HomeMy WebLinkAbout44237-Z r zaz!zCpG� Town of Southold 10/21/2019
3 P.O.Box 1179
a
ti 53095 Main Rd
G44 �bb� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40792 Date: 10/21/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 235 Bridge St., Greenport
SCTM#: 473889 Sec/Block/Lot: 34.-3-47
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/19/2019 pursuant to which Building Permit No. 44237 dated 9/30/2019
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"alteration(reconstruct entry and glass enclosed porch)as applied for.
The certificate is issued to Johnston,Maureen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL'CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
r ignature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
oy VSOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 44237 Date: 9/30/2019
Permission is hereby granted to:
Johnston, Maureen
c/o Michael Foster
31 Saratoga St
Hoosick Falls, NY 12090
To: legalize an "as built" alteration (reconstruct entry and enclose porch) as applied for.
At premises located at:
235 Bridge St., Greenport
SCTM #473889
Sec/Block/Lot# 34.-3-47
Pursuant to application dated 9/19/2019 and approved by the Building Inspector.
To expire on 3/31/2021.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $576.80
CO -ALTERATION TO DWELLING $50.00
Total: $626.80
r
Buil 6 ing Inspector
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:
ith accurate location of all buildings, property lines, streets,and unusual naturalor
1. Final survey of property w
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
residences nceer s nd similar in tem contains,less buildings and installations,n 2/10 of %a certificate
5_ Commercial building, industrial building, P
m architect or engineer responsible for the building_
of Code Compliance fro
6_ Submit Planning Board Approval of completed site plan requirements_
1957) non-conforming uses, or buildings and"pre-existing" land uses:
B. For existing buildings (prior to April 9, lding and unusual natural or topographic
1. Accurate survey of property showing all property lines, streets,bui
features_ ect signed by the applicant. If a
2_ A properly completed applicatio alandatethent to reas ns therefor in writing tto the appl ant rtificate of occupancy is
denied, the Building Inspector shall
C_ Fees
1. Certificate of occupancy-New dwelling$50.00,AdAdd n ons dto accessory building$50.00, dwelling$50-00-
2. $500 00.
Swimming pool$50.00,Accessory building$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 Commercial$15.00
5. Temporary Certificate of Occupancy-Residential$15.00, Q 1
Date. 01
Old or Pre-existing Building:
(check one)
New Construction:
-�0/ ✓ W "o" V/ Hamlet
Location of Property: li Street
House No
lAr-1141A
Owner or Owners of Property: 1-f-7
Suffolk County Tax Map No 1000, Section
�jl.-f Block � Lot
Filed Map_ Lot:
Subdivision
Permit No.
N ?)- Date of Permit_ Applicant:
Underwriters Approval:
Health Dept_ Approval:
Planning Board Approval:
Final Certificate: (check one)
Request for: Temporary Certificate
Fee Submitted: $ -
aAppc t Signature
# # TOWN-OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PL13G.
[ ] FOUNDATION-2ND [ ] SULATI Q N/[CrAULKING
[ ] FRAMING/STRAPPING [ FINAL- �`t W( 4V
E� �N ?Ok
FIREPLACE & CHIMNEY [' ] FIRE SAF TY SPTION
[. ] FIRE RESISTANT CONSTRUCTION [ - ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE D INSPECTORK 1040,
ri
FIELD INSPECTION REPORT DATE COMMENTS
s!
FOUNDATION (1ST)
------------------------------------
41,
FOUNDATION (2ND) 1
O
ROUGH FRAMING&
PLUMBING oy
INSULATION PER N.Y. y
STATE ENERGY CODE
14(11.91 Leo
FINAL
ADDITIONAL COMMENTS
0
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0
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 1 ti Survey.
Southoldtownny.gov PERMIT NO. Check
r Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
may` Flood Permit
Examined 20 - q Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved
Disapproved a/c ac G d
Phone: dt
Expiration 20
Building Inspector
APPLICATION FOR BUILDING PERMIT ii 9
Date 1 20A
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 waterways.
c.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 issue a Building Permit to the applicant.Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new permit shall be required.
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.
11
( a appl cant or name,if a c6rp6ration)
1 I 9t. Pte° ,
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises -Jim N(L�Gt� i ,��he3.rai ( gd pLee )
(As on the tax roll or later deed)— T
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street H inlet (`
County Tax Map No.1000 Section 3q
Block
1
J
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intendeduse and ccupancy of proposed construction: a
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of wor (check which applicable):New Building ✓ j�(�J
Repair Removal Demolition ther W )I
D esc ' n
4. Estimated Cost s �'�'���� Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units_---L—Number of dwelling units on each floor
If garage,number of cars
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use.
99 f
7. Dimensions of existing structures,if any:Front rD. 6 Rear �Z a I ® Depth O a-I
Height Number of Stories
Dimensions of same structure with alterations or additions:Front 2'ipe RearZ,
Depth Height Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
p�
a
/
9. Size of lot:Front_P e / %Rear J Depth 7y 15'1
10.Date of Purchase 449 8 Name of Former OwnerV AQdP-As C INC ZC >
11.Zone or use district in which premises are situated
12.Does proposed construction violate any/zoning law,ordinance or regulation?YES_NO J
13.Will lot be re-graded?YES_NOV Will excess fill be removed from premises?YES_NO_
14.Names of Owner of premises, Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO
*IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE�REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES NO ✓✓
*IF YES,D.E.C.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 1y[
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18.Are there any covenants and restrictions with respect to this property?*YES NO
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY�OOi II I:
Mi Ch 1 Ci(eltaw� being duly swom,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the ow r
(Contractor,Agent,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 application;
that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
I!bf'/—' day of 20
Notary Public Si na of Applicant
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO 01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2O_�,
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SUR _- Y OF PROPERTY -
51TUATE: 6fREENPORT
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TOM 5OUTHOLD
5U1=FOLK COUNTY, NY W E
5URVEYED 01-I6-201a 7T
SUFFOLK COUNTY TAX #
1000 - 54 - 5 - 4-7 S
C ERTHIIED TO:
SAMUEL R.RAYNOR
MARY T.RAYNOR
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ROVED AS NO I D COMPLY WITH ALL CODES OF
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P.1 ' on NEW YORK STATE & TOWN CODES
FE BY AS REQUIRED-AllutlX415m
NOTIFY BUILDING EPA MENTAT
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,
765-1802 8 AM TO 4 PM F013 THE
FOLLOWING INSPECTIONS: &N 11101 1
1. FOUNDATION - TWO REQUIED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUM ING
3. INSULATION ll�
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C O.
ALL CONSTRUCTION SHALL MEET THE OCCUPANCY OR
REQUIREMENTS OFTHECODE§, NEW
YORK STATE. NOT RESPONSIBLEOFFOR USE IS UNLAWFUL
DESIGN OR CONSTRUCTION ERRORS.
WITHOUT CERTIFICATE
OF OCCUPANCY
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