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Home My WebLink About18134-z ,,.e_ FORM N0. 4 l TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219038 Date MAY 10, 1990 THIS CERTIFIES that the building ALTERATION AND ADDITION Location of Property 615 WEST ST. GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 42 Block O1 Lot OS ESTATE OF Subdivision THOMAS F. PRICE SR.Filed Map No. 851 Lot No. 58 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 5, 1989 pursuant to which Building Permit No. 181342 dated MAY 24, 1989 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 ALTERATIONS AND ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to ROBERT & VERA-JEAN (CLARK) BROWN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N099473 OCTOBER 26, 1989 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 n~osaa xa 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 18 ~ 3 4 Z Date 19..~T.. Permission is hereby,~ro~ed to: l to .~'~~i~~..-.,~~..fa~. ...~.~......~!-rr!~.....~~~~.~.~..~a......~~~~"~ at premises located at ...lK..~`.~~.. ....`f!.~ .~€;f......SJYc,.~ ............................................~.lf..~.r.~!t'1~...'1..'.. G~....:........................................................... County Tax Map No. 1000 Section ....'../...T... Block Lot Na............:5. pursuant to application doted.~.7....~~.~ 19.......,, and approved by the Building Inspector. •.,•IA ~`~'r fee $....~a....Xk B (ding I for Rev. 6/30/80 (1~~~ TOSiN OP SOUTDOLD EUILDZNG DEPART;IEtiT ~ ~ ~ TOG1N IIALL i~yy~~r 4 ~ ~ I SOUTIIOLD, NEN YORK 1 197 1 ~i'~~ - 7 765 - 1802 1~ ~a 1- EtLDG. Utf'f. TOINI~I OF SOUTFJOL[7 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE.~GG.... L . . . . NEN CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING. Y...VAGANT LAND........ LocaCion of Propcrty...~~.ls_ ._.~_(n~CSr ___S?:____,_-_~~~~0~!~7•.___'-_- DOUSE NO_ STREET UAMLET Ovner or Ovncrs of PropcrCy. - • CounCy.Taz Hap No. 1000 Section Block LoC ~ylt~ oG Subdivision..%f2~r:'~'?'f_F.~/~~--'~ Filed Map ~_.Lot..'~. Permit Ho. .`~~~.T-.?:Date of Permit ~~?'~~~.~..AppLicant S:`:'::'.Y.~:`~~...... Hea1Ch Dept. Approval Undcrvriters Approval.............. Plaaaing Board Approval Request for Temporary Certificate Final Certificate Pee Submitted: $.ZS~ APPLICANT..~~.r.~R-Yea . s ~ 3~ laa ~ sal°~~~ c°2~~~ rey• 10/14!88 k ~w-.~ FORM N0. 6 TOWN OP SOUTIIOLD BDILDING DEPARTMENT TOWN DALT, 76s - laoz APPLICATION FOR ,CERTIFICATE OF OCCUPANCY INSTRUCTIONS i A. This application must bye filed in typewriter OR ink and submitted to the Building Inspector with the foll,owigg; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property Iines, streets, and unusual natural or topographic features. 2. Final approval of Dealth Dept, of water supply and sewerage-disposal(S-9 form), • 3. Approval of clectriGal installation from Board of Fire Underwriters. 4. Sworn statement fro plumber certifying that solder used in system contains less' than 2/10 of IZ lead, 5. Commercial buildings, industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requiremenCS. B. Por existing buildings '(Prior to April 9, 1957 non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or sopographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957, If a Certi 'ca fi to of'Occu anc is denied the Bui • p 7 , liing Iaspectar shall state the - reasons therefor in~,~'writing to the applicant. 3. Date of anq housing~,code or safety inspection of. buildings or premises, or other pertinent informatign required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: _ 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership pf~the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing Co the applicant. D. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Duelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5:00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15.0,0 Residential ' Commercial ip ~`~ev. 10/14/Sg ='LU i;:S~ C::~;: ~fUnin i;0a`4MENTS ..a Op f.%~ ~ d L ~L r ~ l1~ -~k )UtiDATION (1st) - - ~ - ~ ~~e m b )UNDATION (2nd) ' z ~ o OUCH FRAME & ~ ` PLUMBING m H IdSULATIOPI PER N. Y. STATE ENERGY CODE ~ - FI;JAL p~'1 ~ Y r ~ ~ ~ ADDITIOAIAL COMMENTS (Q\) T~ • _ f3 ~ ~ x' ro H 9 H H O [*7 a ' r- H cy . m b H ~ yes-isoz L BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION FRAMING [ FINAL [l REMARKS: (~i~~ DATE INSPECTOR p~~ ~ rss-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: 'I i Y DATE INSPECTOR ~ ~ f 3 ~ rss-iso2 BUILDING DEPT. i NSPECTION [ ]FOUNDATION 1ST ~ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ] ,FINAL REMARKS: ~-~~I~ d~ DATE ~ 3 INSPECTOR F i ~ ~ ~ ~c ~ 765-1802 BUILDING DEPT. INSPECTION [FOUNDATION 1ST ( ] ROUGH PLBG. f3 ~ e~K. (FOUNDATION 2ND (]INSULATION [ ]FRAMING ( ]FINAL REMARKS: 1,~ i}~'"~f ~ ~-l` ~ r C~ ~ S C ~I~ ~ i ®ac-~ DATE ~ l Fs INSPECTOR ' _ t~ • ~ ' t ~ ~k I ~ / e I ~ ~ _ '.5 ~ ' ~ THE NEW'`' ORK BOARD OF FIRE UN~ ERWRITERS '~a~E~,~ `i _ 10013$1 ~ ~ BUREAU OF EIECTRICI7Y iiL s ~ Is sFl JOHN STREET, NEW YORK, NEW YORK f0 38 ~ ~ ' i;:..i Ir t ~ i, " Dote ~ ~ OCTOBER 26 r 19.$. gpp(ieaHon No un fife ,63890389~iII~ ~ ~ , N 099Q73 +i =i ' cI II s sl'_~~ THIS CERTlF1ES THAT ~ ~ 'td s ~ s Afi[._ s'.=ri only the electrical equipment oa described tow and introduced by the applicant named on~thel baee application number m the premises of ROBERT BROWN, WEST ST ',~:PQ #2, GREENPORT, N.Y'.`.: i r~`I ~ ' -I,~.tttt a , in the oltowtn location; ®8arement, ® 1st F! ®.2nd F! ~ pT T.fC .I 't Iss4i Section `Block ~ Lot l t." f ~ r, ~ it `3 ~i~:` u'as examined on OCTOBER 17 r 198 i :undfoand to be in compliance uri~ti regairementx of this Bwrd t > ' s.~ii. s~atY I FIXTURE KEPTACLES SWI7CHE5 FIXTURES RANGES ' COOKING DECK OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCE FWOEESCENr OTNER AMi K. W. AMT K; Wn{ AMI. K W. AMT. K. W." AMi. H. P. 9 17 8 8 '_tt;en s ~ ~"•'ii' !'I; - I;d DRYERS FURNACE MOTORS t~;-~ UTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CLOCKS ll UNIT XEATERS MUITI-OUTLET .-~~DIMMERS SYSTEMS AMT. N. W. Oll N. P. GAS H. F.'Y5 AMt NO. A. W. G. 'AMT. AMP. AMi, AMPS..TR NS. AMi. .H. P. NO.OF FEET WAS{S' `t i 11,, -,ti a.~, ~ I{ .x, SERYLCE D{SCONNECT NO.OF < S E ' r R , - V . ~ :`SA C ~ ~ ~ E , r METER ..PP NO. OF CG COND A W, 6 A. W. G. A. W G. AMi. AMP. TYPE [QUIP. 1,B']W t, R~ a93W 3,a'AW PER% ~ OF CG COND. 'NO. Of„_LEG OP HxtEG NO. OF NEUiRAIS OF NEUBAG .I ~ ~ ,,I 1 150 CB 1 `11'x- 1 ~.;X1 I; ' ;t ~ , •7i1"~ _ OTHER APPARATUS. sfI§iVl xt., ~ - s I,I,~ 's ' - ADDITION TO E%'G pWELLING~~a~, + I ~II^ ~ ~ I ELEC. ROOM HEATERS 1 1 5 t '1 . ,1-2 K W ' ~ '1 .1~ ~ ' i~ " I sl ~ ~ T I4, „ t~ , I+ II I t ~i ~ : r l r- r G.F.C.I:-1 ~ f{I~IIti ~ a}~~ I ~_,a~ ~ ~~3~i41 , ~ I t~; i , slj-~11 5 i:p'~ ~ I!I ~ i z:. 4s l' s.--r? t i 'trl` ~ rx ,II . ' ~ , . ~ If~iSl4 ~ JODY PUMILLO ~~t~" ~ LIC ~k2300E = i PAT LANE ~ 14~ ; q ` ' ~ ~ I , MATTITUCK, NY, ~ 1$$ , ~ ~ ~ 41ia ~ A~ ' `I, ,ii`_'~tr . _ ~ ~ ~ ~ `1 I ~ ~I, t~ I~' iri ~ t - ~ _ I- , -+,dl)is,"~.j . °s .r ,rl, ' ; ~ .~ii~ ~ Per " This certificate must not be uttered in any manner; return to the office of the Board iFincorrect. ~Inspectors'may'be i e ed Ir credenhals.`~. _ _ - ~ i ~ff,'~ r ~ ^ ...,6 isYr~r#zslx L .~r'3,: ~ ~ ~ ~ .l BOARD OF HEALTH 3 SETS OF PLe\NS FORM N0. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FoRPt TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY /~y/y TEL.:7G5-1802 CALL E~amincd~~~`/....... , ]9:J. MAIL T0 !~7 7 n7'~t~7i m,„.~ /y /~/3ft t \pprovcd ~j.. 19~ Permi[ No. y~ ~ ~ aM Disapproved a/c ~ D t ~ 3~ ' ' ` ~ . - - ' TOWN OF SOUTFIOLD ilding Inspector) APPLICA ON FOR BUILDING PERM17 Date F.?t.l`~:~::1~...... . 1~.7. INSTRUCTIONS a. Tlris application must be completely filled in by tgpewriter or in ink and submitted to the Buildin> Inspector, with3 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 layout of property must be drawn on the diagram which is part of this app. ' 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 shalt 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describec The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and i admit authorized inspectors on premises and in building for necessary i e 'on.. v?~ (Si,nature of applicant, or name, if a corporatton) • (Mailing address of applicant) State whether applicant is r~~ er, lessee, agent, arc _ engineer, general contractor, electrician, plumber or builder Name of owner of premises ' Y :VGat" .~~~e-~a--.C~7l~d Wt•11 . (as on the tax Jroll or latest deed) !f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. . ,d -r~~a~,-~-.. c ~...1,tJ.~~:~ . ...........................~i . House Number ~ Streets • ~ • ~ • ' Hmnlet County Tai t`1ap No. 1000 Section ~r~• •~-r• • • • • • . Bock [ Lot . Subdivision~~ia . O.F.. ~tfbKaeB:S..~.~'~.-L~:.......... Filed Map No. ~'i,~ F Lot J~ . (Name) 2. State esistin~ use and occupancy of premises~~a~~nd intended use and occupancy of proposed construction: a. Exuung use and occupancy .....~st~a1:~7..~~. a't•'tiy~##.i;r`I'er~'..vY~s~P?. b. Intended use and occupancy • • • • • • i"3+~(ksi ' "1 • Y~:sts~° #ia;@a±LcrdF,~31446~xi'i... „_...~r ,11§4'. s~'.i+~7EZet9R'a4~~ . . , 3. Nature of work (check which applicable): New Building Addition ~ • • • Alteration . Y...... . Repair Rempval Demolition Other 1Vork . (Description) 4. Estimated Cost ~Q~ Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling~!units Number of dwelling units on each Cloor . If garage,numbcrofcars If business, comtnercial or mixed occupancy,, specify nature and ex ent of each type of use . . . 7. Dimensions of existing structura~s, iCany: Frant %;`~~..~~...-s Rcar Depth . Height ...............NurtjbcrofStorics Dimensions of same structure w+th, alterations or additions: Front • • . • Rcar . Depth IIcight ` . Number of Stories . 8. Dimensid'~ntit~w constmtction: Front Rear Depth , , . Height . Nutt~ber of Stories . . 9. Size of lot: Front , ~<2..i . .r, Rear Depth ../,~rQ...... . ]0. Date of Purchase >'l I . ......Name of Pormcr Owner ~/1i!/~~ !7~.~~,~J.......... . 1 1. Zone or use district in which remises are situated . . . 12. Does proposed construction violate ny zoning law, ordinance or regu]ation: . ~ l3. will lot be regraded ~ .will excess fill be removed from premises: Yes ~/Ic•ToJ 14. Name of Owner of premises . ~~~A c~r~! ~~.[~Addressr~.~~'~W~s.~~(,li~-~/°~ ..Phone No..`?`Tr,? 3 :~wr! .........Address .~22/~~1r5~ °!'/.U~r Phone No.~la'.`~2Z:~7..~k.. . Name of Architect .~~/~~13f Name of Contractor yy~~ IS.Is this property local......,:,,..""•Address Phone No........... .e *If yes, Southold Towr~ted within 300=feeC of a tidal wetland? *YES....NOJ!..~ Trustees PerrniC may be required. PLOT DIAGRAM Locate clearly and distinctly all I 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. ]~6+JG/.S - , I i STATE OF NH}VY R', S.S CO ' OF ~/1 . ~~~6~Name of i di~d~ua1 si;ni~ being duly sworn, deposes and says that he is the applicant hg contract) above named. I Ifeisthe..t~1/J~.~~ j (Contractor, agcnf.corporate officer, etc.) of said owner or owners, and is duly, authorized to perform or~havc performed the said work and to make and Gle 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,sct forth in the application tiled therewith. Sworn to before me this ~ .............day of .'i ~~h/ , ]9 Notary Public, ~ . FFU ~ K County I" ~~.~N~rYotk 1 (Signature oC applicant) wonwit. w,2a