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HomeMy WebLinkAbout14487-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14304 Date March 24 1986 THIS CERTIFIES that tile building Alteration Location of Property . .2 .6.0 ................. .R.o.b..~.n.s.o.n., .Rd. Greenport House No. Street Hamlet County Tax Map No. 1000 Section 034 .Block 05 . .Lot 012 Subdivision X ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .p.e.qe.m.b.p.r.....i.2. .... ,19.8..Spursuant to which Building Permit No. 14487Z dated ...... D..eg.e.m.b..e.r .... .2.7 ....... 19.8.5., 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 ......... ...... Enclose Existing Porch ...... The certificate is issued to COPAS, CAROL & ROBERT (owner, of the aforesaid building. Suffolk County Department of Health Approval ........ N. t'.R ............................... UNDERWRITERS CERTIFICATE NO .... I~./.R. Building Inspector Rev. 1/81 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) N9 14487 Z Permission is hereby granted~: (~ ...~..Le ........... ~~.......~..~. .................. ....... ~.~.~.:.....v.s.~ .......... a~ ~~. ~ . .~. :~... ...... at premises located at ................................................. .-. ......... ~ ................... Coun~ Tax Map No. 1000 Section ....... C:x.~.~. ..... Block ...... ..~....<~.. ........ Lot No. ,,,,~.)~ ........... pursuant to application dated~~...~L..%- ................. /' 19,.~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM 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 ~m~ 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 apphcable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty 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 informa- tion required to prepare a certificate. C. Fees: % 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 ......... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .c~..~, .~...../~...~./../LJ.~.~..~...~. ..... ~'.~..~--~...-~./~..'..,~..'~../~.. ~.. ......... House No, Street Hamlet property .~.~zZ/-- ~ ~;//Z~2/_~ Owner or Owners of ................................................. County Tax Map No. 1000 Section . ~..~..~. ........ Block . ~. ~ ......... Lot.. ~./...z~-~,... ..... Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo /~qz~7 Z Date of Permit ,/,~/~,y~,~Applicant (~.~..~..~'-....'~,,,~..-~ Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Pee Submitted $ ............................. Construction on. above described building a~eets all a, pFIIE~le codes and regulations. C~ triON_ Applicant~~ .~ ........................ ¸4; Fi~LD~INSFECTION~. FOUNDATION (1st) FOUNDATION (2nd) COMMENTS EOUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: YORK STATE DEPARTMENT OF ENVIRON~NTAL C~SERVATION Regulatory Affairs Unit Bldg. 40, SU~{Y--Room 219~' Stony.~rook,. NY 'i~794 ............. (516) 751-7900 Mr. Bob Copms Or~nport, N.Y. o/o Frank Measlna Sept 7,198~ ~: NYSDEC Application 10-83-1568 ' ]~ar ~r. COpaS A review hae been made of fo~r proposal to:construet a 20 ft X in-ground swlmmln~ pool southwest of the existing house. Location: Stifling Creek New York State Department of Environmental Couservation has found the .... parcel _Y~ project to be: .. Greeter than 300' from inventoried tidal wetlands. X.XX Landward of a substantial men-made structure th~ hnl ~h~,~. greater than 100' in length constructed prior to Septe~b~0, i~%~-~ -~ Landward of 10' contour elevation above mean sea level on a gradual, nat- ural slope. .... Landward of topographical crest of bluff, cliff or dune in excess of 10 feet in elevation above mean sea level. Therefore, no permit under Article 25 (Tidal Wetlands of the Environmental "'"'"'"" Conservation Law) is required at this time since the current proposal is beyond State mandated ~risdlction pursuant to this act. However. any additional work or modifications ~o the project may require a permit. It is your responsibility to notify th/s office, in writing, if such additional work of modifications are contemplated. Very truly yours, Board Of Southold Town Trustees SOUTHOLD, NEW YORK Mooring No. N/A PERIvtlTNO. ,20~'7. ......... DATE: ....... Nov. 27, 1985 ICc!~m TO Robert E. Copas Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952: and the Southoid Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR 'OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on .Nov.~ 27.,. 198.~. .... and in consideration of the sum of $. 5. (~.~ ....... paid by ................................... ....................................................... o{ ...,~.~T,.e..~pq.~.~: ...................................... N. Y. and subiect to the Terms and Conditions llsfed on the reverse side hereof, of Southold Town Trustees aufhorlzes and permits the following: Application approved to secure a permit for a 8' x 40' section of dock and three pilings in Sterling Creek, Greenport, all in accordahce V,~th the, app ~,ga,~lo~ .s.~b~ltt.~.d... a. ~n accoraance w~?n Tne aeTanea specmcaT~ons as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees kere- by causes its Corporate Seal to be affixed these presents to be subscribed by a majority of the as of this Please tear off and return to the Trustee Office. Board Of South'old Town Trustees SOUTHOLD, NEW YORK M~oring Permit No. Date: Mooring No. I, certify that the work as authorized in this permit has been completed and is now ready for your inspection. Also; the number required on this project is clearly visible. I further understand this permit is not valid ntil this tear off sheet is returned to th~'T~ustee Office. · : TERMS and CONDITIONS ~1 TbeP~.~tt~ ,Robert E. Copas I~ ~l r~idL.,~ac 260 Ro~nso.n, R, oad, Greenpor. t, N. ¥,, ~ I~ ~o~i.~: 1. ~t ~e T~stee Pe~t ~st ~ pr~tly ~splay~ on ~e pr~ses effe~ ~er~y d~g ~e ~i~ of ~rk ~d~ ~e ~t. L ~at ~e s~d ~B~d of T~s ~d ~e Town of ~u~nid ~ ~ed ~r~ ~ ~d aH damages, or daY,for d~ag~, of ~s ~ing ~y or ~y ~ a t~t of ~y o~t- defend ~y ~d ~Vsuch ~u ~t~ by ~d pa~, and ~e ~d Pe~u~ ~ ~ ~ wi~ respect ~eteto, t0 ~e ~mplete ~l~ion of ~e ~d of T~e~ of ~e To~ o~ ~old 2. That ~ Pe~ ~ v~d for a ~ of'~ ~2 ~. whi~ ~ ~d~ m ~ ~e es~ated ~e t~uked m complete the work ~volv~ but ~onid ~t~c~ ~g r~u~ "for an e~enslon may ~be ~de to ~e ~d at a later da~. ~. ~at ~s Petit shoed be teta~ ~def~tely, or as long ~ ~e s~d P~ ~m to mainta~ the stm~e ur pmje~ invnivM, to provide e~dence to ~yone ~ncem~ ~ sub- ornation w~ ori~lly obt~ed. 4. ~at ~e w°rk ~volved wHl be ~bj~ to ~e ~sp~on ~d approv~ of ~e ~d or .i~ ~, and non-compHance ~th the pro~io~ of ~e oti~g appli~fio~ ~y ~ ~e for tev~adon of this Pe~t by t~niuRon of ~e said B~td. 5. ~at there will be no ~sunable intetf~ence wi~ na~on ~ a t~t of the work herein auto,ed. 6. That there shall be no interference with the right of the. public to pass and repass along the beach between high and low water m~ks. 7. That ff furore operations of the Town of Southold require the removal and/or alterations in tlze location of the work herein authorized~ or if, i~ the opinion of the Board of Trustees, the work shall cause unreasonable obstructzon to free navigation, the said Permittee will be reclnireds upon due notice, to remove or alter this work or project herein stated without expenses to the Tow~ of SoutholcL 8. That the said Board will be nodfled by the Permktee o~r the completion 0f the work auth- orb. ed. 9. That the Petmittee wiU obtain all other permits and consents ,that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. (See tear of~ sheet. ) FEE: ............ BY: NOTIFY B~ )ILr31NG DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLL ©~/ING !NSPECTIONS: 1. FOUh~r"ATION - TWO REQUIT~ED FOR Pr'UP~ED CONCRETE 2. ROUGH ~ FRAMING & Pt. UMBING 3. INFU~ A"~ON 4; FINAl C©N'STrdJf'1-ION MUST BE C"",x~'Pl-rTE FOR C O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODE$~' NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-180A Examined ,~l~-~k~..~.~., 19 Approve~. ~., Disapproved a/c ..................................... BLDG. DEPT, TOWN OF SOUTHOLD I~ece J_vod ........... ~19... · (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tills 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 he 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, inspect~~.:'--- ----- ~~ (Signature of applicant, or name, if a corporation) · ~,..F~. ~c. ~. ,¢..~..~, .-W.,,¢,..~..r-.. ~./. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...q..~..~.e-~ ................................................................................... Name of owner or premises ...~..~...&~..TT.. ~...~,...~/¢..~..~ ........................................ (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 ..... . .~//ff.¢. ............... , Electrician s License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ·..~.~.~ .......................... ./¢~.g./..~..~'.~..~../¢.~ ............ .~.~.~. '.r2.. ................ House Number Street Hamlet County Tax Map No. 1000 Section ....~..~.~. ......... 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 ~...&~. ¢%O.~ .-&¢. .¢. ¢'. ...~..~...6~.../~...7¢.¢..~. ........................... b. Intended use and occupancy ...... /.t. ................. . .~'~.` .~w...O.~....d~.....~-~i¢..~...,ff/~....7.~ ............. 3. Nat(*re of work (check which applichble): New Building .......... Addition .......... Alteration .......... Repair . ._.. ;. !~. ,, ')')I~' ' Removal i'. ............. Demolition .............. Other Work ............... ' (Description) 4. Estimated Cost ·l~lO/.O7· ~ ! .................. Fee ...................................... ~! "~ (to be paid on filing this application) 5. If dwelling, number of dwelling uni!s ............... Number of dwelling units on each floor ................ If garage, number of cars ........ i ................................................................ 6. If business, commercial or mixed o~cupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front .... .~. ~.. .......Rear .... ~..~? ...... Depth ../~. .......... Height ............... Number~ of Stories .... / ................................................... Dimensions of same structure with alterations or additions: Front .... ~ ......... Rear ...~.C? ............. Depth ..... /O. .............. Height ...................... Number of Stories .... [ ................. 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ........ ..... ~. Height ............... Numbe~ of Stories ........................................................ / R ' ................................ 11. Zone or use district in which premises are situated 12. Does proposed construction violatei any zoning law, ordinance or regulation: ............................. 13. Will lot be regraded . ./O .~. : ................ Will excess fill be removed from premises: Yes , No Name of Architect .. i'. ........ ............... Address ~. ~ .~ ..; .,p~)~. Phone No ................ Name of Contractor ~'£~/~..~./.~..~.g. ff'. ......... Address ............... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all bdildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nu nber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.!S COUNTY OF-,-~b,:~O[)((-~ ...... '.. ...... ~.L~.....~.~A~..... ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. SHe is the ..... O.~ ......... .................................................................. (Contractor, agent, corporate officer, etc.) cf :aiau~x...:r er ewn:rs, and is dulylauthorized 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 his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this Notary mublic~~ .... Count~ ~ ~OTARY PL~I~LIC, ~la)e Oualifle~ in Suffolk Cour~ Commission t~xpires Mereh