HomeMy WebLinkAbout24220-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26599
Date: 07/28/99
THIS CERTIFIES that the building ALTERATION
GREENPORT
Location of Property: 2625 BAY SHORE RD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 53 Block 4 Lot 21
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Suilding Permit heretofore
filed in this office dated JUNE 3, 1997 pursuant to which
Building Permit No. 24220-Z dated JUNE 25, 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 INTERIOR ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOHN B & ALBERTA DWYER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-492370 06/25/99
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
Building Inspec/or
FO~'~' NO. ~
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)
N.° 24220 2:
Permission is to:
hereby granted
~......~.~!./.....~/...../~,~w~ ....................
~.~.~....~.×~...~..~.~....~z~.~~ . ,
L.,~ .~. ~..~ .~. ~./.,.~
,o..Z~.....,....~ ....... ~ ......... ~.~.~.z~.~. ...............
,~z..~......~..~'.~ ........ ~k,.T...~.'~......~....z~.....~/.~..~.......~..........~Z~ ....
....... ........ .........................................................................................
~ ~ ~ ..../.~ ...... ~. ....
County Tax Map No. 1000 Section .....~........~ ...... BIo~k ..... ...~...~.... ..... Lot No .....~ ...........
pursuant to application dated .......... ..~...~../~.......~. .................... , 19..~..Zand approved by the
Building Inspector.
Fee $....Z~.~-
Rev. 6/30/80
BUILDING DEPARTMENT
TOWN HALL
?LICATION FOR CERTIFICATE OF OCCUPANCY
~ filled in by typewriter OR ink and submitted to the buildin
~wing: for new building or new use:
~erty with accurate location of all buildings, property linea
street~, an~ unus~Ai 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 buildJ
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 a
'~pre-existing" land uses:
i. Accurate survey of property showing ali property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applican
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
Co
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw4mming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate 'of Occupancy on Pre-existing Buildinm - $i00.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old O__r Pre%existin~g, Buildi~ng .................
,.ocation of ~roperty. 2(..~.~...'~. ~. ~: .... ~~e~ .....................
House No. -- Street ~a~et
Onwer or O~ers of Property .................................................
,0o0, .... ..... . ........ .. .
Health Dept Approval Unde~iters Approval ......
Planning Board Approval ·
Reques~t for: Temporary Certificate ........... Final Certicate..-~. ......
Fee Submitted:
"IELD i~;S!:ECT_Vo,,~ ~
'~O~DCT~ -- ~t)
ROUGH FRAME &
(2nd)
.PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
June 22, 1999
Alberta Dwyer
14 Elizabeth Drive
Laurel Hollow, NY
BUILDING DEPARTMENT
TOWN OFSOUTHOLD
11791
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)
XX
XX
No Underwriters Certificate on file.
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 # 24220-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765;1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
STOP WORK ORDER
TO:
John B. Dwyer
11 Elizabeth Dr.
Laurel Hollow, N.Y.
11791
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
2625 BAY SHORE ROAD, GREENPORT.~ N.Y.
TAX MAP NUMBER - 1000-53-4-21
Pursuant to Section 45-8 of the Code of the Town of
Southold, New York, you are notified to immediately suspend all
work and building activities until this order has been rescinded
BASIS OF STOP WORK ORDER:
CONSTRUCTION IS BEING DONE WITHOUT A BUILDING PERMIT
CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
WHEN BUILDING PERMIT IS OBTAINED.
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
DATED: APRIL 6, 1998
MICHAEL J. V~RITY
BUILDING INSPECTOR/
h
L/of4,4
'\
0
at
(~reenpol't,
I0 39Vd (]13~d ~]NI A39qW\ I':~6t~/gzq n _
at
Su,.~Ye~e~ Ootebe~ 7, l~A8
t~
0
0
ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
' ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation informafien necessary to ensure comp anco with applicable community floodplain management ordinances, to
determ ne the proper insurance prom um rate and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LC)MR).
Instructions for completing th s form can be found on the following pages.
SECTION A PROPERTY iNFORMATION IFOR INSURANCE COMPANY UsE
BUILDING OWNER'S NAME /~ POLICY
OTHER OESCRIPT~O/~I (Lot a~d 81~cA Numt~er~.
SECTION B FLOOD INSURANCE RATE MAP (FIRM)iNFORMATiON
Provide the following from the proper FIRM (See InstructionS):
7.'Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): [] NGVD '29 r-~ Other (dos(dba on b~ck)
8. For Zones A or V, where no BF7- is provided on the FIRM, and the community has established a BFE for this building site, indicate
t~e community's BFE:I J I I ! t.1~ feet NGVD (or other FIRM datum-see Section B, item 7~.
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference levelL-'~ .
2(a). FIRM Zones Al-Aa0, AE, AH. and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of! I I ~ {~1 .~-J feet NGVD (or other FIRM datum-see Section B, item 7).
(b). FiRM Zones V1-V30, VE, and V (with BFE). The bottom of the Iowast horizontal structural member of the reference level from
the selected diagram, is at an elevation of l I 'l I I J.L_J feet NGVD (or other FIRM datum-see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is ! I t.L_J feet above ~ or
below [] (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. TIle floor used as the reference level from the selected d agram s ! [ '.1 .L_J feet above [~ or below ~ {check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accbrdance with the community's floodplain management ordinance? [] Yes [] No [] Unknown
3. Indicate the elevation datum system used in determi~in'g the above reference level elevations: [] NGVD"29 [] Other (dos(dba
under Comments on Page 2}. (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: ~;] Yes [] No (See Instructions on Page 4)
5. The reference level elevation is based on: ~ actual construction [] constr~Jction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor iN place, in which
case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: ~ I I I t~ [__~ feet NGVO (or other FiRM datum-see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the buiiding's "lowest
floor" as defined by the ordinance is: I I I ! t I.l~J feet NGVD (or other FIRM datum-see Section B, Item 7).
2. Date of the start el construction or substantial improvement .. ·
FEMA Form 81-31~ MAY 90 R~PLACES ALL PREVIOUS EDITIONS SEE REVERSE SlOE FOR CONTINUATION
SECTION E C~Et;tHFICATION
'This certification is to be sigr~ed by a land surveyor, engineer, or architect who ls authorized by state or local law ta certify elev;
information when the elevation information for Zones Al-A30, AE, AH, A (with BFE},V1-V30,VE, a.nd V with BF ' '
Community officials who are iautherized by loc. al aw or ordinance to nrovlde fl0od-lain m ......... ( -' E) ~s r .equated.
certification. /1 the ca.~e of r, . . I~ ,~,,=~J~j.~len[ In;ori31aTJon may also SJgr
Z~nas AO and A (wtbhout a FEMA or community asued BFE), a building official, a property owner.
owner's representative may aJ.so sign the certlflcetion.
Reference level dSagrams 6 ? and 8 - D stinguishing Features--if the certffi'er fs unable to ce~fy to breakaw'ay/non.breakeway
.enclosure. size, Ioc.a. tion of so,icing equipment, area use wal open rigs, or unfinished area FeatUre s then lis
Included in the certification under Commants below. The diagram number, Section C, Item 1, must ~t,l~ be entetret~de FeatUre(s)
I ce~'[y ~hat the informaEon i~. Sections B and C on this ce~'ficate represents my best efforts to Into ret the da '
l understand that any fa/se statement may be punishable by Eno or imprisonment Under'~8 U.S: ~eo~d~, Secflontf~;~fable'
~I;IIIIPIEF,*E NAME ! , (JC~NSE NUMBER or Affix SeaJ)
Tm.E
ADDRESS i CITY
,~ ' ,STATE
~ pies should be,tirade of t~ts Certificate for: 1) cornmunitv official '~''
, , -. , -/ -~urance agenvcompany, aha ;~) Building ownm
COMMENTS:
ON'
ELAE
ZONEE ZONEE
_~EEE, OE COCUMNS
3'he diagrams above illustraIe the points at which the elevations should be measured' in A ~ones and V Zones.
Elevations for all A Zones stlould be measured et the top of the reference level floor.
Elevations for all V Zones s ~ould be measured at th~ bottom of the lowest hortzontaJ structural member.
.Page 2
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
REMARKS:
DATE ,~///~/~
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ~J/INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE &/~IIMNE. y ~
REMARKS. ~/'~' ~/~
DATE "~/////~ -~ INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
]/~OUNDATION 2ND [ ] INSULATION
/
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS. ~ ~,,~:
DATE: '7/~/~'7 INSPECTOR ~/~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FRAMING [ /~ FINAL
[ ] FIREPLACE & CHIMNEy
~REMARKS: ~
DATE ~/~//~///,~ INSPE _
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
DAT£//~,/~/,/,~r~"/,/ INSPE~
FOIUt ~0. I
1'Olin Ol;' ,~OUTllOLII
IIUU, O Ut~ D E I? A Pd~l~ I,IT
; ,: TO~dN llALl.
. JUN 31997
lffM'RI,C'FIONS
NOT I try:
c^,.L ../.f.~. :'~IO'-~ ....
HAIl, TO: ......
a. lids Ulqfllcati¢o ~mst be cc~91, etdy £111ed in IW ky~rlte~ or in ink ot~l m~l~{tt~ to ttm lkdldin~ Inn~tor with
3 ~t* o~ plans, ae<:u.rate plot O~ to ~:ale. F~ according to ncJ~tle.
c. ll~ ;axk c~red by this a~licatim ~y ~t lm c~m~l ~f~e ia~.~<e of Dfildi~ Pemit,
(.~:cu~m[~y ~baJ, l h.~e I~am gvantt~l I~ 8m I~Hdi~
~JildJ~ g~ O~dlna~e o[ ~e 'rc*m of ~tl~ld, ~l/[olk C~ty, ~ Yo~k, ~ oki,er o~gicable ;~s, ~'dhm~en or
I~:~tlatJ~ls, {Or tim c~lsl, t't~zt~c~l o~ ttdldi~% ~klitim~s ~ al. teratims, ~r for r~a'l, or ~lition, os I~rein
,b~rll~. 'lhe aplilicant agn~s,to c~ly with oll a~l. icable
, . It.
(Ih.~t ar~] tltl. e oF cx~qxx-ate oEficer)
Ik~iidoIs llcenae ti~ ..........................
El ecl t fciaas l.k:en~;¢ ~:,
OtN~r Tr~'~ Licenc~ ~
........... ~..~w .... -4~, ................................. ,-,- -,.-;: ............................
(~e)
s~ate exls~iog u~ ad t~:~a~J~;y of ~t~ais~; ~1 intct~l use oral
b. /ntet~k~l u~ ard k~O.q'~2~ ...................................
({:OHLllt;lur~n ~ql{I c. OrlX:CtlLe ur. fib:er,
I