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Home My WebLink About22856-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23736 Date JUNE 28, 1995 THIS CERTIFIES that the buildin~ ADDITION Location of Property 340 (a/k/a 61) WILMARTH A~-E. House No. Street County Tax Map No. 1000 Section 41 Block 1 Subdivision Filed Map No. GREENPORT, N.Y. Hamlet Lot 25 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 27, 1995 ~ursuant to which Building Permit No. 22856-Z dated JUNE 27, 1995 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 DECK ADDITION WITH WIND SCREEN TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to GREGORY & CHRISTIE HALLOCK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 lldlng 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-23737 Date JUNE 28, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 340 (a/k/a 61) WILMARTH A~ENUE House No. Street County Tax Map No. 1000 Section 41 Block 1 Subdivision Filed Map No. CREENPORT, N.Y. Hamlet Lot 25 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 27, 1995 pursuant to which Building Permit No. 22856-Z dated JI~NE 27, 1995 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 "AS BUILT" IN REARYARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 GHEC, ORY & CHRISTIE F. ALLOCK N/A N/A N/A FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAt. L $OUTHOLO, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 2285G Z Building Inspector. Rev. 6/30/80 TOWM OF SOUTIIOI,D 13U[I,D[NG TOWH IIALL 765-1802 API'L[CATION FOR CERTLFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the boilding inspector with tim following: for new building or oew use: 1. Final survey of property with accurate locatio, of ail buildings, property lines, streets, and unusual n~tural or tOl>ogrophic features. 2. Final Approval fro,t Ilehlth Dept. of water supply and sewerage-disposal(S_9 form). 3. Apprnval of electric~[ installation from Board of Fire Underwriters. 4. Sworu statement from/plumber certifying that the solder used in system contairs less than 2/10 of 1% load. 5. Commercial building, indestriai building, multiple residence~ an ' ' · and installat~ons,['a certificate of Cml~ ~ ,~ - d s~mllar buzld~ngs r ~ons~bie for the building, t or eng~.ueer 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and · pre-ox~sting" land uses: 1. Accurate survey.of property showieg ail property lines, streets, building and nnusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by tim applicant. If a Certificate of Occopancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelliog $25.00, Alterations to dwelling $25.00, Swi,~ing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.~., Co~erciai $15.00' , ' , '._- ~ ~ r[~-exls~ing Building ...... ~ ........ ' Ilouse N ' ~ ' '' ................... - o. Street tlamlet ............................. F~led Hap ............ Eot .......... Permit.No. ...Date Of Permit. )lic:m Health Dept. Approval. ~ ~ ......................... Underwriters Approval..~..~ ............... 'launing Board Approvai...~ ............... {equest for: Temporary Certificate ........... Fiual Certicate ...... C0 g Sq ........... TOT,IN OF SOU'I'IIOI,D BU [I.D IBC I)I~P~R'I'HE~IT 'FOT.IN IIALL 765-1802 API'LJ. CA'FION FOR CERT[IrlCA'I'I{ OF OCCUPANCY This aPPlication must be filled in by typewriter OR ink and submitted inspcctor with the followii~g: 1. for new building or uew nsc: . to the b~ilding Filial survey of property with accurate locatio~ of all buildings, property lines, streets, and unusual aatural or topographic feat,res. 2. Final Approval from Ilealth Bept. of w~ter snpply aud sewerage-disposal(S_9 form). 3. Approval of electricml instailatioe from Board of Fire Underwriters. 4.' Swor~i statement from/plumber certifying that the solder used in system coutairs less than 2/IO of 1% lead. 5. Comm?rcial bu~ldia~, industrial building, multiple residences and similar buildings amd ~nstallatzons,ka certificate of Code Compliance from rch~tect or eagineer responsible for tb~ building. 6. Submit Pla,ning Board Approval of completed site plan requirements. B. F~r existing buildings (prior to przl 9, 1957) non-conforming uses, or buildings and A ' Pre-existing' land uses: ', I. Accurate survey.of property showiug ail p~operty lines, streets, building aud unusual uatural or topographic features. 2. A properly completed application aud a consent to iaspect, signed by the applicaot. If a Certificate of Occnpancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swi~ing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Busiuesses $50.00. 2. CertificBte of Occupancy oa Pre-existinc BuildinR - SJO0.O0 3. Copy of Certificate of Occopa~icy - $20.00 Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15~0., ~o~ercial $15.O0' ~ .... ~ ~e ........ Z~. ~/~ .................... . ' llouse ~o,~ ~ ' ~ Street Ilamlet ............. .-. ...... OOO, ..... ...... Subdivision ............. ....................... Filed Map ........ ~lea ~ Dept. )rova ................... Uaderwriters Approval..~.~ . 'lannieg Bo;lrd Approval ..... ~ ~equest for: Temporary Certificnte ........... Fi,rtl Certicate ........... p .......... ............................. BUILDING DEPT. INSPECTION FOUNDATION iST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INS.~TION FRAMING [,~]/FI NAL REMARKS: ,~~ .~.~, ~~-~-~' 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY FOUNDATION (2ND) ROUG~! FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE II FINAl, ADDITIONAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 / / TEL.: 765-1802 los .-0 [,}:;~5 ..... ~ .... ~]~ '2 :.' .... w ....... T '' - ~9 :~:[? ....~ // (Building Inspector) / ? ~ AP~ATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. NOTIFY= CALL ................... HAlL TO: Date ................... 19 INSTRUCTIONS a. TNs 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 sti'eets or areas, and giving a detailed description of layout of property must be drawn on the diagram wliich 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 igsued a Building Permit to the applicant. Such permit shall be kept on tlie 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 Deparhnent 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 cztde, housin~ode, and I:egulations, and to admit authorized inspectors on premises and in building for necessary inspectic~i~. _ ~/ /)~ // .... ' - (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ([ ~ ~ State whether appilcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (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 Licenge No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Locatiou of land on which proposed work will be done .................................... .I ........ ¢. i...' ...... .:... House Number Street Hamlet County Tax Map No. lOOOSection ....~../i,.O.O. ....... Block ..:~).(.,..0.0.. ' .. Lot..?...~..~.,..Q?.O...~... Si bdw~smn ........................... 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 . D~Ii ~0_TTp~ ~'~/'~b ~----~'~.,~..~ '~'~ b. Intended use 'and occupancy ..................... · .......................... ; .... : ............... Nature of work (check which aplplicable): New Bu'ilding . ~ ........ d ition . i . Other Work..df .... ~£.~. Repair .............. Remgval .............. Demolition .., ..... 4. Estimated Cost ..... : ............... Fee ............. ~ (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ' . Ntuflber of dwelling units ou each floor ................ If garage number of cars 6. If business, commercial or mi.xed occupancy, specify nature and extent of.each type of use ............... , ..... 7. Dimensions o! existing stmcture~, ffany: Front ............... Rear .............. Depth ............... Iteight Numlber of Stories Dimensions of same structure wi:th alterations or additions: Front Rear Depth i tteight · Number of Stories 8. Dimensions of entire new construction: Front .,~. ~.. ·.. : Rear . ..~&.. Depth . ../~ Height ............... Number of Stories ........................ , ................................ 9. Size of lot: Front ........... i ........... Rear ...................... Depth ...................... 10. Date of Purchase . ' Name of Former Owner ................. 11. Zone or use district in which preinises are situated ......................... .[ :'"' ~: ....... 12 D 1 · ocs proposed construction rio e any zonin aw, or na ce or regulation: ........................ 13. Will 10t be regraded .. .-~. ..... Will excess fill be removed from premises: Yes - No 14. Name of Owner of premises~9,~ .............. ?.~,' ~?/~'~... Address ................... Phone No ............ ;... Name of Architect .......... , ................. Address ................... Phone No ................. Nmne of Contractor ........ i ...... Address ...... Phony ' 15.' 19 this property within 3100 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Tiown Trustees Permit may~ be required. PLOT DIAGRAM Locate clearly and distinctly all ibuildings, Whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. ' STATE OF NEW~i~O R~[/;h~,~'~ cou y ,>.t4 .... ~ C~.~. ~.L [~ ~.'.. ........ being duly sworn, deposes and says that he is the applicant ,(N~e of i~ividual signin~g contract) ' above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly [authorized to perform or have performed the said work and to make and file this application; that all statements contaioed ~ tiffs'application are /rue to the best of his knowledge and belief; and that the work will' be perfomed in the manuer ~et forth in the application filed therewith. Sworn to before m~tbis ~ota C~{a~t. Ot~ ~' .' ....... ~..x,. ~ ............. ~Publ~c, State;fNe. 3 . ' .... /--'~'} ' (Signatureofa licant). .. No 4879 wrorg . PP Oua~itied