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Home My WebLink About23535-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24699 Date OCTOBER 24, 1996 THIS CERTIFIES that the building ALTERATIONS Location of Property 1955 BAY SHORE ROAD GREENPORT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 4 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1996 pursuant to which Building Permit No. 23535-Z dated JUNE 26, 1996 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 INSTALL WINDOWS & RENOVATE FRONT STEPS OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEPHEN & PATRICIA MUTKOSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspect Rev. 1/81 FORK NO. 2 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? 23535 Z Date .................61 �..................... 19-4-P Permission is hereby granted to: ............................................ y......4-9-0................................. A ............. .............................. ...... ... ...................... .... to .... .......2 ........ ....... ........S� at premises located at ...................... ................................ .........................0............... /ew* ................................o....................... . ........=... ...... .......................................................... County Tax Map No. 1000 Section ....:- --3........... Block .... ...... Lot No. .....la.......... pursuant to application dated ............... ........./( ........ 19.,,Pa, and approved by the Building Inspector. Fee $ .................. G/ Ildin.. Inspect Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 5 0" J 765-1802 J Z� �L � ,��,/ �O►J 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. ica P nf ncc„ - ew 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 - .251�.. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .(.� � .11�. . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . g d r Pre-existing Building. .,.�. . . . . Location of Property. . . �. (.S . . . . . .6 . . �. . . `� .. . . . . . . .. :2�/J�d. . . . . . . . . . . . . . ... House No. Street Hamlet Onwer or, Owners of Property. . . .�.�'�. JI ! . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .. . . . . .Block. . . .Y. . . . . . . . . .Lot. . . . . . .( .0. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `` .Filed r Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No 23 S�J . . . .Date Of Permit. .N.G . .4.� TP. . .Applicant. . . . . . . . . . . . . . . . . . . . . . . .. . . . . Health Dept. Approval. . . . . . . . . .. . . . . . . . . . . . . .Underwriters Approval. . .A. . . . . . . . . . . . . . . . . . Planning Board Approval. . . . ... !:. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . Fee Submitted: $. . .Z_(. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L. . .� n. . . . . . . . . . . APPICANT 1 oc =;. � � � . � / i c�_ •-ram of-•=v!uC, W l T li II OCCUPANCY OR �-� �� USEIS UNLAWFUL SCALE: = I APPROVED B J� / DATE: CD.. � /-�I�✓� DRAWN BY WITHOUT CERTIFICATE i-� OF OCCUPANCY DRAWING NUMBER -r CHARRETTE PRO•FORV 920PI PRI•:TEO �': 970H CHARPRINT vEIIUM. T65-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: z � DATE_ 7A& INSPECTO 70-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH P G. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: . v V DATE INSPECTO ---. . .....` " � o - nm ' ^ �[-- _---------_-'--__'-_-__--_--- _-� --'----___ -- U Ul Li ---'---�--'----- -------_'-- _ ________ [j - -'_- -'---'--_--_--'__-___-_- -__' --_ ��. ____ ----''---'�- - ------ _----_-____ __ p --' � -_--.___----__-_ _�''------ --'_ -'_ -_-'-- --'_- --'--___--------___- ' '�� | t' • �, Timm VI/�'L, Ile Tait �a�ad��ar� � �cutcvte ;i Environment East, Inc. 3075 Indian Neck Lane x +s ! P.O. Box 190 Peconic, New York 11958-0190 516-734-7474 I{pp g o 7 SEP 3 0 September 26, 1996 Ui: Southold Town Building Dept. - `- Town Hall R.O.Box 1179 Southold, NY 11971' Re:Permit#23535Z Dean sirs, This is to inform you that we are no longer involved with the work being performed under the above mentioned Building Permit for Mr. &tiLrs.Mutkowslu at their 1955 Bay Shorc Road, Greenport house. the Y espon5ib" appli�o.l:,n/In ti....b i- r o Ui V.e .r ra,pp �c .�. �Ca C.m If you have any questions,ple�ise give us a call. Sincerely, Peter R. Stoutjb ; President Environment i 6 �c"i -s ` c' OCCUPANCY OR t << USEIS UNLAWFUL SCALE: - APPRO ED B _ �p r DRAWN BY WITHOUT CERTIFICATE DATE: �� OF OCCUPANCY DRAWING NUMBER �= =HARRETTE PRO-FORM 92OPF PRV;TEO ON 920H CNARPRINT VELLUM BOARD OF HEALTH . . . . FORM NO. 1 3 SETS OF PLANS ° • - . . . . . 1E k' TOWN OF SOUTHOLD SURVEY . �. . . . . . . . . . . . . CHECK �� —4 � ' BUILDING DEPARTMENT - • • - • • • • - • - _ TOWN HALL SEPTIC FORM - • - • • • • • • • • • SOUTHOLD, N.Y. 11971 BLDG.DEPT. TEL.: 765-1802 tgt0T I FY ,,.--..TOWN OF SOU_ THOLD CALL Examined �p. . . . . .'�: 19 . .. PIA I L TO : . . _ . . . . . . . . . . - Approved . . . . . . . . .. .. . .. 197(a Permit No. . 3 . . . . . . _ . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Bing nspector) APPLICATION FOR BUILDING PERMIT B Date . ./, . . ... . . . . .. 19�� INSTRUCTIONS a. 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 schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this.appli- cation. e.. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. 'Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy .shall have,been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone 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. The .applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ignature of applicant, or name, if a corporation) bi�O a o'x I C(c) . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. V"� . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . :�)� 1. � a �`:�. . . . . fW4 `�` . . . . . . . . . . . . . . . . . . . . . .' (as on the tax roll or latest deed) If a li n7 s Z at' , sig ture of duly authorized officer. (Name and title of corporate officer) 57 Builder's License No. . . . SSA. .4r Plumber's License No. i Electrician's License No. . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .hn� 2 . . . . . . . . . . . . . . .G. . �. . . . : . . . House Number Street Hamlet County Tax Map No. 1000 Scction . . . . . . . . . . . . . Block . . . . . . . , , , • Lot . .,.0. . . . . ... . . . . Subdivision . . . . . . ... . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . .. . . . . . . . . (Naive).{ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . 1- '�!�!�e, .' t��Y�t .`. l . . . . . . . . . . . . . . . 1 b. Intended use and occupancy .� '�l t .�. ► �.�. ^ . . .4-:�� -. ? :`� �h.1: [ 1:i:4.��,1 �, so : Q 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . ... . . . . . . . (Description) 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . .I. . . . . . . . . . Number of dwelling units on each floor': . . . . . . . . . . . . . If garage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nat ff exte each type of use . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Fron . . . . Rear . . . . . . . . . . . . Depth . . . . ... . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Sto 'es . . . . . . . . . . Dimensions of same structure with al rations o ditions: Front . . . ... . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . .. eight . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new constructi n: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . Heiglit . . . . . . . . . . . . . . . Nu erof Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase Name of Former Owner . . . . . . . . . . . . . . . . . . . : . . . . . . . . . 11. Zone or use district in which premises are situated : .��.Sc t?kreJt:ro-/� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: Qd. . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded .. . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes 14. Name of Owner of premises . . . . . . . Address,9AS'hQ44-kWf,6-"Q—P. Phone No. . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . Phone No. . . . Name of Contractor�� Y.t ►-;l;�! L. . . Addressl l�U, �� .Phone 15. Is this property within 300 feet of a tidal wetland? *Yes, . . •<< No. . . . . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from Y property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS NOTE® AATI=: 3r s� FEE - ` BY: mOTIFY BUILDING. DEfyARTMENT AT 7E5-1 802 9 AM TO 4 PNI FOR THE — FOLLOWING INSPECTIONS: I. FOUNDATION nVC.)REQUIRED FOR POURED CONCRETE , 2. RL5~!Gr<°3l - FRAP00G I& PLUFAISING 4 FINAL .- CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SMALL. MEET THE REQUIREMENTS OF THE N.Y. STATE ATE CONSTRUCTION & ENERGY "ODES. NM RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ;TATE OF NEW YORK, S.S ,'OUNTOF . . . . . . c . . . . . .�.: ti �!l :. . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing ontract) .bove named. leis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . • •(Contractor gent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make-and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the vork will be performed in the manner set forth in the application filed therewith. .worn to before lme this gg . . . . . . . . . .day of. . . . . . . . . . . . ., 19 . lotary Public, . . . . . . . . Count N OYCE M.WILKINS • • • • • • • . . . . . . . . Notary Public,State of New York ure of applicant) / No.4952246,Suffolk Countv- Term Expires June 12,1 S