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,~ ~ ~