of hi~, knowledge and belief; and that the work w/ll be performed in the manner set forth in the application filed therewith. Sworn to before me this ........................ dayof ............. 19 ... Notary Public, ............ ~ ....... ~ .... County 11~~~ /; (Signature of applicant)