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HomeMy WebLinkAbout14181-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17160 Date August 5, 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1270 MIDDLETON RD. GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 041 Block 02 Lot 001 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 1985 pursuant to which Building Permit No. 14181Z dated AUG. 1~ 1985 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 ONE FAMILY DWELLING, WITH ATTACHED 2 CAR GARAGE. The certificate is issued to HALSEY A. STAPLES (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 85-SO-t33 JULY 28, 1988 N00192t JANUARY 7t 1988 MIKE JACOBI JAN. 10t 1988 Building Inspector FOF. M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT fiNiS PEI~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14181 Z Permission is hereby granted to: ......... ....... .~,~.~o ./~ ~./....~..~...z~..~.~ ,o ......... ~.~.~......~.....~.e~....~ZZ~ .......................... Tax Map No. ~000 Section ..... ~...~..Z ........ Block ....~...~... ........ Lot No...~..~.../. .......... pursunnt tO application dated ..... .~...~....'~..¢~.~......../~. ..................... , ,9~..,Sand opproved by the Building Inspector. Fee ~ ............. .~'........~. Building Inspector Rev. 6/30/80 Instructions ~ ~( ~. A. This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- ~ tot with the following; for new buildings or new use: I. 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-(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" land uses: I. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topograph ic 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: Additions $25.00 POOLS $25.0OALTERATION $25.00 1. Certificate of occupancy New Dwelling $25,0,0, Accessory '$10,00 Business $50.00 2. Certificate of occupancy on pre-existing dwel(ing $ 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 .......................... NewCons tz~uc t;ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... ~. ?, ........... ,~./,~, ,~, ~?, '.~?, ./~,, ,~. ~.,. ........ ~/~, ,~,?, ,A/,~. ~.~, ,~, ....... House No. Street Ham/et Owner or Owners of Property /~L~, ,.~, ~- ~'/V j~. ,~F,~12(. ~- ~4 Countv Tax Map No. 1000 Section .... {~, ! ........ Block ~ Lot .... ) Building Department Town Hall TOWN OF ~OUT~OLD Southold, N,Y. 11971 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ °%~-~' ~'~ Construction on above described building and perr~t meets all applicabJe codes and regulations. Applicant . ./. FTC-NFT.'C..~ ......"3Cd..c~.../r-'~T~... ........................ TOWN OF $OUTI~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit NQ. t~ i i~Plo~so pri~ Plumber~~ (please prim I certify tha~ the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this [O day of ~-- Notary Public, County Notary Public I*IEI.EIq/(. DE VOE NOTARY PUBLIC, St~ o! New Yo~k Term Expires Uar:cfl 30,19 .... / """~'~" ~THE NEW YORK rBOARD 'OF FIRE UND,..,,WRITERS PAGE !¥;~i,~00"/08 BUREAU OF EL~CTRIC~TY i~' 85 JOHN STREET NEW YORK, [NEW YORK 10038 ~,, . JANUARY 07,1988 ~pptic, llon"o, enfile 50490887/87 t~'~ ~uipme~t ~ ~ ~ a~ I~t~ 6y t~ ~t ~J~'~!-: , -'' HALSEY STAPLES, AtDDSETO~ .ROAD., GREENPORT, N.Y. sw,~Es ~ 10.7 , ~"~0,0:" -C~ : X :~ . ! 4/0 l ARDS:!-4 CIR. 125' ~ :t:-7 ,' ,- ...... ';- SALVATORE C.' ~RATO - d?~ WIGGINS L~E ...... R.R. BOX 208 , - o~ ~G~ :+---. GREE~PORT, NY, 11994, * ~ , . Per ' ' "<' -~ :- ....... ~ BLDG, DEPT. ' ' ..... ' ~'~ - ~ - .... ~'; '~'~'~ * * L TOWN OF SO~O~ FIELD ~[~RECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY QODE FINAL 76S.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 765-1802 BUILDING DEPT· INSPECTION [ ] FOUNDATION 1ST [~ROUGN PLBG. [ ] FRAMING REMARKS: FOUNDATION 2ND [ J INSULATION [ ] FINAL DATE , 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ]~MING [ ] INSULATION ] FINAL RE, MARKS~: ~~'-b 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]/~OUGN PLBG. / FOUNDATION 2ND [~] INSULATION FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / ]~FINAL ~ ~-~ ." INSPECTOR ~~~ 7GS-:LS0~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] F~dAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ]FOUNDATION ] FRAMING REMARKS: 2ND ~ ] INSULATION [~FINAL Southold Town Board of Appeals -6- April 19, 1954 Special Meeting RESERVED DECISION: Appeal No. 3226. Upon application of ROBERT A. CAMPBELL, 140 Bay Avenue, Greenport, NY for a Variance to the Zoning Ordinance, Article III, Section 100-31 for permission to locate dwelling with an insufficient frontyard setback from Washington Avenue. Location of Property: Southwest corner of Washington Avenue and Middleton Road, Greenport, NY; County Tax Map Parcel No. 1000-041-02-001. The public hearing on this matter was held on April 5, 1984, at which time the hearing was declared closed pending deliberations. The board made the following findings and determination: By this appeal, applicant seeks permission to construct a new one-family dwelling with an insufficient frontyard setback from Washington Avenue at 18 feet. The proposed dwelling is planned at an angle in order to obtain a southerly exposure most efficient for this home's solar heat system. The premises in question is a corner lot as defined by Article I, Section lO0-13 with frontage along Middleton Extension and Washington Avenue, and consists of an area of 13,664 sq. ft. The northeasterly corner of the proposed dwelling will meet the code's minimum 35' setback. For the record it is noted that at the present time Wash- ington Avenue at its extreme westerly end is a dead-end street. In considering this appeal, the board determines: (a) that the relief requested is not substantial~ (b) that the granting of the requested relief, the character of the neighborhood will not be adversely affected; (c) that by allowing the variances no substantial detriment to adjoining properties would be created; (d) that no adverse effects will be produced on available governmental facilities of any increased population; (e) that the relief requested will be in harmony with and promote the general purposes of zoning; and (f) that the interests of justice will be served by allowing the variance, as indicated below. On motion by Mr. Grigonis~ seconded by Mr. Sawicki, it was RESOLVED~ that Appeal No. 3226, application of ROBERT CAMPBELL for permission to construct a one-family dwelling, BE AND ~EREBY IS APPROVED, PROVIDED THAT THE DWELLING BE NOT CLOSER THAN 20 ]~ROM WASHINGTON AVENUE EXTENSION. Location of Property: Washington Avenue Extension and Middleton Road, Greenport, NY; County Tax Map Parcel No. 1000-041-02-001. Vote of the Board: Ayes: Messrs. Goehringer, Doyen, Grigonis, Douglass and Sawicki. This resolution was adopted by unanimous vote. ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 7654803 Examined../~. ¢./. ..... ,19 ~ ...... 1 . Pe it. No./. / Disapproved a/c ............................ ~ ...... .......................... I~'¢'//"'q'$"'~/~',.-' &/7 TO t--O'~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... bate ..... / I~,. .... a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, a.~ccqur~lan to scale. Fee according to schedule. V b. Plot plan ~howing lb~t 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- oation. 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 ~t 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 constn~ction 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 inspection§. · ~ ,~ (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 ....... ~.~.L..~,4.~....~,'...~.~..~.(.L..~'.~. ......................................... (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 .................. L.. ~ · . · Plumber's License' No..~7.o. ....... g~ ~¢/~ ,,,D ......... Electrician's License No. /( Other Trade s License No ...................... Location of land .o.r~ which proposed.work will be do.ne~ ... ................................................ ....... r.0.d .... 8.v... ........... ................. House Number Street Hamlet County Tax Map No. 1000 Section .... 9..~.I .......... Block ..... O..~. .......... Lot....o.0..t ............ . Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing usc and occupancy ..... ?E~)ff£P) T),~£ - ~!oJYE ~Q.~.~ b. Intended use and occupancy ~) p ~6~ ~n~.~?" ~-~:~:.'~ 3. Nature~¢.otk{Oh~?h, ibh appli~able): New Building 10. 11. 12. 13. ~ 'Addit Repair ................. ~ Removal Demoliti Estimfffe~, Cost ..... " ~ OiJ.O 00, ~.. ~.... ,. ...., ..................... Fee .. If dwellfil~uinber ali{dwelling units .- ............ If garage, number of cars .... ;l,.i ................................ If business, commercial or mixed o.'ccupancy, specify nature and extent of e Dimensions of existing structures, if any: Front... Height Number of Stories Dimensions of same structure withJ alterations or additions: Front ...'~.... Depth ...................... i Height ......... ~. ;, .......... Nun Dimensions of entire new construotion: Front...7.q:. Height ............... Number of Stories Size of lot: Front .... /.;~'~.,.{ .~.. i ...... Rear' 1/. o Zone or use district in which pren [ises are situated ................... Does proposed construction viola' e any zoning law, ordinance or regulatio~ YF..7. ' Will excess fill b Will lot be regraded ...... .................. e 14. Name of Owner of premises .H.~c. Name of Architect . ./'.~//YY...L?.~. Name of Contractor ..... ~. ~.~..~. ! .~'J/. fl....~.r,~ .~4 .~.f.. Address . }$ .1!.~.-4.~h'. .~.'~. ............. Address . .~.~/I/.~.~ ................ Address ~.~ .~e.~.~ q .g; PLOT DIAGRAM Locate c!eariy and distinctly all buildings, whether existing or proposed property lines. Give street and block number or description according to deed, ~ interior or corner lot. : . STATE OF NEW YORK, ' S.S COUNTY OF ................. ............................ i ..................... being duly s~ (Name of individual signing contract) above named, j He is the ..................... i ............................... (Contractor, agent, corporate o of said owner or owners, and is doly authorized to perform or have perfo application; that all statements contained in this application are true to the work will be performed in the manner set forth in the application filed there Sworn to before me this >n .......... Alteration .......... ........ Other Work ............... (Description) ....................... to be paid on ~ing this application) tg units on each floor .... ~. ........... ich type of use ,/~. ~? ./~fi../t.~.~. .q/Jt.c~... ............ Depth ............ .......... Rear ............... bet of Stories ................... 7.%.~? ...... Depth . .~.q..9 ..... ~ner . fl. o..~.~d.T... ,C.4 ~ t' ~,ff.~. ~. ......... ~.9 ......................... 'emoved from ~remises: Yes ~ .~9'~/.~'.&~}.~.~;ne No. ~p?.2.?.~. ff....~. ~-~. ....... Phone No. ~-77~ 9 ~.o.o. ...... ~:.i&///.~ .F. Phone No. %72. x 9 F. 7.}. ...... nd, indicate ail set-back dimensions from ad show street names and indicate whether )rn, deposes and says that he is the applicant ricer, etc.) ~ned the said work and to make and file this best of his knowledge and belief; and that the ~ith. EXCAVATION INSPECTION REOUIRED SUffOLK 00U~TY DEFARTUENT OF ]~ALTH S~2~VICES AT GR£EA/PORT TOWN OF $OUTHO£D SUFFOLK COUNTY, NEW YORK #UMAUTHO~IZEO ALTER&TIO# OR AODITIO# TO DATE: JUN~ 5~ SCALE= I" = ,~O' NO. GUARANI*£EO 7'0: co. YOUNG e, YOUNG ALDEN W, YOUNG~ PROFESSIONAL ENGINEER AND LAND SURVEYOR N.¥.$.IICENSE NO. 12845 HOWARO W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE NO. 45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK ~ t CO. I.IF. ALTH DL'I"--T. APlqlOVAL (.. _. STATlamKro~mTEJCr ,' ~ W~T[N ~ Y ~N~ ~WAG~ ~AP ~ PF2OPE~TV ~ t ~ ~ ~ ................................... ~K CO. TAX '~ ~ATI~: ~ ' u ' ~. ~. ~K ~L. ~.~, --.-SII~BI.£ FAMILY DWRI The ~waBe dispos~ and IocsI~on have been insured ot~r ~nci~ a~ f~ ~ ~ ~, ,/ ~II;ENII~I~T N~W YO~K SUFFOLK CO. HEALTH DEPT: A~VAL H. S NO. 85-S0- i!:¢~ ST.~TI~MENT O¢ INT[N,.T THE WATER SUPPLY AND SEWAGE DISPOSAL SYST~4~ FOR THIS RESIDENCE WILL CONF't~I~I TO THE STANDARDS OF THE ~OLK CO. DEPT. OF HEALTH .~:RVICE$. ($) AI~'LICANT SUFFOLK COUNTY DEPT. OF HEALTH tlERVIC[5 -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. $. REF. NO.: ,~5' ~;50-' t~r API"~OVED: _ ~!iuFFOLK CO. TAX MAP DESIGNATION: Ol,~J'. SECT BLOCK I~L ~ O41 ¢'_ ~ OWNERS ADDRESS: D~ED: L. ,OCCU ANCY OR' USE'ISUNrLAWFUL WITflGGT':ERTIFICATE OEOC 'UPANCY. CERTIFICATE OF OCCUPANCY C coppe~ ~ubing is used for water distributing system; piping shall be o~ types K or L only ~ APPROVED AS 'NOTED ~AT.:~/~ Bmp. ~:~ ~,~Z~. NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FQR THE FOLLOWING INSPECTIONS: ,i, FOUNDATION - TWO REQUIRED FOR' POURED CONCRETE ~. ROUGH - FRAMIN~ & PLUMBIN~ 3. INSULATION ~. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C, O; ALL CONSTRUCTION SHALL THE REQUIREMENTS OF THE N,Y, ~ATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR ~ESIG~ OR C~STRU~ION ~P-,OO~ Phone 4'7720400 ~ ;ain Road £;R[ ENPORr. N.Y. 11044 Phone 477-0400 ~ Main Road GREENPORT, NY. 11944