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Home My WebLink About19226-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y~ CERTIFICATE OF OCCUPANCY No Z-19664 Date JANUARY i7e 1991 THIS CERTIFIES that the building. ADDITION Location of Property 1045 ISLAND VIEW LANE GREENPORT~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 57 Block 2 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17e 1990 pursuant to which Building Permit No. 19226-Z dated JLrLY 25~ I990 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 SHED ADDITION TO EXISTING ONE FAMILY DWELLING ATTACHED WITH 6FT. DECK AS APPLIED FOR. The certificate is issued to of the aforesaid building. MURIEL BALDWIN (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A ~uilaLing Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL co~PLmON OF THE WOrK ^UT.O.,ZED> · .Z~ ................. 19..~...~. N~ ", ~2~,~ Z ~t, ...................... , at premmes ,~ated at ..../~..../~~.~....~ ......................................... CounW Tox Map No. 1000 Section ....... ~ .... Bilk ........... ~ ...... Lot No ........ ~ ......... pursuant to application dated ...... ././Z../../.~...~.~.'. ...................... , Building Inspector. Fee $....~..~.~ 19 ........ , and approved by the Rev. 6/30/80 Form No. 6 TOWiN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG, DEPT. TOWN OF $OUTHOLD 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 1% 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 "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. :. Fees i. 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 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..~..~... /~.//..~. :/. ........ :ew Construction ........... Old Or Pre-existing Buitdi~..~ .......... House No. Street Hamlet )nwer Owners of Property ~ounty Tax Map No 1000, Section... ~ Block ~ubdivision ......... '~' ..... Filed Map ............ Lot ..... . [ealth Dept. Approval .......................... Underwriters Approval .... . ..................... lanning Board Approval ............. , ........... equest for: Temporary Certificate ........... Final Certicate.,.~ ..... APPLICANT TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tlALL $OUTIIOLD, N.Y. 11971 JANUARY 14, 1991 TEL. 765-I 802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. ~x_--~ An application for Certificate of Occupancy i~ not on file. ENCLOSED /~/ No Underwriters Certificate on file. /~ The check is(d~Xd/not on file.) $25.00 /~/ No 11ealth Dept. Approval on file. /5/ No final inspection has been made, Please contact our office on this matter, Thank you for your cooperation. Building Permit # I 9 2 2 6 Z MURIEL BALDWIN ADDITION SHED Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FI;;AL ADDITIONA'L COMMENTS: ~~ BOARD OF' HEAL. TI{ ............ - SEPTIC .... . TOWN OF ~[J'l~o_~,~,,j TOWN HALL Disapproved afc ......... $OUTHOLD. N.Y. 11971 NOTIFY :;; .Or'.. , . ..... Exantin~d .. x.~ .~ .......... 19 ~ ' ~o,.~d...~ ~ P~, ~o. ~ ~ ~ ..................... ( B.3rll d lng ,~f~ e c t o r) · APPLICATION FOR BUILDING PEFIMIT Date '?e.~..7--/-Z ..... , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Buildin~ Ifi~ector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. PIct plan showing location of lot and of buildings on premises, relationship to adjoining prcmisc~ or public streets '~or areas, and giving a detailed description of liyout of property must be drawn on the diagram which i~pa~ of th~s appLi- cation. , ¢. 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 thc applicant. Such permit ahall be kept on the premises available for inspection throughout thc work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Cer~ificale of Occupancy ~hall have been granted by the Building Inspector. · APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit ImrXuant to the Buildlng Zone Ordinance of the TOwn of Southold, Suffolk County. New York, and other applicable Law,s. Ordinances or Regulations, for the construction of buildings, additions or alterations, or for icmoval or demolition, a~ herein described. Thc applicant agrees to comply~.w.i,t,h ,aJ~,amplicab~e laws. ordinances, buildin,- ' ...... ~n~.Ode, housin~ code, and regt~,:ona, and to admit authorized mspe.qt,:.Ol~eofl~t}~t~is~sq~t in building for necessary inspcct~ ¥~ ............... (Signature o£ "' . ,' . . .... Ad.,.. .~.~.~ p,,,, ,ca - .,' ":" ' ' (Mailing address of applicant) State ,v~et~= g¢~ea['i ~rowne~','.lessee}' a"gent; architect, engineer, general contractor, electrician, plumber or buildir. Name of owner of flfemises ,')iv/, 0'.~ I,,~ z. ~.~Z~. ;g/? /x., ~..4( ( d) .......... %~.v,.', ,: ~ '. as on c o latest dee If applicant i~ a cor0~rdei~n{~"'g~haiure of duly authorized officer. (Name and title Of corporate officer '~ · .,5../.-~.~ Plumber's License No Electrician's License No ....................... Oiher Trade's License No ...................... I. Location of land on which proposed work will be done: .........................,r ~f. ×, /../~.~.~.. ilouse Number Street ................. ~" '/' .... ..... Hamlet : ..~..., . COunty Tax Map No 1000 Section ............. Bl¢ck ....... ;' ........ Lot .... ~./. .... Su ~ision ............. · (Name) .............. Lot State existing u~e and ~ccupancy of premises and intended use and occupancy of proposed construction: · b. Intended use and occupancy . ..., ................. .................. · oo. ..... · .... · 3. Nature o£ work (check which applicable): New Building .......... Additicn .... : .... /dteratmn ...... . ~ .... Rep=i,: .............. R,;mov-,;i ............ :. Dcm.o itinn . .. ....... ' .... · . ..... Other I'/o r k ....... 4. E~nmated Cost ........ ~ ...... I .................. Fee .................................. ? · · ':' ' , ! (to be paid on filing thisapplication) ~ I $ If dwelling number of dwelling unitS ' Nnmbcrofdwetlingunitsoneach · , ............... ~oor ................ I£ garage· number of cars ....................................................................... . 7. D,mensmns of exist,nB structures. }f any: Front .... ~'. ........ Rear .... ~..'. ...... Depth... ~.,~,. ...... Hm,.ht ... e~.~'. ........ Nu,nb~r of Stones ...~. ................................................. D~mensmns of sa.me structure w~th, alterations or addigons Front .... .~,~'. ......... Rear .... .~;~.. ~ ...... Depth ....... e~. ........... J Height .... .oT~J.'-. ............. Number o£ Stones .q~. ............... 8. Dimensions of entire new constmc!tion: Front ..... ./~.' Rear /.of: Depth ...~..'. ei,..ht ..... .S.' ....... . u,n ,er of Stories. ,./. .......... i, ............... b'a; ...... 9. Size oflot: Front, ...:./.Zig....,,' ......... Rear ...... ~.. ..... : ::::... Depth ............ I0 Date of Purchase ] Name of Former O~vner ............ I Zone or use district in which premises situated ' i2. Does proposed Construction violat~ any zoning taw, ordinance or regulation: ............................... 13. Will lot be regraded . :... d~.~. ! ................ Will excess fill be removed from premises: :,Yes .... 14. Name of Owner of premises/~.~.-~./~S. ~,~/~./g. z~y~... Address/eri~.ZS~.,'(.o..vg.<~..z~ .... Phone No. ~.Z~7. ~I.-~..5'7 ...... Name of Architect ........... i .......... · ..... Phone No ........... ~ · ..... Address ............. r~., z, ,, / ~ . Name of Contractor ./;(8.v.~.4.~.. [ ,,5'Z/.~..P..~ ........ Address ,'~.~'~,/¢~ f! .Pg~./V~.~ .... Phon~...No..le'.-~':/~q°/. · · 15.Is thzs property located wlthxn I O0 feet of a-tidal /aetland? ~YllS.~..RO .... · X£ yes, Soul:hold Town Eru=tees Permil: may be requ£red. PLOT DIAG R. AM LOcate clearly mad distinctly all I: slidings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block m tuber or description according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS NOTED ,,..... 76~1~2 9 AM ~ 4 ~ ~ ~ FOLLOWING INSPEC~ONh: 1. FOUNDATION . ~ R~IRED FOR POURED CONCAVE 2, ROUGH. FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRU~N MU~T BE COMPL~E FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.~ STATE CONSTRU~ION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK. ~ ~ COU!NTY OF ............... ~ ~'- ~ ' ..~. -.~.~ ..... being dnly sworn, deposes and says that he is the applicant · (Name of ~d v duo sign ~g contract) abov~ nam'ed, i ', 14~ is the ' ' ' ; ~ (Contractor, allent, corporate officer, etc.) of s~id owner or owners, ~d is dulyi authorized to pc;form or hnve pcrfo~ed the said wor~ nnd to m~c and file this application: that all statements contai:ned in this application are trne to the best of his knowledge and belief; and that thc Wor~ w~l be perfommd in the m~neriset forth in the application filed therewith. , ¢ Swom to before mc this I .q Nota~ Public, . . ' m County ~ 47078 , ~n~ .... --, T~m Expires Mar~h ~, l~