HomeMy WebLinkAbout23046-zFORM NO.$
TOV~N OF SOUTHOLD
BUILDING D£P,~R fMENT
T OV~'I HAIL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
23045 Z
Permission is hereby granted to: __ . ~ ~ /¢~ ~
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Building Inspector,
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Rev. 6/30/80
NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OOJU~AN~-~/'
No Z-24421 Date J~NE 12~ 1996
THIS CERTIFIES that the buildin~ ADDITION
Location of Property. 255 OSPREY NEST ROAD GREENPORT NY
House No. Street Hamlet
0ounty Tax Map NO. 1000 Section 35 Block 6 Lot 34
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 19r 1995 pursuant to which
Building Permit No. 23046-z dated O~TOBER 4~ 1995
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 A DECK ADDITION TO AN EXISTING ONE F~ILY DWELLING AS
APPLIED FOR.
The certificate is issued to
of the aforeeaid building.
GEORGE MCGOUGH
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
Building' Inspec/or
Form No. 6
BLDG. DEPT.
TOWN OF SOUTH, OLD
TOWN OF SOUTHOLD
BUILDING D EPARTM]~NT
TOWN MALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP
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:
i. 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.
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
I. 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 Buildin~ - $100.00
3. Copy of Certificate of Occupancy - · .25¢
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00
Date .~./7/.~..~. .
New Construction....~ ...... ()id Or Pre-existing Building .................
Location of Property... ~.~....~---~.]. ~.~...~.-- -- ...................... ~D~..~..~. ..........
House No. Street Hamiet
Onwer or Owners of Property.,,.~;,~.~.-.~..~.~.~ ............................. .
County No 1000, Section .... ...... Blook... ........... ................
Subdivision ................. ..~":. ........ Filed Map ............ Lot
Permit No.. ~..~.~.~.~..~.~.Date Of Permit ................ Applicant.. ~.~.'..~.~4~.~0 ..........
Health Dept. Approval ........................... Underwriters Approval .........................
Planning Board Approval .................
Request for; Temporary Certificate ........... Final Certicate..~. .......
Fee Submitted: $..~,~.r...'~. .................. ,,,~,,~.~~~.
..............
FOUNDATION (ill))
ROIIC, I! FRAME &
[NSUI.ATION PER N.
STATE ENERGY
CODE
FINAl.
Town Hall, 53095 Main Road
P. O. Box 1179
SouthoId, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
June 7, 1996
Ms. Elizabeth Thompson
270 Lafayette St. #1303
New York, NY 10012
Re: George McGough - SCTM#1000-35-6-34
Prem: 255 Osprey Nest Road, Greenport
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)
No Underwriters Certificate on file.
xx 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.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 23046-Z
Thank you for
Please contact our office on this matter.
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
ELIZABETH THOMPSON ARCHITECT
270 Lafayette Street, Suite 1303 tel. 212 274-8336
New York, New York 10012 fax 212 274-9158
September 15, 1995
Building Inspector
Building Dept.
Southold Town Hall
Southold, N.Y. 11971
Dear Inspector,
Re: 1000-35-6-34
BLDG. DEPT.
T,~O~WN Or SOUTHO~n
Enclosed please find a complete permit application for a small deck
addition in East Marion. This package includes: Notorized
application, official copy of survey, 3 sets of stamped
construction plans, and blank check for permit fee.
Due to the extremely small size of the project, it would be greatly
appreciated if the permit approval could be expedited quickly.
Sincerely~
Elizabeth Thompson
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I/,~NSULATION
[ ] FRAMI~iG [~?~ FINAL
[ ] FIREPLACE~CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
FIREPLACE & CHIMNEY
[ ] RO~.BG.
[ ..~SULATION
[~] FINAL
REMARKS:
765-~.802
BUILDING DEPT.
INSPECTION
[ F~OUNDATION 1ST [ ] ROUGH PLBG.
[.~/~OUNrI,ATION 2ND [ ]INSULATION
FRAMING [ ]FINAL
DATE INSPECTOR
FORM NO.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
Z .,~/.~5 ~' TEL,: 765-1B0~
Examine ........ 19
Disapproved' a/c ..................... /~ ....... 2 .... '.
-co, ,t,;x, c. :., ,r,n r , INSTRUCTIONS
BOARD OF HEALTH .......
3 SETS OF ?LA. NS .......
CII~CK .................
SEVr c FO , ...........
HAIL TO:
Date ................... 19.
a. This apPlication must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witl
,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 st}e~
· or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap~
· cation.
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 issued a Building Permit to the applicant. Such pent
shall be kept on the premises available 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 Occupan,
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to tl
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances -
Regulations. for the construction of buildings, additions or alterations, or for removal or demolition, as herein,describe
The apphcant agrees to comply with all applicable laws, ordinances, building code, housing cgde, and regulatiofis, and
admit authofize.d inspectors on premises and in building for necessary ins~ ~ ~fi~. ~..,_.~.,
·' ...... ~/.~t~x~. a..~ .... '.~. :~..,-.....; .......
-- . . (Signature of applicant, or name, ff a corporation~
t
(Mailing address of applicant)
State whether applicant is owner, lessee, ·agent, architect, engineer, generai 'contractor, electrician, plumber or builde
..... ................. i .................... .............. · ..........................
Name of owner of premises ...~. ¢'.'./~ J"J..2~.: .f_~.~?..e~¢q...~.:..M..e...C~.o.?e ~ ...................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No...'~...~. ,0., ................
Plumber's License No...-7 .....................
Electrician's License No ~
Other Trade's License No .... 'T .................
1. Location of land on which proposed work will be'done. : .
Itouse Number Street Hamlet
Cou'nty Tax Map No. 1000 Section ...~,, .~. ' Block .'.. ~... ' Lot..~.'~ .............
Subdivision .... .~--:.~'~../~"¢'5~.. ?.o. t .~.? ............ '. Filed Map No ............... Lot ...............
(Name)
2~ State existing use and occupancy of premises and intended use and occupancy of proposed construction':
a. Existing use and occupancy ....~!¥..~...~.~r~.....'~...v~..u4-..~.5 ' . ...................
b Intended use and occupancy ............. '...'... '
.3. Nature of work. (check which applicable): New Building .......... Addition .......... Alterati0,.n ....
Repair ............. Removal .............. Demolition .... : ......... Other Work .1~- r-04
·., . (Description)
4. Estimated Cost .. ~ I1 e,o-o ,
..................... Fee ....................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units .... [ .......... . Number of dwelling units on each floor ..............
· If garage, number of cars .................................................................... ..
6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use ............... ,...
imensions of existing structures, if any: Front ............... Rear .............. Depth .............
eight ............... Number of Stories ..... } .................. ' ..............................
imensions of shme structure with alterations or additions: Front ................. Rear ................
k~__.~Depth .... k .................. Height ........... ' ........... Number of Stories ........... 2 ........
8. Dimensions of entire new construction: Front .............. ; Rear ............... Depth .............
Height ............... Number of Stories .......................................
9. Size of lot: Front ......... ............. Rear ...................... Depth
10. Date of Purchase .................... · ......... Name of Former Owner ............................
1 1. Zone or use district in which premises are situated ................................. 2. ;~, .~'. ~..~,~. ~ ......
.12. Does proposed c0nstruction violate any zoning law, ordinance or regulation: .~O ...........................
13. Will lot be regraded .. Ix)o..;; ................... Will excess fill be removed from premises: Yea N
14. Name of Owner of premises ~-,~.~..cOif. Nq..&..o. ?c~ F-.. Address ~t~,o~.r~rca~.t 'l.4t t.. Phone No. 'J' 'it~':~..
Name of Contractor . 'J': 13..(4.; .................. Address t~.-~. ~ ~.-~. ,co t~- . Phone No.
15.' I~ this property within 300 feet of a tidal wetland? *Yes ........ No.~ ......
· If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate ail set-back dimensions fro~
property I/nos. Give street and block number or description according to deed, and show street names and indicate whethe
interior or corner lot.
SrAT OV N W,ZO J, . o o
coum¥ .... °'°
...... .~..Ui.7-~.F~g'T0C...~N~ ................. being duly sworn, deposes ~d says that he is the applican
(Name of individual signing contract)
above named.
~e is the .. ~.d [~ ................... · ........................................... ' .............
(Contractor, agent, coiporate officer, etc.)
)f said owner or owners, ~d is duly authored to perfo~ or have perfo~ed the said work and to m~e ~d file thi
ipplication; that all statements contained N ~ application are true to the best of his ~owledge and belief; and that tN
~ork w~[ be perfo~ed in the m~ner set f~h ~ tl ;e application flied therewith. '
~wom to before me t~is , ~/ ~' / ~
TAX MAP. NO. DIST.~ SECT. ~,~ --BLOCK 4~' LOT .~__,-J
FILE NO.
BLDG. DEPT.
TOWN OF SOUTHOLF
PROJECT: ~ ~
SITUATE AT: ~ ~, ~.1, ) ~
DATE: ~ , }~ SCALE: I" ~
SURVEY DATE; ~ AR~ 1~,~
FILED MAP NO. ~ .... DATE FILED ~
FNO..~ ...... UNO. CONST .... ~ FINAL
HAWKINS WEBB JAEGER ASSOC.
ENGINEERS- SURVE ~RS- OESIGNERS- PLANNERS
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