HomeMy WebLinkAbout24229-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26165
Date: 12/11/98
THIS CERTIFIES that the building ADDITION & ALTERATION
Looation of Property: 870 BAY SHORE RD GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 53 Block 4 Lot 36
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 9, 1997 pursuant to which
Building Permit No. 24229-Z dated JULY 2, 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 ALTERATION TO EXISTING ENCLOSED PORCH, NEW FURNACE & CHIMNEY ADDITION
TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ALAN MAZZAFERRO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N433974 10/07/97
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
u~ding inspector
FOx,ar NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALl..
SOUTHOLD, N. Y.
BUILDING PEItMiT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHO'~IZEO)
N.° 2~229 Z ~ote .... .~ .............................. ~ ~.~
Permission is hereby grantedJ'o:~
./. ././ ..~....../.~.~. ./...~. .. ...............
..... ~Z~...~..~/....,~:....,a~..~ .........
,,~ .... ..~.. .~~../..~.~.../../..~i~Y
~t ...................premises Ioca~'
County Tox Mop No. 1000 Section ....~...~. ...... Block ....~.... .............lot No......~.....~.. ............
Fee $.,.~9. Z ...........
............
Rev. 6/30/80
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
/nspector 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 Under~rriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 ef 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" laud 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.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw~mtng pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - : .~5~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00
Date ....... ~.. ...............................
Construction ........... Old Or Pre-existing Building .................
g. 77. ~,fY-~,~,¢~,~ ~ .6..,.~..q~.£a..~.T. ..............
~cation of Property .........................................
House No. Street H~ml et
.,¢...~£ ~zz~ .......
~wer or Owmers of Property .....................................................
~unty T.~ ~p ~o 1000, Section .... .-f.? ....... Bloc~ ...... ~. ........ Lot ......................
~bdivision .................................... Filed Map ............ Lot ......................
.~?.~.~.f..~. Date Of Permit 7l.~l~.? Applicant ....
· .trait No ........................................
Underwriters Approval ..................
Approval .......
-.alth Dept. · .........................
tanning Board Approval ........................
aquest for: Temporary Certificate ........... Final Certicate ...........
6t~c, 5~ ~ .... ~ .... - .... J~ ...................
L
I
765-1802
BUILDING DEPT.
INSPECTION
[//] FRAMING [/.~FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: /~_/~Z~ ,//~)/t~
DATE ~///~,2 INSPECTOR~ /~~'/~/
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
ROUGH PLBG.
] I~~LATION
FINAL
[ ] FIREPLACE & CHIMNEY
DATE/~~
INSPECTOR
THE 'NEW yoRK BOARD 'OF. FIRE UNDERWRITERS P~:
10~!~121
· , ,~ ' BU-R~Au OF EbECTRICITY
j'~ ' 8S JO"9 ~TREET, ~W YORK, NY 1003B
PE~IT NO. GREENPOR'f
THIS CE~IFI~ THAT
o~y the e~tric~ ~uipme~t ~ ~sc~b~ ~e~w a~ /nt~uc~ by t~ ap~icant ~ on the a~e application number in t~ prem~es o~
A~N MAZZ~RO, 870 'BAYSHO~ RO~, G~ENPORT,
in the followlng location; ~ B~eement ~ I~t Fl. ~ 2nd ~. OUT Section Bilk
~sexaminedon OC~BNR 02, ~.997 and found W be in compliance with the NaMon~ Electdcal Code.
~lVl~ DI~ONNECT ~.OF [ .... S E -- I , V . I . C
OTHER APPARATUS:
G.F.C.I:-I
EXHAUST FANS
PAUL R. BURNS Lie. #3897-~
PO BOX 1061
SOUTHOLD, NY, 11971-0932
FORH biO. I
~ ] TOIgN OF SOUTItOLD
I~i BUILDING DEPARTH~NT
,~ ! TOI~N HALL
JUN "9 1997 iou~ou), ..~. ~9~
~ TEL: 765-1802
~PP~TI~ F~ ~I~I~G PER~IT
INSTRUCTIONS
BOARD OF HEAL'iH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORIt ...... ;;~; .........
NOTIFY:
~I~IL TO:
a. Ibis application mst be completely filled in by typewriter or in i~ ~ ~itt~ to ~e ~ildi~ Ins~tor with
3 ~ts of plus, aerate plot pl~ to ~ale.
b. Hot plan ~ l~ti~ o~ lot ~ of Mildi~s ~ ~s, ~lati~adp to ~joini~ p~i~s or ~blic
struts or areas, ~ givi~ a &tail~ &aripti~
~is a~licati~.
c. ~ ~rk c~r~ ~ ~is ~licati~ ~ ~t ~ c~teM ~fom isle of ~ildi~ Pemit.
d. U~ ~al of ~is a~licati~, t~ Mildi~ In~ctor xdll is~ a ~ildi~ Pemit to tbe a~llc~t.
~mit ~all ~ ~t ~ ~ ~s ~ailable for in~ti~ theft ~e ~k.
e. ~ ~ildi~ ~all ~ ~i~ or u~ in ~le ~ in ~rt ~r a~ ~ ~at~er ~tll a ~ificate of
~ ~all hm ~ ~tM ~ ~ ~ildi~ In--tot.
~I~ IS ~ ~ to t~ ~ildi~ ~r~nt f~r ~e isle of a ~ildi~ Pe~t ~rm~t to t~
~ildi~ ~ ~i~e of ~ ~ of ~t~ld, ~ffolk ~, ~ Yo~, ~ other ~llcable ~, ~i~es or
~latims, fm t~ ~st~tlm of Mildi~, ~itlms or alteratims, or for r~al or ~lltim, as ~min
&~ri~. ~ ~limt ~s to ~ly
m~latims, ~ to ~t mt~i~ i~tors m ~i~s ~ in hil~ for~__~mces~ ins~tims.
............ .......
(Si~e of ~t, or m, if a co~ Grim)
(~ili~ Md~ss of ~lic~t)
State ~tmther applicant is ovmer, lessee, agent, architect, engineer, general contractor, electrician, plt~abur or builder.
c2. ~o,v ~..~. ..
/-}- A/J..4J ~, /M /4?_7./~ F&.~/~_.~O UNDERWRITERSCERIIFICAIE
~ of ~ner of ~i~a ................ . .......................................................... '~(~df~F-lY ..............
(aa on the Lax roll or latest deed)
.........................................................
OCCUPANCY O~
H.~rs Lic~ ~. WIIHOUI CERHFICATE ~. FOUNDATION - ~O REQUIRED
......................... .ma'~uam co~caaa
El~trici~s Lic~ ~ ...................... 0F OCCUPANCY z ROUGH- FRAMING a PLUMBING
3. INSULA~ON
~r ~'s Lic~ ~ ................ ; .... 4. FINAL .- CONSTRUCTION MUBT
~. mrzm or ~ ~ ~z~ ~ ~m m ................................. ~ ALL CONSTrUCTioN" ~'--~':' K'R[E~.~ '~
~Zo. ~2/,,~.~.,. .................................... ~._~~
~ivisi~ .................................. Fil~ ~ ~. l~t
(~)
2. State ~sti~
from prol~rLy llne~.
3. Ni~lure o1! ~ratk (clveck ~ddt aPPlicable): i~a l~dhling .......... t~klition .......... hlteratjon .... ~ .....
I~lmi r .. ~. P~aleol~g~/~tx~l it ion ............ Other ~
0 I f~
4. Esti,~t~l (~st o ...~
(to ~ paid ~ filing this a~ticati~)
5. If &~lling, a,~t~r of ~[li~ unita ............ tl~d~r of &~lling ~mil:a ~.~ each ~r
6. If I~mi,maa, ~m~rcial or mi~ ~:c~qm~, a~ci~ ~ture m~l extent of each ty[m of u~ ......................
7. l)in~nai~m of ~iating atn~.wea, if ueyl t~,mt .... ~.~ ...... ~ar ...~.~.~. ..... ~pth ../J~ ........
Z.ET.
I~iO,t ....... .~l~I. ~,fl~ oe Stories ......................
llinenaiema of sam stn~tur~ ~i~t I al terati~ma or ~itiona: Front .... .~'~ ..... ~ar ..
9. ai~ or lot: l~t~,t .... ..:,.d'~O'-ff~... t~ar ..... ]fl~.(~. ..... ~pth ../~.~.~/ .......
lO. Igll.e of h~reha~ ... ~ g~ of Fonmr
Il. Zx~ or t,~ district in ~id, ~roni~a are s{t~t~ . :~5~O.~T/~...~.~ ................................
.,
13. ~ill lot Im regr~ ..... ~.[ .......... 9ill e~eaa fill Im r~ [~
~ of Arddtect ............. ~ ....................... ~lreaa .............................. ~m~ ~ ...............
· ~ of C~tractor ............ I ....................... ~klreaa ............................... Hm~m ~ ...............
15. Ia this p~l~rty within ~ f~ of a ti(h[ ~tla~l? * Yl~ .......... ~ ..~'. .....
PLOT I)IAGRA~
l~mte clearly a~ dlati~t1y all Imildi~a, ~ether ~ia/ing or pro~, ard i~llcate all ~t-l~k di~naions
Gi~ a~t a~] bl~k ~imr or ~aaripti(m acco~ing to ~1, a~ ~ street m~ma ar~l i~lica/:e
~dmtlmr interior or cot~er lot.
~ 6Y..tS,~i,~b- ~
../R.~ ..... ~ff~~ ......... ~ ................ ~ .... I~ieg duly ~rn, delx)~s m~l m]ya tha~ he ia the applicant
(~mu of i~lividmqt algning contract)
I~ ia the
(C~tractor, agent~ c~rl~rat'e officer, etc.)
of said ~r or (~ra, m~l is duly a$~thor~z~l to i~rfonn or have I~rfon~ed Ihe mild ~[k [n~l Io ~ke m~l [ile thin
nppllcatio~; [hal. ail atale~nta co~]ta~h~l in this aloft ~catlon are I.n~ to the I~al. of
Ihat Ihe ~)rk ~i[[ I~ i~rfon~l in Omi.[..~r ~1: forth ie the applics~ion fil~l tiered[th.