HomeMy WebLinkAbout26346-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27245 Date: 08/15/00
THIS CERTIFIES that the building ADDITION
Location of Property: 1245 INLET POND RD GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 2 Lot 29
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 3, 2000 pursuant to which
Building Permit No. 26346-Z dated FEBRUARY 11, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MARJORIE SNYDER & ANN NOTTES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
-Z �274
//tho4 zed Signature
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. 26346 Z Date FEBRUARY 11, 2000
Permission is hereby granted to:
MARJORIE SNYDER
134 LINCOLN PLACE
BROOKLYN,NY 11217
for
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR.
at premises located at 1245 INLET POND RD GREENPORT
County Tax Map No. 473889 Section 033 Block 0002 Lot No. 029
pursuant to application dated FEBRUARY 3, 2000 and approved by the
Building Inspector.
Fee $ 75 . 00
Authorize Signature
ORIGINAL
Rev. 2/19/98
.TOWN OF SOUTHOLD Sjln��y Q
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
;M>`UJTH01.0
A. This application must be filled in by typewriter OR and submitted to the buildir
inspector with the following: for new building r new use:
1. Final survey of .property with accurate locAgi6n of all buildings, property lines
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-O form)
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 17 lead.
5. Commercial building, industrial building, multiple residences and similar buildi
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.
♦y
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a
'-'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 applican
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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .251z.
4. Updated Certificate of Occupancy - $50.00
5. ' Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
\\ Date A�%I � . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. _ A4' . . . Old Or Pre-existing pBuilding. . . . . . . .. . . . . . . . .
Location of Property. . . . a 9 5. . .�t oh fit. .V` �: . .v {?Y 1. oS �. . J0..1_? . A 5.44 . . . . . . . . . .
House No. p�r Street Hamlet
S
Onwer or Owners of Property.. .. }�!° . AFk4 h . t2!le S . . . .
. . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. .!:. . . . . . . ..Block. . a . . . . . . . . . . .Lot. �� . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . .
Permit No. . a ��? �. Z. .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . .
HealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . .. . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .Y. . . . . . . .
Fee Submitted: . . . . . . . . . . . . . . . . . . . . .
_ . . . . . . . . . . . . . . . . .
Qom- 5g3a� APPLIC
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o�1;�gpFF014,C
h� OGy�
Town Hall,53095 Main Road o 1 Fax(516)765-1823
P.O.Box 1179 W Telephone(516)765-1802
Southold,New York 11971-0959 Oy • ��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 27, 2000
Marjorie Snyder
134 Lincoln Place
Brooklyn, NY 11217
RE: 1245 Inlet Pond Rd. , Greenport.
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 # 26346-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
-e-
7-f
Titxr # ✓UUl7 33 – 2. – � 9
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
4)e c-k %�es 7 on .57e�s
I —Al -4 �-� j�y- t�rx,'S7?Yi lrW,.S
APP ED AS NOTED
DATE: �_ -0 B.P.K 2
FEE:�BY TAT
NOTIFY 2 9 DING DE EN (�Q 1
FOLLOWING
8 NS TO 4 PM f{IR THE
FOLLOWING IN8PECTIONB:
1 FOUNDATION - TWO REQUIRED �fn
FOR POURED CONCRETEvCXG�
2- ROUGH • FRAMING tk pt,UM81NG
3. INSULATION
4. FINAL . CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH P -BG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING [ FINAL
[ } FIREPL & HIMNEY
REMARKS.
DATE INSPECT
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ADDITIONAL COMMENTS:
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--•• — — ---- -- — tv
. . . . . . . . . . . . . . .
.. .u. . J SURVEY
. . C d 0D
TOWN OF SOUTUT HOLD SURVEY . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . .. . . . . . . . . . . . . . . . . . . . . .
3
yt ` , TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
BLt;.9.1JU TEL: 765-1802 NOTIFY:
CALL ��n¢r^�, t Th"
Examined..' .� VAl ...., �.47 ,f MAIL TO: 77•/2..t-/f( . . . . . . .
Approved.. ,.`v,••, Permit No. 7 P.>3
.............................
Disapproved a/c (^ :Al.A.t-1 0-M.OU /f 3 9
... ......... ... . .....
r
......................................................
(Building for
APPLICATION POR BUILDING PERMIT
a o�
Dace". . . . . . . . . . . . . . . . ..t-qP-. . . .
INSTRUCTIONS
a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan shoring 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 commenced 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 %bale or in part for any purpose whatever until a Certificate of
C)ccupazlcy shall have been granted by the Building Inspector.
APPLICATICN IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zane 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 reroval or demolition, as herein
described. The applicant agrees to cdmply with all applicable laws, ordinances, building code, housing code, and
regulations, and to admit authorized inspectors on premises and in building for necessary in tions.
....� .. .............
(Signal' e f XXapplicant, or if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
........................................................................................................................
Nam of owner of premises ..... :°�c.)��\'�'
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
BuildersLicense No. .........................
Plumbers License No. .........................
Electricians License rima...
Ocher trade's Incense lu. .................... - - -
1. Location of land on which proposed writ will be dame.......Cp............�...�.
....e2.v� ....0? :.. lin
..... ��..... t2 t-�O ....
.....
House Number Street Hamlet
County Tax Map No. 10110 Section-"£:,.?{:.s.�. Block ... .......... Lot ...�. .g.,......
Subdivision ............. ...........15Filed Map No. ............... Lot ...............
(Nam)
2. State existing use and occupancy of premises and intended use and occupancy-of proposed construction:
a. Existing use and occupancy ....�91R. 1>\`? ....`.....................................................
b. Intended use and occupancy ....0 0, �.'t'J G ....C�, G .............................................
.. .. .. �ns�'xx�Ya 9a 19S5Ymlf9stR yre4+.d't
r1�5 " i9PS91.t�6 ' .
„ - .. .. ..BP ►+t` imIIamtgaRaAtasut+rra;b
Nature of work (check wihidh applicable): New Building .......... Addition .....�teration ..... .. ...
Repair ............ Removal .................Demolition ............ Other Fork ..................................
(Description)
Estimated Cost ...:..5
fee .... . .............................. .
(to be paid on filing this application)
If dwelling, nurber of dwelling habits ............ tludher of dwelling units on each floor .. ..... .... ... ..
Ifgarage, number of cars .....Ak..............................
If business, cammrcial or mixed pccupancy, specify nature and extent of each type of use.......... ............
Dimensions of existing structures' if any: Front................ Rear ............... Depth .................
height ......................... ',Nurber of Stories ......................
Dimensions of same structure withjalterations or additions: Front ............... Rear ........... ....
Depth .................... Neightl .................... Nmiher of Stories ...............
Dimensions of entire new construction: Front ................ Rear ............... Depth ... ...........
]]eight ......................... Number of Stories .....................
ISize of lot: Front .................... Rear .................... Depth ....................
). Date of Purchase ..................... Nae of Former Owner ....................................... .
I. Zone or use district in which premises are situated ................................................ ..... ........
' Does proposed construction violate airy zoning lam, ordinance or regulation: ........................
1. Will lot be regraded .................... Will excess fill be removed from premises: YES NO
. Names of Owner of premises ................ Address .............................. Phone No. ....... ......
Name of Architect .................................... Address Phone N ............................... .............
Nam of Contractor .............1..................... Address ............::.................Phone No.
i. Is this property within 300 feet;of a tidal wetland? * YES .......... NO ..........
*IF YES, SCUlUD TOWN TRUS MS PMWT MAY BE REQOIRE.O.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back'dimnsions
ram property lines. Give street and block rrxdher or oescripcion according co deeu, and show street usm>es and indicate
tether interior or corner lot.
wit, OF NW YORK,
SS
TJNIY DE ....... ................
QL:.g••....... ...................being duly sworn, deposes and says that he Is the applAWIL
Vane of individual sr rn contra t)
)ove named,
is the .�hluf/iL kJr(�z Csf)uhr� ...............................
. ..............................
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly aluthorized to perform or have performed the said work and to make and file this
pplicatioh; di at all statements contained in this application are true to the beat of his knowledge and belief; and
hat the work will be performed in the, manner set forth in the application filed therewith,
worn to before me this
........./1.....day of J,AMJI� I.. spa....
Notary Public kpvwr
�No wlmrk ........ � :....... .........
NuCp�y (Si Cure of Applicant)
f9mpkpN"'Jrr.elv�p
SURVEYOF LOT # 128 SURVEYED 02-10-qq
"MAP EASTERN SHORES SECTION FIVE" SUFFOLK
G�3TMTAX 2AX #
FILED DEC. 31, Ig68 AS # 5234 1000
ci
SITUATE: GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY CERTIFIED To:
MARJORIE SNYDER
N ANN NOTTE5
NORWEST MORTGAGE OF NY, INC.
GOMMO NEALTH LANE) TITLE
N51JRANGE COMPANY
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NOTES: aid.
0n]Y copleaelrnm tna'a101ne1 of L rve veY
en vltn• 0`0:a L a lana
uveae as nni a, wp tv as O.T
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■ MONUMENT FOUND �P��`J C.EH��9`O aY ta.w.Yara abd a: .1 ar Frar Pant Only
ane Survren. sato uaHuutten.vneu run.Only
a.l
pp ane a.nie t n uif eortneeunin ooiom 1'-.`%V'
PIPE FOUND CIDY N 9'f< min:nnnnonenn oi`ineni.nuina innii%imn°."cnnniitno°-
dune•rs not aenerer.El.to nd"ll.n., in.I ane
CCrC: ."t:0 HEDGE * t
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AREA = 15,542q 5F OR 0.5.7 ACRES 'oF 50202
NSFO AN° 9vQ, N.Y.S. LIC. NO, 50202
' JOHN C. EHL SURVEYOR
GRAPHIC 5GALE 1 501 6 EAST MAIN STREET
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REFERENCE # 99-116
Applicant/ Date
Owners Name S !' Reviewed 0 -//0/0
o
Architect/ Late
Lngineer: _'��, Submitted
SCTM ll:
District: 1.000 Section Block I,ot
Project n Subdivision
Location. '1 Name _ a
---— _
l
Sin&le& separate Required
certification (Yes/No) Q_- --- - --
(,�� Req Rcq. ��
/.oning District -,GV ILot
size
_ �V0D Actual - �5, 7,", (I of coverage 'ioposcd
RN �/ Rcq It�t !
{/" (Front Yard �'� Proposed J (Side Ya(d Proposcul J (Rear Yard _ Proposed
Project Description: bPA
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A./ NO YES Number
v
Suffolk County Health Dept.
New York State D: E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ??? ' J
Flood Zone: ,1(/
to •