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Home My WebLink About14681-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-16772 Date April 5, 1988 THIS CERTIFIES that the building ........ C..O.N.V.E.R..S .I.O.N. ............................ Location of Property 825 Queen Street Creenport, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section . . .0.4.0. ...... Block .... .3 .......... Lot .. 6. .............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 18, 1986 pursuant to which Building Permit No. 1468! Z dated ...M.a.r.c..h..2.0.;..1.9.8. 6. ......... 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 ......... CONVERSION OF MIGRANT CAMP TO ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ANITA C. WILTON ..................... ?o¥,,'o'r, g, xt2473' x .................... of the aforesaid building. CITY WATER & SEWER VILLAGE OF GREENPORT Suffolk County Department of Health Approval . DATED' 3 f 3 f 1988 ........................... UNDERWRITERS CERTIFICATE NO. N004325 ~ February 3, 1988 PLUMBERS CERTIFICATION DATED: March 7, 1988 - K & K Plumbing Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~:~ ~.~......~..:.....~i~ ............ .~..~..~,...~.1...~ ............................................... _ , ~ '"'T'. .......................... ~...~..~ ....... ~.~ ~ ~~.....C~.~. ~ ~ , ^ ~ m , i _ j . ~ .......... [ ........................... .............................................. at premises located at ....~,~T~.._...~,.~.....~ .......................................................... County Tax Map No. 1000 Section ...... .~...LJ...~. ...... Block ....... .~..~J. ..... Lot No.....,~......~ ........... pursuant to application dated ......[.~...-~.~.~...I..~ ................. , J~)..~...J~.,~-- and Building Inspector. approved by the Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG, DEF'T, TOWN OF SOUTHOLD Instructions This application must be filled in typewriter OR ink, and submitted m~ 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. 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. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory '$10.00 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 ..,~'%...~l~,..¢JO,..ffl!.~.g.~. ....... New Cons t r u c t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... .~.~'..~, ....... House No. Street /-/am/et Owner or Owners of Property County Tax Map No. 1000 Section .. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~6~'1 ~ Date of Permit 3/~oJ ~(o .Applicant ~,'~.~.t.T.~. ~..,..r,:~..l.~.7~./~. Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval /% ................ Planning Board _Ap, prov?l ,x'. ...... Request for Temporary Certificate...~. ................. Final Certificate .,~. .................... Fee Submitted $. ¢% .~.~ 0 0 Construction on above described building and permit meets all applicable codes and regulations. Applicant .............................. Rev. 10-10-7a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL .7~..~. :.~..~. ......................... . ..~. ~...~.... o...~,..i.,.~ .~?1 .... PLEASE TAKE NOTICE that your application dated., ,,~.~.~"o..~:~.. o..~. ....... 19 ~.~. Location of Property.. ,g... b ..... ~ ~. ,~.,...~ ~V.~ ....... Street Ho~s~ No. ~ Hamlet County Iax Uap So. 100o Section ... ~ ~ .q ..... mock .....~ .h ....tot .. ~ .,J ........ Subdivision ................. Filed Map No ................. Lot No ......... ~ ........ is retur=d herewith and disapproved on the fol~ow~g grounds .~..'.~....W... ~..O7.~ ..%7... ~o.,~...~k-....~.?/..~..~,..0~. ,...~. .': a~ ~...~..~ ... ~r~T..o~a~%...~.~...~..,...q...~~ .~...~...o~....~. ~ .... Building Inspector RV 1/80 TEL. 765-1802 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOI~ P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 CERTIFICATION Date Building Permit No. (please print) Plumber (please print) ~ . I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworr~ to before me this day of 19~ . Notary Notary Public County PAGE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU oF ELECTRICITY ~- F~;BRUA~¥ 08~ 1~-~OHN STREET, NEW YORK, N~l~f~/~i)38 N 004325 ~te ~ppl~a~i~ No. on file THIS CE~IFIES THAT ANIT~ VILTON~ QUEEN STREET, ~EENPO~T~ N.Y. tn t~ f~wing I~a~ B~ 8 I~t FI. ~ 2~ Fl. ,~ti~ Bilk ~t ~ exami~ on and~nd to be in compliance with the r~uirements o~ th~ ~rd. ~X~ ~XTU~ ~E$ C~glNO ~gS O~$ ~ W~ ~HA~T FAN$ ~R~C~D~aCC)flNB~ S E R V I C E L {* T E F -. 6 ~ {'tOKE DETECTOR: -1 '!'RACK LIGHTING: OF. CC. COND. j. PAUL R. BURNS '~75 TOWI,{ HARBOR LANE ,qOUTROLD, NY, ]1931 This certificate must not be manner; return to the office of the Board if incorrect. Inspectors may be identified by their creden ia s. MAYOR GEORGE W. HUBBARD TRUSTEES STEPHEN L. CLARKE JEANNE M. COOPER DAVID S. CORWIN GAIL F, HORTON SUPT. OF UTILITIES JAMES i. MONSELL P.O. BOX AH GREENPORT, SUFFOLK COUNTY NEW YORK 11944 March 3, UTILITY OFFICE TEL. (516) 477-1748 POWER PLANT TEL. (516) 477-0172 1988 Mr. Victor Lessard Executive Administrator Building Department Town of Southold Main Road Southold, New York 11971 Dear Mr. Lessard: The water and sewer connections have been installed to the property owned by Richard Wilton on Queen Street in Greenport. They have been inspected and meet with the rules and regulations of the Village of Greenport. If I may be of further service, please contact me. Very truly yours, \ / ......... 7 f James I. Monsell Superintendent of Public Utilities JIM:nr lDO Yeers of Community Service 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST r ] ROUGH PLBG. ] FOUNDATION 2ND [ I/INSULATION / ] F~MING r/~ FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [,~FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ?ND [ ] INSULATION FRAMING ?J'/~INAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. / [ ] FOUNDATION 2ND [~NSULATION FRAMING REMARKS: [ ] FINAL 765-~L802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2. D [~INSULATION [ ] FRAMING [ ] FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ~I~RAMING [ ] FINAL I / DATE INSPECTOR INSPECTION FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: ~,.//// DATE ~./~//~2.~/~27 INSPECTOR/~, ~~ 765-1802 BUILDING DEPT. INSPECTION [/FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: // / F1EI,D IN~$~%EC T % ON 1. FOUNDA'TION (1 t~) COMMENTS FOUNDATION 2. ROUGH FRAME~ PLUMBiG~ INSULATION PER N. STATE ENERGY CODE FINAL ADDI~ b COMMENTS: Approved ...~(~l~&. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19 .~.¢ ., 19~.h Permit No. ].~.~.l...~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWN OF SOUTHOLD 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 ne,~ssary inspections. / ....... .... (Signature of applicant, or name, if a corporation) ~/? .~..~...~.o~.,./.~/.. ~.4..rt.: r.~../.~...~. ,. ~/..../.d*.~ ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...O .o~...~..~.~ ................................................................................... Name of owner of premises /~!~../~..~.. · ~.,..O?!.C.~.O.~?..../~,..&... / .~... !.7'.,~...~.:..¢~../?.7'..o..~/. ................ (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 ...................... t~,,~5~- 1. Location of land on which proposed work will be done~ . ~..~..T....~'./.P..~...~.¢.~..~.~J....g.T.: .................. ......................... ~.~.¢.~..t4....~? ..................... .~..o..o..-r~..o.c..~ ..................... House Nmnber Street Hamlet County Tax Map No. 1000 Section . . .~...~.O .......... Block . .O. ~. ............ Lot. :O..O..~. ............ 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 . .~./)~..~ ~.T....-...P..~. t.~..~., o. ~ E.. h~.../~.t6./z. . .~c?T....c.'q7 .rri. P. ............. b. Intended use and occupancy . .(!).. ~e.~j.~.¢ ~..i.t.~. ¢... ~.q .o.~.~ .... ~.-.o~...~..P.P. 4/.c..~..~4..T. .... 3. Nature of work (check which applicable): New Building . Addition i Alteration ...... Repair .............. Removal .............. Demolition ........... I. · · Other Work ........... ~... (Description) 4. Estimated Cost~. .c(.O.~O~.O. .............................. Fee .......... ' ............................ ' (to be paid on filing this application) 5. If dwelling, number of dwalli~ng units .... I ........... Nunlber of dwelling units on each floor...t. ........... If garage, number of cars . .~ ......................................... i ...................... i .... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensmns of existing structures, if any: Front..~.~': g ......... Rear . ~ .~'~..Z ......... Depth...~.,.~. t Height :.'~...(~..t ....... Number of Stories . ./. ......................... i ............................ Dknensions of same structure with alterations or additions: Front ............ i ..... Rear .................. Depth ...................... Height ................... Number ofiStories .. ! ................. ---& Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... Height ............... Number of Stories .../. ........................ i ............................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ~..~.~..~.~... tt.~..~.~ ........... Name of Former Owner /~.~.~..~....~.~../.~.,*.,'M.~'. ....... 11. Zone or use district in which premises are situated...~/~. *...~.q~. ?.~.~.;r?.~ .~ ..... , ............................ 12. Does proposed construcrion violate any zoning law, ordinance or regulation: ..~..O ................... ........ 13. Will lot be regraded .... ~/q.~ .................... Will excess fill be removed from premises: Yes (~ . 14. Name of Owner of premises/'~! ¢ 6t~ .*.Pt~. !1'.~..h?./.~7J~r~ress /~t.~ TT..~ ~.~.c ~.... .... Phone No. ~,~ ~.: .q~/~ .... Name of Architect ........................... Address ............... i .... Phone No ................ Nmne of Contractor . ~. r,,~t.~&. :./~ ,. 9)l ~r~.t~). Address . P4 tq:TT~T.o. ~..(-.. ! .... Phone No...~. ~.~.~.~t.¥.. PLOT DIAGRAM i Locate clearly and distinctly all buildings, whether existing or proposed, and~in~icate 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 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.) 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 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 ". (Sig. nature of applicant) __! , oCCU?ANC If copper tubing is used ' for water distributing . . , system; piping shell be ,, .~. ' of types Kor Lonly, , cERTiFICATION NTENT sEFORE pLuMBER cO CY oN LE~..,E OF occUP~ ~, sOPl'¥.. ~/10 m' ,'- APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION TWO REQUIRED FOR POUaED CONCRETE 2 ROUGH FRAMING & PLUMBING 3 INSULATION Pho,e 477-0400 Nl:ml Ro:,d GREENPORT, N Y. 11944 i o'?q'''''' -- L I V t I'-.i _L Phmle 4774)400 Mare Road GREENPORT, N.Y 11044 Phone 47%0400 Main Road GRFFNPoRF NY~ 11944