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Home My WebLink About29710-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31805 Date: 09/13/06 THIS CERTIFIES that the building REPAIRS Location of Property: 65490 MAIN RD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 5 Lot 12 .6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 5, 2003 pursuant to which Building Permit No. 29710-Z dated SEPTEMBER 8, 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 REPAIR & ROOF ALTERATION TO COTTAGE 44 AS APPLIED FOR. The certificate is issued to BREEZY SHORES COMMUNITY, INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-446107 02/20/98 PLUMBERS CERTIFICATION DATED N/A '4/- 1�4 tho ' zed Signature Rev. 1/81 Ce1j.20 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 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 I% 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 natural 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 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial$15.00 p Date. J y� New Construction: Old or Pre-existing Building: (check /one) Location of Property: r p �rn'p�r��o !U''��/ House No. Street Hamlet Owner or Owners of Property: 7 Suffolk County Tax Map No 1000, Section �} Block S Lot Subdivision Filed Map. Lot: ® -- n ^ - - Permit No. Y �� Date of Permit t'� Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicar i atur C-v3��0s 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. 29710 Z Date SEPTEMBER 8 , 2003 Permission is hereby granted to : SHORES INC BREEZY PO BOX 38 GREENPORT,NY 11944 for REPAIRS TO COTTAGE #4 . THIS PERMIT REPLACES PERMIT #27123 AND ALL REQUIREMENTS OF ORIGINAL PERMIT REMAIN. ADDITIONAL CERTS MAY BE REQUIRED. at premises located at 65490 MAIN RD GREENPORT County Tax Map No. 473889 Section 053 Block 0005 Lot No_ 012 . 006 pursuant to application dated SEPTEMBER 5, 2003 and approved by the Building Inspector to expire on MARCH 8 , 2005 _ Fee $ 150 . 00 Aut ignature ORIGINAL Rev. 5/8/02 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1195099 BUREAU OF ELECTRICITY F_ 40 FULTON STREET, NEW YORK, NY 10038 Date FEBRUARY 20,1998 Application No. on file 15511598/98 N 446107 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of BREEZY SHORES, SAGE BLVD. , COTTAGE#4, GREENPORT, NY in the following location• ❑ Basement [3 lst Fl. ❑ 2nd Fl. Section Block Lot was examined on FEIBRUARY 13,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FNEANDESCENTJ FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 4 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT.1 TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K.W. OIL H.P. GAS M.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS NO.OF FEET 1 40 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. !TE, A TYPE EQUIP. 102W 14SW 30SW $04W PER 0 OF CC.GOND. NO.OF HIAEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL 0 CB 1 X 1 1/0 1 1/0 OTHER APPARATUS: ELEC. WATER HEATERS: :1-4.5 K.W. G.F.C.It-1 JIM SAGE ELEC. INC. LIC.#3635E ( L L PO BOX 38 GREENPORT, NY, 11944-0038 GENERAL MANAGER 11 Per This certificate must not be altered in any manner;return to the office of the Board if Incorrect.Inspectors may be Identified by their credentials. ---------- -- COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. oil ' y 10 r OF ? f• , LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 2 9 (631) 477-1652 August 29, 2006 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Road Southold, NY 11971 Re: Residence Cottage # 4 Breezy Shores Community Inc Sage Boulevard Greenport, NY 11944 Permit # 29710 9 To Whom It May Concern: I have inspected the above mentioned residence with respect to the permit for additional support as noted in the drawings and have found the new ridge, posts and footing are in accordance with the drawings, the New York State Building Code and the Southold Town Building Code. Sincerely, Lawrence M. Tuthill, P.E. 23 EW yoq r , w ZJk O3126A-1 �'OgOF�51�pr�/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R UGH PLBG. [ ] FOUNDATION 2ND [ ] NSULATION [ ] FRAMING [ ] FINA [ ] FIREPLACE & CHIMNEY [ ] FIRE SA TY INSPECTION REMARKS: DATE �� INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ INAL [ ] FIREPLACE ..CHIMNEY RE ARKS: DATE `lv D INSPECTO ( /o? 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACES CHIMNEY REMARKS: _ .r2 cf1t Cf��, e� DATE 4/ INSPECTO FIELD INSPECTION REPORT DATE COMMIiNTS ii a ro� , ri FOUNDAT[ON ( IS•T) II II I _ II rc -------- -- FOUNDATION FOUNDATION (2ND) II II __ -------- ----------- it _ -- ---it II II II It ROUGH FRAME S I, n-- ---n- -- . --- ---- PLUMRINC n— ---ii - - II II ii I It -- INSULATION PER N. Y. ii II ----------- - --- ------------ STATE ENERGY ii it --------------- CODE I II II it II p V II FINAL. u It O ADDITIONAL COMMENTS: ---- - -- `- - -- - -- --- ---- - -- --- ti y d 3 SEI OF a PANS .. _ ............ Fulut No. I i slurs of FLnl1s •I'ONN OF SllUTHOLD HURVEY . . . . . . . . . j MAY 71996 ,I ILIIILNINO NI(1'AR'I'MRNT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . '1'ONN IIALL SEPTIC FOAM . . . . . . . . . . . . . . . . . . . BLDG.DEPT. :i011'rllUl,p N.Y . 11971 1 ., ._mWN OF$OUTHO�D TEL: 765- 1!1112 NOTIFY: y- _ (j/ IA. CALI. . . . . . . . . . . . . . . . . . . NAIL '10: . . . . . . . . . . . . . . . . . . . . J...7 - . . ..., 1 C.�7 Peuntl tel. . . ... . . . . . i _ .r ... ......... ............. ...... Appr(we . .. . . Ili n;alincrvcxl a/c ... .............. . . ... ... .... . .... .. .. ..... .......... ........ .. .... .. . ..... . .... . ... ..... ........... 1 4.0/1 (IMuild' ql Inaleclor) APPLICATION FOR BUILDING PERMIT NaLe . . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS abdication aunt Ire curyletely filled in by Lylxmriler or in ink will culrnllLed to the Wilding Inspect Or wilh '.1 rets of plana, accurate plot plan to scale. Fee according to ndielule. L. Plot. plan +hxawing location of lot mill of buiItlinls (x) prelises, relationship to +xljoining preni+;en or public is alreeln or areas, still giving a detailed description of layout: of propel Ly ,lost Ile dr+xrn on the diagron which is parL of 'thin npplicntlon c r.. The work c(rvered by this alidicat:ion eruy or. he cuaa:nx:e(1 hefure Issuance Of Building Permit. d. Ifpxn approval of this abrlicu l:it At, the Rui I(I inl; Islect(r rill issue a Ikli Iding Penult: I the app icanl Sdin peuniL shall be kept at Lite prelises available for iun ection thro(Iglxxul the wxrac, e, it) building shall Ile occupied or used in Wile or in part for any Purpose whatever until a Certificate of Oc(1Il)0ney shall have leer granted by the IknildinB lnslxaclor. AI'1'LICKI]CII 13 LIENENY MADE Lo Ione Building Oelxr Went for the issuance of a @Iildh% Penait laranaut to the Noildirng Zane (irdinace Of the "Born of scolhold, Suffolk (aunty, 1104 Yorlc, taxi other applicable laws, Ordinances Or ILsgulaticxa, for the c:onstrcLion of buildings, niklilions or alteraLlOna, or for reloval or deiolition, an lerein descrilxnl. The applicant ngreetc in cnnply will, all npplicable laws, ordinances, building c(xle, Ixdanng Cole, mxl regulations, and rO adnik authorived inspectors On prelisea and in Ixui (linin f�o�r necessary iinQsppections./� (Signature n uppl it.a t:, Or uane, if s corlxnral.ion) n I1 r• (MLliling Ixklress of. applicau ) Stale w''llItet Ke�r applicant is corner, lessee, agent, archil.ect, cuj;iuee r, geierni coulraclnr, electrician, plcnler or Wilde'- O(�OAL.. .. .. . .. ........ .... .. . . ... ... . .. . .. .. .............. ... .. ... .. .. . ..... ......... .... . . .... . ..... .. . .. . . .. Nave of carter of prenices .. .. . �1L.44YJ. ..I�I`.:.. .. ........ . .. ... . . . ....... ....... . ..... . . . . ........ . . . . . . L�Z (ata, the rax lull or Intent deed) I ai) icnnt ?Al! Ix>rat "c 11,�nsJiguullute of duly aulleri•red officer. .. . . . .. .. " ..... . .. .... . ... ie not Liorlxrate officer) Builders License No. ........ . . ... ........ .... fluters Licence No. .......... ... ..... .. . .. .. Electricians License Mb. ((iJ . .•-••• -•• Ol1er b due's License No. ....... ..... ...... .. 1. Inentiou of Incl on whllclt proposed work will le (tote. . . I v�.+. ..1-1 yr.+. ..-••................. QornZ �. ....... . ...... ... ..... .... ... . . .. . ..... ... ...... . ..... ...... ........ ................... ... .. -- -House Roller ---- Street Landeef,,,, Qxxnly Tax Mill$ No. TIDO Sea io1 .. ..5.� .... .. . Ulock . . �.. .. . . ... . In(: . .Aa?(:...... Subdivision . . .. ... . .. .. . .. . . . Filed the No. ... .. .. .. . . .... Int ... .... ........ (tone) 2. State exist Eng use unit o(sultax:y of preafses mill intended use sill occulxloy Of prOl)Osed cooatnnction: a. Rxindfig use sill Occupancy ... .......... ..... ............. .. ...... .. . ... ..... .. .... ....... .. . ..... . ... b. Intended use sill oeogxacy .�/Y),✓Y1,�'4t.. .. ./f.. ... . .. . . . .. ... . . . 1, lWole of Ino t lrl rock IAlid, olgrlie.11ble): I4nr I4rlldiug lvklil i0 ✓ . . . . .. .. . . Al l Oral ion . . .. . .. .. . 14!lullr . .... ... ... . Itr>„rrval Ikvu l 11 loll . . . .. . . . . . . . . ...... ... . . .. Ol her Ikn k . .. . .. .. . . .......... . . . . . . . . . . . . .. .. . (Ikncr 1p( i(o,) 4. 1'al iukrt Od Guq: � .��,.:, r.. ... . �.. . . .. . . .. . foie . . . . . . . . . . ... . . . . . . . . . . .... ... .. . . ..... .. . . . . . . (In Ix! paid on filing thin ill Krlirnlloo) If Ikn!1l fag, Ixnlxer of r4xlI ing 1.1111 fl . . !, .. . . . . . . lknlrer of (1,ml Iinl', ;rnifn (xr each fl(x)r-.e;,. . „.,. .. .. . . . If gnn,ge, Ixnlrer of cnrn . . . . . . . . .. . . . . . . . .. . . . . .. . . . . . . . . . . . G. If Ikvlhx!nn, rrn'lolci!:l or a11xed oC j:olxork:y, ntx!cify nolure cool extent: of (!ell) lylx± of one .. 1. Uisenn loom of exf at fill, Of aldol en, i f nn .n S r� qqi� y� Proof . . 4: . . . .. .. . .. . Ileur . . r1. . . . . . . . . Ik:pllt J Iloighl: ... . ... H. . . .. . . ... . .. . . ik.drer of !;Loden I . . . . . . . . . . . . . . . . . . . . . . III„eoni(xrfl of nu;2C+c•,fll nkaure ullh allernl.i(xm or rkl(lll I'll' 61'rnnf. �_�-. . . . . hear . ". . . . . . . . . . . . . . . IFnr, .�. . . . . .... . .L r (If !il or II!!I . . . . . . . . . . .. .. . If. 11'iuens tools of ent.lte, hell c(xmt.rtwl:im: Prrorl . . . . .. . .. . . . .... Iyl Aq n Ite.or . .. . . . . . . . . ... . Ikplh t .. . . . . .. . .. . . Ikilfll. . . ..�Q... . . .. . .... .. . ... . lknixer Of filoriee . . , . �. . . . . . . .. . . .. . . . 9. Size of lot: 1'roodItem Ikplh . . .. . .. . . . 10, Idle of ILrchmoe Ilaw of Porner Weer If. Lore or ane dinlrict In vAtlrh prtn,lsefl are shunted . . . . . . .. ... . . . .. . . . . . .. . .. . . . . . . . . .. . 12. Ikx!n Inrgxmed croml:nk:tloo violnl-e troye.(orl ng Lnv,.ordiun;x:c or regulnl.loo: . . .. . . . . . . .. . ... . . . . . .. . . . . I'1. 1liH lot Ion teflrruted l!l4 . ....... Will excess fill Ire rlxweo f,un 1,10"Inefl: YES 14. 16.ren of ITnu±r of pr 3nl sea �t�.�k.k'-,,. A,kloennPQ TS. Il:nr± of Ar d,llccl' .. ... ........ .. .. . . . . .. .. .. .. . . . . . . . Arkb None of C(odractor Mit(!nn IS, in IFrfs prolx±rly thins -XX) feet of IF 1111111 ueLlmxl7 * YIt,4 . . . . . . .. . . *IP Yli9, fILX111tM1) 9OId1 -11nitNIUM M1411'1' IIAY IV ItIlf111m?U. 1'1.01' IIIA(:IIAtl Irx:ule clenrly mol diflLIIWLly fill Ixllldlnl;n, t.11elher exlio lag or prnlxrflcd, mkI Itxli(:!rl:e I'll nel--bor:k dlarerrshlnn I',❑n prolke,ly I "fl. Clve street mol blr k Frill or tlesr.riftion !recordlOg to deed, soul nhav "beet nnnen mill hulicnle IAN±Iller Interior or cooler lot:. li�. III If Shwqo . iS- SI'All'. IN' IkIJ YINtK, !i!i ry I i,kliviJun f. niguiug cOn . . . . . . . . . . . . . . . .. . . .... . . .. . : F11rnr.0 .. . . . . . . . . . . . . . . . .. . . . . . .Ixfinl; duly Inn n"n, dOlxn:en mol nnyfl Ihnt. Ile Ili IIID nI rl band o ) alxrvc coned, Ik! in the (Conlrnclur, nlleui:, corixo lite officer-, ell:.) .. . . .. . . .. of nnid onnx!r (It re.nxn if, 1110 1'; (hely 11ul lror izool to Ier loin, or Ilnv(! t.!r lorued the on id "it It mill to unko mkt IIID Ihia npplicnl inn; Ibnt. all ill nlarenln cnnlni,x!d in lid,; nppl i+:ill fun me title to the b(:ol. of hin k,xx!le(llin mol Ioilfer; till Ihnl. the "ll It WIII Ire IxerPnntrel LI the nv,mxar vel: for(11 fu Ila± 11111 icnl:loll IIfell Ihe,I'll Ill. !I-.nn to befuro ue [hin � . . . . . . . .. . . . .. . . .(lily of "" ,;\. 0 . . . . . ... 9 I4d my 11,blic (Sipnnlute of Applicnnl ) JOYCE M.WILKINS Notary Public,State of NowYofik No 4952246,Suffolk Coifk4l Expir Term Expires June 12,1 /l) y / / r ,br TOP- sHED SCALE, r4r---a. 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