HomeMy WebLinkAbout25921-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-2682S Date: 12/13/99
THIS CERTIFIES that the building ADDITION
Location of Property: 650 MOORES LA GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 2 Lot 40
Subdivision Filed Map No. -- Lot No. --
conforms ~ubstantiall¥ to the Application for Building Permit heretofore
filed in this office dated JULY 22, 1999 pursuant to which
Building Permit No. 25921-Z dated AUGUST 6, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to HOWARD H & DOROTHY J. ZEHNER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81'
N/A
N/A
Buildil)gI~pector
FORM NO. 3
TOWN OF $OUTHOLD
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. 25921 Z Date AUGUST 6~ 1999
Permission is hereby granted to:
HOWARD H ZEHNER
PO BOX 250
GREENPORT~NY 11944
for :
CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR.
at premises located at 650 MOORES LA GREENPORT
County Tax Map No. 473889 Section 033 Block 0002 Lot No. 040
pursuant to application dated JULY 22 1999 and approved by the
Building Inspector.
Fee $ 75.00
Rev. 2/19/98
ORIGINAL
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
APPLICATION FOR CERTIFICATE OF OCCUPAN
This application must be filled in by typewriter OR ink and s~ ~d to the buzld.
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property 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 1% lead.
5. Commercial building, industrial building, multiple residences and similar bull,
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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings
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 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 Qccupancy 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, Commercial $15.00
Date ..............................
New Construction..~..g~. ..... Old Or Pre-existing Building .................
--_
Location of ~roperny ..............................
House No, Street Hamlet
Onwer or Owners of Property .... ..~,,,t~...~....~.~.~..~.~..~....~.?~-'- ~.~.~]-~.~ .............
County Tax Map No 1000, Section..~.~.~. ...Block...~.C~.~7-· -~e <~C~ ..
Subdivision Filed Map Lot ..........
Permit No..~..~..~..~. ~..~,...Date Of Permit..~.~./.~. ?. ..... Applicant...~.~.?. · .~. · .~.....,,...-
Health Dept. Approval ......... ?/.~ ............. Underwriters Approval .... ?~..~ ...........
Planning Board Approval ..... .~./.~ ...............
Request for: Temporary Certificate ........... Final Certicate.o .~ .....
~eeo Submitted: $~ ~ ~k~ g~ g ..... ~ ....................... .~ ~~. . ..........
....
Town l~all, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUfLDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
December 3, 1999
Howard H. Zehner
P.O. Box 250
Greenport, NY 11944
RE: 650 Moores Lane,
Greenport.
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 f£1e.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25921-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ /] ~UL~TION
[/-,.~FINAL
[ ] FIREPLACE & CHIMNEY
INSP -ECTOR~/~
~'~IDATION (IST)
FRAME & "
PLUM~ING H
~-~JLtiTIOR PER H.
STATE ENERGY
CODE
765-180Z
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ] ROUGH PLBG,
[ ] 1~8~LATION
[~INAL
[ ] FIREPLACE & CHIMNEY
INSPECT~~
l~nture of ~ork (d~ock ~hich applicable): ~ l~Jilding .......... /~dition .......... Alteration ..........
Repair ......... ... Remaval ............. llemolition - .......... · Other l~ork
~ ~; (~scri priori)
Earl,rated Cost ...% ~ fee "7~, .0..O. . . . '. . .
(to be paid on filing this application)
If ~elllng, r~Jnber of deelllng units .... J ....... lxknt~r of t~lllng tmlts on ead~ flonr ................
If garage, t~aai)er of cars ......................................
If business, ooo~erelal or nti~ecl occupancy, spoeify nature and extent of ead~ type of use..2 ...................
Dimensions of existing 8tinctures, if any: ~ont ................ Rear ............... l)eptlt .................
tleight ......................... txknt~r BI Stories ..... ~ ..............
I)innnslons of sam strut[ute with alteretlms or additions: lhcont ............... Rear ...............
Depth .................... Beight .................... l~ber of Stories ...............
}lelght ............ J.~..~.. ...... t*Jnt~r o17 SCorlea .....................
size of lot: t~0nt ....... ~.~ ......... Rear .... [.~..g .......... l~pth ! ~ .
.................... Rane o1~ Fomer O~ser
Zone or use district in ~t~ich pronlnes are situated .... ~ -~'~.$.t ¢.~..O.T'.(.~.~=. .............................
I~oes proposed constrsetlon violate any ~oaing la~, ordln~nee or regulation: ...
l~ill lot be regraa~d .... ~..o..: ........... ~ill e~e~s fill be re~ed frcm ~rmdses:
Ram
blane of Contractor .... {.//!~...ord.t{~...jJ.q ..'~..~..'~..~...e~.... fiddress . ~.~. Rq.~.,.~....~.~.o..o..¢~.. ....... gm Nfo ...... ~. ........
Is this property within 3130 feet of a tidal ~etland? * YES .......... lqO ....~. ....
PLOT DIAGRAH
I~cate clearly a~d distinctly all buildings, M~ether existing or proposed, and indicate all set-back dimensions
property lines. ~ive street and block number or description according to deed, and ~ street mraes artl indicate
,hether interior or corr~r lot.
e is Lhe .' ...............................................................................
' (6~trsetor, ~8~nt, g~rate of[leer, eec.)
¢ ~id (~r or ~r8., n~ is ~Iy ~thori~ to ~rfo~or h~ I~rfo~ the mld.m~ mM to rake a~ fil.e this
~llcati~; that all stat~nts c~tai~ in this a~lication are tn~ to the best of his k~l~ m~ t~liefj a~
hat the ~rk wltl. be ~r[o~l in the ~m~r mt forth in Om a~l. icatim fil~ t~rMU~.
mm Lo beEgre me thi.~
.... .0..3. ......... ,,ay of
/YNDA M, BOHN
NO?~¥ PUBLIC, State of New York
No. 01 BO6020932
Qualified In Suffolk County
Term Expires March 8, aO ~l
(Signavare of ^pp! icml'C)
· FOR~ IlO.
TOWN OF SOUTHOLD
BUILDING DEPARTMEIlT
TOWII ItALL
SOUTEOLD, N.Y. 1197
TEl,: 765- 1802
~nined 19.
Disapproved a/c .................... i ..........
,~ BLDG, DEPT, I
' TOWN OF SOUTHOLD ] , ][IISTRUCTIOIIS
BOARD OF HEALTH,,,~
3 SETS OF PLANS ~'~'.. ...........
s~w¥ ....~. ..................
CnEC~ .... .ti'..~7. 7.9 ...........
SEPTIC FORM ...................
NOTIFY:
CALL .....
~L ~o:. ~7~: ~.~ ......
IS
Plumbers License No .............. + ...........
CERTIFICATE
FOLLOWING INSPECTIONS:
I FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
$, INSULATION
4. FINAL - CONS~'RUCTION MUS'F
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
Electricians
License
No
STATE
CONSi'~RUCTION
&
ENERGY
Other Trade s L~cense No..t.:¥...~ ...........
CODES, N~T.,R,E.~PONSIBLE FOR
......... :..?:. ..................... .,.%,.. % .................
Botme Number S~rect ltamlet
County Tax Map No. lO00 Section 'i' .... '~"~' ...... Block ~" Lot
Subdivision ........... 1 ........... Fried Map No ...... Lot ...............
2. State existing use and occupancy of premises 'and intended use and occupancy of proposed construction:
a ~-; ~-- use -~ --~- . fLe~s!P.~..~h.~T .............................
b. Intended use and occupancy
.... ? .................................................. fi~:g~r-~f')~¢O.oM ......
State whether applicant is owner, lessee,
regulatines, m~l to ~lmlt authorized ia
agent, architect, engineer, general contractor, electrician, pltmber or bei]der
~ectors on premises and in building for necessary inspections.
,
(Signature of applicant'S, or nmue, if a corporat' )
............... , .................. / .......
(Marling address o~ appllcant)
a. 'Ibis applicaticu ~mst be ca~ph rely filled in by typewriter or in ink and sutmitted to the l~dlding Inspector wi
3 sets of plata, accurate plot plan to ~cale. Fee aeco.rd~ng to ecbeda e.
h. Plot plan shoaing lneatioa of lot and of baild~ngs on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed[description of layoat of property mast be drawn on the dlagr~m which is part of
this application. [
c. 'lhe work covered by this application may not be ccmreeced before issuance of l~aildiag Permit.
d. Upan approval of tins apphcat~on, the Iknldmg Inspector ~11 ~sene a Bmld~ng Pernut to the applicant. Such
permit shall be kept on the premises available for inspectian throaghcut the work.
e. No lmilding shall be occupied dr used in Whole or in part for any lmrpose whgtever until a Certificate of
Occupancy shall have been granted by tim l~ilding Inspector.
APPLICATIClq IS BERgBY PAIE to the ~ilding Department for the issuance of a l~ailding Perndt puraxmnt ~o the
tk~ildlng Zone Ordinance of the To~n of ~uthold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of I~'ldings, additions or alterations, or for removal or demolition, as herein
described. Ttm applicant agrees to cc~ ~ly with all applicable laws, ordinances, building code, housing cede, and