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Home My WebLink About20696-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Mall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23963 Date OCTOBER 18, 1995 THIS CERTIFIES that the building Location of Property 4445 NORTH ROAD House No. County Tax Map No. 1000 Section 35 Subdivision ADDITION GREENPORT NY Street Hamlet Block 2 Lot 7 Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1992 pursuant to which Building Permit No. 20696-Z dated JUNE 8, 1992 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 A DECK ADDITION TO A ONE FANILY DWELLING AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION BATED Rev. 1/81 DAVID & RODA GILLISPIE N/A N/A ' Bull~ing'Inspec/r ~K~ NO. 0 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) N~T.o 20696 Z Permission is hereby granted to:"~ ....... ....... ~"'~"'=: ................... ~ii".-;~'"~ ............ '/~.~'~5/ ...... ~i~'7 ...... :;~';":7"£"~; ...... ':'"~""7'~ at I~mises located at ............ ~. ....... ; ................... ::..;...:2:~::.~.:......~...~...~....~../.~.~.~:~ County Tax Map No. 1000 Section .... ~:Tj ,~,., ....... Block ...... ..~.....'~.. ....... Lot No .......~....~... ........... pursuant to application dated ........ ...~.,~ .................. , 19...~,...~:~ and approved by the Building Inspector. Fee $...~...~....:..../~... ..... / ~dildin~ Ifls~ector Rev. 6/30/80 Form No. BUILDING D~PARTMENT 765-[802 APPLICATION FOIl CERTIFICATE OF OCCUPANCY 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: i. 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/i0 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 (prio~ to April 9, 1957) 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 Occupaucy is denied, the Building Inspector shall state the reasons therefor in writiog to the applicant. C. Fees ~ 1. Certificate of Ocaupancy - Ne~ dwellinE $25.00~ Additions ~o dwellinE $25.00, Alterations to dwellin~ $25.00~ Swimmin~ pool $25.00, Accessory building $25.00, Additions to accessory buildinE $~5.00. 5usinesses $50.00. 2. Certificate of Occupancy on ~re-existin~ Buildin~ - $[00.00 3. Copy of Cartificate of Occupancy - $20.00 ~. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential%$iS.~0-, Commercial $15.00 Ne~ Construction ........... Old O,~r Pre-existing Building .... ~ ........ Location of Property...~.--:[-~[--~.~ ......... ~*~.~...~....-.~.,'-~,] ....... ~'~"~' .--'~'----~- -' Uount~ %'ax Map No 1000, Section. ~.~ .~ ..... ]½.[,,ck .... ~ ......... Lot ..... / ................ HealLh Dept. Approval .......................... Underwrxters Approval .... Ti ;..-r- ............... 'tanning Board Approval. ~ :~,equest ~or: Temporary Certit~±c~ta ........... Final Cart±cate... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 7, 1995 Mr. David Gillispie 221 North Road~--~-~-~- Greenport, NY 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20696-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION {lstl FOUNDATION 2. (2nd) ROUGH FRAME. & .PLUMBING I~SULATION PER N. Y. STATE ENERGY CODE FI;JAL ADDITIONA'L COMMENTS i! ?, JUN - 4 1992 Approved ..... b/'~' ..... 19~.,~. Permit No. ~.~. ~.~.L~. Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 BOARD OF HEALTH ......... ~/3 sev$ or rLa~s .......... ~suRveY ................... cil~cK .................... S~PT~C Fo~n .............. . /(/Bffildino Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;etas 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 adjoiningpmmises or public streets )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :a~ion. 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 ;hall 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 ;hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depm-tment for the issuance of a Building Permit pursuant to the 3uilding 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. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, hou~ing~e, and regulatio~s, and to ~dmit authorized inspectors on premises and in building for necessa~A~t~ons./~, ( ~k J ~- II , :..... -- (Signature of applicant, 9{ n~e, i~ corporati0n/ · (Mailing address of applicant) ~q~-~ ~{~ Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .O.~..~...~.%. ........... 2' ................................... - ............................ Name of owner of premise~,~.~-.L~] .L 4 ...~...o..c~-).'.c~-. ~ .G.'i(,~I-i~..~.E.~ ............. (as on the tax roll or latest deed) ~PP~¥£D ~$ ~I0?£D If applicant is a corporation, signature of duly authorized officer. . ¢ ]~i/~Z.~ - .............................................. EE: (Name and title of corporate officer) NOIIFY BUILDING DEPARIMENI AT 765-1802 9 AM TO 4- PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOE POURED CONCRETE ,, 2, ROUGH - FRAMING & P~UMBING 3. INSULATION "' 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF,THE N.Y. 1. Location of land on which propo~work will be'dOqem.. .... /~._ .......................... CTION' '~' ENER~ blouse Number Street ~a~,?el?N'O, ~ ON'ER,ORS' County Tax Map No. IOOO Section ...... .~-'.>.. -"~ .~.~7. ..... Block ..... ~ .......... Lot...'.'.~ ............... Subdivision ......................... : ........... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ' a. Existing use and occupancy . .<7-----------------~..~. ~..% .~..'.':.-.%<k...']9-,-.%~.~. b. Intended use and occupancy .Z¢.M~. ~ ~.~. ~ . . .~.~ ~, .; ~,jf~ ........ g.. 3. Nature of work (check which applicable): New Building ........ Addition .......... AlteratiQn .......... Repair .............. Removal .............. Demolition ........... ~.. Other Work. ~'5,~..o~ ..... \~O O (Description) 4. Estimated Cost ............. ~ ........................ Fee ........................................ i (to be paid on filing this application) 5. !~fdwelling, number of dwelling ~ts ~... N robe fd ...... lli its on each floe Jr garage, number of cars . ¢ ........ . . 6. If business, commercial or mixed!occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures! if any' Front Hmght ............... Numl?er of Stories ... g!~ ................................................... Dimensions of same structure wi~qh alterations or additions: Front ................. Rear .................. Depth .................... i. Height ...................... Number of Stories ............... . ...... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... tteight ............... Number of Stories ........................................................ 9 Size of lot: Front ' ............. , .......... Rear ...................... Depth ...................... Date of Purchase 10 .............................. Name of Former Owner ............................. 1 1, Zone or use district in which premises are situated ..................................................... 12. Does proposed construction viola[te any zoning law ordinance or regulation: 13. Will lot be regraded .......... ' .................. Will excess fill be removed from premises: Yes No 14 Name of Owner of premises J Address · · ................................. Phone No ................ Name of Architect ........... :i ................ Address ................... Phone No ................ Name of Contractor .......... ~ ................ Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... ·If yes, Southold T6wn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ~ amber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE,.EI~YORKr.~-, . ~ . o io (Name o f individual signin contract ~bove named. ........ being duly sworn, deposes and says that lie is the applicant (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements ccmtai-ed in this ~':~'" ~ 'l at~p~scauun are true to tne ~est et ills lcnowledge and belief; and that the york will be performed in t/~'~an~er ~et forth in the application filed therewith. ;worn to be fore me this///~.// ! ....... ....... ~{01'~ PIISt[~,'~t~-~. (Signatur4 ~ applicant) 1443 'T t2 84-2105 TITLE NO d~ 0 14 66o07'40" E MAP LoT 17.1 $.¢.T&X LOT ~ S.C. TAX MAP LOT 9.2 IOO. 00 O, $.C.TAX 1,4AP LOT 8 too O. 8~ MILE IO0. O0 ~ S66°01' 20'W 102.O0 N.Y. S. RTE. 2 5 NORTH ROAD MAIN ROAD SUFFOLK COUNTY TAX MAP r DISTRICT I "$'rCTtO~"'I BLOCK I L(~T , , REFERENCE8 IOOO 035 2 I DAVI0 L. tOTS .................................................... BLOCK ..................... SECTION ........................ D. CRACHI, JR. P. L. & L. S. CONSULTING ENGINEER LICENSED PROFESSIONAL ENGINEER & LAND SURVEYOR WESTBURY & FORT SALONGA, N. Y. MAP OF PROPERTY SCALE ]"----40FT. DATE dUNE 19, 1984 LOCA ~, I N~D~. ...... nON .............. ?..,_..,_.H_ ROAD, OREE#PORT, N.Y. I.TOW_N..._.O_.F..__S.O_UTNOLD} THE TITLE GUAR. CO., THE DIME SAVINGS BANK Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 7, 1995 Mr. David Gillispie 221 North Road Greenport, NY 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20696-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO~.PI~BG. [ ] FOUNDATION 2ND [ ~]~LATION [ ] FRAMING [ ]FINAL [ ] FIREPLAC/~CHIMNEY REMARKS: ~ iI ·