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Home My WebLink About18223-z P FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18249 Date AUGUST 7, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 2780 BAY SHORE ROAD GREENPORT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 053 Block 06 Lot 44.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9,1989 pursuant to which Building Permit No. 18223 Z dated JUNE 16, 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 AS APPLIED FOR. The certificate is issued to GERALD & FRANCES PEARCE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Buildinq Inspector Rev. 1/81 aosas xo a TOWN OF SOUTHOLD BALDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CfHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N ~ 1$ ~ ~ ~ Z Dote ~.nGe~.:Kl.JI.»....~.1~ 19..~q Permission is hereby gronted/t'1o: 2 7.$.n....~ ~1. at premises locoted at ..a.~.~}.O J>n..~„~Y~!J;Lp.- _Q~ • ~.y.~ Caunty Tox Map No. 1000 Section .....QS...°~t....... Block ......5.2.~.....V. Lot No...~:~:...~........... pursuant to application doted .........~.!ll:Y.1R,...~.' 19.A~., and opproved by the Building Inspector. Fee $..a~..t~..:..~.. ~f~k Bu ing Inspector Rev. 6/30/80 ~~Y p [~[~~~d[~ fin! V, TOWN OF SOUTHOLD f' DUI BUILDING DEPART?[CNT ~ ~ ~ ~ U /°V ~ TOWN HALL BIDG.OEPT. SOUTIIOLD, NEW YORK 11971 70WNOFSOU7HOL0~ 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY g DATE..~~ NEW CONS TRUCTION .~_OLD OR PRE-E%ISTING BUILDING. ....VACANT LAND... . . ~Rf~l.°,v/+u ?r2l Location of Property..d?T.~'~...;. tf~/g/~j~ 149/?.____(~Le.1/GC.~?.? _i,y~~ef HOUSE NO. ~ STREET HAMLL;.T'~ _ ~ ) Owner or Owners of Property... .~f{~_<}~~_ ~`2aN~~ ~ ~ L, ~ / . l c-. . County Taa Map No. 1000 Section ~ ~ - Block 111 Lot .L, R~ Subdivision Filed/ ~Map ........Lot.......... ....Date of Permit ~ Permit No. /,~_;L,2.3 Cfe-"~ ~/Applicant .~!'i.?~LdJ rQG Health Dept. Approval Underwriters Approval....../........ Planning Board Approval / Request for Temporacy Certificate Final Certificate ? _ _ Pee Submitted: $..o~~°=~__~~(P a-I APPLICANT. _ _ ;~ee.!u~5._~....... rev• 10/14/88 ~C~u i Ala yq 4 ' FORM NO. 6 ~i TOWN OF SOUTHOLD BIIILDING DEPARTMENT TOWN HALL ' 765 - 1802 APPLICATION FOR CF~RTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be ',filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of properlty with accurate location of all buildings, property lines, streets, and unusual n,a[ural or topographic features. 2. Final approval of Heal~ith 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 solder used in system contains less than 2/10 of 1Z lead. ii 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 (P'rior 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 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 Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in wr'~iting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information Fequired to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. M 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 of ~Che entire lot prior to April 9, 1957 shall also accompany the application. If al, Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. I D. FEES: I 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwell0.ing $25.00, Svi~ing 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 Certificatg 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 - $25.00 Residential i $50.00 Commercial I rev. 10/14/38 'i ~ TOWN OF SOUTIIOLD BUILDING DEPART2fENT TOWN HALL • SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE... ~ _ NEW CONSTRUCTION OLD OR PRE-E%ISTING BUILDING......VACANT LAND. ~Gass.~.vea i Location of Property..aZ: ?.'~d.,_ ~~.J` a _R_ / ^ _ HOUSE N0. STREET HAMLET Owner or Owners of Property.....C,7:.R 7~ Nit/~. ~/c'gniCRS' ~ Q IQC~-~ tt~~>> i .....V......... County Taa Map No. 1000 Section .~.cCa~. Block ~ G Lot- ..d, l.,l Subdivision Fil//ed Map ........Lot_......._. Permit No. l P.?~:~ ...Date of Permit `J-9J-, /J JJ Q`-..Applicant .G~:c'Ltht./J _ /~q/2~i.; Health Dept. Approval Underwriters Approval Planning Board Approval Request for Temporary Certificate . Final Certificate Fee Submitted: . APPLICANT.. reV• 10/14/88 : 1cLD I;;S: ~ ..u;. (~U;,.~ i~ ;;JMMENT° , 1 . `a k.. m oe a OUIIDATIO"1 (1st) ~ /I~ ?OUNDATI0IJ (2nd) - m - - C~~ z 1U 0 SOUGH FRAME & ~ ~ oC • a PLUMBING 3, y n IIJSULATIOfI PER N. Y. y STATE Ef]ERGY CODE I J~ p r 0 r 4, y FI;IAL I . ADDITIOflAL COMMENTS: ~ j+'j x Ott ro x ro H ~ ~ H O .,,p O . m . / y y t+7 '9 H 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: G~ c_ DATE INSPECTOR B0.1P.D OF HE.ILTH 3 SETS OF PL.1NS FORM NO.1 SUaV •Y TOWN OF SOUTHOLD CHEC I? it ' ' BUILDING DEPARTMENT SEPTIC r•oart , . , , , , . TOWN HALL • SOUTHOLD, N.Y. 11D71 NOTIFY TEL.:7G5~1802 CALL Examincd..~~~':~s ~l°.., 19$9 MAIL T0: d~S'0 /3°•j~`°'e-~ Approved ~~-~t•Q..~l°..., 199. Permit No.~ $1'~:3~t.-.. ~Cn - 1~~- i _ Disapproved a/c ~ ~Cj a '~p~9~\\\p` JUN - 9199 /l` Pit: ~ 4J \Jq (Building Inspector) Ot.uG. (3Fi'3. TOVv'N 6F 5611?H~~i.t? APPLICATION FOR BUILDING PERMIT . Date 19 . INSTRUCTIONS ' a. Tlus 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 ;wing 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 throug}tout 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 Larys, Ordin cgs or II Regulations, for the construction of buildings, additions or alterations, or for removal or demo]ition„as herein des ribed. The applicant agrees to comply with all applicable laws, ordinances, building code, using code, acid regu aligns, nd to admit authorized inspector on premises and in building for necessary inspection ~ nn(~i7g~ nature ' applic(a~ntJ~r name, if a corporauon) ' ~aili~ ac~i~es of applicant)/ State w her a~,pgpl~i?ca/nnit is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ......~~•QJIU ~K Name of owner of premises , , , , , , . , . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. h.~ Plumber's Liccnsc No. Electrician's License No. ~ . Other Trade's License No . . 1. Location of land on which proposed work will be done. ~ , , , , , , , , . f{ouse Number . Street.... Hatnle[ County Tax ~i\1ap No. 1000 $CCLIO? , . Block , ~ , , , , , , , , , , Lot ....'I;? ; M r+M:,.. p Subdivision Filed eta No. Lot (Name) State existing,psC and occupancy o(prcJ,m~ises and intended use and occu ancy o prop d construction: a. Existing use and occupancy C :.~.m.~..~~. ~ , . _ _ _~1 .r.•, . . P v T°.~~ - Slbrt p b, intended use and occu anc • • • • • • • • • • • • • • !9'~ dJae.UA} rn~~~+, r (SGge~ ~'g1R3 a ~ 14p,~~fV TES ~ ~,wf i q Re air Q X r? o 3. Nature of work (check which applicable): New I3uilding~Je~,'Sddition ~Utcration P • • R~rrtoval Demolition .Other Nork . • • • • • • • • • '"~~p~l'd (Description). 4. Estimated Cost . Fee . (to be paid on filing this application) 5. If dwelling, number of dwellin' If gara_c, number of cars ~ units • , . , Number of dwelling units on each floor... , _ 6. If business, commercial or mixCd occupancy, specify nature and extent of each type of use , 7. Dimensions of cxistin~structui•••. o cs, if any: Front . ,Rcar `-'-~•`-`~v • • • • • • • • • ' ' ' Height Nu~nbcr of Stories Depth-.-:: . ' Dimensions of same structure With alterations or additions: Front • ~ ~ • • • ' ' ' ' ' ' ' = Depth . Ilcight . • , Rcar . ' 8. Dimensio Qf nti a netg co sSruction: Front , • • ' ' ' ' ' ' • • • • Nu~bcr of Stories • Hci~ltt u ...c'S Rear . • ~ • ~1Qr'~urnber of Stories . • Depth •I, , , , , , , 9. Size of lot: Front Rear De th • • • • ~ • 10. Date of Purchase P 11. Zone or use district in which premises are situated , ' 'Name of Former Owner . N'~ , 12. Does proposed construction vidlate any zoning law, ordinance or regulation: . l3, Nilflotberegraded ' f _ • • • , 1Vi11 excess fi]jbe re oved om premises: Yes P~1 l4. Name of Owner of premises . ~W. , 1".F?} • • Addre's's .ot"f ~~?/3+}~~K~ ~ (afo.ciP Name of Architect • • • • • • • • Phone No. . • • • ........Address . .Phone No. . _ Name of Contractor. Y ~ .................Address ...................Phone No........'. . P P Y IS. If tess Southold Tow'ted with in~00 feet of a tidal wetland? *YES....NO~.. * ~ Trustees Permit may be required. _ PLOT DIAGRAM Locate clearly and distinctly all, buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. i I . ~ I ~I I • II ii I ii I STATE OF \E1V Y'O R COUNTY Fem... • • • C S.S r 1' ' ' ' • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is [he applicant (flame of indivrdual si,nrr'g contract) above na _ ~ ~ (Contractor, agent, corporate office?, etc:) ~f said owner or owners, and is duly'lautltorized to perform or have performed the said work and to make and file this -PPlication; that all statements contair}ed in this application arc true to the best of ltis knowledge and belief; and that the work will be performed in the manner Set forth in the application fllcd therewith. lwom to before me t~ ~ ~ _ g v~""Mwk ia. .....day of 11,G~ 19~? NOTMY ~ In>!uE!MMc rotary Public, County ~.i,.,: . E>!t!M 3°..,~ . ' ~ ..--:"t . Sim a u n t eo r f licant ( a aPP ) i /~Dti~~'~ P~~P~R~Y _ _ . 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