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