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