The URL can be used to link to this page

Home My WebLink About16190-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office cf the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCcupANCY No Z-24445 Date JUNE 19, 1996 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1905 GULL POND LANE GRMENPORT, NEW YORK House No. Street Hamlet County Tax Map NO. 1000 Section 35 Block 4 Lot 16 Subdivision Filed Map No. Let No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~TNE 29, 1987 pursuant to which Building Permit No. 16190-Z dated ~Y 8, 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 SUNROOM ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to HAI~RY G. & CHARMIAN FARRELL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/a N-834933 - SEPTEMBER 30, 1987 N/A ifding Inspe/r IPOEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PEIUVLIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK~ ,~UTHORIZED) Permission is hereby granted to: ~..~....~..~.~.....~.~** ........... ...i,...o...~..~. ........ ~~ ~~...~.~.:~.:....!..!.~..~ ......... ~o ....... ~~...~..~.,~....~ .... ~' · ..... ~ ............~)~.~ .... .................. ................................... ......... at premises located at ../...c~~~........~..~ .................... ....~...~~ ........... ...Y..~....~.~...q.~....~ ................................................................................................... Co~n~ ~o~ Mop ~o. IOOO ~ec.o. ...... ~..~... ~,o~ ........ ~..~ ..... Lo~ ~o....[.~ ............... pursuant to application dated ....... ...~..~.....~..~ ................., 19..~...'7.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTROLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA~YCY 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 Unde~-riters. 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. For existing buildings (prior to April 9, t957) 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 a consent to inspect sig~ned by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. t. 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-existin~ Buildin~ - $100.00 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 New Construction ........... Old Or Pre-existing Building. .. Location of Property... Z~a"'.... ~:.bk....K.:.~.:'....'./7-:*:.: ........... House No. Street Hamlet Onwer Owners f Property ~ · ... County T&x Hap No [000, Section. -~ ..... Block ............. Lot ................... Subdivision .......................... ~ ......... Filed Map ............ Lot ...................... Permit No.Z.C.n . ....... Dat Of Permi*J . .. .¢pplicant ............................. 8ealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ / Request ~or: Temporary Certificate ........... Final Certicate ubmit ed: .................. ~:~:.\a;~m.. & .G ~...~/.. ............... i'\~AP PSI CANT THE NEW YORK BOARD OF FIRE UNDERWRITERS 12(~505Q BUREAU OF ELECTRICITY ~-~}l(j 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIE~ THAT in thefollowlng h,catio,~ ~ Basement ~ Ist FI. ~ 2nd FI. Section Bl~:k Lot ~sexamlnedon ~ ~J~ ~7 andf°undt°belnc°ntpliancewiththe~equirements°fthisB°ard' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 6 6 6 DRYERS 6 FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E OF HI-LEG OF NEUTRAL P.O. ~ox 48 aame~aort, t~ 11947 L£c~3488,~ GENEP~AL MANAGER Per_ 11 This certificate must nofbe altered in any manner; refvrn ~o the office of the Board if incorrect {nspedors mo7 be identified by fhelr credentials. COPY FOR THI~ CO~ 0F CERT ~NY ~NNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~ATION [ ] FRAMING [ ~.~'"FINAL- [ ] FIREPLACE & CHIMNEY ,,,=,A,,,~s.. ~ /~/~ DATE 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 February 28, 1996 Mr. Harry Farrell Gull Pond Lane Greenport, NY 11944 To Whom This May Concern: We are unable to complete your Certificate because of the following reasons: xx of Occupancy An application for Certificate of Occupancy is not on file. (Enclosed)** No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 16190-Z Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. Thank you for ** - CO TO BE RELEASED AFTER DAMAGED INSULATED GLASS ROOF HAS BEEN REPLACED. PLEASE NOTIFY US WHEN THIS IS COMPLETE. UNDATION (2nd) UGH FRAME FLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ~FOUNDATION 2ND [ ] INSULATION DATE 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING ~NAL REMARKS: ~ / INSPECT~ 'FORM NO. 1 TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTTC TOWN HALL Examined 19~. ~. Pezmit No./. ~0.]. ~..O..~. Approved ..~..44~..~..., Disapproved a/c ..................................... BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... FORM ............. ; $OUTHOLD, N.Y. 11971 .... ,.,~7.~. TEL.: 765-1803 CALL TO (Building Ihspector) APPLICATION FOR BUILDING PERMIT 'Date,.. .................. 19... INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 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, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in.spe~pons; .f ~ ,~ ~y · , ..... ~...~. :~ ..~....~?..~,~ ............... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name/'of owner of premises .... ~..'..~. ~'....~..'~.~/ ................................................. (as on the tax roll or latest deed) If applicant is a co;poration, sigl~ature c~fduly authorized officer. ......... - ~: . . '.~ ....... (Name and title of corporate officer) , ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ..... /?...~,~..X. ~Y.]. .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. .. .................. House Number Street Hamlet County Tax Map No. 1000 Section ...... ~.. ........Block .... ~. ............Lot '/¢ Subdivision Filed Map No ............... Lot ............... (Name) 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 ....... .e//~...~...~x~2:~.. ·~5-~- ................................................. 3. Nature of work (check which applicable): New Building .. ' Addition ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... [ (Descrip~tion) 4. Estimated Cost ...... .~...O,t .~°.9.1 ....................... 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 natu, re and,extent of each type of use .... ".. ~. ' ~. , . .... 7. Dimensions of existing structures ~f any: Front ....... .ed.7.,.g... Rear . . .e./.7...~. ......Depth ~' . ~ ~?* ........ Height ............... Numbe,r of Stories .... ~. .................... r; · · ' ~' ............. "c ' .)l ....... Dimensions of same s ~tt~cture with alterations or additions: Front .... .~..7...~ ...... Rear . .e'(. 7.:~ ......... c i ' " · Depth ...... ,~'.cJ..G. ........... ~ Height ....... /0 ............. Number of Stones ...................... 8. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... Height ............... Number of Stories ....................... . ................................. 9. Size of lot: Front ............. : ......... Rear .................... ~.. Depth ...................... 10. Date of Purchase .............. . ............... Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violet6 any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ,.,,~. .................. Will excess fill be ~emov, ed from premises: Yes No 14. Name of Owner of premises . .~.: .~.~.~..r.¢,.~ ........ Address . ~cd~ ././.~.~, .'..~yZA~'.... Phone No. Name of Architect ... ~'-~o~...L/_¢¢,~ .{~,.',~.~M.~. .... Address.....~.F4-,.~'~_ .z, .... Phone No. Nan~e of Contractor....~..ff'.~..:..~,/..~.~.5c.o~.... Address...~~::...Phone No.. ~..~...~.-.~...~..2:..~. 15. Is this property located wilthin 300 feet of a tidal wetland? Yes .~. No ..... · 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 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. STATE OF NEW YORK, S.S COUNTY OF .................. ............................... ~ .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the i , (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 statements containbd in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner s~t forth in the application filed therewith. Sworn to before me this ............. a ........ day ........... HELEH I~ DE VOE NOTARY PUBLIC, State of New York (Signature of applicant) No. 47.07878, ,Suff°lk C~untY ~, Term Expires M~fch 30,