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HomeMy WebLinkAbout26122-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town HalI Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26809 Date: 11/29/99 THIS CERTIFIES that the building ADDITIONS Location of Property: 335 AKA 507 STERLING PL. GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 34 Block 3 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 20, 1999 pursuant to which Building Permit No. 26122-Z dated OCTOBER 3, 1999 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 TWO HANDICAP RAMP ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS QUINN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A / t r u' dir g Inspector 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. 26122 Z Date OCTOBER 3 99 Permission is hereby granted to: THOMAS QUINN 507 STERLING PLACE GREENPORT,NY 11944 for CONSTRUCT TWO HANDICAP RAMPS AS APPLIED FOR. at premises located at 335 STERLING PL GREENPORT County Tax Map No. 473889 Section 034 Block 0003 Lot No. 026 pursuant to application dated SEPTEMBER 20 99 and approved by the Building Inspector. Fee $ 75 . 00 tho zed Signature ORIGINAL Rev. 2/19/98 i TOWN OF SOUTHOLD BUILDING DEPARTMENT ! TOWN HALL ls' 765-1802 �'• APPLICATION FOR CERTIFICATE OF OC UPAVCY 9 �� /rr A. This application must be filled in by typewriter OF, in "SUbmitted' to-t e b ild inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, prop t lin, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for] 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 19 lead. 5. Commercial building, industrial building, multiple residences and similar buil 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 '.'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 applic. If a Certificate of .Occupancy is denied, the Building Inspector shall state th 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 $25.0' 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 - •25V 4. Updated Certificate of Occupancy - ,$50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . 11.l2G ' cll . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . .Y . . . . . . . . . 1'-'' 1Gfe , Gr7 eP,n ri . Ny Location of Property. . 1 Srl,»`l . . . . .. . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . . ... ... . . .Qu:� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . 3y. . . . . . . .Block. .3. . . . . . . . . . . .Lot. .'? � . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . Permit No, . . . .Date Of Permit. A1. . . . .Applicant.-Tk_-3,r 'u % .� ,-' n. . • . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $.aZ�;OU :. . . . . . . . . . . . . . . . . . . . 5 G)G+]n� Ivy Ik4,n ovar " APPLICANT lcTo �6�0g c% g� I.D 7NSPKTION_REPORTDATE COMMENTS ------ -�"_fes a -------------- ----=-f- 9� ------------ Ir u ro n INDATION ( IST) ii —ii----------- ------ -- --------- --------- -- --- ii u n it III-----It lNDATION (2ND) ____ ________ _______________________________________________________ -� Ir it Itit ii ---- II IGH FRAME b I------JI --- - ---- t11 r II --- PLUMBING 11 — T II 11 —JI -- it n II jI H it —yi CC SULATION PER N. Y. H --II STATE ENERGY I� M CODEIt u l it ii it ° __ - ---------- II H II I al 1�4 II FINAL N -_It _ ADDITIONAL COMMENTS: 5 7a m p (N H 1 H G z "- ro 2 _ t 71 ---- . ...� D 77 .meocuasrtYa.ar.a°i*ra �l;h 4 y� � ��'+ D rbaavaMPmaaK � - i+ � i ,.�met.wrwnbrwoat5.sa+► ',�' rt? .ka�+�•.nom�ea�ma+ / i 1 tlae conpanX Qm'n"^eCWa7�'d J aradti.:a9:rr.vursneag4 1 _ r I ? AT w P ! I Guzrnttf^c-.: t:> ,iarn� ``�.1'it. Lrv;Staf� - i oie Lo+ to++er TO .�•`, �C•4ffTg1� Eavtn.�5 Ha:1 1 .qj' �`. �'I•G�f YTlj P1 .�:`�Il u. Uq•ttbun- - 1 'i:ad ti L-t7f�ik Cc,yn4�y ;ier.k ;,, F - li 'JAN T-i:C a MIS;.. N r, z a- �Q'���GKyyL"4�� t E0 39vd HO2id3SMJ 3SIdNns 606T-LZL-9TS LS:OT 966T/90/TT p BOARD OF HEALTH . . .a/. . . . . . . . . . . : `] u _ FORM NO. 1 3 SETS OF ANS . 1`��...,,._.�__._... 4�ty� ) TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . :s��P 0 SEPTI BUILDING DEPARTMENT . . . . . . . . . . . . . . . . . . . . . . . . . (,1 JJJ TOWN HALL SEPTIC FORM ORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 BLDG. DFP7.OTEL: 765-1802 NOTIFY: UTHLD '� CALL . . . . . . . . . . . . . . . . . . Fa®nined......1©�17.., 19. ^� NAIL TON211 .�S. . . . . . . . Apprwed.....1�� ..., 19 Permit Pb. " �Z� ............. ....................I.......... Disapproved arc .................................. �cf". .CJE�.. ..................................................... ` .:'.. ...... F` (L3uildi g Spector; APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. 'Ibis application must 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 mist 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 whole or in part for army purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS UERM 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, Ordinancesor 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 ssary ins t= s. ..... ... ... .. .. .............. (Signature of „applicant, or name, if a corporation) (Mailing addr ss of applicant) U &C} ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder r1.w.N..-C/.z.................. .......................................................... Nae of owner of premises ...........�f. G{ �N! .................................................. ............ .. . . .. ...... (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. ......................... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be donne.............................................................. � .q.. �T�e/!/VA .... Ac�.....................oesf�,Ipip-.. � .............. House Number Streelt� Hanle T Block `3 Lot .. .�.: County Tax Map No. 1000 Section .. .......... ................ ...... Subdivision ...................................... Filed Map No.' ............... Int ............... (Name) 2. State existing use and occupancy of premises and intended use and ocof proposed construe no : a. Existing use and occupancy ..i'N e...Z.�/Y1K ..� / f 0! !� �/Jo�(,2 b. Intended use and occupancy ................................... taYr�4i............. q/ 3. NiCmre of work (checkkvlapplicable): New Building .......... Addition ... It raAtion Repair ........... � ........ Demolition ............ Other Work V//F ' r.R 4el scription) IgCej/! f /......� e 4. Estimated Cost 1 M fee6 .....�....... .............................�................ (to be paid on filing this Application) 5. If dwelling, rummer of dwelling rsn, :its ............ Number of dwelling units on each floor ........... ....i .:............................... If garage, mummer of cars ..... _. ....� 6. If business, commercial or mixedloccupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing struc.ture4, if any: Front................ Rear ............... Depth ................. Height ......................... 'I ]umber of Stories ...................... Dimensions of same structure witt4 alterations or additions: Front ............... Rear ............... Depth .................... Deig1m41 .................... Number of Stories ............... S. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... IlNuuber of Stories ..................... 9. Size of lot: Front ............i....... Rear .................... Depth .................... 10. Date of Purchase ...............J..... Nae of Domer Owner ........................................ 11. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction vi any arty zoning lav, ordinance or regulation: .... Q............... 13. Will lot be regraded ...........�........ Will excess fill be reamed from premises: YES 1D 14. Nacos of Owner of premises .....I..................... Address .............................. Phone No. Nameof Architect .............. '..................... Address .............................. Phone No. .............. Name of Contractor I5. is this property within 300 feet ..................... Address ........ ....... ........Phorre Pb. ...:.......... of a tidal wetland? * M .......... Ii0 .. ... *IF YES, SaMUD lum MJS`�-4 PERMIT MAY BE RQIIRFD. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-baric dimensions from property lines. Give street and Mock number or description according to Gleed, and show street names and indicate whether interior or comer lot. sr= (A. N3J ww' OJIINIY OF ......... ..... of individual./O 'V(i irirtQ'con..... ,0.•.........being (July sworn, deposes and says Lhat he is the applicant ... g , contract) above named, lieis Lhe ......................... . �i�.�............................................................. (Contractor, agent, coproraLe officer., etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that. all statements contai+W in this application are true to the best of his knowledge arid belief.; and that Lhe work will be perfon n me tanner set gqforth in the application filed therewith. Sworn CoRbefor\e me this of .. ..... 94.. Notary Rmbl. ... . .... . ... ...I. aI/T/LVI�/ ./...: ... '... (Signatureteof Applican:t Roam 1.5001 BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: i! OLUoyJ Reviewed: T Architect/ Date Engineer: Submitted: �0 SCTM #: ��� District: 1.000 Section: ----y Block: 03_ Lot: _ Zweo Project j/- Subdivision Location: 7 P �Clf Name: Single&separate Reqs certification: 1Yes'/Nol Req' [Lotcovcrage Proposed: ] Zoning District: [Lot siu: 6010 Actual: � Req. 3.5/ Req. /till Req (Front Yard Proposed:_� [Side Yard Proposed: 1 (Rear Yard Proposed: ] Project Description: QWQ-Agc rt✓O AGENCY PERMITS Permit RES2UIRED 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.• S VI vv/ -- � � 0 - ' U , APPROVED AS NOTED DATE: to B.P.# - FEE BY: - NOTIFY BUILDING DEPARTM 765-1802 R AM TO 4 PM OR H FOLLO2 KING - 1 FOUNDAa I -'N' - TWO Y Eq_ ;RP—; FOR ICOR R..ED CONCRETE �j 2. ROUGH - FI�i�I'�MING & PLUMBINGl� OCCUPANCY OR r' '`'V':i'' 3. INSULATION L 4. FINAL - CONSTRUCTION MUST USE IS UNLAWFU BE COIUP_ETE FOR C.O ALL CONS E RUCTION SHALL M � I �1�1 q� WITHOUT CERTIFICATE THE REQUIREMENTS OF TH N.Y. � Q�� �( 6� Y STATE CONSTRUCTION & ERGY OF OCCUPANC CODES. NOT RESPO BLE FOR pp-� DESIGN OR CONSTR ION ERRORS -rTfl r � � Kv) ,5 04 QC4 I A) ri U 507 p G At' erJP°Ar) NJ l 9 �4 COUNT 6,Ox Mp� rUo, 1040 Se I10N 2 (ock 3 ,LOT y DR) 6W A � r C� f � 9 ►�A %� withRA-M If 1-�vel tV Oq ` moo Cr A-PJ �P-[ 0- } _ Lf,( vjr�e, 5.eLt 10 3 �-60-( e( It // v 6 t/ r LA54 �6P- �Iodil i 41C o P�IAJ y CbL,P l �Y-- S-ec TtotJ ,( 31f G