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Home My WebLink About14473-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16821 Date ..Ap.r.i.l...2.6.,. 1988 THIS CERTIFIES that the building Add i t ion 365 Islandv±ew Lane Greenport Location of Property ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section 057 ...Block 02 .Lot 028 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated D e c. I 3, I 985 pursuant to which Building Permit No.. 144. .73 Z - dated December 13, 1985 ............................ 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 ......... Addition to one family dwelling. The certificate is issued to ROBERT lc/. AND RIJTH LEE NEEI)HAM ..................... ?o¥.'o;, ...................... of the aforesaid building. Suffolk County Department of Health Approval ...N./.A. .................................... UNDERWRITERS CERTIFICATE NO N 781451 12 / 0 I / 86 PLUMBERS CERTIFICATION DATED: N/A B.P. #12712Z expired replaced by B.P.#14473Z ....... ~tliidi~'I~;~Jc't;; ............. Rev. 1/81 I~OB)~[ NO. ]~ 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) NB 14473 Z Permission is hereby granted to: ..... ;~.d./..,.~ ....... :.Lk/. ~.n~.a .~Z~-... ..... ~..g. ~-..~ ............ ~.~..~......~o. .... ~o ........ .~..~..~..L.....T.~..~....;.T.. ............. .~...~..~..~.. ....... (~ .......... g......O.......~ .. ~ .~ ...... at premises located at ...~.L...~-~......I.~.L.~I~.~-..X-/.[~...J,,X~,.-....--~. J~.~-',[~.,~ ./~-..-:...~/4'' Co,.,,.,,,,, To,, Mop No. '~000 S~t~o,.,, .....~...~--.:..-/. ..... ~ock ..... .g.~ ....... Lot No...~.~ ......... pursuant to application datecl' ..'----~..~-If~-~.~...~"(...~......~jL.. ....... , l~....~,'~rJd approved by the Building Inspector. Fee $ ............ 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 This application must be filled in typewriter OR ink, and submitted ~I 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 property showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 1. Certificate of occupancy New Dwelling.$25.(lO, Accessory.,.$]0.00 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 CoO. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewtOns t, ruc t, ion ...... Old or Pre-existing Building ............ Vacant Land ............. ............................... /g~;i,; Location of Property House No. St/eet Owner or Owners of Property .~-~.~. ~.,.. ~. ~.../2~.¢X:..~.. ~¢~,~ .............. County Tax Map No. 1000 Section .... .3~..Q ....... Block ..... ~ ........ Lot ..... .~-..~ ........ Subdivision. ,./.~-. ,~/¢..t-P~,r~ .~... P..~?. ) ........ Filed Map No...//. ¥.~...Lot No .............. Permit No./.~/~'.?.~. ~ Date of Permit t.~/.~, f..~ -- ' . .~.itl~'~.. ~4~i~ro,~r~f~. ·.. )...Apphcant ............... Health Dept. Approval ..... /.~ ............ Labor Dept. Approval ........................ Underwriters Approval .... J?./.4 ~. ............ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .... .~.~. ............... Fee Subm tted ....... Construction on above described building and permit meets all applicable c.o~es and regulations. Applicant, ~f~....~. ,~ ................ FOUNDATION FIELD INS PE~TIO~ " '~ " FOUNDATION ROUGH (1 FRAME~&~ INSULATION PER N. STATE ENERGY -- qODE DATE II COMMENTS ~nd) _Y. ~ - . ADDITION COMMENTS: FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ['~'~INAL REMARKS: ~ DATE --~ ~~, --~1NSPECTOR ~~_ t'~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~LU0-LQZZ BUREAU OF ELECTRICITY ~lg Si5 JOHN STREET, NEW YORK, NEW YORK 10038 U~cem~ber U.L, 1~6 36Z194/85 THIS CERTIFIES THAT o~y the elec trlcal equipment ~ ~scrlb~ ~lo~ o~ i~troduced by t~ applicant ~med on the a~ve application nu tuber iR the premises of ~ooer~ /~eedh~ l~].~n~ Vie~ La~e, Gre~por~, ~Y in the followlng location; ~ Basement ~ 1st ~7. ~ 2nd ~2. Section Bl~k ~t ~sexaminedot~ ~OV~D~ ~ ~9~ attdf°undt°beinc°"~plianceu'iththereq~dretnentsqfthlsB°ard' FIXTURES RAN~$ OVENS DISH WASHERS EXHAUST FANS ii 11 DRYERS SYSTEMS NO. OF FEET NO OF CC COND ¢ OTHER APPARATUS: .Lb f--O crack COPY FOE BU~[DJ~G DEPARTMENT. THIS'~ PY ~~~O~ BE ALTERED N ANY ~7. -g ' ~'~-"~ 7ss. J.8o2 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION ]FRAMING [~INAL /~ DATE INSPECTOR 7LS-~Z802 BUILDING DEPT. INSPECTION ~ FOUNDATION~.. '[ [ ] FOUNDATION 2ND REMARKS= ] ROUGH PLBG.' ] INSULATION [ ] FINAL DATE WILLIAM W. WETMORE BAYSHORE ROAD GREENPORT, N. Y, 11944 HE~ YORK STATE DEPART~iE~T OF EH¥IRO?~{E>!TAL COSSERVATIO~ Regulatory Affairs Unit Building 40, SUNY, Stony Brook, NY 11794 )~0 PER.~qIT NECESSARY TIDAL .;:ETLA,,DS ACT HenRy G. Uilliams Commissioner Re: \ Dear /~o A review has been made of your proposal to: It has been determined that no permit is necessary under Article 25 (Tidal ~etlands). However, any additional work or modifications to the project may require' a permit, It is you~ responsibility to notify this office in writing if such additional work or modifications are contemplated. Assuming you have obtained any other applicable permits, you may oroceed with your project. Very truly yours,~ Daniel J. Larkin Reginal Permit Administrator 9JL: R?.!T: 11 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y, 11971 TEL.: 765-180:3 BLDG, DEPT, TOWN OF SOUTFIOLD Received ........... ,19... Disapproved a/c ......... ~. 7':". .................. , APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tkis application must be completely tilled 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 appllcant. 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 r~emoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bu~lding/¢~bde, hoJasing code, and regulations, and to admit authorized inspectors on premises and in building for necessary)3Ysl3'e ~gt~ ~/' -.~/d.~"~" ~:---~ (Signature of applicant, or name, if a co p ation) .~.'.;7.~.4...,3.~...2"~..//.'.a/e.~..,q..,¢ .... .x.~/.-7 ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...C:¢.,~..754%~. c./:-..,,z .% ...... ~ .................................................................. Nam; of owner of premises .... .Z~...~..~77./.~. ~.~....(Y'. ~ ./...~..~.~.-~..-~'..Y~... ~.... ~.-...~..,t~.. ............... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Bu~.!der'~ 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 .................................................. .. ~. .4.5.--7 ........ /5. .z~. .,.,~ .~. . . ~.~z-.-. ~.. . . . .z__. .~. /~. ~. .......... .c~.4~'..z_tq~7 .~z ~.~ ~.. ....... House Number Street Hamlet .County Tax Map No. I000 Section ..... ~ ........ Block ..... c>~ ........ ~... Lot .... c>~..~. .......... · o' - .Z/. o~ ~. ................. Subdivision ......~.,~.,(.,z./y'./.~. .~...d~,,flx'.4~..~dt2~.~'. 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 ......... /!/....,~.~.J,-; ./.~. ~ ..... .,~..z.¥.~. ,...: .~.~/r~..~.....~., r~..~.' ......../r~7/'Z. ...... ... b. Intended use and occupancy ...... .~.../~.<¢/?'. r/.4,,,t~-, ..... .~.~.--..~q',,,..'...~.~.fC.~,CrC:..~~. 3. Nature of work (check which applicable): New Building ..... · ..... Addition ...~. ::'~... Alteration ...t~. ;'.~.... Repair .............. Removal .............. Demolition ............ i..' Other Work ............... ~ L ~..~.-~.. ~ (Description). , 4. Estimated Cost ... ~ ~.~'. ~.~.). 6 ....................... Fee ........... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... f. ........ Number of dwelling unit~ on each floor ...... (. ......... If garage, number of cars ....... ~, ................................... ; ........................... 6. If busm ss, commercml or m~xed occupancy, specify nature and extent of each typ~ of use ..................... 7. D~mens~ons of ex~stmg,st~ctures, ~f any. Front ~. ~ ..... Rear . .~..Y. ..... Depth . ~ ~.. ~.5~-... Height .... Z ~' f.q. ~(. Number of Stories . . / .......... ~ ..... ,~. .......... : .............. D~ensions of same stms~ure with alterations or additions: Front ~ ~' ~ .~ Rear ~ ~ ~ ~ ' ' 8. Dimensions of entire new construction: Front ............... Rear ........ ~ ...... Depth ............... Height ..... ~ f ..... Number of Sto~es ........ ~ ........... ~ ....... ~ ........................... 9. Size of lot: Front ...... ~ ........... R~ar ...... ~ ........... Depth ,..~. ~.~ ........... 10. Date of Purchase . ~ ~ff~ .~./. ff~ ........ Name of Foyer Owner .~ff~.~/...~//~ ~... 11. Zone or use district in which premises are situated ..... ~. ~. eZ ,~ ........... ~. ..... ' ..................... 12. Does proposed construction violate any zoning law, ordinance or r~gulation: .... ~ .......................... 13. Will lot be regraded ........ ~q'~ .............. ~. Will excess fill be removed from premises: Yes 14. N~e of Owner of premises ~. 1~-~.~. ~'~ ~' ~ ~'~ ~ ~ ~ ~ . . .~ddress . ~gw. m~, ~;~. Phone No. ~'~. ~ ~' ~Add ' ' N~e of Architect ..... ress .. ~.q c.~ ~d~ .... Phone No ................ N~e of Contractor .. ~.. ~d~. ..... Address .. C[~.*=~.. Phone No..%~?. 7. ~ ~.~. P~T DIAGRAM Locate clearly and distinctly ~1 bufld~gs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from property ~nes. Give street ~d block number or description accord~g to deed, ~d sho~ street nines 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 individuaI signing contract) above named. ' He is the ............................................................. ~ ........................... (Contractor, agent, corporate officer, etc.)i of said owner or ownem, ~d is duly authored to perform or have perfo~ed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of hid knowledge and belief; and that the work will be perfomed in the m~ner set forth ~ the application filed therewith. Sworn to before me this ............... ( ~ ....... day of ............... , 19 ~ ~~ . (S~gn~[~re of a~pJicant) Term Ex~ ~h ~, 1~ / ~ l~bTrPY 8UILDJ~ ~F~ARTMEN~T AT ~,65-1802 9 A~ ?~ W ~'M FOR ~LLOWING I'~ ~P~F~N~ FOR POORED ~ UGH - F~ ~ ~ ~L~MBING ~ INSULATID~~ BE ~T~ ~ ~ ~ ~ ~O~TRUCT~N' ~HALL MEET · H~ REQUrREMENTS OF THE N.Y. ~ATE ~ONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOK DESIGN OR CONSTRUCTION APPrOVeD AS NOTED NOTIFY ~LJILDI~G DEPARTMENT A? 765-1802 9 AM TO 4 PM FOR TH~ FOLLOWING INSPECTIONS: FOR POURSD CONCRETE 2. ROUGH - FRAMING & PLUMBIN~ ALL CONSTRUCTION SHALL MEET STATE CONSTRUCTION & ENERGy CODES NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. I)CCLI?A~CY OR LE ~ ~EM~fllL OF Ot~CI. JPAJ'~CY GARRETT A. STRANG ~.C_~..-:~H,~/A,': t'~5~IT::~'~M~.,~,~-,-;, Main Road P.O. Box 1412 SouthoId N.Y. 11971 516 - 765 - 5455 ,,,w, II I I I I I II I I I I ~/AaT~H ~ ~'>> GARRETT Ai STRANG ~ , architect '- "~ U.~n ~o.d P.O. aox ~4~ Sout~o~d 516 - 765 - 5455