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HomeMy WebLinkAbout25851-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26711 Date: 09/29/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 655 FLINT ST GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 48 Block 2 Lot 15.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 10, 1999 pursuant to which Building Permit No. 25851-Z dated JULY 7, 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to JOSEPH ANGEVINE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ild' 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. 25851 Z Date JULY 71 1999 Permission is hereby granted to: JOSEPH ANGEVINE PO BOX 183 GREENPORT,NY 11944 for CONSTRUCTION OF A 14 ' X 30 ' ACCESSORY STORAGE/GARAGE BUILDING IN THE REAR YARD AS APPLIED FOR. at premises located at 655 FLINT ST GREENPORT County Tax Map No. 473889 Section 048 Block 0002 Lot No. 015.007 pursuant to application dated JUNE 10 1999 and approved by the Building Inspector. Fee $ 35 .00 Authorized Signature ORIGINAL Rev. 2/19/98 a Form No. 6 � p ` n �iToiN,p� SOUTHOLD G5 BUILBINq DEPARTMENT 1 02L Sid- 5'77-ZS�� f SEP 28 i 6f-0-,�6r ptnG WEPT. AjUj4J�5+'iYE"T CER IPICATE 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar building. 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 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 - .2W 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $155..000, Commercial $15.00 Date . . . . . . !• •:" 0 . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . :)�/ �'(011d Or Pre-existing BLU LdIA..ing. . � . . . . . . . . .. .6 r . Location of Property. . . . . . . . . . . . . . . . . . . .1. : . . . . . . . . . . . . . . . . . ./. . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . .✓.:.-FMW f U �•J,p&. . • • • • • • . . . . . . . . . . . . . . . . . . . . . . . . • • County Tax Map No 1000, Section. . . a.�q. . . . . .Block. . .Va�.'�- . . . .Lot. w /. . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . rr� �/ Permit No. . JS.( .�I. . . .Date Of Permit. 5N.1 .F . .('Tll. .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . V Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . c� . . . . . . . . . . . . . . . . . 3 % APPLICANT L[.D^INSPECTION=RRPORT DATE ------a==---=====------ 02 --NTS -=a====------ __ gi H XWDATION ( 1ST ° I )UNDATION— (2ND)__ M k N P ` cl n OUGR FRAME h PLUMBING j ,II u � q uiSULATION PER N. Y. u y 8 STATE ENERGY u p CODE n u d yup 9 G_ u FINAL �-- k t� <, ADDITIONAL COMMENTS: L' I O H 'J I H O O z � z SS�S� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL ION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �"� 1 \ INSPECTOR ^�'"� [ Ua � JiM I 1999 BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS . ... . . . . ... . . . .. BLDG.DEPT. TOWN OF SOUTHOLD SURVEY .. ..... . . . .. . .... . . . . . .. TOWN Of SOUTHOLD BUILDING DEPARTMENT CHECK ...... . .. ... . .. . ... . . . . . . TOWN HAIL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . .. . . . . . . . . . . . . . . Reined....�.J............. 19 .p... MAIL TO: . . . . . . . . . . . . . . . . . . . . / Approved.... '.7......... 19...L,1, Permit No. .acJ g S ................................. Disapproved a/c ............................ ... .................................. .. ..........awe ......... (Building Inspector) PLICATION FOR BUILDING PERMIT _ CJ Date. . �� .z . . .. 19. !• INSTRUCTIONS a. This application must 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 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 anry.purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APAACATION IS HEMff MUZ to the Building Department for the issuance of a Building Permit pursuant to the Building Tone Ordinmxe of the Tbwo of Southold, Suffolk Canty, 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 sary .nspections. ................. ( of rcant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plucber or build Nave of ownerlvof premises .....J� . ..../S.r..CrEV I ......................... (as on the tax roll or latest deed) l if applicant is a corporation, signature of duly authorized officer. ......................................................... (Name 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.... 1.:.. .. 1 tits d ............: 6 S5..0 A i� /a. :7. o Z)....F/.1 ...5. ....................dS�.......I ............................... House Niter Street �� Hamlet /57 Canty Tax Map No. 1000 Section .... .... Block ....`L... lot ...✓ .. Subdivision ...................................... ..... .... ......................... Filed Map No. 3 �� 4. . �f "AfA e & /�<. ... br- ' (Name) tttda�w &Fir s7r.'c_,tilE ibtU';YAAT<_?14 2. State existing use and � of ses and int use -Ilk° y K "a -4m truction: y mo a. Existing use and occupancy a ......I1t::!��d :� 1.................................................... b. Intended use and oupmxy V.... C...../� � ... .d2Q... C............................ depair ............ Removal ..... .... Demolition ............ Other Work .. ul�p .t!�w.: w'.. ....'ti�. .t �..P.ls�..i7........ (Description) �'. ..' Estimated Cost ./ fee ..................................P.......... (to be paid on filing this application) M If dwelling, garage,llllimmber of dwellingunits ...........:'timber of dwelling units on each floor ..............J14.10 If rubber of cera ..1..... If business, cmnhercial or nixed occupancy, specify nature and extent of each type of use............ .........g Dimensions of e3cisti structures 'lif airy: Front....5.9/....... Rear ....k....... ..... Depth .. �.......... Ilei8n t 2 ... pusher ......... of Stories ....... DepthhDimensions of same structure with alterations or additions: Front ............... Rear ........6...... p .. Ilei t .................... Nmber of Stories ....././:. Dimensions of entire new construct r y / '7 f` / ... z {ion: Front ..:�4''�......... Rear ...."�....... Depth ....?......... Deft .....�5 ................ timber of Stories ...... ........... / Size of lot: Front ..... c9.1'..!...... Rear ...J 9,4 3 �....�.. /I}epth .l a� NFS� Date of Purchase ..��v.I.7..� q l',,��.. Nam of Former Owner l • �,? � �l �� �.�........ ��.//. zone pren Does odistrict violattei proposedconstruction sea are situated .......PG 2S 102�h �:Y any zoning law, ordinance or regulation: .... �.............. Will lot be regraded ............ ......6 Will excess fill be removed from premise/s: YES NO Names of Owner of premises ..� 0 (r JJ.`. ... Address .� ��.!:,�� Y.'.......... Phone No :6.�.77. zS �. .. Name of Architect ............ ........ .....6.... Address ............................_ Phone No. .............. . ... .,.�. . 2 Naha of Contractor ....� ��.'YQ��` �� ......... Addres4 .�:.... ................Ifiahe No. Is this property within 300 feet of a tidal wetland? * YES .......... NO ... .... *IF YES, SOIIMM TOWN Tom* PMM MAY BE REQl MM, PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions om property lines. Give street and block nuober or description according to deed, and shat street names and indicate' ether interior or corner lot. S)u I� ti 3 ILI/1 2S� y }ol k 1 h�F�?tl 02 l o} Am Of M3W Yom, m I Wry OF .....� ... �....... . N44 .24,V./!.4!.<.F,..beirg duly sworn, deposes and says that be is the applicant sae of individual signing contract) oft Lite ....:f.?� .a Cr...................................................6............................. (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this hplication; that all statements contained in this application are true to the best of his knowledge and,belief; and at the work will be performed in the Kenner setforthin the application filed therewith. fore am t/I mely of . . . ...... ..19..y% /. Notary C . a PubN. EL .A ISTATHis TARYPUBLIC,SateOINOWYotk gnathue pplicant) N0.01 ST8008173,Suffolk COWIN Term EhcpfreeJlJrre 8,20.'-KJ t• i5(-qNp of titre r f 30' tf � I V v I uj x x f raette house i N m N N � C653�0! mss' ' rV, 82'g7'lp"Yy "— 78.96 MomJ I _ FLINT STIaFIEY r I SeVEaNTH STfc' FE'T a cf.. MAP o= At LN ., Town! OF- Scw7-/4QL0, NY. Scale. 2O '< Arras� f3, ►T6 sq.f� TNO No.LT'p 183 SU{fcJk Co. Tqx Afar �� �.a x.r G�4xrq►r+ 7faa .10 "C?ls,F IQOv. G3�8 stgrrcrFi o rr: s�ki'k lire owl elk.z, pa/. r5 s. 4 7 rr4►rr+bairs ahowrr r e feY 4 sur►• C tc rarbar ZZ, ►99-4. Lo DYFYI it!- ssfreffolku�rFcf looe. �.... / �6n+k4�o�ree arb Md�a Mo. 369. Licat,$ad l.arrd Surto c�arrrerarf New York .7R"/<nR�'95�fr,.�uvs•.xiiu��,�. .N...�:v,,:. .•+ahsr v;�:. . .. , .,� T BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: V 1 N D GP Reviewed: T"7' 9 Architect/ Date Engineer: Submitted: SCTM#: District: 1.000 Section: If9 Block: Lot: t,. Project / 5� f S� Subdivision 6 Location: _ f uoT J f F '� Name: Single&separate Required certtfica ion: (Yes/No) Q Req. }� Rey, Zoning District: 1� [Lot size: Actual: 3 [Lot coverage Proposed: Req. Req, Req. [Front Yard Proposed: ] [Side Yard ^^ Proposed: 1 [Rear Yard Proposed: ] Project Description: Acceso� (9A R•�4 C�6 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: 3,Se Off I bb 15-6/f oft ME ' / AISbF4oR EOLT5 'G I � ( � GMJ WALL. 1 ittPAaYED lfd N9l�8 .'� � g o,c, OIk/g 7 9Y ILR• a��.i ASPIAAL, - 3 �Y 53uIt,T up Roafiutn 9 3 K(o Sm .Rcu,t I/� " PLYWOoa S1! r1iNG SF-eiDN — _. . i�`... . ---- :- NOW D�#lIULTMIEN► err 2x I� � ltea`'UC , 4µazw c0,9,1-6 7WISM 8 AM TO 4 PM FOR TW I SLAB "-- FOLLOWING INIWECTIOW _. FOUNDATION - W10 REQUMWf _ - - T FOR POURED CONCRETE i 2.ROUGN , FRAMING Dc PLUAMMl6 I q `4. F1NAS�L CONSTRUCTION MUST G M Ll WALL I " a BE COMPLETE FOR CO. X 1b C(o OCi ACL !C STRklCTiON SHALL:MEET - O13 _ �� a _. THE R-E1REMENTS OF 'THEY N – STATE CONSTRUCTION & ENERGY � ` CODES. NOT RESPONSIBLE FOR Q CA O I I Co 1C I Co GoNG� DESIGN OR CONSTRUCTION ERRORS a — BLOGK PEEP. PILL p I :soUn W C.ONGA6,16. — `Q 12, OCCUPANCY OR USE �x �to' CoKcat✓I'6 I I I : ( � . E IS UNLAWFUL WITHOUT CUMnCA�' :- S�LTI t�1�1 ( I PLAN I OF OCCUPANCY — 1141 1' o yzi go 9 i :r i