HomeMy WebLinkAbout26227-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP3~NCY
No: Z-27752
Date: 06/15/01
TI{IS CERTIFIES that the building
Location of Property: 74605 MAIN RD
(HOUSE NO.)
County Tax~4ap No. 473889 Section 45
Subdivision Filed Map No. __
ALTER3kTION
GREENPORT
(STREET) (HAMLET)
Block 4 Lot 5.1
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 14, 1999 pursuant to which
Building Permit No. 26227-Z dated DECEMBER 28, 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 DOOR ALTERATION TO AN EXISTING STRUCTURE AS APPLIED FOR.
· ~he certificate is issued to WILLIAM & KRISTIN VON EIFF
(OWNER)
of the aforesaid building.
SUFFOLK COUI%wfY DEPARTI~E~IT OF HEALT~I APPROVAL
ELECTRIC~J~ CERTIFICATE
PLUMBERS CERTIFICATION DA'r~D
Rev. 1/81
N/A
N/A
N/A
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.
26227 Z Date DECEMBER 28, 1999
Permission is
hereby granted to:
WILLIAM & KRISTIN VON EIFF
74605 MAIN RD.
GREENPORT~NY 11944
for :
CONSTRUCT RENOVATION TO DOORS ON FRONT OF STRUCTURE AS APPLIED FOR
at premises 74605
County Tax Map No. 473889 Section 045
pursuant to application dated OCTOBER
Building Inspector.
located at
MAIN RD
GREENPORT
Block 0004 Lot No. 005.001
14 1999 and approved by the
Fee $ 150.00
/v- Author ~d Signature
Rev. 2/19/98
ORIGINAL
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTME~
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink a~d 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 o{ 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 Comp~ianoe from architect or engineer
responsible for the building.
Submit Planning Board Approval of completed site plan requirements.
4
Be
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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.
Ce
1. Certificate of Occupancy - New dwellin tions to dwelling $25.00,
Alterations to dwelling $25.00, Swimmin ool~R~9~O, Accessory building $25.00,
Additions to accessQry building $25.00, Businesses $50.00..
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - ; .~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00,'Con~ercial $15.00
.Date .....................................
Hew Construction ........... 01d Or Pre-existing Building ..........
of Fro err LI ~ ~ ' ~ I1~
~ooation p ~ .... :7/..~.0 ......... i'M.~.~.C~ ........ Gc¢cnp. or. ........... q
House No. . Street , Hamlet
..... ..........
ounty 1000, section. ....... ........... ............
Subdivision ....... ~ ............................ Filed Map ............ Lot ................... . .
PermitNo... ~!~.o~%~..Date Of Permit ................ Applicant ........................... .
Sea!th Dept, Approval .......................... Underwriters Approval ........................
Planning Bpard Approval ........................
Request for: Temporary Certificate.. Final Certicate .......... ../ /f
e Submitted. $.~.~ .............. ' ' ·
'~ggo 5~% ' · .... .............
~PLIC~
.¸ri
JL
II
II
INS~TION PER N. Y. l[
If
0
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
3une 19, 2000
Mr. & Mrs. William Yon Eiff
74605 Main Rd.
Greenport, Ny 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 # 26227-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] IN/SO~ATION
[/~NAL
REMARKS~(~"~,
DATE ~//~ INSPECT~
Front of Property
Existing Garage Doors
Alteration
Replacement of far right
garage door with entrance
Entrance
Dimensions and style
Setback from road: 40 ft.
Application for:
William Von Eiff
74605 Main Road
Greenport, N.Y.
Tax Map No. 1000-045-04-05
'.:VI LLAGEOF GREENPO~.F "'
50.00
HAP OF PROPEP. TY ,
SURVEYED FOP_.
GEOI2GE H, ~ MADELINE L.
HUBE.~-,
"
GP.t.:.E IN PO ~
."[ov./r,l OF .~::,OU Ti-1(3LD, .1"1.~
GUAD. AMTEED TO TI.--I ~ ~ECUI~t Y Y TI TL~
/~,IID GUAI;:~kI'-IT'_¢ COMPANY
A.G 5U P. VEY D-D MAY 1'9,1970
VAN TUYL~ SON
LJCEHDED LAI't D
I000 - OtFg ~ OLI - O~
.SCALE
TITLE NO,
-FORM NO, I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SODTBOLD, N.Y. 1197
TEl.: 765-1802
BOARD OF HEALTH ...............
3 SETS OF PLANS ......... ~ .....
SURVEY ........................
CHECK .........................
SEPTIC FORM ...................
NOTIFY:
CALL ..................
Em~ined .................. 19 ....
Approved .... J..9~. l .~..I ...... 19 .~.~.. Peu~it NO. ~, k .~,..~. ff...~,.
Disapproved ale ................................
MAIL TO: ....................
-- ''(Building I~or)
INSTRUCTIONS
a. 'Ibis application mmt be c~pletely filled in by typewriter or in ink and submitted to the Building Inspector wit
3 sets of plato, accurate plot plan to scale. Fee according to schedule.
b. Plot plan mhoaing location of lot and of buildings an premises, relationship to adjoining praaisas or public
streets or areas, and giving a detailed &seription of layout of property must be dra~n on the diagran which is part of
this application.
c. The ~ork covered by this applicatioa may not be coaraenced before ism~mce of Building Permit.
d. Itpno approval of thla application, the Building Inspector will issue a Building Pemlt to the applicant. SUCh
permit shall bekept tm 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 tmtil a Certificate of
Occupam~ shall have been granted by the Building Inspector.
APPLICATI~t IS ~mm¥ t4a~ to the Building Delmrtment for the issuance of a Building Permit purs, aant to the
Building Zone Ordinance of the Tm of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for raroval or demolition, ?~.beroin
described. The applicant ag~es to .c~mply with all applicable laws, ordinances,__ ' ./~/,-building cede, housing code, and
.... F'd: f. .......
(Signature of appli~-ant, or name, if a CorI~ratlon)
(Mailing address of applicant) ' ' "'
State whether a~pllcant is ownsr, lessee, agent, architect, enginser,'general contractor, electrician, plumber or beilder.
(as an the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Nam and title of corporate officer)
Builders License No ..........................
Plmi~ers License lto ...................... .. . ,
Electriciams License No ......................
Other Trade's License No ......
1. Location of land an which proposed ~rk will be dele ..............................................................
...... · .................. ........................... ...............
D0t~e 19~mber Street Itanl et
Camry Tax l~p No. ,000 Section ..Q~,,~ ....... Block ...C!..~. ........ Lot ...0...5 ........
Subdivisian ...................................... Filed l~p No ................ Lot ...............
(~)
2. State existing usa and ~cupancy of prmises and intended use and occupancy of proposed construction:
stlng ee , ....... - .......................
% ,,~-.~' ~Tr~,~ ~' ,:q.,~ ,' .......................
3. P;~ture of ~ork (cl~ck ~hich applicable): New l~fildlng .......... Addition .......... Mt~ration
l~e ' ir .... Re. ova! ... ~ ...... Denoht~on ............ OUmr Nork .............. ~ ...................
~. ........ ~, t~ f~fx l~ (,Descrlptro~).
, (to he imid on filing this applicati~)
5. If ttaelling, ntmber of &lllng Itm~Its · .,. ....... t..,.Hurnher,of d~l.hng traits ................
ccc, dooc3
6. If hanlness, ccmmrelal or mired ocaqmncy, specify nature and extent o[ eact~ type of use ......................
7. Dimensions of exiati,ng strtmtur~s, if any: Front ................ Rear ............... Depth .................
Ileigt . ~ llraher of 8tot es ....................
Birvenslons of same strocture wl~h alterations or ~htman: Front ............... Rear ...............
Depth .................... nelgl{t .................... Nmber of Stories ...............
· . , Dapth
8. Dnmnam*m of snt~ro ne~ const lion: Front ............ Rear .................
Baight ........................ ., limber of Storlee ..............
9. Size of lot: Front .. . Rear ........... Depth .............
10. DaCe of Hmrdmm .... Name of Fonmr O~ner .. . · '~i 2' ....
I I. Zone or use district in ~id~ premxses are situated ...................
12. Does proposed eormtruetina violets any zoning la~, ordinance or regulation: ..................
be ro~raded [.~ C~.I ....... Will mss_fill lm removed Drcm
Usaa of Contractor ............. ~,. ..................... Address ...............
15. Is this property ~ithiu 300 fee~ of a tidal ~etlmxl? * IE~ .......... BO ...Y ....
PLOT DIA~RAH
locate clearly and distinctly a~l buildings, d~etlmr existing or proposed, and indicate all set-back dimensions
from propert7 lines. Oi~e street an~ iblnck r~ber or description according to deed, and sho~ street names and indicate
765-1802 9 AM TO 4 PM F(~
FOLLOWING INSPECTIONS:
3. tNSU~ON ........ '
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL ME~T
THE REQUIREMENTS OF THE N.~.
STATE CONSTRUCTION & ENERGY
CODES· NOT RESPONSIBLE
DESIGN OR CONSTRUCTION ERRORS
gr^'lE 0F Ixl',M
SS
..,helng duly ~m, depots aed ~ys that he is tt~ a~l.i~nt
irflivld~l signing c~tract) ]
1~ is the ........ ~ ...............................................................
(~tractor, ngest, cor~rate o[[icer, etc.)
t .
of ~id ~r or ~rs, and ia duly ~thor~ 5o ~rfom or h~ l~rfo~ ~m ~id ~ at~ to m~ a~ fils thia
· -- ' ' a~llcati~ are trim to ~ae ~at o[ his ~1~
al~licatxon; that alt stat~nts c~ta~ m
that the ~rk will I~ erfo~l in the?rotator ~t forfl~ in die a~l.i~ti~ fil~
,9~ro to before
Notary Public