Loading...
HomeMy WebLinkAbout1091-zFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPKRTMENT Offise of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z--25002 Date APRIL 29, 1997 THIS CERTIFIES that the buildin~ Location of Property 220 FIDDLERS LANE House No. County Tax Map No. 1000 Section 36 Subdivision DWELLING GREENPORT, N.Y. Street Hamlet Block 2 Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 1960 pursuant to which Building Permit No. 1091-Z dated MAY 23, 1960 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 ONE FAMILY DWELLING The certificate is issued to LORETTA BUYNOCH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 FOI~M NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT ~THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)' N? lO§1. Z Date ....................... ~ ..........~,~ ............. 19.6~. Building Inspector ' Fee 10~.00..'...,....'..~ Permissi6n ig hereb9 grahted to: ,9~-:~..~.. ~t-....~i~o~e ........................ to ....b~J~t~..~e~.'O~e;-'~am~' -~--~'~:~[': ................................................... : ............................. et premises located et ..~'.~...~l. he~,-J~tae. ................................................................................. pursuant to application dc~t~'d .......... '.2 .................. ~,~[F'""~4,~' ............ ;..19(:~0.,..,, and' approved by the 7-, . ' Building In~pect0r ,, ' ApF-15-97 IO:Z7A Mm M P~c~ a~ 516-477-0130 P.OZ FOIL~ ~0, ¢ TOWN OF SOUTHOLD I~U1LDING DEPARTMENT TOWN CLEIIK'S OFFIC~ SOUTHOLD, N, ¥. THIS CERTIFIES that the building located af ,lf/..$......2?l;?.rl~l,,:',.~::'~...L~me. ........................ Street Mai) No..~.,..f{~....,L, ........ Block No ....... .Y'.--;f.T{...-..Lot No....x.~[,'.'..~.,. .......... ~},,~:.:Q,~...n.i~..o.~-l~a,...,'..l....,,~,~., ................... conforms subslantially to the Application for Buildillg l;el,~nit heretofore filed In this office dated ................. [I~,Jf......i~,~. ........... , 19...~.0 pursuant to which Btdlding Permit No....~..,.0.~..],. ........ flared ...............J.$a~......2.,~ .............. 1.'L.SQ was issued, and conforms to all of the requirements of the app!ieable provisions o£ the law. The occupancy fro' which this certificate is issued is ............. !:!; .~.V. ~.~.c...on ~..,.i'.am 21..% ,. d~.e.].,l..t ~g ............... [ ............................................................................ This cet'tificale is issued to ..... }.(!Irl¢)-ll:...,JJl~7;.~ach .............................................................................. (owner, l~ss~-or--t~at~ t ) of the aforesaid building. FO~R~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥, CErTIFICAtE OF OCCUPANCY No...Z...~..9~ ........ Date ............................. &U~%~S't ....-9 ........ 19.6~ THIS CERTIFIEg that the building located at .~(~.....F~.d.(1,~el~.s...La~l~ ....................... Street Map No..B.,..&......L....',...BIock No ........ ..~...X~........Lot No...jFJ..:~ .......... (~.~.~t~Ol~...}/,']f, .................. conforms substantially to the Applic.ation for Building Permit heretofore flied in this office dated ................. [v~¥-~,.2~ ........... , 19.-60 pursuant to which Building Permit No, ._Z1091 4ated ................. ~..-...~.3 ............ , 19....66t w.as issued, and conforms to all of the requirements of the app!icable pffovisions of the law. The occupancy for which this certificate is issued is ............ P.~.i:Za.t e..: ~-e.. £amily...d~rel.lin~ ........................................................................................... This certihcale is issued to ..... R~/dmLT.....~l~O(lh ............................................................................. (owner, lessee or tenant) of the aforesaid b%dlding. { '~ ~BuiYding Inspector FORM NO. $ TOWN OF SOUTHOLD . Building Department Town Hall Sou,hold, N,Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ' Instructions A. This application must be filled in typewriter OR ink, and submitted -. ~ to the Building Inspec- tor with the following; for new buildings or new usa: 1. Final survey of property with accurate location of all build!ngs, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrlal buildings, Multiple Residences and similar buildings and ins, alia. ,ions, a certificate of Code compliance from the Architect or Engineer responsibte for the building. 5.Submit P.lanning lloard approval of completed site plan requirements where applicable. B. 'For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land useS: 1. Accurate survey of pzoperty showing all property lines. ~treets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: .1. Certificate of occupancy $.25100 -- ]tUS[NE$S $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. OO 3. Copy of certificate of occupancy $'5.'00, over 5 years $10.00 4.Vacant Land C.O. $ '20.00 A.p.r.i.! .1.5. 1997 5.Updated C.O. $"50.00 Da~e . N ................ NewC°nstruction xTemporary CO was issued 8/9/60 (1798) , ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ,2,2,0 ,Fj ddl, ers Fane, Greenport, New York Hou~e No, Str~,t Ham/ot Owner or Owners of Property Loretta Buynoch .., CounW Tax Map No 1000 Section 36 Block 2 Lot 9 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Underwriters Approval Request for Temporary Coruficate ......... : ........ ?z ~al ~er~.cate ................. e ' ed 25 00 FC Submit, * ........ · ..................... / // Construction on above described building and permit~/~g~ l~cable cod~s and regulations. Applicant.. ~ ~ ~.~GA~/i;~NER,OL~E,, ~.... ......... P.O. BOX 706 R.v. 10.10.78 CUTCHOGUE, NY 119~ FOUNDATION (IST) it FOUNDATION ( 2ND ) ROUGH FRAME & PLDMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: TOWN O1: SOUTHOLD PROPERTY RECORD CARD OWNER STREET "~-0 VILLAGE LOT FORMER OWNER - ? DISTRICT SUB. ACREAGE RES. LAND J~GE NEW SEAS. VL. I FARM COMM. IMP. TOTAL DATE REMARKS NORMAL BELOW Farm Acre Value Per Acre Tillable 1 Tillable 2 Tillable, 3 Woodland Swampland Brushlond House Plot ABOVE Value Tota I 4 t Extension ,R,~ ~, (- ! .t' ~.;~llf 1 Basement---- ~(~ Floors_ ~ -- ~t, Wails ~-~ Interior Finish ExtensionH Fire Place )'~-,0 ~_ Heat ~C~ / Porch Attic ' - :~' f~ Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage Driveway O.B. GARY FLANNER OLSEN COUNSELLOR AT LAW RO BOX 706 MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YO~c 99,5 x; \~HONE 516-734-7666 April 15, 1997 Re: Buynoch to Kelly Our File # 6213 Dear Georgia: As per our phone conversation of today, enclosed please find the following: 1. Application for Certificate of Occupancy. 2. Check in the sum of $25.00. Please contact the owner, Loretta Buynoch (477-0303 to arrange for the inspection. GFO:lmk Enclosures Very truly yours, Southold Town Building Department Main Road - Town Hall Southo!d, NY 11971 Attn: Georgia FOP,~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEItK'S OFFICE SOUT~OLD. N. ~. ~/ CERTIFICATE OF OCCUPANCY No....~...~..~,~ ......... Date ............................ lhl~;U.s.t ......9. ......... 19.(~.0 · THIS CERTIFIES that the building located at .'~./.S......Ei~.cll~;c.e..Lane ......................... Street Map No. 13 &' L Block No. xxx ~.nt 1,,;~ X~:XX Gl'canDoI~ ~, t. ~. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... ~a7......33 .... , 19..f~.0. pursuant to which Building Permit No. dated ............ },la~... a.~. ., 19...~Q was issued, anti conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ............. .P. L ~. Y.~.%.% ..0~ e...£.am ml..¢ .. d ~.o. 11.~n.~ ............................................................................................ This certii~caie is issued to ..... gll~,f~l£,,,..,~l.tyzlo.ch .............................................................................. (owner, l~sse, e-~-4ena~t ) of the aforesaid building. .......... I,..~.."-:.'" ................................................ ¥' ............. Building Inspector Ap?-l~-97 10:27A ~m H P?ace ~? ~16-477~0130 P.01 FAX Date April 15,. 1997 Number of pages InclndlnO cover slmet 2 To: Georgia Building Department From: William H. Price, Jr., Esq. phone ~ Phone J~1.~77-1016 F~x Phone 765-1823 -- Fax Phone (516)477-0130 CC; [] Urgent [3 For your review [] Reply ASAP [] Pleaaecommen! Re= Premises at 220 Fiddlers Lane, Greenport Transmitted herewith please find copy of Temporary Certificate of Occupancy No. Z 798. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ~ 19...~...Permit" ~/ cO c~ I Disapproved a/c ...~~/,~___ ......... ': ...... ..................... (Building Inspector) APPLICATION FOR BUILDING PERMIT ....................... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. ,,~ . ~kv 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 location. 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 permit shall be kept on the premises ava.liable for inspection throughout the progress of 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, o~dinances and regulations. ..... ................................ ~//Signat~:t app icant,//6r name, i a corporation) State whether c~pplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (Name and title of corporate, officer) 1. Location of land on which proposed work ~ill be done. Map No:~. ............. .~..,~..:. ........ .4 Lot No:.. ' i~.: ....... '.. Street and Number M~icipality 2. State existing use and occupancy of premises,~d intended,~use and occupancy of proposed construction: a. Existing use and occupancy ................ :.~..~.....~.....~......' .......... . ................................................................. ................. " .............................................................. b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .................... Addition .................... Alteration .................... Repair .................... 7_~R moval .............. 'i'~' ~molition .................... at ~ ,Work (Describe) .................... (to b~paid on filing this application) 5. If d~elling, number of dwelling units .......................... 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 ................................ 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ................................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front :..~.:..: ....................... Rear ................................ Depth ................................ Height ............................... Number of Stories ................................ 8. Dimensions of entire new construction: Front .........., ~.,. ............. Rear ....... .D.R.. ............. Depth "~'t" .................. Height ............................ Number of Stories ........... ( .................... ,. ~,~eo,,o,: ~,o., ........... ~:~ ........... ~e~, ......... ¢~...: .......... ~e~,h....Z.~.~.:..- ........... ,0. ~,e o, ~,r~h~,~ ................. /.~S.~ ............................ ~ o~ ~o,m,, Ow,~, ....... ZZ..~.,....~~ .......... I 1. Zone or use district in which premises are situated ............. .~ ...................................... .~ ....................................... 12. Does proposed construction vista any zo~ng law, ordinance or regulation? ............ ~.~ .................................... '~~ dd ~ I~ ~.¢~ ~ ..................... a.e o, Ow .r o, · Name of Architect ...~ ........................... Address ............ ~ ....................... ,.~. Phone NO ................... P'kOT DIAGRAM Locate cloorl~ ond distMctl~ oll buildings, whether existin~ or proposed~ ond indicote oll set-bock dimensions {rom proporty lines. Give street ond bbck numbers or description occordin~ to deed, ond show street homes ond indicote whethor intorlor or comor lot. STATE OF NE~,J YJD~J~/r ) S S COUNTY OFV//"]'-),...O~)f ,~~ .',,.~".¢'.¢'.¢'.~..~ ....... ) ' ' ~ ....................... ~L~...~:~.....~.i(....¢..~: ................. being duly sworn, deposes and says that he is the applicant (Name of individual~ning ~n),~~z above named, He is the ............................ ~.m...: ................. t ....................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hav.e 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 know[edge and belief; and that the work will be performed in the manner~ ~t~,.the application filed therewith. ~opp icon ) · S"~'~'r""t"X~;:: d~:~~~~ t°h: s'""~~''~ .......... ~7": 9:~.'~4.7.~.;: sa~:~c~' ~°r,~n:~, / ~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] IN~JI~ATION [ '~FINAL REMARKS: DATE INSPECTOR FOF~M NO, 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................ .] .......... , .......... Approved ......................... M ........ , 19....~...Perrnit No. '~'/ O~'i t Disapproved a/c .... ~. ....... ~ ......... ;.~:i..~ ................... ;.>.,--~ .................... ;~,,.... ................... · i}:...:~..: ....... .(,.~.::~¥~.:d'.l .................... Building Inspector) [ Appiication No ..... /...~....,c./:.. ! ........... FO. BUILDING Date ......... :/'""k' .......... : ........................ , ] INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector· 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 location. c. The work covered by this application ma,/ not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue o Building Permit to the applicant. Such permit shall be kept on the premises ava,liable for inspection throughout the progress of 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 issua:nce 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 and regulations. ....... .:.~t .......... .~....1. ....... ~,.: ....... :/ .............................................. ~(~ignature~f~ applicant,/~r name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................................................. ::?.~ ............................. f;:~ ............................................................................................... Nome of owner of prem,ses ........ :....~'~.' ............... i)X ...... ~ ........... -pl.. t If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate, officer) 1. Location of land on which proposed w. ork will be done. M~op Ng:~- ......... ~. ............... f~. Lot No ..... ,.':.-' ( '. ' , '?, -1 : ~?; '~ ~z, ,. ~reet OhO ~umDer ........... ,,,,f. .................. : ......... ~. ...... - ...... '...,.z ........ : ....... ~/bz:Y....:.t..g~......L..: ........... State ex stng use and occupancy of prem sesqnd ~tended6use/~ and occupancy of proposed construction: / a. Ex'st'rig use and occupancy b ntended use and occupancy ~. 3. ~ature of wa~rk (check winich applicable): New Building .................... Addition .................... Alteration .................... ', Repair ....................~v~ .,~... ...... plition .................... Oth rk,,,~escribe) .................... ~,. Estimated Cost ............................................................ Fee ....................... ~..~. .............................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units .......................... 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 ................................ 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ................................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ................................ Height .......................... .~..~. Number of Stories,~.~ .......................... 8. Dimensions of~ entire new construction: Front ....... J ................... Rear ............................ Depth ......................... Height ..... .......!!. ..... ....... ~g~' '~mber of Stories......(/.~ ....................... Id' ,," . 9. Si~e of,at: FrOnt ................... ./.f.~.~eor ............................ Depth ............................ 10. Date of Purchbse ........................................................ Name~Ji Former Owner ........................................................ I/ 1 1. Zone or use district in which premises are situated .......................................................... ~,~ ..................................... 12. Does proldosedI construct on. ~f~'~gJ~5 z~"'~ ,laha~,t~.rd nance ~-.~'r r 13. Name of Owner of pre~jys ............ .g.. ........ t. ............. Address .......................................... Phone NO ..................... Name of Arch.tect ~... ~'~/*w,~ .... ,..(~/Jk,ddress (.,,.f '~..~.,.:..,..~,~..x..~.i./lPhone NO"t) .~'.;K.~__ .... ~ ~,,~- U.,....,~.~+-__ //~ ~r-~ '~ ',":'","=o"~.~ Name of Contractor ..............~ .................................. Address ....... '..//....' ............ '". ............ Phone NO.'..I......'~. ........ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimension~ from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or comer lot. ' STATE OF NE~ YpRIft ) S S COUNT, OF ~ff(~? ....... ) ' ' ................................. ~c~,..(.,..~;L'....f~:~.q~.,,.,' ;'~ ~.. be ng du y sworn, deposes and says that he is the app icant (Name of individual sJ~ning apO~atjon) above named. He is the ............................ ~.,~,.:.C...W>...,..~:..,L,..~:...: ....................................................................................... (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 sCatements co~taJned Jn this application are true ¢o the best of his knowledge and bel[ef; and that the work will be performed in the manner set. forth in the application filed therewith. Sworn to before me th,s ~o,,,,o,;,,~.0~¥~27,o o,~ ~ ~