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
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90.00' /0
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5EPOST95.00 — CER TIRED TO:
0.L.N CENTRAL FEDERAL SAVINGS ,'9 LOAN
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LOT 5 OF NES,o' 1 EDWARD ✓ WH/TTL E
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40 west main street
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