Loading...
HomeMy WebLinkAbout24503-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25417 Date: 11/21/97 THIS CERTIFIES that the building ADDITION Location of Property: 1125 NINTH ST GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 48 Block 3 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 1, 1997 pursuant to which Building Permit No. 24503-Z dated NOVEMBER 21, 1997 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD J WHITTLE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ui ing 7spector Rev. 1/81 ` tULW LIU. U • TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1.802 APPLICATION FOR CERTIFICATE 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 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. 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 - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 _ Date . . . ..`: . I . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . .��. �. , Old Or Pre-existing Building. . . . . . . . . . . . . . . . . . . . 'V). . �-- hh.2 . . . . . . . . . . . . . . . . ' . . . . . . . . . . . Location of Property \, -s House No. Street amle Onwer or Owners of Property. . . . . . . . . . 1 ` . County Tax Map No 1000, Section. . --:. . . . .Block. . . . . . . . . . . .Lot.Q o,. C. . . . . . . . . . . . S�ubdiv s on .. .. .�, ✓ ^�v� .I��. . . . . . . . . . . . .Filed Map. 31` .t. . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . Permit No. fir. =,�� .Date Of Permit.n'. i:i:l. Applicant. �':L!. ` �'.LIAI'. . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .)(. . . . . . . Fee Submitted: $. . . S:V�. . . . . . . . . . . . . . . . . . `,'�:._�C.• � 3 1 �� �, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLICANT ass-iso2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS CATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMN Y REMARKS: teet DATE f) INSPECTOR FOmMNo.3 TOWN mpSOUT*OL» BUILDING DEPARTMENT TOWN HALL momr*OLo.N.Y. BUILDING PERMIT (THIS PERMIT MUST BEKEPT ONTHE PREMISES UNTIL FULL COMPLETION C}FTHE WORK AUTHORIZED) NOVEMBER 21 97 0�t� l� 245O3 '''''''''''''''^'''''''''�''''''''''''''''''''''''''''''''�^ ''''''''''' z Permission Is hereby granted to: EDWARD J WHITTLE ---'—^--'—`^^^---------^^—^^^^^----' 164 SIXTH STREET ^^^—^----------'—^^------------~^ GREENPORT,NY 11944 .......... ---'~^^~^^--~---~'—^^^^^ .................. CONSTRUCT A DECK ADDITION TO AN EXISTING SINGLE FAMILY hz ................... ................................................. ................. ................................... .................................. DWELLING AS APPLIED FOR -------------'—~----------------------------'—^--------'' ----^-----^^^------~^—^--------~^^^~~—^—'--^—^----^—'—^~—^--' ----^^^~^----^^^------'----~~-------^'—^-----------^--'--'-- -'—'—'—'—~----^^^—~--'—''—^^—^—^—^---^^^^`^^^—^—~'—^^^^^^—~—^—^^—^^—'' 1125 NINTH ST GREENPORT at premises located at.------------------------------------------ -^^--'^^^^^^------^^^^^—^`--------------------------------- 4738B9 048 0003 001 _ County Tax Map No. --------' Section -------- 0moh -------- Lot No. -------- AUGUST 1 97 pursuant hzapplication dated --,----------------, lA-----' and approved bythe Building Inspector. 75.00 Fee$—.------.. , Rev. 6/80/80 BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . E"M i ned.... igiV7 MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.................. ie<- Permit No. . .......... .................................... Disapproveda/c ...... ................F........... .................................... .............................................. .... (Tsui g I ; tor) APPLICATION FOR BUILDING PERMIT Date'—AAA . 19"IT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 avail-able 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 Occ-pancy shall have been granted by the Building Inspector. APPTACMON IS HEIM VAIIE to the Building Department for the issuance of a Building Permit pursuant to the Bttilding Zone Ordinance of the Town 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 build or:neceg, inspec..I S. o (signature of V_ ...........0...applic.. .... ..o...name,......if..a..corporation).... ........ .cl . 4 r -17- (Mailing , address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumbeVT builder. ......................1......................................0..........0............ ...... Namof owner of premises ............. . .....". ....... (as on the tax roll or latest deed) 75 Fa If applicant is a corporation, signature of duly authorized officer. WOW KASM AT "11.1go 9 AN 10 4 ON NO WIE ......................................................... FOLLaWM N ' (Name and title of corporate officer) I 2. HMO !M Amo Builders License No. 3. ......................... INKRAW 4. FINAL - MM I'Ttinbers License No. .................0....... BE COMPLM FM CA Electricians License No. ALL ALL CONMITRUCTIM MUL MEET THE REQUIREMENTS OF TO N-y- Other Trade's License No. .................... STATE CONSTRUCTION & JWERGY CODES. NOT RESPONSIBLE FOR 1. Location of land on which proposed work will be done.......... ....... ....9EF54GN-OR.CONSTRUMM JERR095L.... ................ ...... ....... ........................ House Timber Street Hamlet il-40. County Tax Map No. 1000 Block ... lot 6 Subdivision ...................................... Filed Map No. .136*.9......_. Lot .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......k-0—S ...... . ........ C_4e.................................................. b. Intended use and occupancy ........ S.; ................ LOT F MAP OF GREENPORT DRIVING PARK L / N N E T STREET F/L ED.' DEC. /11909 FILE NO. 369 AT GREENPORT TOWN of SOUTHOL D Posr STK SETO.er 90.00' /0 POST SrK 5 E SUFFOLK CO; N. Y. i x .OW ° ?'SPLIT RAIL FC. QO /.OW '9so 9 09, � 5 INC STOOP 2065,r _ - - �2.o=-a 13.7 �o Q ,C a c r' CAR / STY FRAME HSE N h FN G N PORT (823L/NNETST) ti fiz STK gRoS 1`J 3' CHICKEN WIRE FC. 0.7'0'LINE 9 5EPOST95.00 — CER TIRED TO: 0.L.N CENTRAL FEDERAL SAVINGS ,'9 LOAN 04 E iT/COR T/TLE GUARANTEE CO. LOT 5 OF NES,o' 1 EDWARD ✓ WH/TTL E Co °vJ y°/� �IT donack associates 40 west main street °... , Overhead ,new york F 4'0. 492 6' � (516) 369-1717 O LAND Sv DEC. I, 1984 Job No. 84-685 1000-048-03-01 Scale' l"=20� i �7 4 w=�'clq Z f ' PL 1 1 -� - �, 2 °sem 3 • Ll E , I DCO PCX � y k � N: