Loading...
HomeMy WebLinkAbout14750-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17083 Date JULY 13, 1988 THIS CERTIFIES that the buildin~ Location of Property 50 WASHINGTON AVE. House No. County Tax Map No. 1000 Section 041 Subdivision ADDITION GREENPORT, N.Y. , Street Hamlet Block 01 Lot 036 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 1986 pursuant to which Building Permit No.14750-Z dated APRIL 21~ 1986 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 ENTRY PORCH ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to JAMES FINNO (owner,)~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N014232-DATED MAY 27~ 1988 PLUMBERS CERTIFICATION DATED N/A "/ ~Bui~ding Inspector Rev. 6/88 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, H. ¥. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF TH[, WORK AUTHORIZED} N.o 14750 Z .......... Z.J.~...~/...~. ................................... ....r ,,, ~..o... ~. ~.~_ ,~..~.~.. ................ ...~~.~.,.:~.:~ ........ ~z~.~. ....... ,o ....... ~o~.~x~..~..~......~..~.~......~,~.,.......,.~.o.....~.~...?..~.~ ~..~...,...-..~...,~..i.~..~...r.... .......................................... -~ ~ ~ ...................... :.. ................... .../ at premises Ii)coted ot ...... ./... ................................................................................................' .~.~.~o~..~.. ~.....~. .......... County Tax Map No. 1000 Section .~...(//./.. .......... Block .... .~. ,/. .......... Lot No...(~,.~....~.,. ......... pursuont to application dated ....~...../~..~.(,,~. ........ /(..~... .............. , 19..~..., ond opproved by the Building Inspector. Building Inspector Rev. 6/30780 F~)RM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 use: 1, Final survey of property with accurate location of all buildings, 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, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" lend uses: 1. Accurate survey of p:mperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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: Additions $25.00 POOLS $25.00 ALTERATION $25 .00 1, Certificate of occupancy New Dwell±rig $25.00, Accessory tS]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 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 ..~ ............. NewConstruction ...... Old or Pre-existing Building ........... ¥ Vacant Land ............. Location of Property House No. ~1 ,---- Street ~ ~/ Ham/et Owner or Owners of Property County Tax Map No. 1000 Section ..... ./.~./. ...... Block ...... [ ........ Lot ................ Subdivision ............................ ./...Filed Map No ........... Lot No .............. .... App licant~ .~.P~..~..~. , .-~, .\ ..¢~..~. 9. ............ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. ~9 <9 Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 R c. RITERS ~~ B ~ ~,~ES JOHN STREET, NEW YORK, N ¥~. I~ ~..038 .... Da ~ ~ppl~eti~ No. on fi~ ~s examln~ on and found to be in compliance with the requirementn of this B~rd. FIXTURE tKEPTA Si WITCH J FIXTURES OUTLETS (LB s Es i~C~HO~SCmrIFLUOeESCEN~i ~N~ES WfCIAL EEC'PT I~ ~THER APPARATUS: COOKING DECKS OVENS INSH WASHERS EXHAUST FANS 1~T' ~. ~.P. OF CC, COND. OF NEUTRAL Per 'his certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDIHG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.,~ BUiLDiNG DE~T. ~.u,~ ~*~ ~ y INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL ~ FYE ["~ INSPECTION IDATE COMMENTS FOUNDATION ~_r~. PLUMBING ~ODE L~/z¢ ~,~ ~ FINAL ADDITIONAL COMMENTS: TOWN OF SOUTtlOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /_~ An application for Certificate of Occupancy is not on file. /_~/--No Underwriters Certificate on file. /5/ The check is(outdated/not on file.) /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # l. ~ 7 -~ Z Building Dept. ***/5/ No 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 []FINAL 765-X80Z BUILDING DEPT. INSPECTION ]FOUNDATION IST [ ] ROUGH PLBG/~ ] FOUNDATION ZND £~'I~LATION 765-1802 BUILDING DEPT. INSPECTION ROUGH PLBG. ATION tST [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL LOT-lO ~OOT~4 pL. 1'7 10 EDWARD COPIN, IR. 62 Washington Avenue Greenport, New York 11944 477-1676 BLDG. DEPT, TOWN OF SOUTHOLD,, FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ,TEL.: 765-1602 ' me,mi, Disapproved a/c .... ~-..-~. · ...... ............ (Building Inspector) , TOWN OF SOUTHOLD Received ........... ,19... APPLICATION FOR BUILDING PERMIT Date ..... .~..'7./. ..~.. ..... 19a~. 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 ~ 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 applfcant, agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to . admit atith6fized_inspectom on premises and in building for necessary inspectionsy/ , /z f (Signature of applicant, or name, if a corporation) (maz]~ng address of applicant]/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .,~)..Or.P/J.g.S. ....... .t}.0 ..................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (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 on which proposed work will be done .................................................. .... .... ..4s ....... ././?. .......................... House Number ~/ Street Hamlet County Tax Map No. 1000 Section ~'~ I Block ........... I. Lot... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Ex,st~ng use and occupancy .~.O1.~..~; .~'.~..' ~' ~...~.d~.. ~.~.,...'~. b. Intended use and occupancy .~.'?~. ,~Z"~.,.~.:c.;%., ..... 3. Nature of work (check which applicable: New Building .......... Addition .......... Alteration .......... Repair [ ..... Removal ~.. ........... Demolition ............ .'.. Other Work ............... ' (Description) 4. Estimated Cost/,/~.~-,~. · .................. Fee ........... : ........................ Ere be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor ............. If garage, number of cars ............................................ i ........................... 6. If business, commercial or mixed occupancy, specifg( hat_ute and, ~xtent o f each ~;y.p~ of use ............. t./ ........ 7. Dimensions of existing structures, if any: Front ./fi~fd~. ,ff"J,4~'.' Rear . .~.q~. i ...... Depth...~...~f-A'~.. ....... Height . .. Number of Stories ', ....... .~.. .......... .~... i ................ ,/. ........ Dimensions' ' of structure with' alterations' additions:'../.a~/.~. , , ,~' 77' ' ' same or Front ..... ~ .... Rear../~...~. .......... Depth ...................... Height ........ ., ............. Number of Stories ............ --t ~ t ........ 8. Dimensions pf entire new construction: Front../j.~'.r~. ....... Rear ........ j ...... Depth ./& .~. ........ Height ./b t lo ......... Number of Stones ............................ i ................ /. .......... 9. Size of lot: Front ......................... Rear ...................... Deoth ................... 10. DateofPurchase ~.../~.7/~ ......... x)Nan~e*of~Foj'merOwner 11. Zone or use district i/~ which premises are situated....p~~ .. .......... i ............................. 12. Does proposed construction v. inlate any zoning law, ordinance or regulation: . ~. ~.O. .......... 13. Will lot be regraded ..... /lJ.O.. ................... Will excess fill be removed from premises: , Yes 14. Name of Owner of premises '?~..~,,,t2)t/)~0 .... Address ............... j . .. Phone No. q~.7.'~r..~i.q.~. ..... Nme of Architect .. ~J_Pc ....... ~ .............. Address . .x~ ............. i · · · Phone No ........ ........ Nmne of Contractor. ~'"'~(~. ~-~4~..'~. ........ Address .[]J.-~C.O~.i..~. ....... Phone No. ].~t.~.~. c~[.O. .~.~.. 15. Is this property located within t.00 feet of a tida~ ~etland? * Yes ..... No ~JO.. · If ~yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, end, 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. t STATE OF NEW YORK, S.S ; COUNTY OF ................. ................................................. being duly sworn, deposes and (Name of individual signing contract) above ~ramed. says that he is the applicant He is the ......................................................................................... (Contractor, agent, corporate officer, etc.)I 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 contained in this application are true to the best of hi,, knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Notary Public, . ........ County #rlEN K. DE V(E NOTARY PUgtlC, ~ate ef New Yedt No. 4707878, Suffolk CouQ~ Term Expires Me, ch 30, (Signature of applicant). \VA 6' ~: "' ' t