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Home My WebLink About17216-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217538 Date NOVEMBER 22, 1988 THIS CERTIFIES that the building ADDITION Location of Property 50 BAY ROAD GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 043 Block 05 Lot 13.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29, 1988 ursuant to which Building Permit No. 172162 dated JULY 15, 1988 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 RENOVATE AND ADD TO DECKS ON EXISTING ONE FAMILY DWELLING. The certificate is issued to BELA BAKO (owner, xxxxxxxxxxxxxxxx} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 xosat xo. s TQWN 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) Nfl 01721.6 Z Date ........~......~?1 19.A.$ Permission is hereby granted tom ........d~?........J..~ ® n?~..l~r.~ ct premises located ot ....w?~a?.~.~.._~.T~V.___~_.'...`...~ F~~:y/.;.~:?~ County Tox Map No. 1000 Section Block ......5>.~ Lot No......t~'..~......... pursuant to application doted ......~..S.A.rr.~ll.....s~.~ 19~~.., and approved by the Building Inspector. Fee Building Inspector Rev. 6/30/80 w ~~~1 FORM N0. 6 ~ ~ ~ ~ TOWN OF SOUTHOLD Building Department TOtN~ OF SOUTFIOLD Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ®to the Building Inspec- torwith the following; 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 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 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: Additions $25.'00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ ] 0.00 4. Vacant Land C.O. $ 20.00 S.Uodated C.O. $ 50.00 Date NewConstruction,,,,,, Old or Pre-existing Building Vacant Land - ~ r~ Location of Property ~a.. ~ ~ ~ .~7 . r e. e -d~ ~ ~G. House No. / Street Hamlet Owner or Owners of Property County Tax Map No. 1000 Section Block Ate....... Lot f / Subdivision .........................:5 ...Filed Map No. ..........Lot N~ Permit No ~ 72~;~ Date of Permit 7~ ..Applicant ~ 1'~~ . . Health Dept. Approval ........................Labor Dept. Approval Underwriters Approval ........................Plannin Board A 9 PProval Request for Temporary Certificate .....................Final Certificate FeeSubmitted$....~..5,,:~-,L,~,,,,,,,,,,,,,,, Construction on above described building and permit me appl ca codes and regulations. Applicant ----~-~.,,_~_-~_-R~~ts_.3'~~ Rev. 10~10~78 f'~.~, 3~~~y (I ~y v/t3~ F ~ • a a W A F a ~j~ 4 W ~ z ~ O H Y'. C a J..~• {y a X ~ W m ~ x :siNawwoo adNOIZIaan w ~ z' o' ~ 'I tl r:I3 a ~M/1 ~ h ~ 3a0~ xJkI3N3 3ZVZS E; • ~ '7. ' N 2I3d NOIZb'InSNI W a H N o~ oNlswnza ~ ~ awvxa xonoa 0 2 •z W - - ( PUZ ) f10IZdaNnod 0 ~ t~sri ~ No`IS'vaNno~ H ~ ~ 'r t ;zN]Y7Y30:! I '~WNaIi t,~?.'..S3:1S';I a'I°T' ~a ~ ~0 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [dj FINAL REMARKS: 4~ DATE 0 ~ INSPECTOR c BOARD OF HEALTH , 3 SETS OF?PLANS . ~ n: FORM NO. 1 SURVEY ? . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM • TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY b TEL.: 765-1802 CALL ~y~...,194g. MAIL T0: s~~y~ ~o Examined ~ -`i 7 ppp''' ! t\pproved 198. Permit No..(.Z ~~.~4Z~. i ~ ~ ~ ~ f,I Disapproved a/c ` ~ ~ l g ~~ii~ Y~ "'w,.. ..aaa,.iai BLDG. DL 't. Tl7WN OF 50U~t1;1t.,r> (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 15 . - - INSTRUCTIONS a. Tlus application must be cornpletely 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 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 using code_ and regulations, and to admit authorized inspectors on premises and in building for necessary inspe - C~\\\~•-~~- (Signature of applicant, or name, if a corporatron) s~ ~a G ~tl9~t • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......~.za ~ ~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate offipcer) Builder's License No. Q".'. a ~ 3 Plumber's License No . . Electrician's License No . . Other Trade's License No . . Location of land on which proposed work will be done . . House Number Street Hamlet County Tax Map No. 1000 Section ~ 3........... Block S Lot ~ . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intepded use and occupancy of proposed construction: ' ~~,K a. Existing use and occupancy ~ ~ b. Intended use and occupancy • • • ~.P s ~ .~E.C,.K ~ pBI'8+e4uieaeUaea~uolaslmwoJ (;ucatldde 3o aipleu3ls) ~ '~~~909 s8L8Y roPNW111~0 at+~AMeNWwaiS'WI9~?d~1oN ~a ~r f M3'Ip "I 3kIV7a 6;uno~ y .a~14nd dte;oN .6I....... o,Ccp'v'~Y?~............ • • ~s~; atu'azo,;aq o; ulomS 't171matay; pa1r3 uo?;callddc aq; u? tl;.to33as aauucw aiji itt pattuo3.tad aq Ijrm Xsom ayl 7cy7 Puc':3atlaq puc aSpalmoux sit13o;saq ay; o; an.q a.te uol3c~yddc sly; w paurc;uoa s;uawa;c;s fIF 7ct11 :uo?;cayddc sal; a1?3 puc axew o; pucy.tom ptcs'~ ay; paw.to3.tad aney ao'euxoj]a•d o; pazuotpnc ,Slnp st pue`~`saatimo .to•.raumo pies 30 (ia7a `iaa133o a;c.tod.toa `;ua5c `.to;ac.t;uoQ) ,b ~ .~.~.Q , a47 sr ag •patucu anogc 4 P ? 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