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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: __ . ~ ~ /¢~ ~ .......... ~ .............. .:.~..f...~ .......................... ....... ~...~ .............. '~,~. ........ z~z.,~ .... ..... ~:~... ....... ~~.....~.~.z~.~~.~ .... ~ · ~ v/ -- ........ ~~..~ .......... ~ .......... ~z,..~. ........ ~.~..~ ......... ....................................................................... ,,K...~ ..,~,,,~...~...~.. ~ ........................................ ~o~.~,,~,~o. ,000 ~e~,o, .......... .~..?...~,oo~......'~. ............... ~o~o...a..~. ~u,s,on~ ~o o~,,oo,o, do~ed ................... ~~...Z..~.... ~.Z., '"'~ ~....C2.~... o~,d o~,o,,~ Building Inspector, ........ ~&'~i'~'i ...... 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 -'~ ~ ---', .'~ t,. I~/ / I~ ~ ~ ~' ~ tTM ~ [ ~0 .... 0m m ~ 0