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Home My WebLink About27475-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28555 Date: 06/27/02 THIS C~TIFIES that the building ADDITION Location of Property: 1010 AUGUST LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 44.29 Subdivision Filed Map No. __ LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16, 2001 pursuant to which Building Perm/t No. 27475-Z dated JULY 16, 2001 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 COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MELISSA SPIRO & DIANA V VOELKER ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEAL'r~ APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS c~KTIFICATION DA'r~O Rev. 1/81 N/A N/A N/A - Autn6r~z~d ~ign/ure FORM NO. 3 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) PERMIT NO. 27475 Z Date JULY 16, 2001 Permission is hereby granted to: MELISSA SPIRO 1010 AUGUST LA GREENPORT,NY 11944 for : CONSTRUCTION OF PORCH ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1010 · County Tax Map No. 473889 Section 053 pursuant to application dated JULY Building Inspector. AUGUST LA GREENPORT Block 0004 Lot No. 044.029 16, 2001 and approved by the Fee $ 150.00 Aut h~zedZ~ature Rev. 2/19/98 COPY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY L 7,.:, ~i'.' "~: ;.!' . ~i', / This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 from Health 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 building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. SubmSt Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-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 the 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, 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 - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: iF h;' H~use No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision 4,,c.,,~'~ Permit No. ~'%-q 5 Date ofmermit. Dept. Approval: Health Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Old or Pre-existing Building: Street (check one) Block ~] Filed Map. Applicant: Underwriters Approval: ~ Final Certificate: Hamlet Lot Lot: (check on/~ OWN OF SOUTHOLD PROPERTY RECORD CARD OWNER LAND IMP. rREET ~ O I 0 TYPE OF BLD. PROP. CLA,~ ~ TOTAL, DATE VILLAGE -D~Tl SUB. REMARKS LOT ~__ '7 t. ~o o ~ '~oo FRONTAGE ?~ WATER_ ~ FRONTAGE ON ROAD DEPTH BULKHEAD TILLABLE WOODLAND MEADOWLAND HOUSE/LOT TOTAL COLOR TRIM M. Bldg. ' ~,~/ ~ Foundation (~a Bath ,~ Dinette ~Extension t,,~ L5 ~ Basement ~WLsL,e Floors ~ ~ ~(~ Kit. Extension ~ ~ ¢ 5Z t~ ~ ~ ~7~ ~ G%~ Ext. Walls q,,,~ eL~ Interior Finish 5,~, UR. Extension ~o~ ~ ~o Fire Place Heat ~ ~ D.R. Patio X~ ~ = ~o~ Woodstove BR. Porc~,') I~ tS: I~o ,~ ~ Dormer Fin. B. Deck 8X ~ ~ ~ ~' c Attic Breezeway Rooms 1st Floor Garage ~q~ ~ z2. ~: ~%G~ff ~ ~ ~ (' ~ ~ ( ~ Driveway Rooms 2nd Floor O.B._ ~ Poo~ C~ ~ ~ ~o O . 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA/CI~ & CHIMNEY REMARKS:('//1~ -~_~ DATE 765-1802 BUILDING DEPT. [ ]FOUNDATION 1ST [ ] R~I.I PLBG, i i~ORAUMNIDNAGTION 2ND i ]~SUL/./] FiNA/TION [ ]FIREPLACE & CHIMNEY REMARKS: ~ DATE ~2/~/~/~::~// I NSPECT~ INSPECTION 765-1~02 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGHP~,J~- [ ] FOUNDATION 2ND [ ]~.~JLATION [ ] FRAMING [//]~ FINAL [ ] FIREPLACE & CHIMNEY DATE ,~~?///~~1N SP~ FIELB INSPECTION ROg~ ~ & COD~ .-, o State exis~ use and occupancy of Frc~ms~e~ and inteMe~ use and occupancy ofpropos~ con~-tiofi: a. Existing use and occupancy ~ ~. b. Intended use and occupancy ~'~C~ ~'~O'Cc~ Addition (x~5 Alteration Other Work Nature of work (cheek which applicable): New Buikll.g Repair Removal Demolition. ~ dwelling, number of dwelling units If garage, number of cars Fee (Description) (to be paid on filing this application) Number of dwelling units on each floor If business, COmmercial Or mixed occupancy, specify nature and extent of each type of use. Rear Depth Dimensions of exi~ng structures, if any: Front Height Number of Stories Dimensions of Same structure with alterations or additions: Front Rear Depth / ~ ~ ~o Height Number of Stores Dimensions of entire new COnstruction: Front Rear Depth Height Number of Stories · Depth 9. Size of lot: Front Rear 10. Date of Purchase ' ~. JOe:, Name ofFo~'raer Owner ! 11. Zone or use di~tr'ict in which preml.qes are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: //~ ~ 13. Will lot be re-graded j~{5 Will excess fill be zeaioved f~om premises: YES 14. Names ofOwnerofpr~mises .~o?t~o Address io,0 Name of Architect Address Phone No Name of Contractor -~ a.~t_] ./~nnt,~.t.~_ Address PhoneNo. 15. Is this. property within 100 feet of a ticlal wetland? *YES ~(~-REQUIRED · n~ YES, SOUTHOLD TOWN TRUSTEES PERMITS 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. ff elevation at any point on propetty is at 10 feet or below, must provide topographical clam on survey. STATE OF NEW YORK) f ~' (lqame of individual ~{~tg contract) above named, (S)He is the (Contractor, Agent, CorpOrate Officer, etc.) of said owner or owners, and is duly authorized to performor have'performed the said work and to make and file thi.q application; that all statements cont'{ned {Il thi.q application are tree ~° the best of his lmowledge and belief; and that the work will be performed i~ the manner set forth in the at~lication'filed ~Eewi~ =i;:; " Sworn to before me thi.~ ' ' ~ No~,3r Pu~Iic X/ -- . Si~ature O~Applicant. ~IRE_ L GLEW Nam,/Public, 8rote of New Yo~k No. 01GL4879505 Qualified in Suffolk Commission Expires D~. 8, C~ DEE & ANNABEL PAGE 02 -FO ~,£ d"CA ~,~ tO, ~OOD F~AME GHIHN~¥ vINYL ~tDIN~ - ONT. F VENT ROOF e4.u~c/__-~e, (TYP)/.. I I I I ,E ELEYATION OOOL)?ANOY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY I I I I I' I I ..... I III e," P~. FND. ~UALL ON ~" X 8" P,C. FTC. FEE: _/.5'-/-~ ..... BY: ~ N~IFY BUILDING DEPART~N~AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPE~IONS: 1. FOUNDATION - ~0 REQUIRED FOR POURED CONCReI ~ 2.ROUGH - F~MING & PLUMBING 3.INSU~ON 4. FINAL - CONSTRUCTION MUST BE COM~TE FOR C.O. ALL CONSTRUCTION SHALL MEET 72'0' 8'8' I I I