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HomeMy WebLinkAbout18571-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219320 Date AUGUST 27, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1095 SHORE DRIVE GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 47 Block 02 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Buildinq Permit heretofore filed in this office dated MAY 30, 1989 pursuant to which Building Permit No. 185712 dated OCTOBER 17, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to MONIQUE & DOUGLAS MORRIS {owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. NIA PLUMBERS CERTIFICATION DATED NIA ~~a.~.. a~ Building Inspector Rev. 1f81 sosffi 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) N a 18 5 71 Z Dnte Q `S~ 44~r~-......1.. ~ 19. ~..1 Permission is hereby granted to ~~:~...-...~:.y . o~.~ ~ . of premises located of ?..~'tk.~?r3........ ..J~:btrr.:.pA~i.~.................... ...............................................................~.Y............................... 4.. ~ , -fir...... County Tox Mop No. 1000 Section .....~?.`.E.~ Block Q.?- Lot No .,tl......... . 1,~,~ pursuant to application dated .......1:.X..\..A.i.~.....~? 19.g.~.., and approved by the Budding.,-Inspector. a Fee S...x~..-.: . . A P'.`..:~~`'~ Buii ing Inspector Rev. 6/30/80 FORM NO 6 TOWN OF SOUTHOLD Building Department Town Hall ` 4)outhotd, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new butldtngs or new use. 1. Final survey of property with accurate location of all butldtngs, property lines, streets, and unusual natural or topographic features 2 Ftna1 approval of Health Dept. of water wpp4y and sewerage disposal-(S-9 form or equal). 3 Approval of electrical installatcon from Board of Ftre Underwriters. Q Commercial butldtngs, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acerttficate of Code compliance from the Architect or Engineer responsible for the butidtng. 5 Submit Planning Board approval of completed site plan requirements where applicable 8. For existtng butldtngs (prior to Aprlt 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property fines, streets, butldtngs and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of butldtngs. 3. Date of any housing code or safety inspection of butldtngs or premises, or other pertinent tnforma- " tion required to prepare a certificate C. Fees' 1. certtficate of occupancy $5.00 2. Certificate of occupancy onpre-existtng dwelling !land use --Pre-Fx is Lind C . 0. $ l , 00 3 Copy ofcertiftcateofoccupancy $1.00 / Vacant laud C.O. w 5.00 Date N G. . New Building pld orPre-existtng Building Vacant Land Location ofi Property . y 5.... S1/G,C'F_. 1~/1'~l , . , , -t -.~.~:L /L:~~J'E % House No. Street Hamlet Owner or Owners of Property ..~,~.~~!~G~~! ti..~ . ,-~G~Ghr~ S ~ DR.~'!S , , , . , _ _ , County Tax Map No. 1000 Section Block Lot Subdiwston . ............../..Fled Map No. ..........Lot No- , . PermttNo.~~.h.~,~. Date ofPermrt~~,/:~(~9.Apphcant.lF~.~.~?~.~.~.!.. ~~~~'.~a~~.~:... Health Dept. Approval ..............Labor Dept Approval , . Underwriters Approval ........................Planning Board Approval . Request for Temporary certtficate . Final certtficate x...... , . Fee Submitted $ ~ •,40 Constructron on above described butidtng and permit meets all applic%a~ble codes and regulations, Applicant . ,'FiP2'~~S'T ~C,L/1,E/~~ Rev 10 10 78 ~ ~a3~3 Sys <S,~v~.r~7-f% ST '1 1Lv? 1.. P... C ..1:.. 'IJAir {I V:S~Q t.u T.. ~ . _ =outrn_Tlo:r^ l~~t> II 'OUt1DATI0td l2nd) I , - - - , _ .'.OUGH FRAhSE & I PLUhiBI;dG f I o_ ^f 3. ` ~ I m n ItdSULATIOtI PER N. Y, ( STATE ENERGY CODE ~ 4, I _Jy FI;lAL 1 U . O. ~ o 'ADDITIO AL GOMMEtITS: x m x ^o H 7] A H H O m r _ / ~ v m H ~ l i ' i ~ ' ~ l_ of t3 i ~ i - - - ~ N . , , M ,r~.,,,R ~ Lot l 4 lll , . ~'~e •+•r. 1'Qk Statt 583`4040 E IZ50 N 4ew I~ W ^ r' icy .,,~r-~v nrn ~4 Man^il ~ C7 ~ i J" ~ ,naPO 9 d4 d (~f ' ~ , t~ not . iCCtR9~e(61' L r . an,~~. +n er.,... o-xr. n shsii a'n N d . , ~ tp, •r•.on ~r wn ;T rha 6oNt1 ~ In Q ' ,t, . , a ,ets rre not t~ons;.ra:+le l9 ~ n rr, ,~,.s! ,rret,tubons n su4segtwnt L o + ~ ~ 11 r., as ~ ~ ; r A 1' F ~ v N ~ ~ ,o O r<~~ *N ~ ~ i~ ~~h~(~ ~ ~k ~ o o ~ , ~Fx / ~ c ~ ~u1 Q~q Q SaS bas ~ o ~~`,,,.°i~ `q5 4 3 X' ~ ~ m "Q ~b ~ ~ 3r< MAP 4F L.ANO OJ c s r~ O SU RVEYEO F02 Oa ~~O AUGUST BRUNS ~~oF"~w, Q~ AT r'P rv4~q VA~YrOt Q` O ~ i G{2EEN POL2T + ~ p~~,9~t ~ ~ Title (y 4. 5- 33859 ~ •T`owN of Sov'cao~o, N Y, t'n ~RF' - ~f ~ Guaranteed to ~"4M p"t'~ Home rtfi'4e Guaranty Company ~ - ,}uka as S4~rvatjecl tJec• 3, \960. Otto W Vat.,TNyi e Sorg hl-1tt~be~rs SVtiow~n ~r~~ser to~~l~/lap of G~re~t~port Shores -sec}iort 1 ~ u ~~?`~t~ 4tled ir, tl-t~ Su4'fc,lk Co1.1'rtty G1c•~r~s 1_ice~nsed Su~v~~o'rs o~~ICe ens Map N4 t?59. G~r~e. vyport, New Yo~tk FORM NO 3 TOIYN OF SOUTIIOLD BUILDING DEPARTbIL•NT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL Q Date.~° ..............19~~. . ......~.ir~ ~~~.,w PLEASE ,T~,A,~K,~E7NIOTICE that your~ap/ph~cation dated ~?~.:3.0.....; 19 ~g . for permit to ~°"'~y0'?'!j 4~~~ ~2G~:~G~frJ4~..././. at Locatson of Property ./O. . .~fd??'L~ ~.~~/L~ C7",~Q4-I/J House No. Street Ha et County Tax Map No. 1000 Section X~.. ..Block ....Lot . Subdivision Fled bfap No Lot No. . . is returned herewith and disapproved on the following grounds /~~.GF...f~~K~-~L .T ~~r<:~f~ ..cam%~~ Buil ng In c or RV 1J80 BOAF.D OF HEALTH 3 SETS OF PL.1NS FORh7 N0 1 SURVEY .........I/..J...... TOWN OFSOUTHOLD CHECK ---•••--.1!....... QUILDING DEP/~RTMCN7 SEPTIC roRri . • TO1VN HALL EOUTHOLD.NY 11077 NOTICY .•~A~~E Rtc.NTE~'- f o~lT' pR TEL.. 765 1302 CALL/ Y??, ; •Q4 4 Q2 • • • L•Xamtncd ~ AIL T0: [30K tIZ Approved ..!°!?/$`j, 1'}"~. Pcrmtt No............ - _-.-•;_~-w 4, DtsapProveda/ -•Z 1 I MAY 3 Oi989 ~t~~~~~ • ~ •4"1r ~^^•r • BLDG DEPT (Budding Inspector) TOWN OF SOU7HOL4 APPLICATION FOR BUlLD1NG PERMIT Date M~-~, 30..... 1S© INSTRiJCTIONS a. TIus application must be completely filled to by typewriter or m ink and submtttcd to the Building Inspector, with gets of plans, accurate plot plan to state. Fee according to schedule. b. Plot plan showing location of lot and of bwldtngs on premtses, relationship to adlotmng premtses or public stree onareas, and gluing a detailed descnphon of layout of property must be drawn on the diagram which is pan of this apps capon. c. The work covered by this application may not be commenced before tssuance of Building Permit. ' d. Upon approval of ttus application, the Bwtdtng inspector will issued a Butldutg Permit to [he applicant. Such perm shall be kept on the premtses avadabie for mspectton throu=trout the work. e. No bw]dtng shall be occupied or used to whole or m part for any purpose whatever until a Certificate of Occupant sha[I have been granted by the Butldtng Inspector APPLICATION IS HEREBY MADE to the Building Department for the tssuance of a Butldtng Permit pursuant to th 3utlding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordtrtances o Re;ulattons, for the construction of buildings, additions or aiterattons, or for removal or dcmolttton, as herein described Tite applicant agrees to comply with all applicable laws, ordinances, butldutg code, housm^ de, and regulations, and t~ admit authorized inspectors on premtses and in building for necessary t pe bons. ^ ( ig attire or'apphcant, or name, if a corporation) • (MaIImg address of applicant) State tvhether applicant is owner, lessee, agent, archt[ec[, engineer, general contractor, electnctan, plumber or budder ..............~I~EN. T................................................................... NameoFowncrofpremises .....~QV~-1~!~Is.. .`S.. (!!C~~~l.~-J.... . (as on the ta~c roll or latest deed) 1C applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's Licansc No. ~?N~~? R1~7~R. • EZaf°a F4~ Plumber's License No . . Eicctrtcian's Ltccnse No. . Other Trade's License No . Location of land on which proposed work will be done. . f o k~DR~...p~w~ ~ ~~e,~~ a ~eT . }louse Number Street • ~ • • • • • ' ?j Hamlet County Tai M.tp No [000 Section =C•r- Block Z . Lot Z.~ , . Subdrvtsion Filed Afap No Lot iNamc) State e~isUng use and occupancy of prem tics a{`rid in tended use uud occupancy of proposed consI rile lion a. Etiuung uzc and occupancy .....c~, •l!`!t`.}S'~i....~~m.IL~ . b. Intended use and occupancy .........~J.~.yY~Lr, " • " • • • • • • • 3. A'ature otwork (check unuh applicable) New C3wldmg Adduton . • .Utcrauon Re atr 1 • , , , RCmo~ 1I p~mofuton .Other IVor~ PJ~W 10' Xt$ 1~zK 1~ ~tlSTtiJ~{ BLpC1 ,QLLpr,E. _ New f)OaRS c+r Exi5T1~ OPN45 (D_scnpttor 4. Estcmatcd Cost 1'c.c - . . .~y Ao~. . . ~ (to be patd on Gltng Ihu applccatton) 5. If dw'eUing, nwnbcr of dwelling unt[s Number of dwelling units on each floor ^ If garage, number of cars . 6. If business. commeretal or mc~ed occupancy, spect}y natttrel and uxtent of each typ ~of use . 7. Dtmcnstons of extsttng structures, tf any Front ......5f(. Rear Y.... Depth . ~f ~ , . Hecgltt 1'~ . Number of Stones . Dimensions of same structure with alterations or addctcons Front Rear , . Depth ......................height...................... NuniberofStones.......... Dimensions of entire new construction. Front Rear , , Depth . 1 . Het_Itt Number of Stones . 9. Size of tot. Front ..`J~~.. s`~-.tRv~ Y, , , , • • , Rcar Depth 10. Date of Purchase Ma.Y. j . J`I.~ Name of Former Owner . Wf~~"CPa~ . R.. $~~T.~N. a . 1 Zone or use distract to a huh premises arc situated .....~Fi a.t P.~I~! Tt A L • • _ • _ • , • . , • , • , • • • 12. Does proposed construction ~iotate any zoning taw, ordinance or regulation 13. ~~'d] lot be regraded NO.. , Will excess fill be removed from premises. Yes I~ 14. Name of Owner of premises ..~?~i,L,A,,S, ~ ~YIQQQ(~ddress f1Q4~~!. Phone No . Name of Architect • Address Phone No. Name of Contractor ..~f1i~7Sr..~. t~C~:+t~-....Address .t~r~:.~t3 ~Y .~T~. Phone No . 'tl -495. IS.Is this property located witliin~00 feet of a tidal wetland? *YES,~i.NO.... *If yes, Southold Town Trustees Permit may 6e required. _ PLOT DIAGRAhI Locate clearly and disttncfly all buildings, whether existing or proposed, and mdtcate all set-back dunersions fror property fines. Give street and block number or descnption according to deed, and show street names and indicate whethc in[enor or corner lot. S~~ Sll~~i' ~ - j ~'fr~c~ ~D iTATL OF ~E~V 1'ORf~, S S =OU:~TY OF bcingdulysworn,dcposcsandsaysthatheistheapplicant (Name of mdnidual si~nnig contrac[) Dove named. cistfte (Contractor, agent, corporate offlccr, etc.) said owner or owners, and is duly autltortzcd to perform or have performed t}tc said work and to ma},c and file tlu: iph~auon, that all statements contained m this apphcauon arc true to the best of fits knowledge and 6clief, and tha[ the ork will he performed in the manner set forth m [tie apphcauat tiled thcrcwcth. vom to bctarc me this ~ cry .............~Q ......dav of h.'!. 19 . itary• Fubhc, ......:`:'~~+<!..,11 . tV•~• County HELEN K DE WE (Signature of applicant; N6TARY PUBttt:, State ei New Yak N° 4767878, Suff°Ik C°untY y j Term Expires Mateh 38,19_---•