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HomeMy WebLinkAbout26412-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27195 Date: 07/17/00 THIS CERTIFIES that the building ADDITION Location of Property: 575 SUNSET LA GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 33 Block 4 Lot 53 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2, 2000 pursuant to which Building Permit No. 26412-Z dated MARCH 21, 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 SCREENED ADDITION ON AN EXISTING PATIO AS APPLIED FOR. The certificate is issued to PAUL E MELLAS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 0.�— W "� Authorized Signatu 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. 26412 Z Date MARCH 21, 2000 Permission is hereby granted to: PAUL E MELLAS 43 SUNSET LANE GREENPORT NY 11944 for CONSTRUCTION OF A SCREENED ADDITION ON AN EXISTING PATIO AS APPLIED FOR. at premises located at 575 SUNSET LA GREENPORT County Tax Map No. 473889 Section 033 Block 0004 Lot No. 053 pursuant to application dated MARCH 2 , 2000 and approved by the Building Inspector. Fee $ 75 . 00 AuthoriU4d Signature ORIGINAL Rev. 2/19/98 i� {{II „2..' TOWN OF SOUTHOLD BUILDING DEPARTMENT (��_ Z�� ? •' TOWN HALL d�y7 765-1802 BLD .DEPT. TOWN OF SOU HOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 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 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 (pri.or 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . • 6 . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. /. . . . . . . . . . . . Location of Property. . .y� . . . . . . . . . . . . .. .. (F?S.e� .L.9�1.j. . . . . 9.. ntm .Z!�??.^• .�. . . . . . . House No. Q Street Hamlet Onwer or Owners of Property. . . . �7� �. . . . :. . :�%.� : : County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . .. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . .. .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . .C `."S.,lIq,Q. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT C6 �a71y5 A j 11 _INSPECTION_REPORT DATE --II------=----------------------CMIPIENTS= H� FOUNDATION ( 1ST) It FOUNDATION ll FOUNDATION (2ND)______ - Illlr- ---��--- Ckn ROUGH FRAME 6 PLUMBING Ir— n INSULATION PER N. Y. STATE ENERGY it CODE II II 0 I II II I II FINAL -12 II __________________—_- O g ADDITIONAL COMMENTS: 'i x rxxl y� Z� r -- - ---- Wil`' H II _-77777 7 SGAL>~: i� t SOLI t�2 _ 10 O t k «tr < �rq Pn t R�04 zi APPROVI D AS NOTED ga, a1 P {�� " DATE-.3 B.P. # - r FEE: BY: NOTIFY BUILDIN DEPARTM EX►S"fING _ 765-1802 9 AM TO 4 PM FOR THE � FOLLOWING INS ECTIONS:'� i PRT 14 GI t'a41r 1 FOUNDATIO - TWO REM RED ` FOR POURED NCRETE ' 2- ROUGH - FIR MING & PLUM ING 3. INSULATION SIR' 4. FINAL - CO STRUCTION UST BE COMPLET FOR C.O. ALL CONSTRU ION SHALL MEET 4., . THE REQUIRE ENTS OF THE N.Y. y.... STATE -CONSTR ICTION & ENERGY " CODES. NOT I IESPONSIBLE FOR DESIGWOR CO TRUCTION ER ORS h OCCUPAIe CY OR USF IS ULAWFUL MR. ipRvL � >-LL�rs 7, k �x►s �wG tto kV1 i HOUI CERTIFICATE 43 LAO OF OCCUI IANCY GRerrti PORT 23 FEB 00 - _ r / y r i 00 uj t MAP or, LA"o ; SL-ji2V!�Ye Cs pop- E .- ,d4rt GudYGH4e±EC +rt. "�'F'C fo tie Soui4 load TOWN OF' ScsL -rHO _j:; s.j Y. " ' _, Surve ya, VAN T�Z-iYi. �E SUM a- 7J� C ;& . -33 - 4 - 5 -u 4iC¢t"SVd i_us.i Su�v_4iat5 3� Gree_wips;rt,Nc�w York F , et _ 'ALE-, 100 s ROLL Roo-FI v DAG• CD.x pI o L1tiM APPROV AS NOTED �aTE:fD B.P.n FEE: BY: X 15-(I Ntr JNOTIIN DEPARTMEN AT765- M TO 4 PM-TOR HEFOLLS CTIONS: SU2eeNwb 1 FOUNDATION - TWO REW1 RED FOR POURED NCRETE a 2. ROUGH - FRAMING &PLUM ING 3. INSULATION c) 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUC ION SHALL N EET THE REQUIREMENTS OF THE N.Y. " STATE CONSTRIICTION & ENE GY CODES.. -NOT I ESPONSIBLE FORS DESIGN OR CON TRUCTION IT } OCCUP NCY U x USE IS UNLAWFUL , MR. PRuL M F.LUr 5 � �x1s� In�lr Tio VVI IHC T CERTIFICATE 43 SO.vS >;T LA. OF OCCUPANCY A. . y. 23 FEB 00 riS< ii swl ** • Qy � r / T. .Z s W Y yy� of 4 ( 1 Z flat N J U} V 1 1 i MAP of LAND Sup"./ Yerj F'OR A-r rti cEd `j'n iH 7' Ckyy1CdC>;4 t ,(i :l�]HCC� �.. -. , i�• , T`'1WN 0� `.,aC.>t.. -rf-iO1_t; t.j y. `...s` VAN ILiYL � SoRd x 5 `- )� �ii�,,y�Sa� �:� _ � - •� - GY��'=.�ipr.:Y'4 ,�N¢:w Y.7Yk M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 1,2 DATE ® INSPECTOR BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING. DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: .. CALL . . . . . . . . . . . . . . . . . . . . . . . . . . 20.. . MAIL TO:• . . . . . . . . . . . . Approved..�Y �� Permit No. Disapproveda/c .................................. .................................... ...................................................... R M P"'"� �T�' (Building Inspector) tj in APPLICATION FOR BUILDING PERMIT 2 2000 rDate.3:. . . . . . . . 20A ' r . INSTRUCTIONS a. Thiapplication 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, h. 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 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 whale or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICN IS IEUM 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 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 necessary inspections. ..................................................... (Signature of applicant, or name, if �a corporation) ................................................... @ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plurber or builder .....................4�!�!.!" ........................ ....... ....................................................... Name of owner of premises ....... CR.!�/L.......(7 ..2ejl,'�s"rz.,e ......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ....�Nr...... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. location of land on which proposed work will be done.............................................................. --c ........................S( 4A M. ........... ..................................... House Nmber Street 2 ml Haet Canty Tax Map No. 1000 Section .....1,/....... Block ......41 ....... Lot ..... .... Subdivision ...................................... Filed Map No. ............... dot ............... (Nam) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...l..l✓L/ �'...... !'1.I�.�( ...!?.GP7.( 5�r% ................. b. Intended use and occupancy .......... ........................................................ i F 3. N•mture of work (check wlmidm applicable): New ]Jnilding ........ Addition .. ...... Alteration .......... It-pair ............ Removal ....I'I......... Demolition ............ Other Work .................................. (Description) 4. Estimated Cosh,..d b .....L....... fee .............. ................................ (to be paid on filing this application) 5. If dwelling, nnber of dwelling }nits ......I..... Number of dwelling units on each floor ......!......... Ifgarage, number of cars ......Ir............................... 6. If lxrsiness, commercial or miwedloccupancy, specify nature and extent of eadm type of use.................:.... 7. Dimensions of existing structure'a, if any: Front................ Rear ............... Depth ................. Ileiglmt .........................I Number of Stories ...................... Dimensions of same structure witim alterations or additions:' Front ............... Rear ............... Depth lleiglmt Nmber of Stories 8, Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height .........................11Nmrtber of Stories .,- 9. Size of lot: Front ...........i....... Rear .................... Depth .................... 10. Date of Rurcbase ............... ..... Name of Former Owner ........................................ If. Zone or use district in vAidu premises are situated .............................................................. 12. Does proposed construction viola('e arty zoning law, ordinance or regulation: ..... �........... 13. Will lot be regraded .......... ........ Will excess fill be removed from premises: YES 14. Names of Owner of promises .�''4��.. .J.: .S Address .�� ...Su r�s e P-lafi y C,-. flwne No. ........&`j ...... . ....... Name of Architect ......... .. !.....CIeI.. Address ............ .............. Phone No. ............. Name of Contractor S ` ............... Address ............f...................Nxxme No. ............. 15. Is this property roperty within11300 feetsmfl a tidal wetland? * YPS .......... No ...�\.. S PRRMrr MAY RE REQIlIR1rJ1. PI.OT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and ljlock n tber or description according to deed, and show street names and indicate whether interior or corner lot. �S mil.-I w Nu Youc, ss •••• f f.V.L -•�•-• M.F- • ...�. .........being duly sworn, deposes and says that he is the applicant (Notre of individual signing contract) 'i above named, Ile is time © Wntev� (Contractor, agent, co{porate officer., etc.) of: said caner or owners, and is duly au 4horized to perform or have performed Lime said work and to make and file Lhis application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be perfonmmeul in thepanmer set forth in the application filed therewith. Sworn LO before me this CYi4C,1 ......day of•n ... .20bQ.. (� Notary Public ...I -1 e� UNDAICOOPER (Signature of Applicant) Notary Public,State of NenjYorte Term No. December 31, n=- ' BUILDING PERMIT RE'\gEW CHECK LIST Applicant/ M Date 3 Owners Name: I 1 ►e �a� Reviewed: /wo/00— Architect/ Date . Engineer: Submitted: 3 -0-00 SCTM #: District: 1.000 Section: 33 Block: Lot: �J3 Project � ��� �6 " !1 _. Subdivision Location: �5 ���" !9-2 ��_V' Name: Single&separate Required certtfication: lyes/Nod Req Req. Zoning District: (Lot size: OU() Actual: (Lot coverage Proposed: is Req. f Req. �� Req. / (Front Yard >�Proposed: _] (Side Yard _ Proposed: 1 (Rear Yard —55 Proposed: Project Description: ' AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A./ NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes: