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Home My WebLink About16141-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17384 Date OCTOBER 7~ 1988 THIS CERTIFIES that the buildin~ Location of Property 785 SUTTON PLACE House No. Street County Tax Map No. 1000 Section 033 Block 05 Subdivision M/O F2~STERN SHORES Filed Map No. 4021 ONE FAMILY DWELLING GREENPORT ~ N. Y. Hamlet Lot 04 Lot No. 37 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 1987 pursuant to which Building Permit No. 16141-Z dated JUNE 26¢ 1987 was ~ssued, 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 WITH ATTACHED GARAGE & DECK AS APPLIED FOR The certificate is issued to JOHN & DOROTHY OLSON (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-S0-96-0CT.4~ 1988 UNDERWRITERS CERTIFICATE NO. N027985- AUGUST 16~ i988 PLUMBERS CERTIFICATION DATED 10/2/1988~ PERFECTION PLUMBING & HEATING ' /~ Bui'lding Inspector Rev. 1/81 lq)BM NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTM~:NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ......... at premises located at ...~....~.. ......... ~..~......C~.,...~~~:~· County Tax Map No. 1000 Section ....... ..C~...~....~.., Block ...... ..0....~.. ...... Lot No....~....~. ............... pursuant to application doted ..... --...~..~.~...,~ ...................... , 19..~....'7.., and approved by the / Building Inspector. Rev. 6/30/80 ABLITI]Jt~§l~lication , FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions mst be fiUed in typewriter OR ink, and submitted aa ~ to the Building Inspec- ~ving; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-IS-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings. Multiple Residences and similar buildings and instaita- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approva~ of completed site plan requirements where applicable. For existing buildings (prior to April 1957). Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, 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 info[ma- tion required to prepare a certificate. Fees: Additions $25.00 POOLS $25.00 ALTERATION $2~.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years./ $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ......................... NewC°nstruction ...... Old or Pre-existing Building ............ Vacant Land ............ Location of Property ...~.~ .~......~.~..~..7~.~..~....~..~.~.~.C...~-. .............. . .~..'.,~,, .~-..~..,~..~.~., .~_~ House No. / Street /Ham/et or Owners of Property ......... ~/~._~/~.' .,~F;... ~...~-?.~.~..~).~.~....~...~..~...~.../~.. ..... Owner County Tax Map No. 1000 Section . .. ~ Block ~ Lot.. ~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.~..~/?.~../.. Date of Permit O.~. OZApplican,. ~?.4~.~..~z.~.. Health Dept. Approval ~ ~r~'¢~::) ~' ~:~ ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ................. Final Certificate . Fee Submitted $ . . . .o~.. Construction on above described building and p~ermit.~eets all aonlicable codes and regulations. Rev. 10-10-7a Applicant ./..~.~ .~~~ C o % TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner ~/J (please print) Plumber ~J (please' print)/ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (p~mber' s signature) Sworn to before me this _~day of ~Q~ , 19~ · Notary Public, ,~(.~ Ik County TOWN Ol? SOUTIiOLD OFFICE OI" BUIkDING ;NSPECTOR iLO. BOX 728 TOWN IIALL $OUI'IIOLD. N.Y. 11921 TEL. 765-1802 To Whom This May Concern, t,'~'e are unable to complete your Certificate of Occupancy because .of the following reasons. //An application for Certificnte of Occuuancy /~/ ~Io !Iealth Dept. Approval on file. /~/ ~o final inspection has been made. PJease contact: our office on this matter. Thank you for your cooperation.~ Building Permit t~ , I .~ -.~ L~ _~J Z , DUi 1~ Dept. ***/_~/ Ho Plember Solder Certificate on file. ( all permits involving plumbing being isnued after April 1,1984 TOWN OF SOUTIIOLD OFF'ICI.: OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUI'IIOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are urlable to complete your Certificate of Occupancy because .of the following reasons. / /_~/ An application for Certificate of Occupancy ~ .~,~ :,o~ ~,~ ~. ~~ . /L~--~"lhe check is(~/not on file.)~,~ /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact: our office on this matter. Thank you for your cooperation]~ Bu i 1(l i,~ .,?/[ Dep t _/ '~*~*/~/ ~Io Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ]FRAMING [~J~NAL ,,..A.,~s: ~//.~ ~ JOHN W. OLSON, P.E. Consulting Engineer t800 $.E. ST. LUCIE BLVD. BLDG. t2-106 (305) 288.t328 (305) 287-8757 January 18~ 1988 Town of Southold Office of Building Inspector PO Box 728 Town Hall Southold, NY 11971 Re: J. Olson Residence Building Permit #16141 Sutton Place Greenport, NY Gentlemen: Please be advised that authorization to change the insula- tion from R-30 to R-22 above the living room ceiling is hereby given on the above noted project. The energy envelope has not been affected with regard to the N.Y.S. Energy Code. JWO:MO CC: J.A. Olson 33 Greenbill Rd. Huntington Station, NY 11746 ,~ John W. Olson BLDG. DEPT. TOWN OF SOUTHOLD U~:DATIO~ t) UNDATION I 2nd ) UGH FRAME PLUMBIN/ SULATION FERN. L STATE ENERGY CODE FINAL ,JOHN W. OLSON, P.E. Consulting Engineer '1800 S.E. ST. LUCIE BLVD. BLDG. '12-'106 STUART, FLORIDA (305) 288-'1328 (305) 287-8757 January 18, 1988 Town of Southold Office of Building Inspector PO Box 728 Town Hall Southold, NY 11971 Re: J. Olson Residence Building Permit #16141 Sutton Place Greenport, NY Gentlemen: Please be advised that authorization to change the insula- tion from R-30 to R~22 above the living room ceiling is hereby given on the above noted project. The energy envelope has not been affected with regard to the N.Y.S. Energy Code. JWO:MO CC: J.A. Olson 33 Greenbill Rd. Huntington Station, NY 11746 John W. Olson 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION [~FINAL 765-~802 BUILDING DEPT. INSP~TION FOUNDATION 2ND ~ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. / FOUNDATION 2ND [~NSULATION FRAMING ~r ] FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] F/~NDATION 1ST [ ] ROUGH PLBG. FOUNDATION AND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~ ~/ROUG# PLBG. ]/FOUNDATION 2ND [ ] INSULATION //] FRAMING [ ] FINAL REMARKS:, 765-1802 BUILDING DEPT. NSPECTION [ ~J"FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: /'- / -~ JOHN A. OLSON 99 DUNLOP ROAD HUNTINGTON NY 11743 September 1, 1987 Town of Southold Building Department Town Hall Southold, N.Y. 11971 Bldg permit #16141 Dear Sirs, Enclosed please find one copy of up to date survey showing completed foundation for my new house on Sutton Place, Greenport, N.Y. This may be kept for your records. V/.~i~ary~ truly yours, John A. Olson Examined ...~ ~B,A}L~., /.~(.~<~j~'..~.(P.., 19~. 7. Permit No.I..(-9./.~.].%. Approved. Disapproved a/c ............ ~ ......................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OFwwBLANS FORM NO. I SURVEY . . .. .... TOWN OF SOUTHOED CBECK~ :"~-' o¢'O c/ BUILDING DEPARTMENT SEPTT¢ FORM ............. TOWN HALL _,,~,~. ~ $OUTHOLD, N,Y. 11971 NOTIFY TEL.: 765-1802 CALL '~:~7:~-'2 .3~. MAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witlx 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 Inspectbl'will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspe,ction throughou~t 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, Ordinancos m 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 Lode, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary~/~~..,~in ect' sg~7..~-~-~x... ~L~ o *) [ (S~gr~ture of appligant, or name, if a corporation) ' ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber s License No ......................... Electrician's License No ....................... Other Trade's License No ...................... ~ ,-] ~ 1. Location of land on which proposed work ~vilI be done:. %....~..z.~..j~./~.~..,~p... ~ House Number Street Hamlet County 'Fax Map No. 1000 Section ..... .'~. f.~. ........ Block ....~-.'.~.. ........... Lot....~. .............. Subdivision/~..-'~..-~..~?.,~....~'~-/,~. ~"~...-~...~.~."~..~.. Filed Map No.. ~..~.....................~. / ...... Lot . ~.~. .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy . ~/</~.2~..~.~./J~,~2..~.4.~Y..~-~ .<r.-~..~..,~_~. ............................. 3. Nature of work (check which applicabl~): New Building .......... w' ' Addition.. Alteration ......... Repair ..... ......... Removal .............. Demolition ............ 4 · Other Work ........ ~ ..... . 9..o, (Descrip, ion) 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, commercial or mixed occupancy, specify nature and extent of each type of use . .'T ...... ............ 7. Dimensions of existing structures, if any: Front...v ........... Rear ........ ; ..... Depth ............... Height Number of Stories Dimensionsof same structure with alterations or additions: Front ............. : R Depth ...................... Height ...................... Number of Stories ...................... $. Dimensions of entire new construction: Front ...~? :-:F_~..,. 1 ' ' Rear .. ~..2'.-7ff--~, ..... Depth . ,.,, w ......... Height ..... /..~.: ...... Number of Stories .......... /'fi',,C--, .............. i ........................ 9. Size of lot: Front ,,f..z:>~gp. ............Rear . ./.z?.~'~..: ~o ..... . ............... D~pt .. '..~. ........ !0. Date of Purchase ............................. Name of Former Owner .. i ..... ! 1. Zone or use district in which premises are situated ~ '"f ; ..... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~.~:?. ......................... 13. Will lot be regmded ....... -~. ~P. ................. Will excasl fill be ~.l~v~ed from premises:_ Yes 14. Name of Owner of premises_ kz..,~;Lw.4?/~.: .d~..2;~..~.. ~. Address ~.~,t~J~_~..,,~. -,,TMy. Phone N~..-z'?&~. F~..~,~'1 .z----~.f~.? Name of Architect '.~,.,~.-..~z/~/'-?~../~'. :~3~--.~.o..~3:~... Address ~.i,~..,~..7~-~'/y..,Z~4.:.. i.. Phone No.,~.~.. ~. 7.d~.~'~..~--~. Name of Contractor .......................... Address .... : ........... i ' ' Phone No..,;,,. ........... 15. Is this property located within 300 feet of a tidal wetland?' *Yes! ..... No kC.... · If yes, Southold Town Trustees Permit maybe required. ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimenmons from ~roperty haas. Give street and block number or description according to deed, and show gtreet names and indicate whether nterior or corner lot. iTATE OF NEW YORK, S.S .'OUNTY OF ...... ./. ......... , ~ ~ ............... (Name of individual signing contract) being duly sworn, deposes and says that he is the applicant tbove named. ,i -- (Contractor, agent, corporate officer, etc.) ~ said owner or owners, ~d is duly authorized to perform or have perfumed the said ~and to m~e [~d file this :pplication; that all statements contained ~ this application are true to the best of his km ~O~h'~ the york will be perfumed in the m~ner set forth in the application filed therewith. ;worn to before me this ......... /. ~ ........... day of~~ ............ 19 ~7 ~ARY PUBLIC, Sta~ of RaW ~R · ' ' · . Qualified In Nassau C~n~ ~ Signature l0 l ,~.~ ........ -' : ~ ... ~ Z ~-.- ~ I / · .o i r EL. ~fl[ig F, tl, ll~Y DWELLIN{~ ONLY DATE Ubl ~ )8q.%. ~F. NO. ~ to~tion ha? been :.'-. :r .. 'p,,rlment and/or ,) .... ,, ik't~ r:' ,{ I?; q " LICEN~I[D ~ SU~VZY~S SUFFOLK CO. HEALTH DEPT. A~OVAL STATF~NT OF INTENT THE WATER S,L~LY AND SEWAGE DISPOSAL SYSTrdil$ FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE · UFFOLK CO. DEPT. OF HEALTH SERVICES. (si . ~ lC'ANT SUFFOLk COUNTY DEPT OF HEALTH SERVICES- FOR APPROVAL OF CONSTRUCTION ONLY Dt~TE: H.S.I~F. NO.. ~7' L~" ~,'~ AIq~OVED: ,. SUFFOLK CO. TAX MAP DESIGNATION: OI~T. SECT. BLOCK PCL r' TEST HOLE: ! STAMI~ ,., SEAL [/', .-':."' '~. Z ~', J