HomeMy WebLinkAbout23787-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25154 Date JULY 24, 1997
THIS CERTIFIES that the building ACCESSORY
Location of Property 745 OSPREY NEST RD. GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 35 Block 6 Lot 26
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 10, 1996 pursuant to which
Building Permit No. 23787—Z dated OCTOBER 30, 1996
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 ACCESSORY CARPORT IN FRONT YARD OF EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to PAULINE ISRAEL
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
P
Buiigffing Inspe r
Rev. 1/81
FORM X0. 2
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)
AIAN
30
N° 23 787 Z Date .. ..... ....................... 19..<...(d
Permission is hereby gro/n/tom/gd to:
G �
.......................................
� . ..��.� ......... y
at premises located at z ...! .c'S .. .
............................................................... ".. ......................................................
.................................................................................................................................................................
County Tax Map No. 1000 Section .......... .ate... Block ........a......... Lot No. ..: ............
pursuant to application dated ........................I.�! � ld........ 19.. (x? , and approved by the
Building Inspector.
Fee $• .................
.... .......... /.... . ..... ... ............
Building Inspector
Rev. 6/30/80
Dorm No. 6
TOWN OF SOUTHOID
BUILDING DEPARTMENT
TOWN HALL
765-1802
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, 1.957) 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 Building - $100.00
3. Copy of Certificate of Occupancy - •25V
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of. Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House No. yy / J Street fes, Hamlet
Dower or Owners of Property. . nu./rug . !�' •1 • • • •✓• •: �•0- . • • • • • • •
County Tax Map No 1.000, Section. 414 . . . . . . . .Block. . .e. . . . . . . . . . . .Lot.?':� . . . . . . . . . . . . . . . . .
�� A-aO
Subdivision. S-� . A. . . : . . . . . . .Filed Map. . . . . . . . . . . .Lot. J.Y . . . . . . . . . . . . . . .
Permit No �Q,/. . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept,. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
64,t,- -s-, 3164 . . . . . . . .I. . . . . . . . .
;
PIIiY INAI'El;'I'loll Iwroli'I' DA'I'V: CONtIIiNI'3 W^ ,
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FOONUATION UND) cl
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FAIRWEATHER-BROWN
DESIGN ASSOCIATES,INC. Fh'` JUL I Q Vw '
P.O.Box 521
413 Main Street TC2Vl�iDG f7 >'r
Greenport,N.Y. 11944
516-477-9752 (fax)516-477-4973
July 7, 1997
Mr. Michael Verity, Building Inspector
Southold Town Building Department
Town Hall, Main Road
Southold, N.Y. 11971
Re: Israel Residence Carport
12 Osprey Nest Road
Greenport, N.Y.
Dear Mr. Verity:
As per our conversation, I am writing to confirm that in my opinion, the carport at the
above referenced property is adequately braced to prevent any lateral structural failure.
We have increased the strength of the structure by providing bolts at critical connections,
and have provided metal clips as required by Mr. Fish of your department. This being
done, I believe the structureto be stable.
If you have any further questions, please do not hesitate to give me a call.
Thanks for your attention and help in this matter.
Sincerely,
Robert Brown, A.I.A.
4v-
—with
Robert L Brown,Architect,P.C.
'�2�
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [✓] FINAL�j�Gtir�
[ ] FIREPLACE & CHIMNEY l`
REMARKS: '��: ✓��
DATE �; 3d h 7 INSPECTOR
70-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: fjJ
DATE INSPECTOR Jaw
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ) ROUGH PLBG.
[ ] FOUNDATION 2ND [ ) INSULATION
[ ] FRAMING FINAL
[ J FIREPLACE A CHIMNEY
REMARKS:
s
DATE 10 ' INSPECTOR
`v
+ BOARD OF HKAIa'll . . . . . . . . . . . . . . .
. ...- FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
'TOWN OF SO(1THOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
0(;f 101996 souTnOln, N.Y. 11971
TRI.: 765- 1802 NOTIFY:
CAL1.
�k17-952
Irx.nu cel
. .. �,,pper�// p7 p `� .¢{-
Algnrrve�il-... . ., 1;. Permit No. O` /.Q„!„/ ....................................
Disalgnoveda/c ................................. . ....................................
............................................... .. ...
i ldint, Lisjrecl or)
APPLICATION FOR BUILDING PERMIT
Date. . . . . . . . . . . 19 7(�.
INSTRUCTIONS
a. 'This alglication nest Ire cunliletely filled in by typewriter or in ink six] sulmnitled to the Building Inspector with
r 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
L. Not. plan slxiwing location of lot aril of Imildirigs on premises, relationship to adjoining prermises or public
sheets or areas, arxl giving a detailed description of layout of lmolx:rty oast he drawn on the diagran which is hart of
this aplAication.
c. The nxrrk covered Iny this application vrry not lie comiencecl before issuance of Building Permit.
d. Ulxxn approval of this application, the Building lns1weLor will issue a Building Permit to the arlilicant. Such
perish shall lie kept cin the premises available for insliecticm I.hrcojinnt the work.
e. lk) Ixnilding; slnll Is. occupied or used in whole or io liart for any purpose wisitever until a Certificate of
Occuliarxy slial l have been granted by Ilia lknilding 7nsliector.
Al'l'IA(:Al'ION iS ICREBY MME to the lktilding DeliarOnent for the issuance of it Building Permit. pirmiant to the
Poilding Zooe Ordinance of the 9txan of Sotl.lnld, Suffolk CxmLy, New York, and other applicable leas, Ordinances or
Regulations, for [lie coostnnction of Imildings, axklitiom or alterations, or for reumal or elennlilion, as Inerein
described. '11x: applicant agrees to cm1ily with all applicable lawa, ordinances, dxlnilding code, Ixxnsing code, anil
regulaliems, and to mimic authorized inslieclors on premises aril in Imild' for
necessary inslwctions.
(Signature of applicant, or nacre, if a corliciratirm)
...................................................
(Mailing miiress of applicant)
State ubether a[ilOicant is owner, lessee, a eoe, archil:ect, ,irieer, general contractor, electrician, plimber or Ixtilder.
................................../...................,..................................................................
Nate of owner of pronises .......(.��.Q .115"7 0k' .................................................................
(as on rhe lax toll or latest deed)
if applicant: is a corlxit'ation, sigrradnre of duly authorized officer.
-.......................................................
(Nen[! aixl title of corpirale officer)
floilders License N).
r � .
l'ludiera License No. ......................... a L.:'�
Electricians License No. ..................... `
011ier Trade's License No. ....................
1. 1 aion of: larxl on whfeln proixisecl work will lie (Ione...................... .......... ............. .................
. ..o....e.y. Ms1....!...................................1...ss.!?? �.........................................................
Ikxa:e Umber Street / Havilet
County Tax Map R.t. l(XX) Section .....t7.�d.�..... Block ...eY'......... Int .711 ...........
Suilxlivisicxn W�'!?K 'l. /n/�•. �tr'-�!��..... 1?i decd the No. ............... Int: ..........
L State existing; use aol occulk-irx:y of pronises six] interxIA use aril occupancy of proposed construction:
a. Exit;tiug use anal occoptiy ....� � ....:,.
b. lnleoked use aril o:orliancy ... 1.11.`..... ........... ....... n..TUMMY(
Y.dli i8r fY2ra”: i.Ekil.9fI ynl ATOtj
—el Jz vW03 aL*Yslg3 m1gT
1. Kihoa of work (cl(eck widen 1114)lic�able): fLAs Ikrliding .. . .. ... .. AakllLion Alteration ... .... . ..
Itnlxlir IteaerwaI ......il.... ... Ik'MIIt.lon ..... ....... Other lkirl< ............ ..... ..... . .... . .... ..
�• (Nescrlption)
C Est invited (bot: ..`P(D,.QPa... ...11l.. . . . . fee ....... .. ......... . ..................... ..... .
(lo Ix± paid on filing Thin nlylicnl:1on)
w ;in . . .. . .. ... .. Rldwr of (huelling (alfa (x( each floor ....... ... .. . ...
ifgarage, lxnber of erre ..... .. . . . . ... ... .. .. . .... ...... ... .. .
6. If Wiliness, rolnlercial or mixed J:coptwy, opecifY am ore 111x1 extent: of each type of vine..... .. . . . . . .... . .. . ..
. l T
). Ulnx:Imionn of existing nlnx:Unen;� If ally: IN onl ...S4:'. . . ..... . Hear IkkpLh �b.... . . .... ..
Ililhennhxls of tons MmAorlki lotIMnber Mil' SCOT igin . • .. �... .. ..... ... . . .
I k:i l;I d: ... . .... .... .... ....
jalle/rrd�ewnhe�xlo or sxklfcfona: k'ratf . ..5�. Ilene . ... .... .
M±dh ....... .. .ire), f. .. . ... . .. Muter of li(or'Ven . . � . . . .. .. ....
0. Mhlenniolnt of entire view cooslrlu:i loo: Pnxd . .. ...I!. ... .... Rear .. . . . . . .... fkplh r.
Ileigld ........�Z....... ...... tAMillar of BCorien . ...�.
( . ;Jixe of loll Front Aa, . ..1 ... ... .. Nepth :S- 1 (z .
10. ikda of llrchave L.... IJ:xoe of po(nxrr Lk�+ygl. .....,.,....• ... .. .. ..
.. .. .... . .......... .. ... .... .
11.
Or
12. Ikxa prolge(eliealnl rr u.l.ioxrn livioh6' dnen are ntfunleJ !�`i!k!!/'44. . ... . ... ..... .. . .. . . .. .. . ..
i• n.�.. . .. ... .
!fi
e any z(xrinll low, ordloaacL or rellolnl.lorrl . . .. ... ... ..............
I,. W1II lot:
ot: (kex±rilofled ... .
1VJ .• 'i.... .... Will exeena fill Ixr reir+ved from p(rn(ieen: YIwS M)
/ f .(V-,405Z.......... lxklreno .l7!.�SP.F.-�/.7.:'!4 Pr.� .... .. 11lot x+, tb.
... .. ,j .. .... .. ..... lxklrena F'.D XSL�.Y�!nl!�/.1L /.. 11uxx± No.1i(o�!/.
Mare of Architect:
1... �.
I:i. Ilhio lmrlx±rLywiLhin 300 feel �l.... ............. ..'. kklrens .. .... .. ..... ...............Lfione Mr. .... . . . .. .. . ..
Maly- rr ..............I
of a 1.1dai we0alxl7 * YI(wi .. . .... ......
*IP YES, :RYA/IIKAf> 'ILAM -114M,;!Evs JIMIT HAY IYi lupilau). rL,nl..n
V1,0T UTAMIMI
Icx:nl.e clearly mol distAm:ly at Ixdldinge, whether exislAng or pr0lxrsed, alul ilyllcate alt seC-back dlimnaionn
f1m, property linea. Give street arxl Moxa( miller or diolcriptloo arcotrllog I'o deedr mol allow sU-eet nanen noxi in(licole
rdlelher interior or corner IOC.
i
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SI'A'M; (A'• I,1N Y(mt ,,
MIMI? U ..4.J ,,
��*7.... .... •,h it
.. nil+ Wo.lracl)'
/ "
. .. .. . .• . . ... . '• • •Ixeing duly lwxrn(, d(±ixlneo mxl nnyu (hat: he in life oppullod.
(Nam oIV
tdwve oan:d,
Ikin the .... .. .. . ... . .. ........ .... . ..... ....... .. ... ...... .. . ........... .. .. ..
(0)OLvnr.Lor, nJ 11', I:ol ImIlLe officer, e(.(:.)
OF said owner or owoorn, 11ax) In duly +nalhorized to Ix±rl'onn or hive IVrlbrnxd the said work mol to nrd(e nix] file Thin
11ppi icaLioo; 111111: Mill statereoln cont:wI :d in thin appl ienl loo are Lrne to the bent: of hin JOowledge mol Ix'>.1 ief; mol
that LJIe work will Ire perfOole(I 111 1110llxllllx+r' tit's. koth in the applicat.lon filed therewit.h.
Ikxml to hefole Mir. this rr--
1.(�. . . ...day of
RAnry Public ... ..... i.. ...
... ..... . ... ........ ... ... ....
ROBERi1.SC .JR. (SignnLure of Applicant,)
NOTARY NUB ate of N.Y.
No.47280$8. Volk Cou
terns E)lpItee M&v 31.18
i
issues/revisions.
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2'vl'l" �" [CcyoNvil'412" � I I IIn,I/L'nI kTl1�lYmQl ORFOUOREO
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Fp,Lr rat.AATcm FRAMING V, PILnn ,r,
Q�,••n�
I
<}"+[}"PWe wi'� R =➢,L41- .. CONSTRUCTION MUST !'"1
t3E COMPLETF FOR C.O.
ALL CONSTRUCTION SHALL MEET
_
TIE REQUIREMENTS
:aHP:ho-1 P% �tlr�JVeFi 6%I <'l0 ERGY
CODES.C NOT CONSTRUCTION
RESPONSIBLE FOR
sRWDOPF PaT
DESIGN OR CONSTRUCTION ERRORS
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� = ARE THE PROPERTY INS TRU ENT ARCHIITTECT RVIIE AND
NFRING -
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OCT
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drawing no.
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