HomeMy WebLinkAbout16637-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19696
Date JANUARY 30, 1991
THIS CERTIFIES that the building.
Location of Property 1205 MAIN ROAD
House No.
County Tax Map No. 1000 Section 35
Subdivision
FOUNDATION
GREENPORT, N.Y.
Street Hamlet
Block I Lot 25
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 17, 1987 pursuant to which
Building Permit No. 16637-Z dated NOVEMBER 19~ 1987
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 CONSTRUCT FOUNDATION FOR BUILDING #76 AS APPLIED FOR.
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
GREENPORT DEVELOPMENT CO.
N/A
Bu~'I~ing Inspector
Rev. 1/81
~vOEM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALt.
SOUTHOLD, N. ¥.
BUILDING PERMIT
CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No- 16657 z
Permission is hereby granted to:
.G~~..~~..
..~-..~.....~.~,...~L~.: ............
..~.~l~._.~..:~.,......u....w..~.~ .... ~
...... ....................
at premises located at ..... /...e~...o...~.. ........ ~..~.,,%.~. .......... .~.~.~ .................
County Tox Map No. 1000 Section ...... .~...~..,,~,,~. ..... Block ....... .?...} ......... Lot No .......~,.,.~....~.. ........
pursuant to application dated .... J~...~~...J...~ .............. , 19.~.7,., and approved by the
Building Inspector.
Fee ,..~.~..'......./.
Rev. 6/30/80
FOUNDATION ( ls t)
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
(2nd)
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
INSPECTORS
(516) 765-1802
VICTOR LF.,SSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WI£CZOREK~ Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 28, 1990
SCOTT I. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Greenport Development,
53 Glen Cove Road
Greenvale, N.Y. 11548
Co.
Re: Building Permit ~16637-Z (Foundation for Bldg.
Premises: 1205 Route 25, Greenport, N.Y.
Suff. Co. Tax Map ~1000-35-1-25
976)
Gentlemen:
During a review of our files, it was noted that the above
building permit has expired and a Certificate of Occupancy has
never been issued.
Aocording to the Code of the Town of Southold Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures, alterations or
new dwellings, and it is unlawful to occupy or use said
structure until the Certificate of Occupanoy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Victor Lessard,
Principal Building Inspector
VL:gar
BENSIN
JAN 2 31991
CONTRACTING, INC,
SUPPLY & WASTE Tt~EA TMENT
1(~$7 ~
January 18, 1991
Southold Building Department
P.O. Box 1179
Southold, NY 11971
Attn: Victor Lessarde
Re: Greenport Water District
Plant #9 - Brecknock Hall
Dear Sir:
Please be advised, the enclosed check is payment for the
building permit and the certificate of occupancy for the above
referenced project.
If there are any further questions, please contact our
office.
Very truly yours,
BENSIN fONTRACTING,
Charlie D'Eletto
INC.
CD'E:ac
Enclosure
,~ll .~ait: P.O. BOX 388 · HOLTSVILLE, N.Y. · 11742 ~
office: 652 UNIONAVE · HOLTSVlLLE, N.Y. ° 11742 (516) 758-7200
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
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 bqilding, 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.
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. 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 - $I00.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $I5.00
Date ....J.a.n..u.a.r~. .... ,..1..9.9.1. ..................
New Construction... X
........ Old Or Pre-existing Building .................
1205 Maln Road Greenport
Location of Property .........................................................................
House No. Street Hamlet
Onwer or Owners of Property....Gr.e.e..np.o.r.t..· p.e.v.e..lpp, ment.......Co.... .... .............................
County Tax Map No 1000, Section ..... 0.35..0.9 ..... Block.. 9.1...0.9 ........ Lot...0.%5.: 00.0. ........ .....
Subdivision .................................... Filed Map ............ Lot ......................
Permit N 16637 Date Of m' 11/19/87 Applicant
o ...... .......... Per lt... ....................................... ..
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for:
Fee Submitted:
co -2_ 1q¢?6
Temporary Certificate ........... Final Certicate~ .... ~g.lLp~ation - Bldg,
Richard F. Lark~ T~rary Receiver
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL,: 765-1802
Examined J~.~..}..c:/., 19~.~
Approved .'~....o'5°~....b~....l..~., 19'~ .7. Permit No.
Received ........... ,19...
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . .Sept... -t, ....... , 19.87
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.
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 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 O Certificate of Occupancy
shall have been granted by the Building Inspector·
APPLICATION IS HEREBY MADE to the Building Departmeht 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.
. .G.r.e.e.n. pg.r.t' . .D.ey.e.l.o.p.m.e.n.t...Co... ...............
(Signatnre of applicant, or name, if a corporation)
· .5.3..G. 1..e.n..qo.y.e..R.o .a.d.,.G. re..e.n.v, al. ?;. N..Y; .....
(Mailing ~ddress ~f appli;ant) '~i548'
Sta~;e whether applicant is_owner, lessee, agent, architect, engiueer, general contractor, electrician, plumber or builder.
.Owne..r
Name of owner of premises Gre~nport Development Co.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of dnly authorized officer.
Bruce Wolowit z-Partner
(Name and title of corporate officer) .
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No ......................
Other Trade's License No .....................
Location of land ou which proposed work will be doue ..................................................
N.Y.S. 25A (North Road) North Side Greenport, Southold, New York
llouse Number Street Hamlet
County Tax Map No. 1000 Section ...035...q0.. Block 01.00 Lot 025.0..0.0
Subdivision Br. eakers at Lands End
.................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended nsc and occupancy of proposed construction:
Farm and Wooded
a. Existing use and occupancy .....................................................................
b~ Intended use and· occupancy . .Singl.e..fami. Ly. a.t.tache.d..h~lA¢.~8. ......... Building. ................. 7.6..
9: · Nature of work (check which applicable): New Building ...X .'. Addition .......... Alteration ...... ~...*..
,- 'Repair' .............. Removal .............. Demolition .............. Other Work ...............
.8.240,000 (Description)
4, 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, Cmmnercial or lnixed occupancy, specify natnre and extent of each type of use .....................
7. Dimensions of existing structures, ifany: Front .... Rear
......................... Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. P, ear ..................
Depth ...................... Height ...................... Number of Stories ......................
--8. Dimensions of entire new construction: Front ... 123..... ..... Rear ... ....... 1.2.3... Depth 62ft ............... 6"
Height .. 2.9..max. ...... Number of Stories... 2. ....................................................
$ i t.e.P.1
9. Sizeoflot: Frt~nt 1R.~f~r..t.q ...... .aA Rear ...................... Depth ......................
10. Date of Purchase ............................. Name of Former Owner . Br~ckno.ck .Asset ..........
11. Zone or nsc district in which premises are situated ....... Fi, ...............................
12. Does proposed construction violate any zoning law ordinance or regu ation' N.o ......
13. Will lot be regraded Yes. . . ' .......................
.......................... Will excess fill be removed from premises: Yes (~
14. NameofOwnerofpremises ..Gree.nport.,Dev...C.Q~,ddress .~.e.e,.n.v.a.]_e N.Y. phrmoNc~ 484-6560
ame otarcmtect uary h.. Caru%~l~ ~9C.Addre~ Hunt4ngtonN.Y. ~..o .. 673-0001
Name of Contractor .......................... Address .... i .............. Phone No ...............
15. Is this property located 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
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
;TATE OF NEW YORK,
:OUNT¥ OF. Kq .FF:. ...... S.S
t~fu~ ,e (J) d.ttc!~]-.% . being duly sworn, deposes and says that he is the a cant
....................................... ppli
(Name of individual signing contract)
bore named.
[e is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is dnly 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
'ork will be performed in the ~nanner set forth in the application filed therewith.
worn to before me this
.......................dayof.. . e .er 197/7
otary Public, 5~f.~.O (-
............. . ............... County
~0IARY PUBUC, State 0f New York
~OT~fi~ No, 4635190, Suffolk
~ flU~C ~ C ~mmlssj0n Expires October 30, 1988
...... iSig~it~re o'~ a' p%'t i