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HomeMy WebLinkAbout26881-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27423 Date: 11/22/00 THIS CERTIFIES that the building ALTERATION Location of Property: 4345 MAIN RD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 35 Block 2 Lot 9.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 6, 2000 pursuant to which Building Permit No. 26881-Z dated OCTOBER 27, 2000 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 REPAIR EXISTING PORCH ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARGARET DENNINGTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Sign re Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26881 Z Date OCTOBER 27, 2000 Permission is hereby granted to: MARGARET DENNINGTON 4345 NORTH RD GREENPORT,NY 11944 for PORCH REPAIR AS APPLIED FOR. at premises located at 4345 MAIN RD GREENPORT County Tax Map No. 473889 Section 035 Block 0002 Lot No. 009 . 002 pursuant to application dated OCTOBER 6, 2000 and approved by the Building Inspector. Fee $ 75 . 00 ! Author ed Si ature I ORIGINAL Rev. 2/19/98 rorm NO. b TOWN OF SOUTHOLD BUILDING DEPARTMENT �O A2 TOWN HALL - t 4. 765-1802 f, APPLICATION FOR CERTIFICATE OF OCCUPAN4 . , A. This application must be filled in by typewriter OR ink and Jbmitted to the buildingS inspector with the following: for new building or new use: 1. Final survey of _property with accurate location of all bui dingts,' 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 o� Fire Underwriters. 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '-'pre-existing" land uses: 1. 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 signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25'vA 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . j]. . 8. . . © O . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . 7 . . Location of Property.y �. . .. . . ��^�. R.h . . . . . . G_ 2P✓r?.4 .�. . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. -MA9: G%rk.GT . . .. . ./GtiNf !-� r0!!� . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . .Block. . . ... . . . . . . . . .Lot.!7. .2'. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No .Date Of Permit OC'T q• zdOD.Applicant YZ.1 A . . .0 4'V.. Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. ./,(. . . . . Fee Submitted: . . . . . . . . . . . p'�t. 587 9 q . . .'. . . . . . . . . . . . . . . . . . . . . APPLICANT C0 a� �a3 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FIREPLACE 8 CHIMNEY REMARKS: ,DATE �� /S dtJ� _INSPECTO o��gpFFO(,�cO Town Hall,53095 Main Road p < Fax(516)765-1823 P.O. Box 1179 y 2 Telephone(516)765-1802 Southold,New York 11971-0959 WOy �1j0� BUILDING DEPARTMENT TOWN OF SOUTHOLD November 16, 2000 Margaret Dennington Vivian Stein 4345 North Rd. Greenport, NY 11944 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file . (Enclosed) No Underwriters Certificate on file . XX The check is (not on file . ) $25 . 00 No Health Department Approval on file . No final inspection has been made . No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT #26881Z porch repair Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. e .D INSPECTION REPORT DATE COMMENTS tt— dDATION OST) - - - -- it 1�I �a0 i I d u , cl -,c)A MATION (2ND) °____________________a---- '>H FRAME 6 __ PLUMBING III—�j II IIS— -1� H !CATION PER N. Y. — ,TATE ENERGY II jj CODE it ii -_l I u! -------------------- I; II H II II FINAL II JJ1��� II - p 7_ ---- ADDITIONAL COMMENTS: ccr c -- 1 N n 1s/ O z x » r � H t+7 ro H �*A E lea 64c) x 47"it 0 f y)�v 1{Ike �.1r[ • V � •1a7� V�� f...r�. O L Do 4 0 ri e, w m 41 J'k ' Y I 1 J _ y r i', a L MtiY .j� f fl f2�t' LCY}9b 9.�' '� x�xx •a 1 �:�. Y J 1 .'t ! .. � � {. t tfi,,ti+:i Yr�Yt�;��� �.1 t• 3' tys t' `� ++ ' ,•�* ,R Yr.. t' .•.e �— � p Y � W^Y n r' !�F„ : '• �'�'lo.'r4JCYwbNw.'ri..nK+�1.A.1�...+�'�._-.. _.__.._...._._r_��.�....... _............. .. ._�.�._.��.._.._.... .._�...__.�,._....._... ..._......__... . ....�.._.. _ Yy1 i' 1 �t IM,ArR G-*A 1 1 � F T �4 1 W• t yy } � r •�, � . it �` � ; I It ___... � N . 3 t►f _ barns � 4 S.6�'Qt'2Q'IW. -71,0 'ta o r' N [fcy Qi puttip16 1 I � yy ` d' N m �$-5 ❑ well bo. JN Jp FF ♦ted;Y�' i. %nt�E� �`t .v 4 - { _�. .. tk ' �tw`.f l �+tM'M4•�Y> t i-v} a f!F _ 1 1 ff •!,a t x,y�`{r^I�vr � p "ah YIS V � � ,� ' 1. .. -. �'@N� OI'go, W. 265.'33 IM T. DZENKOWSKI HOME IMPROVEMENT 00 CEDAR DRIVE - EAST MARION, NEW YORK 11939 - PHONE 477.2465 PR As Na po a eta- �-.�._s,►: NOTIFY BUILDING OEPA T T 783-1802 9 AM TO 4 PM FOR T E FOLLOWING INSPECTIONS: i. FOUNDATION • TWO REQUIR D 2$ i FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBI G OCCUPANCY OR 'L FINAL ■ CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL USE IS UNLAWFUL sCk �'� It i THE REQUIREMENTS OF THE N.Y. STATE WITHOUT CERTIFICATE CODESCNOT TRECTION & ENERGY R OF OGGUPANGY DESIGN OR CO RUCTION ER Ra !x$ ������ I XN Tfi6. Fl too IR14-- G L 4--si p3L 2 K6 cc aA- TCr-o CC A- e l �l It � 1 CA cam. 3' x r L 3. Vat'ure of FQFk (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ...': ...... Removal ............. Demolition ......... Other Work .... ................................... •' 4. Estimated Cost . 3 dDo ........... .......... Fee .........................' (Description)............... �( (to be paid on filing this application) 5. IE dwelling, number of dwelling units ....I.!..... Number of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 6. If business, commercial or mired occupancy, specify nature and h` extent of each type of use............... - GrG rr I....... 7. Dimensions of existing structures, if any: Front.� ... . .l�/ .... Rear ....D... ..... Depth ..�./ w Height .....to. 1-6........... UAi)er of Stories ...... sV..... Dimensions of same structure with alterations or additions- Front ff��-. �j r ............... Depth .................... lleig)ht .................... Number of SSttrs !.:.ori !..1 . £l. Dimensions of entire new construction: PYouht .......'5.AIL 1a ............... Depth .............. sleight ......................... 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 ..�`.�..o 0............................................... 12. Does proposed construction violate any zoning lav, ordinance or regulation: .....���............ 13. Will lot be regraded ....e� �......... Will excess fill be removed from premises: YES � a 14. Names of Owner of premises �"'!��?RGZ ..QCvrl f0 ress 73!�r MM~ . p ,c�124 0 No X77: (?7 1 Name of Architect .................................... Address .............................. Phone Nu.. ..... Name of Contractor l�I^L . l DZGNkowSu:....... Address �. .GCA4A�7� l�� /�jj,uq�fewP1 No L1 -7.- .� e? 15. Is tlhis property within 300 feet of a tidal wetland? * YES .......... NO ...)5,.... *IF YES, SOUIIM 101411 7RUSIPLS P KIT MAY BE 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. do G N?es ro a-P srnlr or raw Yaw, SS COURIY OF ....................... ... 14 . Zeni f' �w ' .......being duly sworn, deposes aril says that he is the applicant ........................ ................. (Name of individual signing contract) above named, J� Pz— Ileis the ........ ..DA/rlf.G.G........................................................................................... (Contractor, agent, corporate officer., etc.) of said owner or owners, and is duly authorized to perform or have performed (lie 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 set forth in the application filed therewith. Sworn to before me this L. ......7............day of 20..Q Q / Notary Public ....- 6/ \ qL { 14ELENE D. HORNE (Signature of Applh.cd¢t� Notary Public,State of New York No.4961364 Qualified In Suffolk Count . Commission Expires May 22, �G� BOARD OF HEALTH. ..... . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS : f. . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . . . .. . . . . . . . . . . . . . . . . . TEI.: 765-1802 TRUSTEES . . . . . . . . . . . . . . . . . . . . . . NOTIFY: /�� CALL . . . . . .'.). . .1.�. . . . . . Examined.L<.�u.: .., 'n MAIL TO: ! . Approved... ,j., W Permit No. ". �.. .1600 b O�..C G t9.... .... ..Da— Approved- . Disapproved a/c ...........................:...... MPr!R . . �Bull di. or)........ ( APPLICATION FOR BUILDING PERMIT Date c,F sn ii,i �.n X_ INSTRUCTIONS a. Ibis application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 application. c. The work covered by this application may not be comienced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 BERM MATE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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 necceessary inspections. .k�" :!. s............. (Signature of appl'cant, or nave, if a corporation) (Mailing address of applicant) State ube''ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plunber or builde 1.1.' ....... :..C.0......................................................................................................... Nam of owner of premises .1..'i A !'�li/�r:1rr.T...... f..70"v ........................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nae and title of corporate officer) Builders License No. �•-V... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be done.............................................................. L43 y 5� ..............!"1A-w R b ern eG e I�� 1 �( 3 ................. ......................................................................... ............ House Number Street Hamlet Canty Tax Map No. 1000 . Section ...3..5� ..... Block ....Z........ Lot ..`Ta.Z-..... 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 ...:�kNaG....PQM I L �/ ................... b. Intended use and occupancy .........5��G........... ..................