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Home My WebLink About23882-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24840 Date JANUARY 10, 1997 THIS CERTIFIES that the building ADDITION Location of Property 135 ISLAND VIEW RD. GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 57 Block 2 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 3, 1997 pursuant to which Building Permit No. 23882-Z dated JANUARY 7, 1997 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 A 5' x 6' EAST SIDE STOOP ADDITION & EXTEND EXISTING WEST SIDE STOOP OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELEANOR KRAVITZ (owner) of the aforesaid building. -SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A PCs Building Inspector Rev. 1/81 J - FORM NO. 8 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° 23882 Z Date ......... . .. ........... ..:..��................., 199 Permission is hereby gra a to: . ... ... . .. ... ............. ..... lot........ ..........lj-.�C:.......................... .... . ...... ...... . ... ....... lY:• °..... ......... ........... ... .. ............................ f atpremises located at ................ ........... .. ... .. .. ......... .....�*.... .... ................:..................... ......................................................................C� .... .............................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section ................ .... Block� � .......... ...... Lot No. ... Z........... pursuant to application dated , 19.2.7, and approved by the Building Inspector. Fee ................ ...........��1....` ...� ..... .................. Building I ��or Rev. 6/30/80 Zvi nu. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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 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 - ' .25e,_ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . /3 .l. �?.7. .. . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . .. . . . . . . . . . Location of Property-. . .1.3.� . . . . .:) .�: .�rL-.`t? .� !�:�. . . . . . . . . . . 61?-cwP®�,j . . . . . . ... . .-.. . House No. Street Hamlet Onwer or Owners of Property.. . .Lc.�.dve>??. . _k,�/}.✓..`�.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . County Tax Map No 1000, Section. ._3'. .7. . .. . .Block. . . .. . 7. . . . . . . .Lot:: . . 3.t . . . . . . . . . . . . Subdivision. . .. .. . . .. . . . . . . . .. . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . .Loti . . . .. .. . . . ./. . . . . . . . . . ji.. Permit No. . .T. 1?�4ate Of Permit. . .. .4% .Applicant. �? .a. . . •.. C �� .�. . Health Dept. 'Approval. . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certific e. .. . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . ... . . . . . . . . . . . . . . . . . . . . _ n � . d . VAC �� . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . APPLICANT I` 11:1.1) I Iltil'Gl;I'1 UII !tl:l'UII 1 I)Al F* 1r N -- �� :,n rarer rr.-a�:,-,n-,nn ey„-�.,� • �, 5-..w+.-..+++n-+.-.. -+r-.•rt*h.+n-s.'.+-.--..r--r+r,-�rr�r--,--e-.r:i:-,-,mr,-:-r. -ra-r„rs-rsr+=riana---.--------v-n-a a 111)1)I:II I•I(AHV A I'I.IIFIII I NO I Il;illl.n'1'I(NI VFI( N . Y . 4, ti•I•A-1•I'. 1.t1ICI(ItY 1'.01)IT. i ---------- ------- U • AUI)1.'I'I UtUI. l)IIt11;N'I';i: f - - >,- -----,-----ran_.-.,ba,� f ..-�m,m.,,-- n� ,-:---.- -- ---,------------,-.,- ,-_..n-,.----- .1 I r�. �J BOARD OF 11EALT11 . . . . . . . . . . . . . . . -FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . TOWN OF SOUTUOLD SURVEY - . . . ... . . . . . . . . . . . . . . . BUILDING DEPARTMENT C11ECK . . . . . . . e - : . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUT110LD, N.Y. 11971 TEL: 765-1802 NOTIFY: (;ALL . . . . . . . . . . . . . . . xa<ninerl.. .. 19.... MAIL TO . . . . . . .I. . . . . . . . . . . . . . Approe( 19 Permit No. M. . ......... Disappr a/c .................................. ...................................... ...................................... ....... ........ a/c ....... 474 . ... .... .... ......... ... (Building Inspector) ;A PLICATION FOR BUILDING PERMIT Date. . . . . . . . . . 19 7 INSTRUCTIONS a.z This application must be completely filled in by typewriter or in ink and submitted to the Building inspector with 3 sets of plans, accurate plot plan to scale. Fee according to sr-bedule. 1). Plot plan sixming location of lot and of buildings on premises, rielationsbip to adjoining,Omni ses or public streets or areas, and giving, a detailed description of layout-of property must be drawn on the diagram uCch is part of this application. c. the work covered by this application trny not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector mill issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throupftut the Work. e. No building shall be occupied or used in whole or in part For any purpose whatever until a Certificate of Occupancy rJuill have been granted-17y the Building; Inspector. AM. ICA.H.ON IS 10-1-WHY WE to the Building Department for Lhe issuance of a Building Permit pursuant to the Building 7xm-k- Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. lite applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit autbori7ed inspectors on premises and in building for necessary inspections. ................ ........................ (Signature of applicant, or name, if- a corporation) P6..............;........ ...................... (Mailing address of. applicant) Stage vA)ePT r applicant is owner, lessee, agent, architect, eiigineer, general contractor, electrician, plumber or builder. ..... .... /7' xu.. ................e.......................................................... . - Rave of owner of premises ... -FA.mq V ............................. ............................. (as on the tax roll or latest deed) If appticant is a corporation, signature of duty authorized officer. .......................................................... (Name and title of corporate officer) Builders License No. ......................... PWAX-rs License No. ......................... F-Jectricians License No. ..................... Other Trade's License No. .................... 1. Location of 1and on which proposed work will ... 3 . ... . b.e done.............. o n e............6..'........................-, .................................. /.. -) ...................! � ],�&,-) 24,-;.............. . 'e. "; P0"........e..........................House Nmiber Street 11amlet County Tax Map No. 1000 ' Section ........ Block 2 ....... Lot ...13,-/ ........ Sul X1 i v i si on ....................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. existing a g/'0-D"';, 'te -.xisting use and Occupancy ................................................................ b. InterKled use and occupancy ...... ...................................................... .1. N•rlure of rank (clrec:k Oii(li al,(rlir:ahle): R�%J, Ikrildinl; .......... A(klit•ion .,.X,,, , Allc:rat.ion . . .. . .. . Holm Ir ........ . ............ . I)clroI ill ion ........... Other Work ............ ......... ... ... .. ..... H� (Ileac r l l,t i cn►) 4. Issl.iurate(1 Cost{.�. (�p.......... ... fee ............................... ......... . ..... (co he Iklid on filing this application) 'i. If (hAilIing, rxrri)er of (knelling units ...... Umber of Ai elling units cxr each floor ... . . ...... .. ... 1fgarage, rxr,iber of cars ...................................... G. if Ixrsir►esa, courrercial or mixed oc:cti llancy, specify rurl:ure srxl exteuL of. each type of use....... ............... 1. Dbi nrrlrxra of existing atriltm rrea, If any. Front....... ......... Rei►r lk.Irtlr .. ........__...,. Ik:iglrt: ......................... Umiber of Stories ........... ........... Dinr11100f►a of acne atia.iCLure with alLeratims or (xklitions: Front ............... hear ......... ...... lk:lrllt . ................... Ileiglrt ...............,.... 1Antrer of Stories ............... b. 11imrinsicx►s of entire new c:(x►atnx:Li(o; F'rolvt ...... (.. ..... Itear .... ... ........ I)epl1► .............. Ikig1►t ......................... Usiber of Stories 9. S 1 Y.C. of I ol:: Frcx,t ........ (,......... Rear .........r��.... .... Depth ...1. ........... 10. [Ill c of 1'►11-rhasc. ..................... 11,1111L of Fornt:r Owner ..... ................,............ .. ._. . 1 1. •L.exK: or use district in c.Alic9t premises are situated ........ ........................... . ............. ..... ..... ... 12. Ikx-a prrrloncil c(xtstrtx:ticxi violate any uxrlog 1(x4, ordlnarx:e or regi laLloo: Aj..i................ .. 17, Will lot: be regraded .................... Will excess fill be received fron preniseir; YES (S 14 62.P-N7 &-v l 14. tkrrY c3 of (ka►er of premisesvi,2 Aiklreaa B,v,[4A.i A.%.C,..A-. ./.......... 1lrrxx ilo&l''I/.. . ... ... M-we of Architect .................................... A(klr'eaa I1rorx: Miew of Contract-or .,.. A(klress ... .. ...... ... .................11xxx No .... ......... Is Ihis proix:rty within 300 feet of a tidal wetlaoil? * Y1.9 .......... 14) .... ... *Ili YI;S, (rYNI•IUND lam 'i1111111M 11-04-11'1' MAY IQ? I upilarl). PLOT DIAGRAM I(x:ate clearly arxl d•ist:inctly all lx►ildings, Whether existing or proposed, arxl IixlicaL•e all set--back dimensions I-rc>'n prolx:rly lines. Give street And block timber or description according to deed, aril shorn sl:reet nacres arxl irxlicatr_ .. tAwAhel• interior or corner lot.' CA N cock i7-0 Iv®i a4 ( MAID, INS ��,�•c'12�............' !•U �tf` -�... ..... . ..... ....Ix:irrg duly mjrn, delxisea aril says that he is the appl ic:nuL (N,rtt: of irxlividual. r,igning cooLract) alxrve (rtnr:d, (GonrlracLor, agent, corlxrrnte officer.,.etc.) of said owour or cxarx:ry, mil is duly authorized to perfctnm or have performed the said work aril to nrdu� mxI file Iltir; application; Lha1: all sl:alenentn,contained in thin application are tme to the bent of his krxxrledge mxl Ixil ief; ruxl 111al. the rnrrk WiII Ix- perfonrred in Lie arsnx?r net for.l.h, in the aplAicat:iou filed therewith. :kxrrn to IK401urcfa un Ihk ...(lay of :t�:.\.. 19..!. .. IJcrL(iry 11r tic 1R CLAIRE L.GLEVlI (Signature of Applicant) Notary Public,State of New Ywkl ,q Qualified its Suffolk Gourst►1 ColsvMissiorr expires December a,19