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Home My WebLink About18144-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ' CERTIFICATE OF OCCUPANCY No 218065 Date MAY 31, 1989 THIS CERTIFIES that the building ADDITION Location of Property 615 WEST STREET GREENPORT House No. Street Hamlet County Tax Map Na. 1000-Section 42 Block O1 Lot OS Subdivision EST THOMAS F PRICE Filed Map No. 851 Lot No. 58 i conforms substantiaily.to the Application for Building Permit heretofore filed in.this office dated MAY 24, 1989 pursuant to which Building Permit No. 181442 dated MAY 30, 1989 was issued, and conforms to all of the requirements of the appiieable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to VERA SEAN CLARK (owner, ) of the aforesaid building. SUFFOLK COI7NTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. ~ N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCGUPANCY No z18066 Date MAY 31, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 615 WEST STREET GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 42 Block O1 Lot OS Subdivision EST THOMAS F PRZCE Filed Map No. 851 Lot No. 5$ ~I conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY Z4, 1989 pursuant to which Building Permit No. 181442 dated MaY 30, 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 ACCESSORY SHED. The certificate is issued to VERA JEAN CLARK (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ryN'"' Building Inspector Rev. 1/81 soaai 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 ° 8 '~t ~ Z Date ..:~~;31J 19 ~f.. Permission is hereby granted to: of premises located of .....,t7O..1/5.....~I~. ...r County Tox Map No. 1000 Section ........:~°~.L...... Block ..........1.......~»Lot No.......~...... pursuant to application doted 19A and approved by the Building Inspector. Fee 5.......'.'.s.~:.~.r-~... ~~G~"~' as% /o 0 0 ~-0 ~ .........~~.a..'tr.-.~ :1~....... B Iding I(/ r Rev. 6/30/80 C C~ TOWN OF SOUTIIOLD BUILDING DEPARTitENT ,1 ~ ~ ~ ~ ll TOWN HALL OLUG. DEPT. SOUTIIOLD, NEW YORK 1197 T®WN0F5OUIH0Lb 1~ 765 - 1802 D APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE. S~i~~S,l........ NEW CONSTRUCTION .;;,,[,,OLD OR PpRIE-E%ISTING BUILDING..,. ...VACANT LAND.....__. Location of Property...4'.~5..... w;':T',~ , , _ _ , . _7~E~~'~l/jn,'dYLT, HOUSE NO. ~ l/ STREET HAMLET Owner~or Owners of Property../;-da!k„~,~Qc22;y~f~~ County Taa Map No, 1000 Section gloclc 1. Lot S~ Subdivision...... Filed Map ........Lot...... ~ Permit No./~~~(- ,,,Date of Permit' _ 6y. ..Applicant Health Dept. Approval ...f~:?............ Underwriters Approval....,(' Planning Board Approval Request for Temporary Certificate Final Certificate ~ o Fee Submitted: APPLICANT~,(~IIW, s/3. y ~,~~G~ rev, 10/14/88 I FORM NO. 6 TOWN OF SOUTEIOLD ~ BDILDING DEPARTMENT TOWN HALL ' 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must b'e filed in typewriter OR ink and submitted to the Building ' Inspector with the follpwing; for new buildings 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 of 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'iplumber certifying that solder used in system contains less than 2/10 of 1Z leadl 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 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, buildings and unusual natural or topographic features. 2. A properly completedjapplication, a consent to inspect signed by the applicant and a certified abst;act 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 Certificate of Qccupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing Gode or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Laod Certificate of Occupancy: 1. An application for v~cant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany [he application. If !a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: I 1. CERTIFICATE OP OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $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 Certi~,ficate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial APPLICATION ON BACK rev. 10/14/S8 I~ ~ t---...,~ ~ . _ _ :r_.~ . , _ ~R~~' tin 3 r - 8 . i"' -j r . ~ ~ :tom .y. ~ _ - l Q3 ~ _ ry j ' t, 1. C ~ b • `':c ~t~= ~ .any ~ G y O G O a. t [t _ ^ . P ~ i _ . ' 7 ~ - - . i11 ~ : f- - E, r ~ , - p ; 6861 b Z 1,tlW ~ 1~ ~ . ' ? ~2`u~ '3i iV, Civ: "l^~,,~7 S ` _ ±1n i > t . U) ---:~,z6.•____ °'S . yr - `h, ~ K pA4. y ~ V~ . 4 y f h ~ ,y ~ . > r 1 ~ 2 (s 3 %~~v c s`c . `z' 7)'1l°'x - ~+rt ,f a s 3 a %s ~ f s.. ~ e i try: 's .;iw. ~ I z,~`:. ~r~.,"~`~`~'a~, c'. ro~ ~a'.. s~^~ ~t ~ ~ ai ,.~w, ~.>'~y • M Y FORM N0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined./~a........, 19~q~. G Received........... , 19.. . Approved .~5.~.3a......., 19~/.Permit No. 1.Q ~T.Y'.~ ~~,il~~~I~'.'i i Disapproved a/c f s r ° - > , «1~~. ;-"l( t 1 I.~ ~j,'~~ MAY 2 1 41989 • ~ _ (B ilding pector) '°°'°~~~~rt~~..„, ~nilTHpt,ly UT.~~ mw APPLICATION FOR BUILDING PER~AIT Dat/e .l~~t~l.~`~.......,.19 INSTRUCTIONS lp`~ ~ y's t ~ ~'I ~O~° 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. Pee according to schedule. b. Plot plan showing location of lot and of buildhrgs 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 wtrich 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.HEREF3Y 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 co`Py~~y~pplicable laws, ordinances, building code, housing code, and regulations, and to admit authori,2ed inspectors''bbti p'r e d h~ building for necessary inspe M , ~ ~ _ 1 ~ p; (Signature of applicant, or name, if a corporation) „fir. , ~ (Mailing address of applicant) State whether a}~ ~~r`~~~~h-t~` p)i~.ant_ is, owned ,lessee, agent, architect, engineer, genera] contractor, electrician, plumber or builder. ~w rt~~;~.~G~tRez~ • . , ,4 Name of owner cYf~llr~mrisosa• ..:r . •rtss.;U,~~ . . i4 ift.fl ?f~ p~ o-,;r ~~~,1,~}~It,~,',,~ (as on the tax roll or latest deed) ~ . If applicant is a ~o~~Fi'~iti'~ si~+iialCiirc~df2Luly a~et,Ghorired officer. ,1.1rltma;.9tje.:..~~et Nte'~? ; (Name and title of corporate officer) Builder's License No . . Phunber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . I[ouse Number Street I Hamlet County 1'ax Map No. 1000 Section U~~!'....... Block { Lot . . Subdivision ~T-l~`.>,~F. 1 Q Piled Map No. ...~5.~...... Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......G'l~~(-~...t'~'~'I.ILK IP~'~ltne^nTGtw" ,r b. Intended use and occupancy fi!!!.~'I ~~~r.~~' f~~. ~ ~r.-~;~ ~''`'R ~'~i i`.r C2 ~c C7• IiG~ . p emovalable)c.New I3ui]ding Addition l/4.~•~• ~ • Alteration Pl 3. Ret air of work (checks a >li,c • • • • , • • , • Demolition ..............Other Work . a~eC~fra~'~~ /yjl-Q•s~ (Description) 4. Estimated Cost .....~..~?~Gc~ ' . Fee , . • ' ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ~ Number of dwelling units on each floor . lfgarage,numberofcars ..........................r..................................... G. 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 2lterations or additions: Front Rear . Depth : height ......................Number of Stories . 8. Dimensions'of`entire new construction: Front (7.f: ~i'.'. • • • . Rear . ...Depth ~2~ . • • • • • . 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 ....~•S' • • • • • • • • • • • • • • ~ • • • • • • • • • • • • • • • • ' ' ' • ' ' ' ' ' ' ' !12. Does proposed construction violate~,,an,~' zoning law, ordinance or regulation: e1lA..' . 13. Will lot be regraded V.~.:. • • • • • • • • Will excess fill be removed from premises: Yes No 14. Name of Owner of premises [~~iQ". .Address .~li./„f-(,~ES,i,• ST ; , , , .Phone No, y7?r.'Q.~{~~... . Name of Architect • • • • Address ....:u Phone No..rf~•".~~~"• Name of Contractor ...............Address ...................Phone No............... . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dunensions from property lines. Give street and block nujnber or description according to deed, and show street names and indicate whether interior or corner lot. ~ ~ ~ PJ .2.; • f AP D AS NOtED f f~f~ DATE: ~ ~ Ti¢ L. FEE:.ZL~i-•G-_ BY: AT NQTIFV BUILDING DEPART 7,;r,_Ig02 q AM TO 4 PM FOR THE FOLLOWING INSPECTIONSREOUIRED 1. FOUNDATION TWO FOR POURED CONCRETE 2. ROUGH -FRAMING 6 puIMSINO 3, INSULATION A. FINAL - CONSTRUC110N MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION ~MN THE REQUIpEAAENI'S OF STATE CONSTMNJCTION i ROY , CODES. NOr REgrpNSIIIWR DESIRN OR CONSTRUCTION ERRORS STATE OF NEW YORK, IS CO OF ...~yFFou~...... qq • • • • • • • • • • • •I ,.C ataB~E~,~L~,~,E:oW.~ , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. I He is the....... rEe7 (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi 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 ltis knowledge and belief; and that the work will be performed in the manner'set forth in the application filed therewith. Sworn to befo're/me this ,y ~j Notary Public, ~U.9~•'•7 • • • • • • • • • County NANCY T. FUSCO NOTARY PUBLIC, srera of Naw vork (Signature of applicant) aea2aTS Qual~fled in Suffolk County Commtsefon Explree Jan• 20, )Aql I I i