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Home My WebLink About29164-ZFORM NO. 4 TOWiq OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, CERTIFICATE OF OCCUPANCY No: Z-29308 Date: 03/12/03 · ~IIS CERTIFIES tlmmt the building ALTERATION Location of Property: 54300 CR 48 (HOUSE NO.) (STREET) Cou/lty Tax ~4ap NO. 473889 Section 52 Block 3 Filed Map No. Lot No. S%~bdivislon GREENPORT Lot 1 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 27, 2003 pu~sua/lt to which Building Pe~it No. 29164-Z dated FEBRUARY 27, 2003 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 INTERIOR ALTER3~TION IN ~-N EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to JOHN E & SUSAN E BAP~NES (OWNER) of the aforesaid building. SUFFOLK CODI~T"f DEPARTMENT OF ~]F~J~{ ~_PPRO~L~L ELEC~RICAL CERTIFICA~ NO. PLUMBERS CERTIFICATION D~r~d3 Rev. 1/81 N/A 1493 10/11/00 10/26/00 MIKE JACOBI FORM NO. 3 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) PERMIT NO. 29164 Z Date FEBRUARY 27, 2003 Permission is hereby granted to: JOHN E & SUSAN E BARNES 54300 CR 48 SOUTHOLD,NY 11971 for : ALTERATION OF EXISTING ROOM INTO A BATHROOM IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#26717. at premises located at 54300 CR 48 County Tax Map No. 473889 Section 052 Block pursuant to application dated FEBRUARY 27, 2003 GREENPORT 0003 Lot No. 001 and approved by the Building Inspector to expire on AUGUST 27, 2004. Fee $ 150.00 / ~i ~~_ O ' ' COPY Rev. 5/8/02 FORM NO. 3 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) PERMIT NO. 26717 Z Date AUGUST 14~ 2000 Permission is hereby granted to: for : JOHN E & SUSAN E BARNES 54300 NORTH RD SOUTHOLD~NY 11971 ALTERATION OF EXISTING ROOM INTO A BATHROOM FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 54300 CR 48 County Tax Map No. 473889 Section 052 pursuant to application dated JULY Building Inspector. GREENPORT Block 0003 Lot No. 001 13~ 2000 and approved by the Fee $ 75.00 Authorized Signature COPY Rev. 2/19/98 Form No. 6 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: 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: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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 ,/J 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~_ $ i 00.0Q ,~, / l/ 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: Location of Property: ~E-~..~ (~ ~O ~-~/ House No. Street OwnerorOwnersofProperty: 4/4~ .~_(/',,.~, ~/.-,,~ .( Suffolk County Tax Map No 1000, Section / d~--~ Block (check one) Hamlet Subdivision Filed Map.Lot: PermitNo. gS'?/7* ateofPermit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ /~.7 ~ Final Certificate: ,~ (check one) , ~. Applicant SS-gnff'ture Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE: Building Permit No. ~ Owner: ~ ~F~A/C_<~ (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumber~gnature) Sworn tQ before me this NOTARY PUBLIC, State of Ne~ No. 01 BO6020932 ~lualifled In Suffolk Cou~/~ Te~ Expires March 8, Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street · Center Morichcs, New York 11934 · Tel: 631-878-3500 · Fax: 631-878-3764 Application No: 1493 Issued to: Barnes Address: 54300 Route 48 Village: Southold Zip: 11971 Introduced By: KFC Electrical Contracting Date: 10/11/2000 Township: Southold License#: 4718-E was examined and found to be in compliance with the National Electrical Code Attic 1st Floor R~identJ~i [] Pool Dst. Ga~le Switches Receptacles Fixtures G.F.L Heaters Air Conditioners 5 1 2 1 Oven Carbon Fans Oishwasher Washer/Amps Dp/er/Amps Range/Amps Monoxide Smoke Bell Furnace O ii G as C irculetors Detectors Transformers Dther Meter Amps Phase Motors Equipment 2nd Floor Bathroom 1-Com bo Heat/Light/Exhaust Fan Out,Res Building Permit No.26717-Z Section: Block: Lot: ~4his certificate must not be altered in any manner B U_LLDING P~!_T l~EVIE~ CHECK LI~T Applicanff Owners Nmne: Architect/ Engineer: P. eviewed: Date Submitted: SCTM #: %ill,lC ~ sepal'ate Required ..~ {From Yard ~ Pro,seal fl~ J {Side Yard Proposcd ~ } [Rear Yard Project Description: AGENCY PERMITS REQUIRED FOR REVIEW Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: N.A. NO Permit YES Number 765-1802 BUILDING DEPT. INSPECT IO ] FOUNDATION 1ST [/~] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~/~ ~~ DATE /~/y~// INSPECT~ 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]I~U~L~JOI~ [ ] FRAMING [~"~FINAL [ ] FIREPLACE & CHIMNEY DATE 'IELD INSPECTION REPORT DATE CO~ENTS 'OUNDAT ION (IS'F) ~OUNDAT I ON ( 2ND ) PLUMBING STATE ENERGY CODE FINAL ADDIT IOI~AL COMMENTS: FOR~ NO. ] TONN OF SOUTtlOLD BUILDING DEPAR'I~ENT TOWN HALL SOUTHOI~, N.Y. ll971 TEL: 765-1802 Di~approved a/c .................................. 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORld ................... DEC ........................... .ST ES ...................... NOTIFY: CALL ......... MAIL TO:...'~-~'~.~...~....~. 5..~.~... ......... ......... //¢ 7/ dUI. I 3 2000 ; APPLICATION FOR BUILDING PEILMI'r INSTRHCTIONS a. 'Ibis application mast be eaupletely filled in by typewriter or in ink and sul~nitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan six,ring location of lot and of buildings on premises, relationship to adjoining praises or public streets or areas, and giving a detailed description of layont of property mst be dra~u on the diagram ~hich is part of this application. c. 'lhe ~ork covered by this application may not be ccramnced before issuance of Building Peru, it. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to' the applicant. Such pemit shall be lmpt on the premises available for inspection throughont the work. e. No building r. hall be occupied or used in whole or in part for any pm-f~se whatever untiI a Certificate of Occupancy slmll trove been granted by the Building Inspector. am~.Icanc~ IS m~ }~te to the Building Department for the issuance of a Building Permit pursuant to the Building Zo~ Ordinan~ of the To~n of Sonthold, Suffolk County, New York, and other applicable Laws; Ordinmx:es or R~gulations, for tim constructiou of buildings, additions or alterations, or for r~oval or demlition, as herein described. 'lbe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, a~l to admit mthorised inspectors on pranises and in building for necessary inspections. (Signature of applicant, or naue, if a corperation) DR. JOHN & SUSAN BARNES ..... ................ State wi~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plt~ber or builde: of of p,.ises .... ....................................................... (as on the tax roll or latest deed) If appliczu~t is a co~)oration, signature of duly antI~rized officer. (Nme 'and title of corporate officer) Bu,,de s Lice ..... Plunbers Licease No ..... ~..~.. ~.. ~ .......... El~trici~ Liee~ ~ ...................... O~r '~'s Li~ ~ ..................... I. Ntim of 1~ m whi~ pr~ ~rk will ~ ~ .... {~ ........... ~ ..... q~ ..... ~ ...................... ~ ~Nr Strut ~et ~ivisi~ ...................................... Fil~ ~p ~ ................ l~t ............... (~) 2. State ~isti~ ~ ~ ~ o~ ~mi~s ~ inte~ ~ ~ ~ o~ pro~ c~st~tion: a. ~isti~ ~ ~ m~y ....... ~.~ .... ~.~ ......... ~ ...................................... 3. ' ~;~ture of ~ork (cbeck Milch applicable): Nc~ l~dlding ..... , ..... tvJdition .......... Alteration~ [~epai? ............ Ran~val ............. Danol itioo ............ Other 14ork .................................. 4. Estilmted Cost Z~'__~ fee (/) (to be paid on filing this application) 5. If d~elling, nt~ber of d~11ing units .(.~/./...~.... No, d-,er of dwelling t~aits On ead~ floor ................ If garage, n~ber of cars ...... .~ ............................... 6. If b~siness, c~x, nercial or mix~d ocm~pancy, specif7 nature add extent of ead, type of uae.'~..~.~,~..~.~.. ?. Dimensicas of existing structures, if any: Front ................ P~ar ............... Depth ................. Ilei~]t ....................... .. N~ber of SLories .. -.~.. ................ Di=.si~ of ~ ,t=ture ~th ~,teratloo, o, ~itio..: Fron, ............... Depth .................... l~ei~,t .................... flint)er of Stories ............... 8. Dimensions of entire llew cc~structloo: l~]t ~.}[~.~..~.. .... R~ar ............... Depth .............. Deig"t ......................... Noa~r of Stories ~e,~a I~11 ~/~.~_;~, ,~,-, 9. Size of lot: Frr~t .................... Rear .................... Dept, .................... ,0. ~e of ~O,ase ..r./~.~[~.l.f.rm ....... ,~ o~ ~o~r o~ .¢.,,~..~.~..~.. .................... I I. Zoee or use district in ~i~id~ premises are situated ....... -'-7 ...................................................... 12. Does proi~sed construction violate any zoning law, ordinance or regulation: . ~..~. .................. 13. Will lot be regraded ...... ./~. .......... ~ill e~cess fill be removed fron premises: YES NO 14. Nanefl of Owner of premises ........................... /~dress .............................. la~ee No .............. N~xae of Arddtect .................................... Arklress .............................. la,me No .............. Nam of Cootractor ................................... Address ............................... la}oee No .............. 15. Is this property within 300 feet of a tidal wetland.* * YFB .......... NO~ ........ · iF YES, S(I/IIIID 1114N Tl~Ja~'m~q t~4rr }ikY 1~ PLOT DIAGRAM I~cate clearly ~md distinctly all lmildings, ~hether existing or pr~, a~ i~icate all ~-~ dimnsions ~ pr~r~ llms. Gi~ st~r ~ bl~ ~r or ~scripti~ acco~ing to ~, a~ ~ strut ~ms ami i~icare ~tl~r interior or ~r lot. ,~FA'/E OV NI~ UilINIY 017 ..................... ..................... ~...~'~..-~. ............................. being duly s~mre, delx~,~s ar~l mays that ,e is ~1~ a~li~nt (~ or iDdivi~l signing ,~ i. u,~ ...... ~ff~.!e ................................................................................. (~tractor, a~nt, cor~rate officer, etc.) :ff ~id ~r or ~rs, a~ is {hlly ~thorlr~ to ~rfom or h~ ~rfo~ the ~id m~ add to rake a~ file this a~licati~; that ail stat~nts cmtai~ in this a~l. icati~ are tn~ to the best of his k~l~ a,~ 1~1 that the ~rk will be ~r[o~l in tl~ mm~r ~t forth in d~e a~].icati~ fil~ tt~i~. ~m to ~fore ~ ........ ~ ........ dny o~..~. ..... ~.~ ~ EL~A~A~IS / / ~r~ ~ ".~ ..... NOTARY PUBLIC, State of New Yo~ / -- ~.~1ST900~173: S~olk ~u~ ~ ~ FOMNO&'TION - ~ I~L/IP. ED 4. FINAL - CONSTRUCTION M~T ~ ~MPL~ FOR C,O. ALL CONSTRUCTION SHALL MEET THF REOUIR~MENTS OF THE N.Y. S~A:~ C~NSTRUCTION & ENERGY USE IS UNLAWFUL ~ROVIDE OPENINGS FOR IEIIEKENCY ESCAPE AS BY P~T. 714 01 LDING CODE, N.~qal M'WC~ PART. 721.1 COOL IIIEitil/II, IltO~l( PRiTTIITIltI~ I)ET//Ct$ AS TO PART. 902.6(K) STAT[ BUILDING CODE. PLUMBING ~ PLUMBING WASTE & WATER LiNEs ~'JEED TESTING BEPORE WITHOUT CERTIFICATE ffeopper tubing i. u~ 0F 0CCU P~ ~ ~ water distrib~j. Shorecrest, Second Floor DR. JOHN& SUSAN BARNES 54300 NORTH ROAD SOUTHOLD, NY 11971 Shorecrest - First Floor SURVEY OF PROPER'P SI TUATtE: AP-SHAI~OI"iAd~Ut~ TOIAIN OF SOUTHOLr SUFFOLK COUNTY, NEIN 'r'ORt~