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Home My WebLink About23859-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24793 Date DECEMBER 12, 1996 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 380 ROBINSON ROAD GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 34 Block 5 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 25, 1996 pursuant to which Building Permit No. 23859-Z dated DECEMBER 11, 1996 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 ENCLOSE EXISTING PORCH ADDITION & A RAISED FLAGSTONE PATIO ADDITION TO EXISTING ONE FAMILY DWELLING WITH STONE BENCH (RAILING) "AS BUILT". The certificate is issued to CLARENCE & LUCY POWELL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 71 Building Inspector Rev. 1/81 FORK NO. f 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° 23859 Z Date ..................................... Permission is hereby granted to: '......... .. .. .... to at premises located at ..} U.. ... � ........................... , ................. 74 y.... ... /`^ / ....G6 . ...... ,.�%............ .r �!I . .rte. .. t. . ��,�. ............ � . County Tax Map No. 1000 Section ..... j"...... Block ...v........ Lot No. ..........t pursuant to application dated ....��. ................................ 19.9? and approved by the Building Inspector. Fee �. � .. i....!1... .. .. ............................... dig Inspector Rev. 6/30/80 • r�.w nv. � TOWN OF SOUTHOLD BUILDING DEPARTHEift TOWN IIALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY �. This application must be filled in by typewriter OR ink,and submitted to the building Inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property livres, streets, and unusual natural or topographic features. 2. Final Approval from Ilealth 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 the solder used in system contains .� . less than 2/10 of 1% lead. 5. Commercial building, industrial buildings multiple residences and similar buildings and installations, a certificate of Code Compliance from; 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 11pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by ttre applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1• Certificate of Occupancy -- New dwelling $25.001 Additions to dwelling $25.00. Alterations to dwelling $25.00, Swimming pool $25.001 Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 'bver 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. 'temporary Certificate of Occupancy - Residential $15.00, Commercial. $15.00 •November ,25 1996 Date ♦ . ♦ ♦ • • • + • ( • • • New Construction. . . . . . . . . . . Old Or Pre-existing Building. XX. . • • • • • • • • • • • 380 Robinson Road Greenport Lo e p t i o n of Property. . . * . • • • • . . • . • • • • . • . ♦ • ♦ • • • . • • • . . • • • • . • • . . v• . • . • • . ♦ • • • • • • •. .... • • • • House No. Street hamlet Clarence W. and LucXK. Powell • . • ♦ • . ► . • • + • • • • ► • • •.•.. . • • • Onwer or Owners of Property• • • • • • • . • • • • • • • • • • ♦ • . • • • ♦ • • • • • • • • • • . i 4• . • ♦ • • ♦Block. . . . P►5► . • . . • • • & .Lot. , t . . p U . . . .... County Tax Map No 1000, Section• . . ♦ . . . . . . Subdivision. . . . . . . . . . . . . . . • . . . . . . . . . . . . . • . . . . . .Filed hiap. • . . . . . . . . . .Lot. . . . . . . . . . . . . ... . . . . Permit Ila, • ► . i• . . • • • i'ti • i.Date Of Permit, • . ♦ • • • ♦ • • • • • • • •Applicalrt• . • . • • ► • • ♦ • • . • • . • ♦ . •..•• • • . . Ilealth Dept. Approval. . . • . ♦ ♦ • . . • • • • . . • . . ► • . • ♦ • .Underwriters Approval• . . . ♦ • . • • • . . . . . ..•. . . . . i Planning Board Approval• • • . • • • • . • • • • . • • ♦ ♦ . • • . • ♦ Request for: Temporary Final Certicate. . • XX• • • . • Tem Drat Certificate• ► . . . . .. . • . Fee Submittedt $ . . 25.. 00 . . . . . . . . . . . . • • • • • • • • . • • • • • • . • • • • • •,• • • • • ♦ • • • . • • • • • • • • •. . ' `� - APPLICAtrr c Tf3U'JI'J t)F '>Qt.r I H� BUILUING D1=PA tN`10�11 'TOVVN HALL ytOtf 1 HOLD, N.Y 11971 I kL; 765-1802 (13 Ilii t, . ,tsect(�rl ,a,Ppl_ICArION FOR BUILDING PLHMI 1 9.6 1lAS1'RJXfl()NS I ly fillet] in by typewriter or in ink and submitted to the I;rlildlllg In pccto,, a 1 his applicatiotl must be comp et•' ;els of plans,accurate glut plan to scale. i ee according to scl1ed[4miscs, relationship to adjoining preliliscs or public strecls Plot plan slrowill I location of lot and of buildings on 1 part of this apph ari ,i s, and giving a detailed description of layout of pTopert}' must be drawn on the diagram which is c..#,n. c. 'file work covered by this application may not be corillne �ed before issuance of Building Per1(lit'lrcanl Su(lr permit c1. Upon approval off t1lis upplication, the Building Inspeetot will issued a Building Permit to the app shall lie kept on the premises available for inspection throughout the Nvorl;,purpose whatever until a Certificate of Occutlaucy e, rIo building shall be occupied or used in whole or in part for any put p shall have been granted by the Building Inspector• [su"111t to Al'pLIC ATION IS HEREBY MADE to the Building Department or tale k,aand otherBuilding applicable Laws,TOr 1 dances tile oT 1)uildilig Zone Ordinance of the Town of Suuthold, Suffolk county, New regulations, for tyre construction of buildings, additions OFaitrlb�u lding codor for ,-, hoval ur ngeTcode, and ategufntionssandcto The applicant agrees to co;nply with all applicabl„ laws, ordinances, c,dWit atltilorized inspectors on premises and Irl building for necessary irlspectiolls• " -. r': . nv,tttre of applicant, or Warne, It a tort,-,e;'ti'-'' .i PO Box 2065 , Greenport,. NX . 11944 lCvlailinh ",Idress of applicant) Strie whether aphiicanl is owner, lessee, agent, architect, en-illeer, general contractor, electrician, pIul,Ibcr car buil(l,�r. Agent. . . . . . . . . . . . . . . . . . . . . . Powell (J;un of owner of pre+rli;es Clarence W. and Lucy- K•.. . . . . . . . . . . . . • . • • ' ' ' ' ' - las on Ilse lax roll or latest dee(l) If .,,nt is a corporation, ;ignatom of duly authorized(i�er. t lanae and title of corporate officer) lduil,i('i's license NU. . . . . . . . . . . . . . . . . . . . . . . . . . 1. l owrltion oI hiId oil "vlti"IL proposed worl, will bet ( i(,: . . . . . . . . . . . . . . . . i 380 RoGreenport , b . . . . . . . . . . . . . . . . . . . .nson. Road.. SUS l la�nlct C'�,u;,ly �l.,x r41;Ip iao. 1SJflt) Scctlon 0 5 . . . . . . . . L,:,t . . 14 . . . . . . . . . . . . . . . L.! i Mai li'ldlll(') `�l,Ite exi�,liug use Ail() occupancy (11 premises and intended use anti occupancy of proposed constructi-��(: Private one—familydwelling, with raised patio_ AS. _BUILT 7 l tI linr use ;Intl cn:ciipancy . . . . . • . . . . PRIOR TO 1971 rtn(t occupailc. Private one—family dwelling, with raised , patio. AS .BUILT I( Ir lc.rl(lc.t tlsr y ' ' PRIOR TO 1971 pnrlus—1 parr ti AS Raised Patio bjL4 1+ v%) q7 as built i. N;lturc of work (check which applicable), New Building . . . . . . . . . - Addition . _ _ . . . . . . . Alteration prix r • 1 RupL++r . . . . . . . . - . Removal Demolition . . . . . . . . . . . . . . Other WO1k . . . . . . . . . 1971, (1),,,°,clipIicn) 4. Lstimatu d Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . tto be paid on filinR this . pi.,lrcation) S. If dwell-— r mber of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . _ . . . . • . If garai ler of cars . . . . . . . . . . . I . . I . I . . . . . . . . . I . . . . I . . . . . . . . . . . b. If basin: (mrimer. ial or mixed occupancy, specify nature and extent of cacti type of' use . . . . . . • - • . . . . . • 7, i.)imensim of existl;-,!� structures, if any, Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . IieiFht NUnibel of Stories _ . . . . . . . . . Dimensions of same s'1'1:CtUre with alterations or additions- front . . . . . . . . . . . . . . . . kear, Depth . . . . . . . . . . . . . . . . . . . . . Height . . . . . - _ . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . _ . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . hear . . . . . . . . . . . . . . . Depth - Height Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , 9- Size of lot' i runt Rear . . . . . . . . . . . . . . ' . . . . . . . Depth . . . . . . 10. Date of l urchase . . - _ . _ . . . Naim of Former Owner . . . . . . . . . . . . . . . . . . . . . 1 L Zone, or us4 district in :vliicli ptemises are situated . . . . . . . . . . . . . . 12. Docs proposed construction Violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . 13. Will lot be regraded . . _ . _ . . . . W'ill excess fill be removed from premises: Y�s 14. lJNarTle of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . I'}Ione N O, . . . . . . . . . . . baric of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address I'holue iv p. . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . P1101le NC. . . . . . . . . . . • . . F1_0-1 DW,,PAM Locate clearly and distinctly all buildings, wilether existing or proposed, and indicate all set-back dimensions f1+.i;n property lines. Give street and block number or description according to cfeed, and show street nannies and indicate; w ire iw_-r w tcii, or coi 1'•i'.r lot. See copy of survey attached 4c. STATE ()F r4', ' YORK, CC.)Lli�T1 C)l' . . SUFFOLK S ' _ • - _ . . . ... . . . r . . . .�: r'1 t� I� . . . . . being duly sworn, deposes and says that he is the al pli;al;t i Name of individual sinning contract) !�s Agent Ile is . . . . . _ . . . . . . . . . . . . . . . . (C=ontractor, agent. corporate officer, etc.) of said owner or owners, and is drily authorized to perform or have performed the said work alid to make and file this npplieation; that all statements contained in this application are true to the best of his knowledge and belief;and that Hip work )sill he perforrtied in the rrlanner set forth in the application find thetewith. Sworn to nle this ;rlav of November . . . . ., 19 1k_ 1Vnt 1r.' f'ubli+ , . . . . .RA*EA1fPSuTT,,JR. C:o rnt; NOTARY PU'B'LIC,State of N.Y. No.4725089, Suffolk Cou y Term Expires May 31, 199 �Si�r, 1riilK. r l ar ; lir-+nf }