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FORM NO. 4
TOWI~ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30143
Date: 04/19/04
Tt{IS CERTIFIES that the building
ACCESSORY
Location ~f Propezty: 63165 CR 48
HOUSE NO. (STREET)
County T~x~ap No. 473889 Section 40 Block 1
Filed Map No. Lot No.
Subdivmsion
GREENPORT
Lot 14
( ~LAMLBT )
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 2, 2004 pursu~alt to which
Buildin9 Permit No. 30211-Z dated APRIL 2, 200¢
was issued, and conforms ~o all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ACCESSORY SHED AS APPLIED FOR.
Tg~e certificate is issued to MARTIN C PFEFFER
(OWNER)
of the aforesaid building.
SI/FFOLK COOlFiqf DEPART~gT OF ~AI~T~t ~_PPRO%qkL
ELECTRIC~kL CERTIFICATE NO.
PLI~4BERS CERTIFICATION DATED
Rev. 1,81
N/~
N/A
Authorized nature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL
COMPLETION OF THE WORK AUTHORIZED)
FULL
~EP~YT N0% 30211 Z Date APRIL 2, 2004
Permission ms hereby granted
MARTIN C PFEFFER
RD 1 BOX 63165 CR 48
GREENPORT,NY 11944
for :
CONSTRUCTION OF AN ACCESSORY BUILDING AS APPLIED FOR.
THIS PERMIT
REPLACES BP~25168.
at premises located at 63165
County Tax Map No. 473889 Section
pursuant
Building
CR 48
O40
to application dated APRIL
Inspector to expire on OCTOBER
Fee $ 75.00
G~EENPORT
Block 0£01 Lot No.
2, 2004 and approved by the
2, 2005.
Rev. 5/8/02
ORIGINAL
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(T
PERMIT NO.
Permission is ~
BUILDING PERMIT
~IS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~ Z Date SEPTEMBER 10, 1998
eby granted to:
MARTIN C PFEFFER
RD 1 BOX 63165 CR 48
GREENPORT,NY 11944
APPLIED FOR.
for :
CONSTRUCTION OF AN ACCESSORY BUILDING AS
at premises loca
County Tax Map N
pursuant to appl
ted at 63165 CR 48
~. 473889 Section 040
ication dated JULY
GREENPORT
Block 0001 Lot No. 014
22 1998 and approved by the
Building Inspector.
Fee $ 35.00
%%~g I~ns~dtor
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY ~'~2 "~
This application mast b~ filled m by typewriter or m!c and subrmtted to the Building Departmen~ with tl~ f611owmgz
A. For new bm'lding or new use: ;-~
...... ~ t
L Final survey of property wlth accurate location of all buildings, property lmes streexs, and unus~
topographic features.
2. Final Approval ~om Health Dept. of water supply and seweragerdisposal (S-9 form).
3. Approval of ale ,~c~5:i~ ~cal installatior~ from Board of Fire Underwriters.
4~ qwom ~atemen? r*t,m ,,~umb~' ce.,~ying that the solder used m system contains less than 2/10 of 1~ o lead.
5. t 'ew'uc~c :,1 b..:l,~:'::,. ~,la,' "i~.l ' . ~aing, muIffple residences and similar.buildings and installations, a certificate
,d'( ode ( ,,r:pli:.v. cc Ih~:n mcl,~cc~ or engineer responsible for the bu/lding.
'6. ',~.',~',~: I'iar'fiu!= It,,,.m \plV,,',~.· ofcompletedsite-planraqn~rements.
For e~i~ 'sting buil~di ~ngs {priol: to April 9, 1957) non-conforming uses, or buildings and "pre-existing~' land uses:
1. Ac, dUrate surveyof prop~y showing alt property lines, streets, building and unusual natural or topographic
features.
2. &prope~:ly conrPlemd applieahon and consent to inspect signed by the applicant. If a Certificate of Occupancy is
defied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Fees
1. Certi~a~e ~f ~ccupancy - N~w dw~l~ing $25.~ Addili~ns t~ dwe~ling $25.~ A~terations t~ dwe~ing $25.~
Swimming pooLS25.00, Accessory bu/lding $25.00. Additions to accessory building $25.00, Basine~scs $50.00.
2. CertificateofO¢cupancyonPre-ex/sthigBu/lding- $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updeted Certificate of Occapancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00. Commercial $15.00
Date.
New Construction:
Location of Property:
House No. Street
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section (.~
Old or Pre-existing Building: (check one/
Hamlet
Block
Subdivision Filed Map. Lot:
PermitNo. ~ O~ [ I ~ DateofPermit. /~ ~ -O t~ Applicant: Fr~'~ r/ C ~9~e~¢c2~
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ c>~D ~-
Final Cextificate:
(check one)
Applicant gig~l~e ~'
765-18O2
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG,
FOuNDATIoN2ND [~]1~, LATION
FRAMING [/~FINAL
FIREPLACE & CHIMNEY [ } FIRErSAFETY INSPECTION
REMARKS: /~ ~'~'~
DATE
INSPE~
;U.~{DATION__ (~st)
F!RAME &
-PLUMBING'
iSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
HOT~I~'Y:
HAil, TO ......................
'Date ................ ,19.,..
filled in by ,Cyl~rriter or
st'r~ c pm~rty ~mt ~ dr~ ~ ~ 4{~m ~dcl~ la ~ of
tl~ ~ildi~ ~r~nt for ~
(StBnature o1[ applicant, or mmV, if a corporatlc~9
State ~t~eQ~er applicant ls o~er, lessee, agent, archit~t, e~i~r, Re.rat ~t~tor~ el~t~ct~, pier or Ix~tl,~
~ o~ ~ ~ ~,,...I.~la~.b.~...,C .... ~/a~'~.~..~ ........................ : .......................
(~ ~ U~ t~ ~1l or lateat d~)
If a~)li~{t is a co~mti~, si~re of ~Iy ~tl~)ri~i ofiicet.
Ik~ilders License Nc~ .................. . . ..
Plurbers License Ho ....................
IZleccri¢iarm l,ice~ ~ ...................... ~'
{. l~uci~.of,l~,~ ~lid~ p~l ~ will ~ a ..............................................................
--,-. .... ~..~ .......................................... am¢~az.. .... ~:...!~ ..........
~ ~,-~,~f,~ ~-~...~o ........ ~.~ ..... Z.: ....... ~, ..... Z.~. .....
~ivi~[m ...................................... ~iI~ ~hp ~ ......... ~ ..... 1~ ...............
2, S~aCe exls~ing[.~'~ ~ o[ l~i~a_/''~ intem~ me ~ ~ o[ p~ mt~ttm~
,-~ ~ ....... ....-...-.. ................... ............. .~.. ..... : ...................
F~sCi~
'Y - '~'~YV,'"~~ .... r" '~*"~ ....... ~
I~lr ............ ~1 ;~, ~,~,.. l~ll~l~ ............ Orl~er I~ ..................................
' ~ 9~T?a'8 (~o ~ ~ld~m Hllna this ~l~ltcatl~)
garage, i~l~r o[ ~r~ ................................ ... ...
l)ln~i~z ol ~m s~nc~ with al~eract~s or 'a~l~tonsc ~c ............... ~ar ...............
...............
propel. ~t~ttm
lot I~
~ms of ~r o~ F~al~s ........................... ~]ress .............................. t~ ~ ............
PLOT D~AORAH.
lo:ate clearly ~md distinctly all buHdi~tts, d~..~l~er ~l~ttng or pm~, ~'t~fcate all ~t-~ di~na.fona ~
~rn, delx)~e9 a~xl says Llmt he ia the nppl. i¢:ant:
(C~ttractor, ~enefcorporate of.l~icer, etc.)
said i~a~er or ~rs, ~ ts ~ly ~O~rl~ to [~cfon~ o[ h~e larfO~ the ~td ~rk taxi m ~e a~l file this
nl~)l teatl~; Lhnt all states,ts ~t~ fn thin a~llea~t~ 9re tn~ to ~m ~e o~ his kt~l~g~ m~ .l~lief~ a~t
($tgtmt:ure ol~ ~{~ptlcant)
HELENE D.:HORNE
Notary P~blic, stere of New Yotl~
No. ~5 ~ 364
Q~a~ified i~ Surfak Coun~ ~
C~mm ss~n E~kes ~¥~ 22, ~9 7~