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HomeMy WebLinkAbout26257-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27133 Date: 06/13/00 THIS CERTIFIES that the building ALTERATION Location of Property: 1555 BAYVIEW AVE GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 52 Block 5 Lot 11.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 1999 pursuant to which Building Permit No. 26257-Z dated JANUARY 7, 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 INSTALLATION OF A SLIDING GLASS DOOR IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALAN GOODMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A -?��Au thoriz'ed Si9t ure 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. 26257 Z Date JANUARY 7 , 2000 Permission is hereby granted to: ALAN GOODMAN 277 WATER ST NEW YORK,NY 10038 for INSTALLATION OF A SLIDING GLASS DOOR AS APPLIED FOR. at premises located at 1555 BAYVIEW AVE GREENPORT County Tax Map No. 473889 Section 052 Block 0005 Lot No. 011 . 001 pursuant to application dated NOVEMBER 29 , 1999 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 FORM NO.6 UN 92000 TOWN OF SOUTHOLD Building Department BLDG.DEPT• ' Town Hall 8 10_0--- 1NN- OF&OUTHOLD - ") Southold, N.Y. 11971 765 - 1802 .' " :"APPLICATION FORCE RTIFI`CATE OF 0C4UP NCY , a Instructions A. This application must be filled in typewriter OR ink,and submitted mw �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" land uses: 1. Accurate survey of property 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: Additions $25 . 00 POOLS $25 . 00 ALTERATION $25 . 00 `1. Certificate of occupancy New Dwelling,$25.00, ' Accessory ,$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy $ 5 . 00, over 5 years $ 10 . 00 ' 4 .Vacant Land C.O. $ 20 . 00 5.Undated C.O. $ 50 . 00 Date . . . . Co. F7/GU. . . . . . . . . . . . . NewConstruction,/, , ,r. Old /orrPre-existing Building . . . . . .1:1�. . . Vacant Land . . . . . . . . . . . . . Location of Property . / ? . .(i4 Y �11,ea l-161 . . . . . . . . . . . . . . . . . . House No. Street Hamlet Owner or Owners of Property Pq?J . h?! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax c �Map No 1 00S Section . . .0..rte. . . . . Block . �U 3 . . . . . . Lot .a 16. PQ,� . . . Subdivision?.�`r_N. " e1" , l�Y��PyJ. . . . . . .Filed Map No. l �JJ. . .Lot No. , Permit NoPDate of Permit !./../4Applicant 4%. fJ✓J�?4?�w al?�! fi �?!C, ./`Y-r Health Dept. Approval . .0 I . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . .LW . . . . . . . . . . . . Underwriters Approval . 1p-.. . . . . . . . . . . . . . . . . .Planning Board Approval . . � . . , . . . . . . . . . . Request for Temporary Ceftificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . /!. . . . . . . . . . . . . . . . . . . . Fee Submitted $��� .ed. . . . . . . . . . . . . . . . . . . . . . Construction on above described buildin nd a odes and regulations. Applica . . . . . . . . . Y. . 5. . . :. . Rev.10.10.78 �// Ssod c o�a7�33 FIELD INRPACTION=REPORT _=DATE _COMMENTS=====__________ li ii J11'' FOUNDATION ( QST) jj II I FOUNDATION (2ND) II II T II jj --- �� II II jj � ROUGH FRAME 6 PLUMBING I�- l II II jj I INSULATION PER N. Y. ir� ii y - II STATE ENERGY CODE -------------- I I l I II jj FINAL N ii ADDITIONAL COMMENTS: 7 r� I O � x -- ro H ;2 -,7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ NAL [ ] FIREPL &,CHIMNEY REMARKS DATE / INSPECTOR , M-1802 BUILDING DEPT. INSPECTION [ ] FOUN ION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY REMARKS, DATE11�lz>ld INSPECTO La sk Z CC O Q u, .if WO paw 0-ra z 0 t~i I- 0OZ13 =Wg2c z m SAW 0Z0 � '6 1 t— LL � pcnz uccWw (D f:d I Q w � mO ¢ZKmJxIQOW Y: zoir lV vi4 41,- G1G F la" r�iN,MUM _ "'� . CLEAR opENl}J�, -1� BOTF-I HEICoH2" nv0 .W1OTH . oovSLr- JALK STUDS ( AS WELL AS /jSF ALS E6IZCSS U/IIJDOWS TO MEET l'OPK STAGE FIRE CODE i U. )-n rte/ O W SCALE: ��,2 - Q ° APPROVED BY / V �`JC DRAWN BY CO DATE: +Yc 0.m cn C.) I.t.! {— >-F c-") w DRAWING NUMBER R „£ RO-FORM 9 OFF PRINTED ON 920H CNARPRINT VELLUM i 6x000 BAYY/Ets� ,4{�EN!✓C" BLDG.pEPL � _ PN.�t 1 a —.A Awe xl . JON Aqbm It up e ��°�u4�G^,/I moi. �IV� � �_�/.�•.r..r+w..,Y��_ �lV/T/lF'Y/ /I� d• �'3 ✓V 64 4 rl"i?f� �s'k"i9 .y •° "-�`--��� .OIy4V �/ � i-- .�e�'J!///l►GLO /Y� j! /`W ram✓.Y° o�,.^,�.fq,%rnWt�v.3rrS�++GC�'b N ._ ..�..... '� �,,,.,.. �L47R.3�byrt'sw_�:..7�&y/1 r'}°9i'AVO'S J y._ -�.._.�.___••_•_•_„•._,_�..._.... .�. .�..... 190rar°.7ta,rdrA4Ae4 /1 /fd6 r. BOARD OF 114+A1711 c ,` t FORM No: I SBTS OF YLANSw ; r,*t ° ;� E TOWN'O<'>30UTilOhD " ` 4URVL+Y� � , ;• ' �kDU14l)iNC Dia'AITMCNT mm * G111�CKA r�` �.� � r TOWN*11ALL ORH { SOU7NOID, N Y 1197Ar 1 � � � TLri 765 IS02v ,'v� * NOTI(FX y �t x / i e u'` 'T£ z CAL4 t ).xan2neds :�. r Ap prw Penult 110 Disain)CL epi arc ......... .: ...... .. r > S 6S'f Xxq, f3 q SC5 ` C1 4a ah s a w . . jj APPI iCAT16N POl1 Bill1 i ,Nov Lis, J a, ppl.i,cAtia Yili's"�ice coq)letely filled in by typewriter or, un ink tax) mt)xnitteJ to lice lkiIidiop Inspectcar„w, 3 sets of plana, accurate plot plan to scale. ' pee according to schedule.. <r r b. Piot pian sixx+icg location of lot and of buildings on premises,"relationship to'ad)oining`premises or"Imbi streets or areas, rail giving a detailed description of layout, of properly mist be (lrawn on.the disgran wh(eh \{n pert nfy ;i this tipplicntiou. = :c. - 'lhe work covered by this application may cat'be commenced before issuance of Buildtrg Permit ' a c�. Ulm approval of this application, the Building inspector will, issue a Building Permit to" the appl�catc� tittrh T rmit'blall be,kept on Clue prem[aes available Cnr,Inspection lhra>y)tanC the work. $ r, '. No9wildicg shall be occupied or, used in whale or in part for airy purpose wl)aCever cmtilt a Certificate off , , µ, l>4cuitancy stall have been granted by lice I1,nildhg Inspector -. r� u'' ,�a * _ ;•�_"�e a.�€.:�*`* v � APPidCAT1l1N IS HEREBY WM to the lltdldinil Department for, the issuance of a-iluilding Permit pUrstanC Building Zone ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Orducurctces or,+'vRR Regulations, Cor lice construction of buildings, acklitions or alterations, or,for.re oval or dowi Rion, as inerein < '.c ' W described. Ilia applicant agrees to canply with all.applicable lags, ordinances, code, iousing cxle, regidations,rand to adult outiarized inspectors on premises and In building for'necessary inspeetiuia" t 511 ENVIRQNMEWM EAST' ING (Signature of. applicant,, or flume f a corjupraLlon) ix .Bcxc.•1 PLO r BECONSCg••NvY g, (Mailicg address of applicant) ftr State whether applicant Is owner, lessee, agent, architect, engineer,'general contractor,'electrician, plud)er nr Ixuild3�� GENERAL••CONTRALTO.R................................. .....:.............................. c g Acne of aster of premises '.........A.-:!riJ?:........... ................................. (as on the tax roll or latest deed) =>z agand Fit ticxt, sigroature,of duly authorized officer.•S.••Stouterrburgh, Presof corporate officer) n Builders license NO r5556.JJX Plumbera'License,rio Electricians license PID c a location of lard.on whlot(propoaed work will be dcxu �.�,. s�,", �• i i Ir�SS..... c�clyUlQc;Jv ?. , f1 � : r w,r a :1 i t ri�s . house 4 N umber SC t (4n4 C r N aW c Canty Tax Map No. IOUO Sectio) Block " �. int ...... e+ x f *F " tY1(Yte "G [G1 @I h ri�e<i reap Na l Jot, 4 ; �, a Sptxlivieion�: _ ., 2. Stale existing use and occupancy of pr nines a`4 im en led and occupancy of proposed !c teCrucCion µ h #+ - a. Existing use and occupancy. ....... \- •E st 4��. t ?, .. .4� .... .. l lJ b. untested use arx] occupancy ...... 1. Nttur• of wow (d l� �l, ra s. of work (Direct wA:iclr a licable): Nc�w Ikrllding .,.:.,..... A<WiCion .......... Alteration Italmrr . Itenovat ....... DermlitIoil ............ Other I%brk .................................. . • :. .= (Description) 4. Lschnatel Cost ...... fee q (Co be paid on filing iiia application) 5, if rk.,elling, u>tdnr of dwelling 'mics ............ llruber of dwelling units on each floor .......:.....:.::'+ urs a sober of cars .....�......�.1'�................. S II , s _ G. If Inshwas cannercial or udxeclloccxrwna specify •••'••• 3 Y. nnatura stud extend' of oac3r type of ...... I i rf ... $� !f any: [haat..S? .......11 Depth ...'.. .. gl ... Naber of Stories ............:.,....... t)buenaiara of etre aknrchtre whir alterations or rxkllfJone: Fronk ............. .. 7. ............... [tear 001411 ars u existings structure l ......... height ...•.........,n.11...... Myrber of Stories ............... ' I1. Diaeusiara of entire new conecruCCicn: dwelt IV©..�a�Lr .. '......,.... Depth lletglrt ...... IiNuber of Stories J. Size of IuL: t+rrrrC .....�. �.'.i�n. fleet .., ........ p r �� 'fl .(. - ,1 4 10. Dale of Nrrwlraaa .............. ..'..... Nnre of lrorusr Owner .......................: 11. Zane or use district in ulwldr prgrnlsee are sltuatecI ............................. ...... 12. Does proposed conrstmetion violate any zoning law, ordlr�rce or regulaClon: ... !`'. .,. A [1ra h 1:3. Will lot lie regraded N �••........ W1I1 excess'IfIII be ranoved fran prenises: YCS J� 14. Nares of (darer of proalsea !C -..... ...... hese .I S.�Gsl�.k�c�l "is No. N:nrt of ArdrltecC ... ...........'i..................... tAlreas ............'...:.:..."......:.. Plwne�tJn.` - . N:me of C ntractor Ert�iroi2m� rk••Ee�b•Irte:•••• Address .P..O....1.94.Re&4A]•�......11one No'.734„7474;'• 1195 15. le' Ibis pmix:rly within :300 feeC,�rf a [dial t.�eCltuxl'i * YES ........... NJ .........8. ; *1P YM, SOUI1L:311) 701x1 gmsl' S LIMIT MAY IIL,RL(II3r1uD. pL0'i' D1AOItAM -• z locale clearly and distinctly all'buLldings, wdrellrer existing or proposed, and Indicate all set-track dimensfdna Fran property linea. Give street and bock nnber or deacripkion according to deed, and slow street narrea arid indicate rdretlrer interior or corner lot. 14V:D� S L_k o I N& G-UASS DOOR 7M... (� �E- ,t it :X)tiN1Y (N° .,$1I fQ1k......... Pete ,•S.,• Stoutenburgh ....Ixrhill duly bmmi,, deizrses and says lain[ he Is tho applltant (Nrnre of Individual signing contract) . Xlxrve ruined, ” le in Lhe ..General..Qomtraotox..� ................................:.................................' (Contractor, ngeot,-corlirrnte officer, etc.) if; raid tnmrer nr osiers, 60<1 la duly audiprized Co lierRinn ( [ hnvo lxa•I'ornrcel the said work an d,to anke aril fIle'l.h(x ggrl)croion; that tilt statenenls contsir I .In 1:11I8' application nre'tnre to'Ote beat of'his'ktromlelge aid l>Ll.lef; and ' hal. the wx)rk will Ix performed In Che nnjnrer set forth in the appl icaCion filed tlrerewitlt.'' #stmt Lo I�cer�e me [bls ' / ry if `. �.V 19.18 9 �. M)tary 1?i If �.... ........ NgNewYorK .. O3c�lAe� 06 (Sittruu:ure of Applicant) 1' pusl�Ned In Suffolk Cou Commission F-Virss Deo 9. BUILDING PERMIT REVIEW CHECK LIST Applicant/ 1Gt1 Gov Date / '5- v Owners Name: (Y1�'1 t- ��S Reviewed: Architect/ Date Engineer: Submitted: SCTM #: District: 1.000 Section: a Block: 5 Lot: Project _ \ 1 (� /' Subdivision Location: ` �� v o-0 T1�1 l�� t� b(-}Name: Sin&le&separate Required certification: Yes 1 No) Req Req. Zoning District: _�/a [Lot size. Actual ) (Lot coverage Proposed,_1 Req Req. Req, (Front Yard Proposed: (Side Yard Proposed: 1 (Rear Yard Proposed: J 00-1 Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. v Town Trustees Town Zoning Board approval: Town Planning Board approval: o g Pp Flood Plane Elevation ??? Flood Zone: 14. o'yt