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HomeMy WebLinkAbout25495-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27123 Date: 06/06/00 THIS CERTIFIES that the building ADDITION Location of Property: 685 OSPREY NEST RD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 35 Block 6 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10, 1998 pursuant to which Building Permit No. 25495-Z dated JANUARY 27, 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 8'X36' DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to GEORGE & PHYLLIS GARBE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signal s 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. 25495 Z Date JANUARY 27 , 1999 Permission is hereby granted to: GEORGE & WF GARBE PO BOX 219 EAST MARION NY 11939 for CONSTRUCTION OF AN 8 ' X 36 ' ATTACHED DECK FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR AS BUILT. at premises located at 685 OSPREY NEST RD GREENPORT County Tax Map No. 473889 Section 035 Block 0006 Lot No. 027 pursuant to application dated DECEMBER 10 1998 and approved by the Building Inspector. Fee $ 75 .00 Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings 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 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. 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 - .251:_, 4. Updated Certificate of Occupancy - _$50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date �. .� (�� . .� C� t . . . . . . . . . . . . . . . . . . w Construction... ...... Old Or Pre-existing Building. .67, +p.. . . . . . . :.. ©?� .Y. N s7 , cr� .vY . � ,cation of Property. •• • • • • • �•• •• • • • • ' •" " ' House No. Street Hamlet Ly0 12hE J ..� PttYL1-15 aRP_?.c ewer or Owners of Property.. .. .. .. .. .. . . . . 4 . . . . . . . . .'.. . . . . . . . . runty Tax Map No 1000, Section. . .. .. .5 . . .. ..Block. . . . . . . . .. . . . .Lot. . . . . z. . . . . . . . . . . . . ibdivision. . . . . . . . . 4 . . . . . . . . .. . . . . . . . . . . . . . . . .Filed Map.. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . nrmit .. . . .Date Of Permit. JJA 71 9. . . . . . .Applicant. . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . ealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Lanning Board Approval. . . . . . . . . . . 4 . . . . . . . . . . . . squest for: Temporary Certificate. . . . . . . . . . . Final Certicate. ✓ . . . . . . . ae Submitted: $. . 0c)U c>. . . . . . . . . . . . . . . . . . . . . . .. / . . . � . :�. . . . . . . . . . . . . . . . . . . . . ICANT 61 Co 9)a3 w h� Gym Town Hall,53095 Main Road o 1 Fax(516)765-1823 P.O.Box 1179 A �? Telephone(516)765-1802 Southold,New York 11971-0959 MV- BUILDING DEPARTMENT TOWN OF SOUTHOLD t q f jo r November 10, 1999 1 Mr. & Mrs . George Garbe P.O. Box ® p � - East Marion, NY 11939 NOTE: The check you originally submitted is stale dated Check #4099, $25 .00, dated 12/10/98 . Before a Certificate of Occupancy for your deck can be is ed V) the matter concerning your shed must be cleared up. You must get (S Zoning Board of Appeals approval for a shed in a side yard. C �o Please contact our office for more information. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: \S 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 # 25495-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING FINAL [ ] FIREP C & CHIMNE REMA DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL �� ��b � [ ] FIREPLACE & CHIMNEY// REMARKS: l/, J DATE 8 '� l`'1 INSPECTOR I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ;�,,-,7FIINAL SULATION FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ortw�S t,?4 I)fl -=tllcl olr DATE INSPECT FIELD INSPECTION REPORT DATE COMMENTS aa�cxaxsaaasxxxasxsxxxxxxx�sxxaseas=sxsxx�saxxxxxxxxx=xsaxsx==xxxxraaaaaxaxxxxx xxxaxaxasax I a tC u FOUNDATION OST) �p FOUNDATION (2ND) aaxaxasssxsxxxeaaxxxxxxsa --'�-aaa _____�x=_______==�=xxxaxx-----xssosscsoxo_____acoxaxxx u No II N C "I ROUGH FRAME & 1 PLUMBINGor I�--� me, saxax==a===s=xsaaxsxxaaaa� - seas - - =aaax= as aaaaaasaxaaaaxax_ INSULATION PER N. Y. OFH STATE ENERGY 41 _-��I CODE r- II p I --- 1 ssxsasaaxaxaasaaar--aaaalkaa Mxsaa - �xxxsxsssx= -xaxe ssesx xxa I 8 H II H FINAL II N sasssaaasesaasaas—asxasalkasxs----° �-as--�+- aaxaxsaaax----xaa:xsxa�axxxxa:aasaaaas ADDITIONAL COMMENTS: aasasaaaxaaaaaaaxxxxsxxaas:sa/sasaxxxaxaaaaaasxssaas:��----saa=axxaxaaxasaaaaasaaxx�aasaaa- � ^ L H N a - Iv r� b H ,n� n O U LS BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS .. . . . . . . . . . . . . . t TOWN OF SOUTHOLD SURVEY ... . . . . . . . . . .. . .. . . . . . . . i1,16 DEC 10 . .. . .. . . . . . . . . .. . . . . . . . . . BUILDING DEPARTMENT HECK TOWN HALL SEPTIC FORM . . . .. . . . . ... . . . . . . . BLDG.DEPT. SOUTHOLD, N.Y. 11971 TMNN Of SOUTHOLD „a TEL: 765-1802 NOTIFY: ` CALL .?7 Examined......!.? ...., 19.��� MAIL TO: . . . . . . . . . . . . . Approved........: �...., 19.9:1 Permit No. asyl s-.� ................................. Disapprovedarc .................................. ................................. Building pastor) YLICATION FOR BUILDING PERMIT p Date r. ...... . .�. . . . . , 191e. INSTRUCTIONS a. 'this application nest be completely filled in by typewriter or in ink and submitted to the Building Inspector n 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 any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS UffM MARL to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tam of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulhtions, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agree$ to comply with all applicable laws, ord!inypces, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildi for neves i ti ... '.... ........................... (Signature o a cant, or name, if a corporation) ............... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builds .................. ...................................................................................... Name of owner of premises .c? I ✓1 �. Ap t�l/YLL CS .. L�(��.�a ................................. ............. (as on the tame roll or latest deed) If applicant is a corporation, signalise 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.............................................................. �&' :........... O,PP-CY J EST f-0,+r? .................e�sr�A-R-(©n�.................... Douse Naber Street Hamlet County Tax Map No. 1000 Section .....�� ��........ Block ......(c.'......... Lot ....F:-........ Subdivision . C'f t !1L S..1� . r Filed Map No. ............... Lot t ......... ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........Q V11 6111. (C� .. . ........................................................... b. Intended use and f7 W .�Z ( [[C7 occupancy ............................................................................. ! J , 3. NaUnre of work (check which applicable): New building .,...,.... Addition ego b��'�. Alteration .......... Repair ............ Removal .......... Demolition ............ Other Work ....r."•° iqtirsai.!{'s'............. . _ 7 (Dedfffipfl6d) 4. Estimated Cost 5.© : LJ ....... (to be paid on filing this application) 5. If dwelling, nnber of dwellingunits ....r....... fkaber of dwelling units on each floor ................ Ifgarage, number of cars ..............................I....... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... ....... Depth ....... r 7. Dimensions of existing structures, if any: Front.... 3.. Z.4 (o Z ....... Rear ........ .......... Height ........Zr: .. Nurber of Stories .....I........... Depth �h alterations or additions: Front ...J7.x✓ ....... Rear Z........ / ... Neig) Dimensions of same structure wi,h '../� . Number of Stories ....(.......... 3 8. Dimensions of entire new construction: Front ....l .......... Rear ...9..m........ Depth .....�P....... r Height .......... ..........1�-.. Number of Stories ...�................. 9. Size of lot: Front ......?(q.L........ Rear .....(j.g.......... Depth 10. Date of Purchase .5r. FeT.l�.r.OAM Nare of Former Owner �.�:��3,v�- �dll�IT C op-P. . . ................ 11. Zone or use district in which premises are situated .. ................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .. D................. 13. Will lot beadd 1 ......... Will excess fill be removed from premises: YES Names 14. of Owner of sea ���U C��:.�7 �J Address 6d�'S QSP.t? Y. �r3l..I?P.. Blow No.44.7.7:2'Phl.. Name of Architect " ........................... Address .............f ............... Phone No. ....::........ Name of Contractor ............;I...P:................. Address ............��.................phone No. ....::........ n 15. Is this property within 300 feet of a tidal wetland? 'WS . ........ NO .......... *IF YES, SULMM Wa TE41S'M,3 M IIT MAY BC PLOT DIAGRAM locate clearly and distinctly ail buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and'Iblock number or description according to deed, and show street names and indicate whether interior or corner lot. un— or milli YORK, UUNiY Or . SS .. . . . .. ............being duly sworn, deposes mol says shat he is the applicant Name of individual' ng contract) bove named, eis the .......... 1X!G` }...................................................................... (Contractor, agent, corporate officer, etc.) f: said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and fiat the work will be performed in the manner set forth in the application filed therewith. worn to before me this .......d........day of 19.1��.. Notary Public .� � Notary Public,Sim's o �iNk Uw york (Signat:ure ' A• .icant) No.4961 r;firs Quall(led in s uvf IN Con"nty Commission Expifes Nia1;??,I 1 1 "Y I 2+' C�UL� CA-Rpo2r 66' POND /Z, �,3„ OSPPEy 21v �x�sr,H�`: 3,� OCCUPANCY OR -- ----------- --_-sem'--- -- �,��y � USE IS UNLAWFUL�K 35 WITHOUT CERTIFICATE OF OCCUPANCY � - - - - 36, - - - - -� ILI i (77"6., { APPROVED AS NOTED I I DATE-1-17-51B.P.# Q � - FEE: B NOTIFY BUILDING DEPARTMENT AT q¢' 765-1902 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION C- TWO E REQUIRED FOR 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET A_D_01- oh/ T EeS/DENC'E OF C2,FrO c�C� 1:'gYGUs THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY 68S OSQ � N SrR� EYISi %rL >>N, iY,'/ CODES. NOT RESPONSIBLE FOR q/ST.. 1000 - SSCa7 z7 DESIGN OR CONSTRUCTION ERRORS �� 5Er ar< Facn.�G r avow�zo�o� - t2ourM � _ 8"2t5E2 P ` r r f�l�-LCCDfi!_ro12LP_ NL' .t7t"_GzORc-rte'8_ .YbL�� .$� o { r Von 'o t —T-1410 2-x6" 36 �xg' Rc1Kc� eCLeNra r ��lczcc—_a) J©lS75 t -- - �4' - --- -'----------- - 7 'x Owe L& - _-r4-B.�KS 1 i ��RAtFz:'7 � f C,V6 CE AMC7 Po5:5.k F'az, mlAr6 t