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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19017 Date MAY 4, 1990
THIS CERTIFIES that the building ACCESSORY
Location of Property 960 GREENSFIELD LANE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 63 Block 5 Lot 21
Subdivision GREENFIELDS Filed Map No. 6313 Lot No. 11
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 28, 1987 pursuant to which
Building Permit No. 18146-Z 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 STABLE WITH PADDOCK AS APPLIED FOR.
The certificate is issued to SOSEPH T. RADICH
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NSA
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
~ ~7 "
Building Inspector
Rev. 1/81
sosai xo. 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)
pp
NO ~ 46 Z Date 19!!../..
~ti /a~%I~,~7~i~~"7
Permission is hereby granted to:
at premises located at ..~~.ca........~Y. r
County Tox Map No. 1000 Section Block ~L~ot No..............~~..
pursuant to application doted ....................~~(.r.................., 19.t~,/.,, and approved by the
Building Inspector.
Fee $...tiJE!
.t
~/~vD~'~7~
' ~~d~~ .r
. .
uilding or
Rev. 6/30/80
FORM NO.
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 0 ~ ~ dJ Z Date .....~.,:(d~.:.1....f 19.......
Permission fs hereby granted to• n
of premises located at ~.~4..~.....4~.:~!:~ :~4.Y~4~G~..... ~9-......~4~
County Tax Map No. 1000 Section .....~~R3...... Block .......5?~........ Lot No.....w~.~
pursuant to opplication dated .........~~!~-}...~-~ir 19.~.~.., and approved by the
Building Inspector. \
Fee $..ar~....:...~.....
(ding Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
' ~touthold, N.Y. 71971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
in duplicate
A. This application must be filled in typewriter OR ink, and submitted V to zhe Building Inspec-
torwith the following; for riew buildings or new use:
1. Final surrey 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 or equal?.
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 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
w topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15 .00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00 _ - 90
Date
New Building/~a~~. 4/-I~. ~ L e Old/:or Pre•existiny Building Vacant Land .
Location of Property yG~..7.R~.~,.NsF(%fLD,.L~-y~...,.,So~tJ.DL,cQ L./-
Nouse No. Street Hamlet
Owner or Owners of Property ..,-J ~5~~? ~7.. /P/~~~~.~7 .
County Tax Map No. 1000 Section Block ....1~.......... Lot .
Subdivision .Filed Map No. 6,3.13 ...Lot No. .
Permit No. ~$~y.l'.... Date of Permit -~~~3%~. .Applicant
Health Dept. Approval ........................Labor Dept. Approval .
Underwriters Approval ........................Planning Board Approval ~1'................. .
Request for Temporary Certificate .....................Final Certificate ...,X• . • .
Fee Submitted $ ..'2.~~ .
Construction on above described building and permit meets all applicable codes and regulations.
Applicant....`S~~L~.P'.~....G~
Rev. 70-10-78
ate.. ~3~y~y
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.,L i,..:.. ._v,. ~i.~n.c. II v:..:....
_ y/! ~r~
OUNDATIO"l _ (1st)
OUNDATIO;J (2nd) m
- -
o ~
OUGH FRkh1E & o
PLUMBING
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cn Oo
;ISULATIOP! PER N. Y.
STATE ENERGY
CODE
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ra
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FI;:AL
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2
ADDITIONAL COMMENTS:
3~z 40 - ~ tcs- _ x~
G, 0 ct,~ .
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VICTOR LESSARD ~ ~I ~ Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR f _ ~
r~ ,~r w~ P.O. Box 1179
(s16) ~esa8oz y~~~"y=,~.t~~, ~ Southold, New York ] 1971
FAX (516) 765-1823 s~~~`" ~ 1~
1 :,11II
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 17, 1989
Mr. & Mrs. Joseph Radich
960 Greenfield Lane
Southold, New York 11971
Re: Suffolk County Tax Map #1000-63-OS-21
BUILDING PERMITS #14877-Z (NEW DWELLING)
#16087-Z (STABLE & FENCE)
Dear Mr. & Mrs. Radich:
This letter is to notify you that the above building
permits have expired.
According to the Code of the Town of Southold Article
XXVIII Chap. 100-281 "no building in any district shall be
constructed without a building permit." In addition according
to Chapter 100-284 it is unlawful to occupy or use a building
without a Certificate of Occupancy.
In order to avoid legal action you must contact this office
immediately to resolve the violations.
Thank you for your cooperation in this matter.
- Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
~ ,
Vincent R. Wieczorek,
Ordinance Inspector
VRW:gar
(Cert.Mail)
• BOARD OF HEALTH
3 SETS OF PLANS
~FORMN0.1 SURVEY
TOWN OF SOUTHOLD CHECK • .
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 CALL
MAIL T0:
Examined :''"L-. ~ ~ 19$ '
e,.Q~e(?~~~'Z~d'u ~ ~
Approved fir. ~ 19~ ~ .Permit No. 1 .w ~ g ~
~ _ z
y~
Disapproved a/c ~ ?7p/! ~ s'1~RT~~
_ ~.~r p
~ -{1_
(Building Inspector)
APPLICATION FOR BUILDING PERMIT _
\ Date 19s~'.l
INSTRUCTIONS
a. This application must be comple ly filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. according to schedule.
b. Plot plan showing location of lot an 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, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
i
...........~~~2~......~~~.........
(Signature of applicant, or name, if a corporation)
0,~/( L!i ,~i'~ A/ . /f vc' . eK Z < .o, v ~ h 6.~ .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contract~ar,~,§ tC3a~~ii,u builder.
/3 rL o~P
u ...1~ 18.x2 o.
Name of owner of premises . -:~4~~°.f.'/>... /.?if.~?/CF/ r'F. • r.^' g:d.~ . 1'.. S~ ! II
(as on the tax roll or latest°tt'aed~.atLl)ENCS faEPAft1°IM11° AT
i~ ^ 1 E~1 4 NRh 7fJ ~ 4V ~F$ T6i~E
If applicant is a corporation, signature of duly authorized officer. c C)a. V}ttt+sNP.; BNSPI»CTtpNS:
~C7aitd+tiawt[.rni lib asrd3titk~C1
i;Fy@~ wo ktJFtFO +.^,~1N3(:&'It 3'~. ~
(Name and title of corporate officer) ~+Otitaa~ +=wFaPvlpf~G; ~ l~t.llftRf:~P9143
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED 79n4'~rtU[.A~r#dled
Builder's License No. ....~~f.~r ~ a•:~~,,~, ::cs*1?~~'~316S~r'iS t.E~T
Plumber's License No. a?~.; ;~-t4'E'~QlC°TP4]FV ~ttt~r.. ~+r€iE`T
Electrician's License No. +`~`~T~ ':C'E~dvl~t~t'.'t'a EQd~lf(~Y
Other Trade's License No . "i'~~'~'*'~I1'Gf%~z~.9C~1"ts:"."F~ Et't'C1(JRS.
1. Location of land on which ro osed work will be done. 6f~ ° ~T ~ l'S
P P ..9.....~.....~.. ,,...~e........
House Nwnber Street ~ ~ ` Harrihet,'~''
e
/ Z1 G"~, ODG
County Tax Map No. 1000 Section Block ~:~.4 Lot .
Subdivision N Fie ~ ~ ~ r S o v t h o• L.~Filed Map No. F 3....... Lot .
.............(Name)........
2. State existing use and occupancy of premises and intended use and occupancy of proposed constn9ction:
a. Existing use and occupancy .
b. Intended use and occupancy . 1!j~ ~ !~'...~f.4. !2.5 C'_ _ , ,.~'j/f,,t3, 4L•?• • >y'~j `P~(C • • • , , , . , . , , • • . •
3. Nature of work (check which applicable): New Building Addition Alteration .
Repair Removal , Demolition ..............Other Work .
(Description)
4. Estimated Cost .............-7...~ ®7I Fee L, .
` (to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwellin nits',on each floor .
6. If business, commercial or mixed occupancy, specify nature and extent of h ~se .
7. Dimensions of existing structures, if any: Front Rear ~ ~ytf~epth , .
Height Number of Stories .
/
Dimensions of same structure with alterations or additions: Front . e~~
Depth ......................Height .......Z ~ , . ~ ~Iut~ to V ~
/
8 Heinensions of entire new construction: Front Dear ~ . .
~~j~ .
ght ...2a Number of Stones
9. Size; of lot: Front Rear
~ ~ ~rFee r'"' C'o R!'
0. Date of Purchase . ~ l.`~ ~ y.......... Name of Former Owner ~ ~ • . • . • .
1. Zorie or use district in which premises are situated . t~~.S! RyRrcQ¢r[!Rp¢, , , , ,N/~pye~~/"~Li~(~/{ l~Ru 9'7"
2. Does proposed construction violate any zoning law, ordinance or regulation: ~~~~~Jjj`'./ ' I~ .
g
P ~o~ from premises: eB
3. Will lot be re raded ; y AddressO~~ill be removed C'1"Phone No: ~.F, rr.. %.3,71, , ,
fC GawM ode'
4. Name of Owner of remises
Name of Architect Address dv f o L G; l ;phone No .
f? /'t',1~7J.i.<l~........ Address .
l5. Its
thisCororaertr l~ ted within 300 feet of a tidal wetland? *Yes 'Phone No
P P Y qq No . ~ .
*If yes, Southold Town Trustees PermitPLO~ DIAGKAMed
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
nterior or corner lot. i
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>TATE OF NEW YO K, S S
:OUNTY OF .
. . . being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
ie is the • • • • • ' ' ' ~ (Contractor, agent; corpprate officer, etc.) , • . «r': ~ • • • • . • • .
>f 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 ~Cnowledge and belief; and that the
vork will be performed in the manner set forth in the application filed therewith.
>worn to before me this
........................day of.....................,19...
Jotary Public . . County
(Signature of applicant)