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Home My WebLink About23793-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OOuu~ANCY No Z-25228 Date SEPTEMBER 3, 1997 THIS CERTIFIES that the building ACCESSORY & ADDITION Location of Property 2180 KERWIN BLED.&120 SAGE SPUR GRMENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 4 Lot 44.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 17, 1996 pursuant to which Building Permit No. 23793-Z dated OCTOBER 31, 1996 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 ACCESSORY INGROUND SWI~4ING pOOL & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LOUIS S. & DEBRA RUPNICK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE DATED PLUMBERS CERTIFICATION DATED N/A DEC. 4, 1996 - FILE %14265 N/a Rev. 1/81 /u/ing I~spector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25229 Date SEPTEMBER 3, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 2180 KERWIN BLVD.&120 SAGE SPUR House No. Street County Tax Map No. 1000 Section 53 Block 4 Subdivision Filed Map No. GREENPORT, N.Y. Hamlet Lot 44.7 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated O~"~OBER 17, 1996 pursuant to which Building Permit No. 23793-Z dated OCTOBER 31, 1996 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 ACCESSORY STORAGE SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE DATED PLUMBERS CERTIFICATION DATED LOUIS S. & DEBRA RUPNICK N/A N/A Rev. 1/81 /~ld/ I nspe~tor i~O]iH HO. fl TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? ~37§3 Z Permission is hereby gran~d to: ....... /..~7./......K~......,2~:...~. .............................. .... /~,z.~,. ~. ....... ~,~......~....:..~/~2..,, ; ,o ~J. ....... ~~......~.....~.. ..~~.~....~.~~....~~ . at premises ,~ated at .......... ~/~...~~...~,.....~.~...~.....~.. County Tox Mop No. i000 Section ..... .,,~.,,-~. ........... Block ..~...~.... ........ Lot No....~...~...~..... pursuant to application dated ........ ,~.....~...-~..~. .......... ./.. ,~......~,.. ....... , 19...~.~, ond opproved by the Building Inspector. Fee ~ ........................ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PPLICATION FOR CERTIFICATE OF OCCUPz~YCY 7his application must bt filled in by typewriter OR ink and submitted to the building zns~ector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect si~aed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occuoancy - New dwelling $25.00~tions to~ll~g Alterations to dweliing S25.00, s~i=i=g poo~ <~~ssor~ building Additions to accessory building $25.00. Businesses $'~-00. -- 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ Date ~.~..~..~. X ~*.7. ................ New Cons~rucsion ........... 01d,0r Pre-existing Building ......... / ....... .......................... House No. Street Ha~et o~ o~ o~ of ~op,~¢q~.~:~. ~. ~4d..7:. ~c ....................... ooo, ....... ........ .... Subdivision .................................... Filed Map ............ Lot ....... ~ .............. Permit No~r~..~.f.Z.J. ..... Date Of PermitZO.4.<r.Y.(~. .... Applicant ...... ~.//C.~,'.//¢¢, ........ Health Dept. Approval. ......................... Unmerwr~t· ~ e.s Approval ..................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Car~icate .... ~ .... co-~ TOWN 0F SOUTHOLD BUILDING DEP~~RTMENT TOWN HALL 765-i802 PPLICATION FOR CERTIFICATE OF OCCUP.~NCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a nertificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, i957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwe~tions to dwelling $25.00, Alterations to dwelling $25.00,~6~immin~ pool ~25~DjP, Accessory building $25.00 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existln~ Buildinm - $I00.00 3. Copy of Certificate of Occupancy - , .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Com?ercial $15.00 Zg,.Z ................ New Construction ..... ~... Old Or Pre-~xis~in~ Buildin~ ............. A-.- .... ............. Onwer or O~ers of Property..~e.~/Z~ ~' ~. - . .~ f. !~ County T~x Map No 1000, Sec:ion...~ ...... Block .... ~. ....... Lot...~'.2 ........... Subdivision .................................... Filed Map ............ Lot ...................... No~...~.~..~.~..~.'..Date Of Permit../.O.: .~../.-. ~...Applica~ ~.'.~'.~.~f~" Permit ~ealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Subminted: $..~..~ ....................... ~ -% -- c 0~ R.~o9o9 The ~ Tall Barn High sides and double dutch doors make this shed great for storing equipment and tools of all sorts, This shed is 10' high, WE BUY THE BEST MATERIALS, TO BUILD THE BEST PRODI~ ALL OUR DOUBLE D{ /O 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] IN~LATION [ ~']/~INAL [ ] FIREPLACE & CHIMNEY INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR /~~ ~/u~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 2ND [ ] INSULATION [ ~/FRAMING ~,~.~) [ ] FINAL FIREPLACE & CHIMNEY INSPECTOR DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~TION2ND [ ]INSULATION [~RAMING ~ [ ] FINAL [ ] FIREPLACE & CHIMNEY ..-,,.KS: DATE ~/~;X ,.SPECTO~ ~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU~PLBG. [ ] FOUNDATION 2ND [ ].~LATION [ ] FRAMING [/~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~' ~~'~ No~. ~.. Disapproved a/c ..................................... BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. 1 SURVEY ......... , TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL SOUTHOLD, N.Y. 11971 CALL ................ TEL.: 765-1802 MAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stree' or areas, and giving a detailed description of layont of property must be drawn on the diagram which is part of this appl 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 perm 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 Occupanc 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary i~e~ns.,,~ A) }'~ ~M.//'/t~ (Signature of applica~nt} or name, if a corporation) (Mailin= address of applicant) 1{? -/9 State wnhet~cant-'~. -~ ~ is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde .... ........................ ,.>, ......... , ..................... APPROVED AS'NOTEI) ......... ........ r' (as on the tax roll or If applicant is a corporation, signature of duly authorized officer. 765-180,~ 9 AM TO 4 PM FOR THE .... (Name and title of corporate officer) · ALL coN, TRACTOR'S MIIST B,E SUFFOLK COUNTY Builders License No. · .~/./~],~ ~.] ......... Plumber's License No ..... P,)./?( .............. -Electrician's License No..,~0 .~.~ ........ Other Trade's License No ..... .K..)../~.. ......... LICENSED FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL ~ CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which proposed work will be done ................................................ }louse ~umberStreet .............................. Cou~ty Tax Map No. ,O00Section ...a~.~ ....... Block ...~. ........... Lot.~ ............. Subdivision ..................................... Filed Map No ............... Lot ' . ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: , . ........ : ...... a,.b. Existing use.andintended use and°CCapa~CYoccupancy ~~..~} .~: -~ 3. Nature of work (check which a~plicable): New Building ..... ' ..... Addition .......... Alteration ...' ..... i.. Repair ........ Removal .............. Demolition .............. Other Work~.~.D. l · ~. ~ I I (Descrip.tion) 4. Estimated Cost ...... .t~., .~.. C): .~. ............... Fee ...................................... i " (to be paid on filing this application) 5. If dwelling, number of dwellin~ units ... ~ ....... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, ~f any: Front ............... Rear .............. Depth ............... Nmnber of Stories Height ....................................................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth , Height Number of Stories Dimensions of entire new construction: Front ............... Rear ............... Depth ............... · Numb f St 14m~bt .............. er o rifles,, ............. 10 D fP I N ate o urchase .......... , ................... amc of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed constructmn wolate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ! .................... Will excess fill be removed from premises:. Yes No 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No · If yes, Southold Town T~ustees Permit maybe required. i PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from and indicate whether property lines. Give street and bloc~ number or description according to deed, and show street names interior or corner lot. ~ ~%~FV'~ STATE OF NEW..~OR~¥_ COUNT~F.. (Name of individual s above named. S.S ~..~..~ .......... being duly sworn, deposes a~d nmg contract) says that he is the applicant He is the .... .................................................................. (Contractor, agent, corporate officer, etc.) of said owner, or owners, and is duly authorized to perform or have perfonned 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 w//l be performed in the manner set forth in the application filed therewith. Sworn to before me this ........ · ........... day ................ ' ! I Ca /nlilever, C£~' I exlension Joist Gi~dor spans e~.... '" *:.* or posl spacin[] '" C¢/~- Cap boiw~gof~ i'~ihn0 tnolllL)e~'s ~:, £dlt / OCCUPANCY OR USE IS UNLAWFUL. WITHOUT CERTIFICATE OF OCCUPANCY x~ APPROVED AS NOTED ' .oT,.Y SU,LOING DEPA'R~E.T AT 76§-1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTJO,N MUST BE CO~vIPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE'N.Y, STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS