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Home My WebLink About21153-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No. Z-22044 Date: DECEMBER 17, 1992 THIS CERTIFIES that the building ADDITION Location of Property 54365 COUNTY ROAD #48 GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. Section 52 Block 1 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 1992 pursuant to which Building Permit No. 21153-Z Dated DECEMBER 17, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS BUILT. The certificate is issued to: DORIS SHERMAN, et al OWNER of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A i ing Inspector Rev. 1/81 FORM NO. S 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°M 21153Z Date ~7 19.20 Permission is hereby granted to: / to FE.... ..l ....r~v•• ~ lrri ..7" ssL at premises located at s~...T..,.~/~a.,~.~.......... :G.~ ........................................................4 . County Tax Map No. 1000 Section Block ...........1........ Lot No.......... ,7........... pursuant to application doted K Z17 192~47-and approved by the Building Inspector.. Fee 3........................ fir.. Buil g Inspector Rev. 6/30/80 Form No. b TOWN OF SOUTHOLD BUILDING DEPARTMENT Ut.C 10l c'~ TOWN HALL 765-1802 u , j,'E0 :~,3 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 17, lead. 5. Commercial building, ipdugtrial 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. B. For existing buildings (prior 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 Occupancy is denied, the Building inspector shall state the reasons therefor is writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial. $15.00 Date Pecember,7,.....,,..199.2........... New Construction.:40% Old Or Pre-existing Building Locptioa of Property ...to.A..Route..48,.Gzees}>razt,.No House No. Street Hamlet Doris Sherman, et al Onwer or Owners of Property County Tax Map No 1000, Section..AQ Block 01........ Lot...... 007 Subdivision ....................................riled Map............ Lot...................... Permit No ................Date Of Permit Applicant health Dept. Approval ..........................Underwriters Approval...................... Planning Board Approval Request for: Temporary Certificate.:......... Final Certicate... yes Fee Submitted) ........2444 ~'R.i ~;>o~1(J APPLICANT - +.A ~ i i~~ ' ~ i .i fr/ LONG' ISLAND ;,OU['41D • ;i' 'T'IE LING-"~ , N.581720 E. 60.Ct1Y aHP11YA4~' H14n 1~' 0 MAP OF (~1~.OiDF.r.~'1 Y ` 1 WAiEt2 MF~L h:~ y 15AB_F___,r ALLCuT ET AL I AT - "'At2SHAMOMOc~UL" , I ' TOWN OF 50UrM()Li:,N~Y. suu<HEAo-L os :I pi: ,I. l I u / • dl / I GAaz, y I C\j ~r 63, It,; Ml4 0 u: ' i ' GUAR_A_IV.TE.EL? Tq 1'FI[= 11UMC? TITLE GiVI510 l_l_- CHICXiO TITLC_~IV`uUL Fi~!SC.. MF NY fv tuRVIi,,YGD- MAIZ:4.1971 I, j, VAN TUYL4_SJN. SCALE . , 0 4 M N U M l_(YT LICE tVS C D._IAND SU 2VFY01Z E HP FORM NO. 1 IV I' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 Examined . 42~ Received.......... , 19.. . Approved /:7, 19~Z Permit No.~".F~_ Disapproved a/c . t==' • 4."~ Via..... . uil g Inspector) APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS a. This 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 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, h s' a regulations, and to admit authorized inspectors on premises and in building for necessary inspe s (Si re f applicant, or name, if a corporation) 828 Front St., PO Box 2065 (Mailing address of applicant) Greenport, NY 11944 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. attorney. ,or. owner Name of owner of premises , Doris• Sherman j. et al (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. n~ 7siNCA (Name and title of corporate off icer) S.m yyi§r "U; L Builder's License No. Plumbers License No. . . . 6 rR\ Jr Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done. ..........Route . 4B.,..Greenport, . NY...119A4 no # Route 48 Greenport, NY House Number Street Hamlet County Tax Map No. 1000 Section 052 , , , • • , , , , , , Block 01 Lot ,007............ . 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 . • one-family frame dwelling with detached garage" ands. attached wood deck" ' " " " " " =1f P, . b. Intended use and pcewtplncy.,;,+Z•,,' same as existing . 3. Nature of work (check which applicable): New Building • Addition .Dsck.... Alteration Repair Removal Demolition , Other Work (Description) 4. Estimated Cost Fee...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units . , .....1 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 type of use 7. Dimensions of existing structures; if any: Front . Rear Depth Height Number of Stories . Dimensions of same structure with alterations or additions: Front Rear . , , . Depth Height Number of Stories . . 8. Dimensions of entire new construction: Front Rear Depth . Height Number of Stories . 9. Size of lot: Front Rear...................... Depth 10. Date of Purchase Name of Former Owner , . 11. Zone or use district in which premises are situated . 12. Does proposed construction violate 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 Address Phone No..... Name of Architect . . . . . . . Address Phone No. . Name of Contractor . Address , . Phone No, ...............A 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 number or description according to deed, and show street names and indicate whether interior or corner lot. APP OV" AS NOTED B.P #3 DATE: FEE: BY: NOTIFY I, D G DEPART TAT 765-1802 9 Ann TO {4 PM OR THE FOLLOWING INSPECTIONS. JWO REQUIRED 1, FOUNDATION FOR P()tli?(r,t (7Y3E;Vf;Ii TE L..RQUCih; t=d: iA~i4eta'tS PLUMBING 3. INSLA4010N q., FINAL , CONSTRUCTION MUST BE COMPLETE FOR G.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION IN ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, COUNTY OF Suffolk , , $•S Wi lliam H Price Jr contract) } (Name of individual J' Esq • • • • ' ' • • being duly sworn, deposes and says that he is the applicant above named. He is the ~tt4vpey.......... . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 mII''e this 7P1.......dayof Dc; ,;mLer...... 1992. Notary Public . 3,uffo.Lk • . County N0M , $lete New gnat e f applicant) N8, Suffolk t o u Term Expires October 3, 19