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Home My WebLink About14004-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z~ 3560 Date June. a5 19.8.5 THIS CERTIFIES that the building deck addition. Location of Property .. J.8.~.? .~.e.s~..M.i.l.1. Greek Drive Southold Ho,,se t¢o. ' ............. 's't/e3i ....................... h3,3iel County Tax Map No. 1000 Section 5q .Block 6 ..... Lot 33 Subdivision x .Filed Map No. . .x....Lot No. ~: conforms substantially to the Application for Building Perrait heretofore flied in this office dated .... M...aCt..2.4. ........... 198..5. pursuant to which Building Permit No, .. dated ..... J..u~..e..4. ................ 19~.5.., was issued, and conforms to all of the requirements oftheapplicableprovisionsofthelaw. Theoccupancy ~rwhichthiscertificateisissuedis ......... The certificate is issued to CHARLOTTE M. MULLEN (o~,ner,~ of the aforesaid building. Suffolk County Department of Health Approval .......... .N/A. ............................ UNDERWRITERS CERTIFICATE NO .................. ~T/.A ............................ Building Inspector Rev. 1/81 l~omw 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) NM 14004 Z ~ ~ .......... 19 Date ..... ~ ......... ? .............. , Permission is hereby granted to: ~-~ / ........ Z~. ~/.~.~..~:....Z..../~/.~W ............ ~/~ ........ ~..~ ....... ~ .................. .......... ~o ........... ~..~.~.~....~...~.~.....~.~.~. .......................... ~ - . ~ ~ ....... ........... ~.~ ................... ~x~..~ ......... ~ ....................................... ~ ~,~,,~ ,=~ed ~ ....Z~4~.~....,~&~..~cc...Cg~..~: ........................... .......................................................................................................... ~.~~....~: ............ County Tax Map No. 1000 Section ...~...~.-?. ......... Block ....~...~.'. .......... Lot No...~....~.....~.. .......... pursuant to application dated ......~...~...~..........~..~... ........................ 19..~...,--and approved by the Building Inspector. Fee $...,~....k<.. ............. Building inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~Jouthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitte~p~'icct: to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of a~l 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: I. Accurate survey of peoperty 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 $§.00 j ~ / 2. Certificate of occupancy on pre-existing dwelling / land use .-?re-~;×±st±n~; C.O. $15.00 3. Copy of certificate of occupancy $1.00/ Vacant. land C.0. $ 5.00 Date ..... ~ ..................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property /.~.~7~- ./c/~c~-~7- /Z~2/// .~..~..~...~...~. /~/~/~-~_2 ~'r~:x'~Z House No. Street Hamlet Owner or Owners of Property . ..~...z~.~.` .~...~..~..~..~.~-.....~.~.:..,.~...~//.; .~..~.../~/. ................ County Tax Map No. 1000 Section ~'-~-/ Block ~--~ Lot. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.~...'~'..~.~.~. ~-.~. Date of Permit .......... Applicant . .~./.C4~.':z¢7/~.. ,/:.~.~.~.. ,~..-~.-.'~-./~.~.~...~..~.~.~.4/.~. ~' Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approvai ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. ~.'~.~. ·..~. · .'.~. ·/./.~. ~..z~. .... Construction on above described building and permit meets all applicable codes and regulations. COMMENTS FIELD INSPECTION 1. . FO U__N D A_T IO~N ..... (~I FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITI'ONAL COMMENTS:~ BOARD F TOWN FRLSIEES ~ TqWN OF SOUTHOLD Town }tall,, 53095 Main Road IP.O. Box 728~ Southold, New Yorld 11971 IMay 29, 1985 Mr. Ernest F. Richter Front,Street Green~rt, New York 11944 Dear Mr. Richter: ¸ iI The Board of Trusteeslre'viewedlyour req~es~ for , a determination on the need of a we{land, permit for the construction of a deck on property ~ocated on .~ .. . Arshamomaque Pond, Southold. The f~llow~ng resolution was offered: i ~ i' Moved by Trustee Smith seconded by ~rusteel'Brede~teyer it was ~ " I' RESOLVED that the Trustees,issue a waiver underl~the provisions of the Wetland Ordinance to construdt a deck on,'propdrty in Southold. Please check with the .B~ilding Depf. for.any other approvals needed. ;. I' Very truly youths, . Henry P.. Smith,~ Presi~kent Boa~, of Town T~ust.ee~ lIPS: ip cc: Trustees Building Dept. TELEPHONE (516) 765-1892 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y, 11971 TEL,: 765-1802 Disapproved a/c ..................... ., ............. ~(Building Inspector) APPLICATION FOR BUILDING PERMIT TOW!q O~:, ,~'~'~,. ,;'. ~ Received ........... ,19... Date ./fi~..GT'..~.,~ ........., 19 .ff..~'- INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to th~ 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 necessary ins..p,ecl;ions. , ..... ~.~.,(./'. :~../(e~ ?...~.~,. ~ .: ~ .~.,. (Signature of applicant, or name, if a corporation) - .~./.£ .... .Y....~'.~..~..~..~...~,.~., ......... .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, archi{ect, enCneer, general' contractor, electrician, plumber or builder. , ,, · ....... ................................................. Nan~e of owner of pri~iiei' [ .~.t~[ ~/~.~. ~.' .~..'°.//~. .~1..4~ ......... : ¢/.~../~..~.O. ~U.-~.-*. &~'~ ....... (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. 7/~ ~ ~ Plumber's License No. Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. House Number Street Hamlet County Tax Map No. 1000 Section .. 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 .... [~.~.t. ~ ................................................. b. Intended use and occupancy · ~t ~ /~ ............... 3. Nature of work (che~ck which applicable): New Building ..... ' ..... Addition .......... Alteration ..... Repair .~.~.~. Removal .............. Demolition .............. Other Work ~.~..~..~f../'~ / ~:~ ~ ~,.~ ~ (Description) 4. Fsfim~ted Cost t Fen i *" (to be paid on filing this application) 5. If dwelling, number of dwelling units..L ............. Number of dwelling units on each floor..--= ............. If garage number of cars .--... ' 6. If business, commercial or mixed occupancy, specify nature and extent of each~y~ej:)f use ~ ...... i .~.' .-~.r. 7. Dimensions of ex structures, if any: Front ..... .~ ......... Rear .... ~,. ........ Depth .... Height ....... /.. ....... Number of Stories .../. ............................................... Dimensions of same structure w~th alterations or additions: Front '- Rear , /. Depth ....... ~ ......... !... Height .. ~. .................. Number of Stories .................... 8. Dimensions of entire ne~v construction: Front .... fi...~ ....... Rear ............... Depth ............. ~ Height ......... /,~.... Nutmber of Stories ......... :... :,, ......................................... 9. Size of lot: Front ...... ,~...~'. i ............ Rear i .....~..,5..t ............ Depth ...~..3~.~. 10. Date of Purchase . .'77. ....... . ................... Name~of Fonuer Owner ."= ....................... 1 1. Zone or use district in which premises are situated...~..~.~.], d.~.~'l..7~.' ,~./. ..... ,'/ ............................ 12: Does proposed constru6,ti/on vi61ate any zoning law, ordinance or regulation . ./( .o ...................... 13. Will lot be regraded ./T.? ..... ! ...................... Will excess fill be reooved from premises: Yes No 14. Name of Owner of premises ~'~.~.~.~.¥,1..~..~.o.l.[.~.~ .~r'?,, Address ~[~ ~.~[I. ~.?~..*.~...~.~o.~.. Phone No ............ .~.. Name of Architect ......... ,...~. .............. Address ................. Phone No. . ..... ~. . Name of Contractor .~.~.~.~.~.i..~.' :~. *... Address ~''~'~'t~ G.~. ~-~ . Phone No. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, an& indicate all set-back dimensions from property lines. Give street and bloc~ number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, I S.S COUNTY OF ................. ·.; ......................... .................... 'being duly sworn, deposes and says that he is the applicant (Name of individual sigo~ng contract) above named. He is the ..................... i .................................................................... : (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dqly authorized to perform or have.performed the said 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 NO'IARY-PUHUC, Sfale of ~qew York No. Zl707875 .Suffolk 00m~tv (Signature of applicant) Term Expues M~ch 30. I9,~7 ,,t ,FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE '2. ROUGH - FRAMING & PLUMBING 3. INSULATION L