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Home My WebLink About13721-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zq 3588 Date July 5 85 THIS CERTIFIES that the building pool. q 2~5 Wiggins Lane Greenport Location of PropertyHouse .......................................................... No. Street f'lJr~ie~ County Tax Map No. 1000 Section 35 .Block 5 .... Lot 7 Subdivision Cleaves Point .Filed Map No. g..¢.~.O..Lot No. 80 conforms substantially to the Application for Building Permit heretofore filed in this office dated March ~ .., 19B~. pursuant to which Building Permit No. ~5725Z dated ........ .Fi.~.~.qh....~ ............ 19 .~.~. ,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 ......... lnground pool and fence. The certificate is issued to .. SIDNEY & g-~ITA SHEP~R]2XT (owner, i7~ of the aforesaid building. Suffolk County Department of Health Approval .......................................... ~688895 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 I~OB,B~ NO. ,A 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) 13721 Z Permission is hereby granted to: , , .~ t · ~_ / ....... ~.-~./. ......... ::~_~..;.~.~..~ ............................ ............ ;"4"" .............. ~' ......... '" .......................... ' ....... ~.....[ .......................... : ........ .......: ................... ;.....~ ............ .;~ ................. ~ ...................... ~ ........... ut prem,se, ,~cated at ..[..?~. I~..~...........~..oA-~.~....~...~:~...., ...... L~.~f:f~... ............... County Tax Map Nd. lO00 Section .....C~...~..~'~. ....... Block ........ ~ ......... Lot No ..... ~ ................ pursuant to application dated ....~..~~....~...~ ........... , 19..~....~.., and approved by the Building Inspector. ¥ ............... Building I~oector Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold. N.Y. 11971 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 topograph ic 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. 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 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 occuoancv $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 New Building ............. Old or Pre-existing Building .......... 'Vaca t Land ............. Location of Property ./.3/~..'~.. ~./..~.~../.AY.~.. ~.~J~.~.~.... ~".4.~./.~, . .i~./~/~/¢> .~./. ~.~..I.~',~..~.',~.. House No. ~. Street / Ham/et Owner or Owners of Property. ~'{.~..~.~./...~../~Z,/~. ~. 7':~....~.~.~/~I~' .~. ..................... County Tax Map No. 1000 Section .~.~',~ ~'.~. ..... Block . O.J'f~ ....... Lot.. ~..~.~.-.~. ~. · · Subdivision..~.~. ~1~..O/-~.z~....~.~., ...... Filed MaP'No. ~..~j~ .... Lot No..~ ......... Permit No. ~ .-~--7/-'.'~... Date of PermitT.~/.'.¢/../~...Applicant .................................. Health Dept. Approval ...... Labor Dept. Approval ........................ Underwriters Approval .~ ~/..~.~.~. ~. ?.~.. '.P ,arming Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate ..../,. ................ Fee Submitted,..~..".~. .... . .~..~...~..~..~....~..... Construction on above described building and~er,~it meets a~ ~oplica~e codes and regu lations. ...................... zooo?o8 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~r~ 8S JOHN STREET, NEW YORK, NEW YORK 1OO~8 Oate April 25, 1985 ~p. llcation No. o./i~e 32772~85 · .,~ c~.~,.,~ ~.~ N 688895 only the electrical equiptnent os described below and introduced by t~ applicant named on the ab~ applicatio~ number in the premises of Si~ey Sh~, 1~5 Wi~ ~e~ ~t~rt, ~.~.,.~.edo,~ Apr~ 22~ 1985 se~o~ alo~ ro~ and found ~o be in compliance with the require~nent~ of this Board, FIXTURE OUTLETS RECEPTACLES SWITCHES FURNACE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT SYSTEMS E R V I C AWG, OF CC COND, OF Hi-LEG NO OF NEUTRALS AW, G OF NEUTRAL OTHER APPARATUS: 1--G.F.C, I ~ ..(_~,J~.,~___' ..z~,_.1_~,.,~, 'Unis Certificate ~v~s ~li~ce at ~e ~te o~ i~p~tion on~ ~ ~use of ~us~l ~rom~nts it is ~vi~le to ~ve fr~u~t test ~d/or r~irs m~e by ~ ~lified p~n. COPY F R B , ' ~;r4[ FIELD .I NS [~CTION FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined.. .~..t~..c.~..~.'-..., 19...~%/ Approved....~. ~..~.'~..., 19~. ~. Pe~it No.. ]. ~ 2 ~). ~ Disapproved a/c ..................................... (Building Inspector) APPLICATIO~ FOR BUILDING PERMIT TOWN OF SOUTHOLD I Received ........... ,19... Date ..... .c~.'./~..4? .... ,19A- INSTRUCTIONS a. Ttfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pern~.it shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building c$~ousing~xJ~d regulations, and to admit authorized inspectors on premises and in building for necessary inspection. ~ ~ '~ /~- (Mailing address of applicant~ State whether applicant is owner, lessee~architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~. ~..~..~.~..x(. ...... .~../~.~..~..~! .~r..~. ............................................ (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 ......................... , Electricians License No....~... ~...~. ........... Other Trade's License No.~..L.O...rD...}~.~..~.~...~.0.1.-~ I~ ~ ~0:~ I. Location of land on which proposed work will be done..~../~....~. ~..~..F.~..~...~..~...~..././.~/~ .~J../..~.~.~/.g~.. V. House'/~..~.6~.Number ...... '6~' '/' '~':ff'~(' '/~'$ .... ' '/~"~'~' 'Street ................... 'ff':'' Hamlet ~ '/07' 't~'( 0..A/. ........ ...~.~.C~. .~.~..~.o..t~.J County Tax Map No. 1000 Section .................. Block .................. Lot ................... Subdivision .~.~:~0~:.%...~..T,. ..... . .~.~.~. '..~. .... Filed Map No....~..~..~. .... Lot...'~Z~ ......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .~d/,/.~. .... .~7..~?T2./.c:. VT. .... ~.~..~!...t~....C~.- ......... i .................. b. Intended use and occupancy .~5~/..~....~t~JzFO./¢.~. e~v~./~.~'~..~......&/.~..../~..~..,~.~ .... ./..~q'..~..~.U. ~4/3~.. 3. Nature of work (check which~:h )~i [cable): New Building ..... ' .. 'Addition ....... Alteration Rep,mr ........ ~. ·.. ~ ,.,,Rel~ ~, I .............. Demolition . Other Work ......... [ ~1 iff: ~ ][~ (Descnpt~on) [ ' .... t [ [ ......................... ..... (i;'ii;iih';i .... 5. If d~fifih~er of°dweilihglu~its ............... Number of dwelling units on each floor .............. If garage number of c~s 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... 7. D~ensions of existing structures, if any: Front ............... Rear .............. Depth ............. Height ............... Number of Stories.. ..................................................... D~ensions of same structure ~ith alterations or additions: Front ................. Rear ................ Depth ................... ;.. HeiSt ...................... Number of Stories .................... 8. l)~ensions of entire new const~etion: Front ............... Rear ............... Depth .......... Height ............... Number of Stories ....................................................... /2~' 9. Size of lot: Front ..... , ........... Rear ...................... Depth ...................... 10. Date of Purchase .......... ~ .................. Name of Fomer Owner ............................. 11. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed cons~ucfion ~o~ate any zoning law, ordinance or re~lation: ............................ 13.wal lot ~e regraaed .... ~ .................. Will excess fill be removed from premises: ~i~ No 14. Nme of Owner of premises ~I.D~.. ~0 ~gg.t ~ Address 1.~. ~1~1 ~. &~Phone No.¢ V3~ ~. Nme of Architect ................ ~ ....... Address ................... Phone No ................ Nme of Contracto~/~. ~f~...OO.G~... AddresSed.. ~ ..... Phone No...~ PLOT DIAG~ Locate cle~ly ~d dist~ctly ~1~ bufld~gs, whe~er exist~g or proposed, ~d~indicate ~1 set-back d~ensions accord~g to deed, ~d show street nines ~d indicate whether property lines. Give street and block number or description interinr or comer lot. STATE OF NEW YORK, S.S CO/IJ~TY OF..~. ~..~.~¢..c< K2 ... . .~q t.....% ~;.~.f~.~.~x_.c~..~? ............... being duly (Name of individual signing contract) above named. APBROVB'D ~AS NOTED DAT~:: ~/~"/73" B.P. '~ ff ~L-].2-.? ~A NOT FY BUII-DI~ G DEPARTMENT AT 765q~02 9 AF~ TO ~ PM FOR THE '2. ~OtJc:'~ ' FP'~"~r:' ~' BE C'Mm-t' E ~[)'~ C.O. 'T~E ~FOLy'~'Et''~% ~OF 'THE ~.~(. tCODES. ~OT ~%~fBEE ~ sworn, deposes and says that he is the applicant He is the . .'r~T ............................... r ent, corpora officer, etc. of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements conta/ned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne~ set forth in the application filed therewith. Sworn to before me this Notary Public, . ....... ............. Count No, ,~2-4526433 ' (../ ~8~nature of apphcant) ~ Qualified in Suffolk County i ~ ~,omrnlssion Exl]ires March ~ i'~O~"'Ft ~ ~O(,JlT"t~.,.~, tl',l~. ~0~ 1,2_1978~ ~. ~. ~. ~~7 ~ /1/~__ __ _ The sewa~e d~sposal and water supply have been ,,'~ --' ' ~.'~~ '~nspec%ed by %ht~ depa~tmen% ~nd found ~:;' :,:'.;, .,' ~ 0~~ ,,, ~ ~, . ~, SECTION W~TER DIS~SAL SHALL ~ LIM)TEO TO OWNER'S P~,~E~ ~0 5Ui. T ~OC~L R~6ULAT,ON~ akock ! 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