The URL can be used to link to this page

Home My WebLink About14369-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14246 Date February. 25 ., 19 86 THIS CERTIFIES that the building ....... D.a..c.k..A.d..d.i.t.J:.o..n .......................... Location of Property 495 Starling Place Greenport House No. Street Ham/et County Tax Map No. 1000 Section .... 0.3.4. ..... Block 03 .... Lot 019 Subdivision .............. .X ................ Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .S.e.p .t.....2..6 ......... ,19 .8.5. pursuant to which Building Permit No. 14369Z dated ..... .O .c.~.o. b. .e .r ...... .1.7. ...... 19..8 .5, 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 ......... .-.rt. Con. struct Deck Addition to Existing Dwelling ...... The certificate is issued to ~.A.G..E,. JAMES & BEVERLY (owner, ~'~X ~ of the aforesaid building. Suffolk County Department of Health Approval ......... .N./..R ............................. UNDERWRITERS CERTIFICATE NO ................. .N./..R ............................. Building Inspector Rev. 1/81 FOIr, H NO. 0 TOWN OF SOUTHOLD BUILDING DEFAP. TMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 14369' Z Permission is hereby granted to: ..... ~ ~..~ .~ ..~. ...~.....~...~ ........................... ....g...~.~..~.:~ ........ .u..~...~.~ ......... , ..................................................... et premises lactated at ...~.,~......~~i.~.~.~....~..C,~,~. ................................................... County Tax Map No. 1000 Section ....... ~...~..~. ..... Block ....... ..~..."~ ..... Lot No .......~...~ ............ pursuant to application dated .... .~~~......~....~. .......... , 19.~..~'.,, and approved by the Building Inspector. Fee $..,~.:..,.~.., ...... 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 ~a~ 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 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: I. 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. Updated C.O. $15.00 Date ...F.e. ,b.r.u.a.r.y. ,1,9. ¢ .1.9.8.6. .... New Building X Old or Pre-existing Building Vacant Land Location of Property 495 Sterlin~ Place .G. ree.nport Houee No, Street Ham/et Owner or Owners of Property ....... SAG~., BEVERLY & JA~DS County Tax Map No. 1000 Section 034 Block 03 Lot. 019 Subdivision ............ ~' .................... Filed Map No ........... Lot No .............. Permit No..~.4.3.6.9..~... Date of Permit . .~.0./.~.7../.8.SApplicant ...... .~.ey.e.~..[¥..S.~,g. ? .............. Health Dept. Approval ........ N.[.~. ............ Labor Dept. Approval ........................ Underwriters Approval ........ ~. [.~. ............ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ... Fee Submitted $. 5 o 00 Construction on above described building and pe~it mee~alJ~lic~)codes and regulations. ~_~ ~, Applicant ~~ .~.. ....................... FIELD INSFECTION 1. COMMENTS FOUNDkT~ON FOUNDATION 2. (2nd) ROUGH FRAME & ?LUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: P ~., F,'t,? CO-'-~STRUCTM ~:~ COiVI~'i~E'r~ FOR c.O, ALL CONSTRLIC I'ION SHALL MEEIF THE P, EQUIRE~ENTS OF THG N.Y STd.'ri: ' 7'~i~SI'RUCl'ION & ENERG~¥. "FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 TOWN OF ,SOUTHOM) Approved .~..I.D..., 19 ~.~. Permit No. /.t].~..~.~..~... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19.. · INSTRUCTIONS Date ........ /.~. ..... 19~'~ 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 kemoval 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. (Mailing address of applicant) State whether appilcai~t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...dc0tV. ...... · .................... (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 ....................... Olh6r Trade's License No ...................... · 1. Locationoflandonwhichproposedworkwillbedone..~.L~.~...O~.'7...~..~.J..x~..,4. .......................... &,... ' .................... House Number Street Hamlet County Tax Map No. 1000 Section . .O.~.~ .~.~. Block ...O.~.,.00 Lot .O/.~. ~ (~.~ ..... Subdivision ..................................... Filed. Map No ............... Lot ............... (Name) 2. State existing use anti occuphncy of pr~emises and intended use and occupancy of proposed construction: a. Existing use and occupancy...~.~p~/~.~. ~.,..~..$.¢~.. ~'/.-7~. b. Intended use and occupancy . .A(gI./~)....~.~.~....OA'-.2~ .~. ~/~..O..~....~.4}.(-4.,,.q..~. .................. lines.Give street and block number ord~escription accordin rcornerlot. --~ ' i ~2~' ~ 3. Nature of'wOrk' ' %h ,bppixcabie): New Sundmg z . Alteration ....... .~.. Repair .... ~ ',,, ~:i ?movai .............. Demolition ......... Other Work ............... 4. Cost ..................... ..... ....................... : ~-~ . ~ , (to be paid on filing this application) 5. i*F.dwe Img;.number of d~elhng umts ............... Number'of dwelling units on each floor ................ If garage, number of cars .... ~ .................................................................... 6. If business, commercial or mixed occupancy, specify natureand extent of each type of use ..................... 7 D~ensions .... Rear Depth . of existmg structures ~f any: Front .......................................... Height ............... Number of Stones ................................. D~ensions of same structure with alterations or additions: Front ................. Rear .................. Depth. ................... . .,... Height. ...................... , Numar of Stories ......... b' / .......... Rear ...~ .......... Depth .. 5. ........... '-8. D~menslons of entire new construction Front .... ]~ ........ 9. 8izgoflot: Front ....... q~,.~. ~.. R~ar... 10. Date of Purchase . .ff~ .~.] ................... Name of Foyer Owner ~/~g~..~~ ..... 11. Zone or use district ~/which premises are situated· ~,. 100.0 .~.. 12. Does proposed const~ction w01ate any zomng law, ordinanee or regulation: ..~0 .......................... 13. Will lot be regraded ........ ;., .................. Will excess fill be removed from premises: Yes No 14. N~e of Owner of premises ~.. ~ ..... Phone No. ~.277 .~//~.... N~a of ~ehiteet ......... ~ .................. Address .... ................ Phon~ No ................ N~e of Contractor ..... ~ .............. Address .................. Phon~ No ................ PLOT DIAGRAM Locate ele~ly ~d dist~ctl~ ~1 hurtings, whc~er exist~g or proposed, ~d, indicate fll set-back d~ensions from ~d show street n~cs and indicate whether ' PrOCtsg I STATE OF NEW,YORK, i ~ ~ COUNTY OF -. ~q.~·~O/.,.l~, ..,,..i ~'~ ' ....... ~./~..~f. Sj~:.~,I .............. being duly ~. (l~ame of individual signing contract) above named, i sworn, deposes and says that he is the applicant He is the ............................................................................ ,~ i (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 apphcatlon; that all statements contmned m 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