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HomeMy WebLinkAbout23515-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24674 Date OCTOBER 7, 1996 THIS CERTIFIES that the building ADDITIONS Location of Property 715 SHORE DRIVE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 47 Block 2 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 1996 pursuant to which Building Permit No. 23515-2 dated JUNE 17, 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 PORCH & DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL & STELLA ANESON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-398532 - SEPT. 30, 1996 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO. f 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) 99 N° 23515 Z Dote /�....... 19L Permission is hereby granted to: a ..��............... .... . ................... .. .. ........ ra . .......... ....... ...... .. ... .............. .>? ... ... ......................` .. .... ......... .. . ............. ................... of premises located at ......... ..� ................�........F...........(....................................... .� �4. ...................... . .. ................... ........................................................................ ... ............................................................i.. ................... County Tax Map No. 1000 Section .........'�7....... Block ... A............ Lot No. ....1.9........... pursuant to application dated ......................L..:.`.." c� .! .Q........, 19.9.4gand approved by the P PP p Building Inspector. Fee $..2•...I�........ BuildingI for Rev. 6/30/80 Form No. 6L TOWN OF SOUTHOLD 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 buiiding- -- 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 17 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . .�Ql'��6. . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction.. . . . . . . Old Or Pre-existing Buildin . . . Location of Property. . . . . .?15 . . . . . . . . . . . . . . Shore Rdg. . . . . . . . .: ,Greenport House No. Street Hamlet Onwer or Owners of Property. , Michael & Stella Aneson . . . . • . . . County Tax Map No 1000, Section. . . . . . . ...... . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . ... . Subdivision. ,Greenport Shores. . . . . . . . . . . . . . .Filed Map.0.759. . . . .Lot. . . .4. . . . . . . . . . . . . . . . . Permit No.2351.5.-Z Of Permit. . . . . . . . . . . . . . . .App .icant. . . , ichael, Aneson5M Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval#1225�89A�?6. . , , , , , , , , , Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Corticate. . . .##. . . . . 00 Fee Submitted: $, . 25.. . . . . . . . ... . . . . . . .. . . . . . . . . . . . . . . . . . APPLICANT THE NEW YORk BOARD OF FIRE UNDERWRITERS PAGE 1 1195099 X12 PC 2 BUREAU_C�a� JJOHN TY STREET NEW YORK, NY 10038 Date oCSJEPTEMSER 30,1996 Application No.on file 122.51896196 N 398532 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MICHAEL, ANESON, 715 SHORE DRIVE, GREENPORT, N.Y. in the following location; El Basement LIL lst Fl. ❑ 2nd Fl. OUT .Section Block Lot was examined on SEPTEMBER 26,1996 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETSIII INCANDESCENT FLUORESCENT I OTHER I AMT. I K.W. AMT, K W AMT. (WAmi K.W. AMT. H.P. 6 5 1 5 6 1 1 1 1 f DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL UNIT HEATERS MULTI.OUTIET DIMMERS T. K.W. Olt H,P. GAS N.P. AMT. NO. A.W.G. AMT. AMP AMT. AMPS. TRANS. AMT. H.P. SYSTEM AMS NO.Of FEET AMT. WATTS 1 600 SERVICE DISCONNECT JHO.OF S E R V 1 C E r AMT AMP ME METER I A.9W I B 3W 3%3W 3,e AW NO.OF CC.COND. A.W G. NO�OF NI-lEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER 9 Of CC.GOND OF Hb LEG OF NEUTRAL 1 200 SW C OTHER APPARATUS: j PADDLE FAN-1 MOTORSII—F H.P. t G.F.C.Zt-1 1 L f JIM SAGE ELEC. INC. LTG.#3635 I%it, — LL 350 MARINE PLACE GREFNPORT, NY, 11944 GENERAL MANAGER { 11 Per— This er This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. �. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ELD l'*ISPE 'TION REPORT DATE _ _ COMMENTS O.)J FOUNDATION ( I S ' II II ;; II FOUNDATION (2 ) I rd ------------- ROUGH FRAME 6 PLUMBING 11--- INSULATION PER N. Y. lr j ` M STATE ENERGY I jj CODE {�--------�; ------ - --- II II ----- ---- I „ I FINAL II ---ADDITIONAL-COMMENTS: � V a ro� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ON [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �� e 12, keoa4 G vs,' DATE INSPECTOR ppppp- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] UGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK DATE �� INSPECTOR 70-1802 BUILDING DEPT. INSPECTION [ ] FO DATION IST [ ] ROUGH PLBG. [ ] F UNDATION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY �REMARKS: DATE INSPE pr le ,�� --- �36�5 :2( 765.1802 BUILDING DEPT. SPECTION [ UNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY � REMARKS: A DATE "24 4 INSPECTO 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . 7C• • • • • • .Utcration Repair • . . . . . . . RFmoval . . . . . . . . .. . . . Tennis Court • . • . . • . Demolition A. , " " ' • 'Swimraingpool. . - ", . . . . . Accessory Building. . . . . . . . . . Fence . . . . . . .Other Work . . . . . . 4. Estimated Cost . . . . 0 76)e' 7 - e'er' . . . . . . . . . . . . . . . . . . .. . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . {to he paid on filing this application) 5. if drvcllin„ number of dwelling units . . . . . �. . . . . . Number of dwelling units on each floor . . ' ' ' ' If garage, number of cars . . . . . . / 6. If business, commercial or mixed occupancy, specify natuye and extent of each t c of use . .11/ 7. Dimensions of cxli��tg structures, if any: Front . . . , 3 ,;e?;I • • . Rear �,? `' 1%`Zar . . • Hci^ht Depth . . . . . . . . . . • , . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of sa a st ctur t itlr alterations or ndditi ns: Front , .,'� •3 { Depth . . . . .;.'.m :! 34.1L. . Ilcigltt . . . . . . 10 Q . Rear 3 . .�4.tv. . . . . . . Numbcf ofStories . . . .�. . . . .�. . .t. . 3. Dimensions . . entire new construction: Front . . . A-1. . ,; , , , Rear ��`♦.:`�: , . Height lD Depth . . . 1 •;5 Z - • • • • . . . . . . . . I�urnberoCStories . . . . 1'. , �" " " ). Size of let: Front . . . . �`7. .—C? tt . . . .. . : . .t�. . . . . . . . . . . . . ; . ::. . . ., . .f . . �t . . . . . . . . Rear . . . . Jam:,'. . . . . . . . . . . Depth . .l � .'- �?. . . . . . . . . . . ), Date of Purchase , , , , • • {� ��7 . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . I. Zone or use district in which premises are situated . . . . A, .-• 5f t� 1VGl= Z. Docs proposed construction violate any zoning law, ordinance or regulation: . 1. WUl lot be regraded 4 �C*• • • •. . • • . . . . . . . . . 1Vill excess Fill be removed from premises; Yc; , •X'N:,, }, Name of Owner of premisesMl� � Address 7lr�-A -t?%)� - Phone No�'16:'.`(77:.�r1 �. Name of Architect tl :j • /4 � .LI} j A�edress ��p` . I L �' i Name of Contractor :.Qyt/)j •;• . • :• P f�•I },Y.I� � Phone No7 . .: . a`-: J l�. . . S_Is this property located vitlrin Address . . . . . . . .. . . ... . . PhoneNo. .. . . . . . . . . , *If yes , Southold Town Trustees Perrmit may beet of arequiredtidal - PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, arid.indicate all set-back dime--'on: :: operty lines. Give street and block number or description according to deed, and show street names and indicate %v::c:: tenor or comer lot. 75 i ' I N I LSV 12 M i=t_7 F� P—.D to I I _ I N y� �qq Z.-7 %TE OF IN YO L— UNTY OFS.S N, • , • , , • • • • . . being duly sworn, deposes and says that .lie is the applic: (Name of individual sig nitrg contract) vc named. istile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.). . • • . . . • . • • • • . . . . . . • • " " ,aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file ti: lication: that all statements contained in this application are true to the best of his knowledge and belief;and that tt: k will be perforated in the manner set forth in the application filed therewith. 'm to beforeme this / . . . . . . . . s 72 . . .day of . N�. . . . . 19 u)• Public, County A.JACM 70000 tawYtrl Qtly "IInblt1400unt (Signature of applican• Cmta WM EVlrsi Umb 31,18 BOARD OF HEALTH , FORM NO. t J SETS OF PLANS . , • . • . TOWNSURVEY . . . . . . . . . . . . . . . . . OFSOUTHOLD CI iC B CI . . . UILDINGDEPARTMENT SEPTIC 'FORtI • ' TOWN HALL • . . $OUTHQLa,L� Y, 111171 NOT i FY Q TEL.: 765.1802 CALL Examined . . .. y, . . .i, l9� . . . . . . . . . . . . . . �/• . . . ' 19«T' o 3�//•J�^ MAIL TO : Approved . . . . . . . . . . . . . . . . . . •'. omit N YYY��1 Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspccta ( � MAY z PLICATION FOR BUILDING PERMIT BLDG.DEPT. Date;I lj� y.26, �. . . .. I' TOWN OF SOUTHOLD INSTRUCTIONS ' a. This application must be completely filled in b sets of plans,accurate phot plan to scale, Fee according Y typewriter or in ink and submitted to the Building lLs b. Plot plan showing location of lot and of buildings schedule. pector,w or areas, and giving a detailed description of layout of 's on premises, relationship to adjoining cation. property must be drawn on the diagram premises or public st C. The work covered by this a ,ram which is part of this a 'd. Upon approval of this a PPlication may not be commenced before issuance of Build' application, the Building Inspector will issued a Building Permit to�thPermit.a tt• shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied i used in whole or in part for any purpose whatever until a Certificate of Oc upa shall have been granted by the Building Inspector, APPLICATION IS HEREBY MADE to the Building De Building Zone r the ncecon ru the Town of Southold, Suffolk County, New York. and other applicable Laws, Ordinance: The npplins, for the construction,of buildings, additions or al a at onsment o orhfor removal or deme ftsuance of a lolitionding e�s h p in d ante. The applicant agrees to comply with all applicable laws, ordinancesbuilding scrib admit authorized inspectors on premises and in building for necessary'-nspections• code, housini, code, and re, latia s, and _ 7 (SH mature ?ppli nt, or'nam a orporauon) G (� lc GaKzl.� N1?T�, . NY. . PP ( . .. State whether applicant is owner,)lessee a� Mailing address of applicant) vent, architect, enghneer, general contractor, electrician, plumber or builde Mame of owner of premises Ml�Fl1.F " " " ' . . .? . . . . . . . . . . . . . . . . . . . . . . . . . . . . " " " If applicant is a corp oration, signatu (as on the tax roll or latest deed) re of duly authorized officer. • (Name and title of corporate officer) ' Builder's License No. Plumber's License No. No. w 'k Electrician's License No. . . . . 4 w Other Trade's Liccnsc No. Location of land on which propos�d work will be dors: I,15K�ac, p l�% Ilouse Num bcr ' ' . . . . . . . . . : . . . . . .7� 1 1i2 �k Street . County Tax Alai) No. 1000 Sections! , , 4 7 Hamlet • • .. SubdivisionBlock . . . . . . . . . . . . . . . . . . l q . . � Lot , , , , , ; (N;I'ttcj . . . . . . . . . . . . . . . Filed Map No. , . . Stxte existind use" and occupancy ofl • . Lot . . . . .. . . .prcmiscs and intended use and occu , - PaI of proposed construction: A• Existing use and occup;ancy. . . . . .�. 1-•,r . ..RI✓6 B. Intende I I MLT . . . ... .... .. .... . Intended use and occupancy.: �'. �. 'DI'TtoN . . . . . . . . . . . . . . . ... ... ... . .. . . t�_,lFli, 1� Fl W, -,I. ­7?771777p;r!�(� 1.IF _p"l. ­­,­ I r IT- g-.,T�, " , W� ...... - 1 — � IT- T, 1, Il. I �l ­ T. '-'T- �T 1. 1.- - . ....._ I f, T, Ii IF �,F 11 r. 4• tFltKw lT I yy ,l,I. M un L I;,�Tl� FIT W`44 ON— 0, - I l. i FlF, 7 , .haeI -z" -tl TAT, 7ttbb T I'M 1; REUIRED FA l PIT A ij­ I iil i"n q. . l 'fAll I -1 A 'FLI IF, T" z "T' A"A TL I" Iq - isv. T_ 'AT p I TF ��W 1 1 Fit, l�: T`L�P'I I mA Ed ..... ... . ....A A %-,F�V- % r -1 - K OCC UPANCY ,OR A A111,1,1 A I I NLA !`T� I A nFl SE I&V Il � � F UK y�, NT IT-' "ll" 'fFT1,' '-- , . _l . Till 'I," IF 7�IT- _1151? 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