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Home My WebLink About29230-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29820 Date: 11/07/03 THIS CERTIFIES that the building ADDITION Location of Property: 855 SHORE RD GREENPORT (~OUSE NO.) (STREET) (PULMLET) Cou~lty Tax Map No. 473889 Section 47 Block 2 Lot 21 Subdivision Filed Map No, __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated M/LRCH 21, 2003 pursuant to which Building Pexlnit No. 29230-Z dated M3LRCH 21, 2003 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 "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELIZABETH GARDNER (OWNER) of the aforesaid building. SUFFOLK COUNTer DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~£KU Rev. 1/81 N/A N/A N/A Authorized S ignat~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29230 Z Date MARCH 21, 2003 Permission is hereby granted to: WILLIAM HEARST 2929 DAVIS ST OCEANSIDE,NY 11572 for : CONSTRUCT A 7' X 8' DECK ADDITION "AS BUILT" AS APPLIED FOR. THIS PERMIT REPLACES BP~25182. at premises located at 855 SHORE RD GREENPORT County Tax Map No. 473889 Section 047 Block 0002 Lot No. 021 pursuant to application dated MARCH 21, 2003 and approved by the Building Inspector to expire on SEPTEMBER 21, 2004. Fee $ 150.00 ~~ ~_~ .~ ~i zed Signature ORIGINAL Rev. 5/8/02 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. 25182 Z Date SEPTEMBER 18~ 1998 Permission is hereby granted to: THOMAS R & WF CARLEY 135 CORONA AVENUE PELHAM,NY 10803 for : CONSTRUCT A 7' X 8' DECK ADDITION "AS BUILT" AS APPLIED FOR. at premises located at 855 County Tax Map No. 473889 Section 047 pursuant to application dated JULY Building Inspector. SHORE RD Block 27 1998 GREENPORT 0002 Lot No. 021 and approved by the Fee $ 75.00 in~/I nspector ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 ali 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. Submit 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 i~fitural or topographic features. 2. A properly completed application and 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 d~elling $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 ofOccupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: __ ~5~' House No. Owner or Owners of Property: __ Old or Pre-existing Build~: Street (check one) Hamlet Suffolk County Tax Map No 1000, Section Subdivision Permit No. Health Dept. Approval: __ Date ofPermit. 3[&~ [Ooh Block ~-, Filed Map. Applicant: Underwriters Approval: Lot_ Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted:. $ ~. ¢¢~ Final Certificate: ~ (check one) Applicant Signature ,b N '. ' ' ,'; 4:, For~ Ilo. 6 TOWN OF SOUTHOLD BUILDING DEPARTI~ENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildinl inspector with the following: 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. Co~ercial building, industrial building, multiple residences and similar buildir 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. For existing buildings (prior to April 9, 1957) non-conforming uses, o~ 'buildings an Vpre-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 w~iting to the applicant. C. Fees i. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - ~ .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Cou~mercial $15.00 Date . . ..... New Construction ........... Old Or Pre-existing Building .... ~. ........... Location of Property .... ~.~.~. ......... .~,~.~. ~. ~.' '~. r.'.~..~., .......... ~ [~O.a ~." ~~ .~ ~.. - .~'__ House No. Street ~ml e~ .... ........... County T~ ~p No 1000, Section .......... Block. ~ .Lot.. ~.~ " Subdivision r ~ ~ ~hO~ F d ~7~ t :4' .. · .,q.~.~ ........... ~..~..~.. 'i~ ~p ....... ~ .... ~o ............. . ..... ~ ~o. ............. ~.~ of ~m.. ...... ~.pi~n~... ~ .............. ~ .... Health Dept. Approval .......................... Underwriters Approval ....................... Planning Board Approval ................ .. .... .. Request for: Temporary Certificate ........... Final Certicate..~.. ...... Fee Submitted: $..~,~.~.~. ........... .. , .... BUILDING DEPT. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] ,~JJLATION [ ~,~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/! IN~ATION [ ] FRAMING [~FINAL [ ] FIREPL~ CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING [ ] I~ULATION [~INAL [ ] FIREPLACE & CHIMNEY ~OUNDAT~ON FOUNDATION ~_. (2nd) ROUGH FRAME & -PLUMBING' INSULATION PER N. STATE ENERGY CODE FINAL ADDII JUL 2 7 1998 ! BLDG· DEPT. TOWN OF SOUTHOLD I)i rcpprgv,~l. ~/c ................... ; ............. ({k~{ ldi~g R~si~tor) CALL .................. HAil, TO: .................... APPLICATION FOR BUILD]HO t~B1RtlT "AS BUILT" NSTRUCT] OHS 'Date..~L~.ZL ........ 19.98. a. 'ibis applicutt~ t~u~t be c~npletely filled tn by t~riter or in I~ ~1 3 ~ts o[ p]~, acetate plo~ plan ~o ~ale. F~ ecco~l~ to ~le. b. Floc pl~ ~f~ l~ti~ og lot ~ of ~ildi~s ~ ~i~s, ~laci~;ip ~o ~joJnt~ p~i~s or ~lic struts or ureas, a~ givi~ a ~tail~ ~riptlo~ o[ luy~,C o[ pro~rty mint ~ dr~ ~ tim dJ~un ~[ul* {n ~rt of this ~,ppl ic~t i~. ~1. U~ a~sl o~ fl~i~ s~lt~ti~, tim l~lld[~ ~nsl~ctor wl]~ ts~ a ~lldl~ ~mit to ~ic ~mll ~pC ~ ~m ~s ~all~le for ins~tt~ theft tl~ ~rk. e. ~ ~ildi~ ~mll ~ ~pl~ or ~ in M~le or tn ~rt Jar ~ ~ ~mt~er ~tll a ~rtt[tcste ~.I~'~ IS I~ ~ to tbe IkHldi~ ~rt~nC for tim isu~e ufa ~ildt~ ~lsti~s, for tl~ ~t~ti~ of hdldi~, ~iti~s ur altersti~, or fur ~sl State d~et_l~r applicant is o,~r, lea~, agent, archite~t, engineer, get.rat c~tr~tor, el~trici~, plier or I~ihle ............. .- I[ 8~Aicant is a coarsely, si~re of duly ~tl,)ri~l o[[icer. N~ ............................................ O UPANCYOR USE IS UNLAWFUL 2 ROUGH- ~ ~J ................... WITHOUT CERTIFICATE l,ice~ .................. BE COMPL~E El~tr[clmqs IA~ ~ ...................... ALL CONSTRUCTIO~ ~HA~ MEET THE REQUIrEMenTS OF ~E N.Y. OCl~r ~s Llce~ ~ ..................... S~TE CONSTRUCTION ~ E~ERGY I. l~uc[~ o[ ln~ ~ Miid~ p~l ~rk~(~ ........ Cr~'3ES NOT RESPONSIBLE FC~ [~ES~N OR CONSTRUCTION ERRORS 855 SHOR~ DR[VE~ GREEN~OR~ ~ [[94~ t~ ~r Strut ~ Tsx~p ~. I~ ~tl~ ...A~ .......... ~I~k ...... Z ........ lot .,~[ ........... 2. Scsce existing ~ ~ ~ O[ pr~i~s ~ intea~ ~e ~ ~ F~LY ~SIDENTIAL a, F~t ~ a~ ~y ,,,~INGL~,,,,,, .................................... ,,, . ........................... SINGLE F~ILY RESIDENTIAL . Pe~it- ~75 C Of O - $25 (check attached) (to~ ~d (m fllh~g th~ ol~Hcat~) ~t~ of A~dt~t ...................... ~ ............. ~renn .............................. M~ ~ ............ ~.~ of C~tr~tor ................................... ~renn ............................... I~ ~ ............ thin p~rty within ~ f~t. of n th~l t~tln~ ~ ~ .......... ~ .X ....... PI.OT DIAORAM- ~tl~f I,terlor or co~r lot. SEE ATTACHED ...... ~.~ ................................................ Ix~lnlt duly ~.~rn, deix~a~ o,xl ~,ay~ thnt lie Js the lie in the (C~r~cl:o~. ~enl:.- eori~ornte o~[cec, e~c. ) Ihnt the ~rk w~l~ I~ ~r~l In the n~nt~r ~t f~rO~ ~n the n~l.~cnt~(n~ ...... ~g~ ...... ,,~0,.~7~.~ .... ,~.~ ~