HomeMy WebLinkAbout26548-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27349 Date: 10/11/00
THIS CERTIFIES that the building ADDITION
Location of Property: 230 AKA 311 KNAPP PL. GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 34 Block 3 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 12, 2000 pursuant to which
Building Permit No. 26548-Z dated JUNE 6, 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 WITH NEW PATIO DOOR TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to JOSEPH P & CATHERINE MARSHALL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
-F!V`
Authorized Signat e
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. 26548 Z Date JUNE 6, 2000
Permission is hereby granted to:
JOSEPH P MARSHALL
230 KNAPP PL
GREENPORT,NY 11944
for
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
at premises located at 230 KNAPP PL GREENPORT
County Tax Map No. 473889 Section 034 Block 0003 Lot No. 003
pursuant to application dated APRIL 12, 2000 and approved by the
Building Inspector.
Fee $ 75. 00
Y�Autho i ed Signature
ORIGINAL
Rev. 2/19/98
.Z,•.--� .Form No. 6
71TUF
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 (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 dw ;jjizA?5 9 ditions to dwelling $25.00,
Alterations to dwelling $25.00, wimming pool '25.0 Accessory building $25.00,
Additions to accessory building $ Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25,0
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . . j0..� -ob . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. .. . . -ppOld Or Pre-existing Building. . . . . . . . . .
Location of Froperty. . . . . . .r.� . . . .. . .. .����A�4. QO1�� . l�L� ... . . .CVIC-t"gjoe. . . . . . . . . . .
House No. f Street` Hamle
Onwer or Owners of Property. . . . . . ojdNp/.4. .f. . 9f` 1u�s!� .�\C ri . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . . .ll �. . . . .Block. . . .'j . . . . . . . . . .Lot. . . .9. . . . . . . . . . . . . . . . .
Subdivision. .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . . . . . .. . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . .. . . . . Final Certic . . . . . . . . . . .
Fee Submitted: P$�Z . . . . . . . . . . . . . . . . . . . . . . . . .
54J . . . . . . . . . . . . . . . .
cn £a�3`I� AP PL A
o��gUFFDLk�,
Town Hall,53095 Main Road Fax(516)765-1823
P.O. Box 1179 h x Telephone (516)765-1802
Southold,New York 11971-0959 Oy
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Sept. 13, 2000
Joseph & Cathleen Marshall
311 Knapp Place
Greenport, N.Y. 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 # 26548-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] F UNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLAC S CHIMNEY
S
REMARK .
DATE -INSPECT L��
70-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING FINAL
[ ] FIREPL. CHIMNEY
REMARKS. ' U�
,DATE INSPECTOR
f
BUILDING PERMIT REVIEW CHECK LIST
Applicant/ Date
Owners Name: % WJZA ka Reviewed:
Architect/ Date
Engineer: Submitted: /� d
SCTM #:
District: 1.000 Section: _ Block: _ Lot:
Project Subdivision
Location: 0 - f♦'Wf}3) /aAtA g — --
Name:
�
Sinple&separate Requir
certification: (Yes/ o
Req. Req,
Zoning District. [Lot size: Actual:_ I [Lot coverage Proposed:
Req. ReqReq
[Front Yard Proposed: � [Side Yard Proposed: 1 [Rear Yard Proposed: 1
Project Description: DPrh—
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. O YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval: V/
Town Planning Board approval: ✓
Flood Plane Elevation ???
Flood Zone:
t
� r
FIELD INS ECTION REPORT DATE COMMENTS 6
II II _ r l?i
II U i-i
if y
FOUNDATION OST) Ijrr ii
11 jj y
III
FOUNDATION 2ND)
ROUGH FRAME &
PLUMBING I� If
_
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II II �H
INSULATION PER N. Y. �� y
STATE ENERGY ifif
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CODE u ii
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All .47
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FINALif
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ADDITIONAL COMMENTS:
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BOARD OF HEALTH - ./-
FORM NO. 1 3 SETS 2P-PLANS . . • . - - - • • . . - -
TOWN OF SOUTHOLD SURVEY
BUILDING DEPARTMENT CHECK /bS: •7nl. . - . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . •
i SOUTHOLD, N.Y- 11971
TEL: 765-1802 NOTIFY:
CALL
Examined.............-.... 20.--. /- C� ,Q� MAIL TO: . . . . . . . . . . . . . . . . . .
Approved....(.1.?...••••••,7-�`?v. Permit No. Q({ 55 e� ..................................
Disapproved a/c ....-•........................•.
...................................... .............
(Brlldl� CO�
APPLICATION FOR BUILDING PERMIT
Date. . . . . . . . . . . . . . . . . 20. . .
INSTRUCTIONS
a- This application const be completely filled in by typewriter or in ink and submitted to the Building Inspector
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 o
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. Suc1
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
Otcupancy shall have been granted by the Building Inspector.
APPLICATICK IS 11EPM MALE 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 Iaws, 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/�/- ti/g'nns.
ur'eofx•applicLaot, or'i,T , if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pinnber or buil-
C<
uil
=.C<.............•---.-......--• .,- ...............-- .....--..-..
Nam of owner of premises ....
............. ...........
(as on the tax 1 or latest deed)
If applicant is a corporation, signature of duly authorized officer-
.........................................................
(Nam and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of land on which proposed work will be done.--.�>.��.. '4(-N/4i
..........................................•..... ........ .......
House Number /1 Street �22 Hamlet
Canty Tax Map No. 1000 Section .. .:1�(( ......... Bloch ...Q.,J........ Lot ...d.3.........
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 ... F
u2
-- J.-. v&..............................................
b. Intended use and occugnancyu�.... v, � D
.....:............ ..-.......- .-..-..-.J7:...-.......-..........-......
J. RAure of work (check whidi applicable): New Building .......... Addition ..1/,.,.... Alteration ..........
Mpair _........... Removal ............. Demolition ............ Other Work ..................................
?. f (Description)
� �
4. CEstimatedCos - �
. .._,.,.-�vVo,........ fee ..............................................
(to be paid on filing this application)
5. If dialling, nu fiber of dwelling units ..,.,/...... Number of dwelling units on each floor .........
Ifgarage, ru fixer of cars .....jx...............................
6. If business, comnercial or mixed occupancy, specify nature and extent of each type of use......................
7. Diimnsions of existing structures, if any: Front................ Rear ............... Depth .................
lleiglht ......................... Nuuber of Stories ..4;1- ---------------
Dimensions of sane structure with alterations or additions: Front ............... Rear ...............
Depth .................... Height ....._.............. Nurber of Stories ...............
� )t
8. Dimensions of entire new construction: Front ...,f..`..,,...... Rear .....�: ...... Depth ...J..........
Height ...............``.......... Nvimr of Stories ..................... _ t
9. Size of lot: Front
^^��..J.�..,...\..., .,. .�
Rear ................�.J..^'Depth ./ /P_.:.� .......
10. Date of Purchase .t?`.
........ Nam of Former Owner .`6!!IG'A �� 7.T4.....................
II. Zone or use district in rhich premises are situated ..............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ........................
13. Will lot be regraded 11 Will excess fill be removed from premises: YES PID
14. Nares of Owner of premises -.�f L G.,tl�irahaj-t... Address
Name of Architect . .... ..................... Address ................. ./../ ....... Phone No. ............/. -
Nam of Contractor"1I21JKl:�:llJ� lY1C).C��..,........ Address. Jr.��&'VJlll.�l(? �i...C���.�1I.t.Plore Tb.3
15. Is this property within 300 feet of a tidal wetland? * YES .......... N) .
*IF YES, SOLT11"D '10(dl TEa7SIMS PERMIT MAY DE MQUIRED,
PIAT DIAGRAM
locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions l
from property lines. Give street and block nuaber or description according to deed, and slow street rams and indicate
whether interior or corner lot_ .
1
s �
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;rN1E OE N;'W YY((W
)JI TTI
or Sr �o I
SS
f ........ V-. C. >) 1C .I.!...............being duly sworn, deposes and says .that he is the applicant
,Nam of individualsigning contract)
dove nared,
leis the .....-....... .......................................................................
(Contractor, agent, corporate officer, etc,)
rf said owner or owners, mxl is duly arlhorized to perform or have performed the said work and to make and file this
ippl.ication; that: all statements contained in this application are true to the best of his knowledge and belief; and
haL the work will be perfoned in Line mamrer set forth in the application filed therewith.
)worn to before rre this
..../z ,/......(lay of T'" .....:-20,CL.
� f
Notary Public 'k4 '9..� 3 C
(Si gry vre of Applicant)
1JNDA J.COOPER
Notary Public,State of New YorP
No.4e22563,Suifolk County,
Tnrm Exi:ires.Dec;tnhr)- ,?; ?fid
a
APPROVED AS 0
o�5� 00
x
DATE: 1-Uv B.P. O a;�5� pQ
FEE:
NOTIFY BUILDING AT d� ,
765-1502 8 AM TO 4 PM FOR THE it ; ; 410
Llbe
1 O F0 NDU ATION - TiNO REptNRED P�' „ �c
RED -t�kOP pork
FOR POUCOMMM \S
2. ROUGH - FRAMING • PURASM
t -:
3. INSUlAT10N
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. a "
ALL CONSTRUCTION SHALL MEET �t16Je t __ '.. ...r 6
THE REQUIREMENTS OF THE N-Y. i vA
STATE CONSTRUCTION O ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
1
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