HomeMy WebLinkAbout22738-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z--24347 Date MAY 8, 1996
THIS CERTIFIES that the buildin~ ACCESSORY
555 FLINT ST.&
Location of Property 840 (a/k/a 321) SEVENTH ST. GREENPORT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 48 Block 2 Lot 12.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 17, 1995 pursuant to which
Building Permit No. 22738-Z dated MAY 5, 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 INGROUND SWI~4ING POOL WITH DECK AROUND & FENCE ENCLOSURE
AS APPLIED FOR.
The certificate is issued to
WAYDE & JULIA MANWARING
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N--357611 -- JULY 11, 1995
N/A
Building 'Inspector /
FORM NO.$
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED]
N£ 22738 Z
Building Inspector.
Fee S..,./6~..~'
Rev. 6/30~80
. ~ Form No. 6
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
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.
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 Buildin~ - $100.00
3. Copy of Certificate of Occupancy - , .25¢
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ~../fi.?../~.~ ....................
t ~J
New Construc ion ........... Old Or Pre-existing Building ..............
..... ......
Location of Property .... ~ .................................
House No. Street Hamlet
9nwer or Owners of Property../d~.~.~i .~. ~.'~.qf~ ~fi~{~lf~ ~
000, ....... ...... ........ .... ............
Subdivision . .. Filed Map Lot .................
Permit No..... .... .. ... ..Date Of Permit ............... Applicant .............................
Health Dept. Approval ............... Underwriters Approval
Planning Board Approval ................... .. ..
Request for: Temporary Certificate .........
Fee Submitted: $ .?..~...fi;!! ? ................
· Final Certicate ...........
* ./ APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITER
1025088
.. BUREAU OF ELECTRICITY
~ B~n JOHN STREET NEW YORK. NEW YORK 10038
Oate JuLY 11,1995 ~pplieulionNo. onfile ~7362395/95 '
N 357611
THIS CERTIFIES THAT
{~a plicant~edontheaboveappti~a ionnumbe~inzhe ~em~eso
~W~ING~ 321 sEVENTH STREET, GR~ENPORT, N.Y.
,~s examined on JULY 05,1995
aod f°u~ tq bq ~t~ vqmpl~q~¢q wtth
~RVI~ D ~ONNECT, OF
OTHER APPARATUS=
inspection only~ BecaUse of unusual~ :
environments it is advisable to
~ave frequent test/and or repairs
made by a qualified perqon.
< o a 2 >~> :
G~NERAL ~AGER
This ce~ificate must not be blte~ed in any manner~ return to the office of the Board if incorrect Inspectors tony b, identifi04 k,, H~;r crerlent;,-Hs.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1~25088 BUREAU OF ELECTRICITY
[--- 85 JOHN STREET,,NEW YORK, NEW YORK 10038
O.t~ JuLY 11,1995 ~ppli¢,tio. No.o, file 07362395/9~ : N 357611
THIS CEI~TIFIE~ THAT
only the ele~trlcal equipment os described below and ~nt~oduc~ed by the applicant named on the ~bove application humbert in the premises of
HANWARING, 321 SEVENTH STREET. G
REENPORT, N.Y.
in the follo~ving location; ~] Bazement ~ I~t FI. [] Snd FI. OUT Se~cti ,n Block Lot
was examined oH JULY ~05,1995 . ·
and found to be tn compliance with th~ National Electrical Code.
FIXTURE FIXTURES RANGES EXHAUST FANS
OUTLETS SWITCHES FtUORESCENT
BETHEL~ 88 MILLELECTRICRoAD' Lie. #288OE ,~. , , i ·
· ~, (~EN~A&MANA(~ER
MANORVILLE, NY~ 11949 : ; ~':
This certificate must not be ~ltered in any man,er; return to the office of the Board if ~ncorrect. InsPectors' maybe ide~lified by lheir credentials.
INSULATION PER N. Y.
STATE EI'IERGY
CODE
il
{I
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ]INSULATION
FRAMING [/-~i~AL
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] Ro/U~H PLBG.
[ ] FOUNDATION 2ND [. ~SULATION
[ ] FRAMING [~] FINAL
[ ] FIREPLACE~ CHIMNEY
.~A.~S.. ~
BUILDING DEPT.~
INSPECTION
[ I FOUNDATION IST [ I ROUGH PLBG.
[ I FOUNDATION2ND [ I INSULATION
[ ] FRAMING [..,~INAL
[ ] FIREPLACE & CHIMNEY
765-1802
DEPT.
INDATIONIST [ ] ROUGHPLBG.
j'[t ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNE.,Y
REMARKS :~/~/~
I
L.i.R.R'
B4'* 11' 40" E
§1.2§ o,~',','
CERTIFIED TO ~
TITLE USA INSURANCE CORP.
WA Y DE T. MANWARING
JULIA MANWARING
FND
PIPE
ROOF
DECK
50.00'
N 8~' 47' 10" W ~'~
FLINT S TREE
"PL A N
SURVEY OF LOT 90
OF PROPERTY A T GREENPORT
KNOWN A S GREENPOR T
DRIVING PARK"
FILED DEC. 1, 1909 FILE NO, 369
A T GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000 - 48 - 02 - 12
Scale 1" = 20'
Jan. 3, 1988
Prepared in accordance with the minimum
standards for t/tie aurve,ve ss established
by the L.I,A.L.$, and approved and adopted
for such use ~)~ The Nbw York State Land
Title Association.
MA
RR - 747
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined ............... , 1 .~.
Approved .......... 19 Permit No. ~...~. ]7..'.~..
Disapproved a/c .....................................
(l~uildin~pector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
CllECK ....................
SEPTIC FORH ..............
Date ................... 19...
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
I~. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
catiqn.
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 permit
shall be kept on the premises available for inspection throughout the wdrk.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector. '
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances,~builc~ing cQOe, housing code, and regulations, and to
admit authorized inspectom on premises and in building for ~ ~spe4tiq~nb./. /] ,-- .~,
/TrSigna~re of al~lic~nt~, or name, if a corporation)
(Mailing address of applicant)
State'whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of prem,ses :.W. . . . ?.* .... .m. . g qq ?. .%( 5 5 .........................
(as on the tax roll or latest deed)
~(~an,t ~ a/co4oratinn, signature of duiy auth?rized officer.
· ' .....
~'(~ ~(~zt~t corporate officer)~/
auilderk~nicense ~ ....
Plumber's License No .........................
Electrician's License No
Other Trade's License No ......................
1. Location of land on which proposed work will be'done ..................................................
House Number Street Hamlet
County Tax Map No. 1000 Section ..... .~..~..~. ....... Bl(~ck ...... (-?.? ........ Lot
Subdivision ..................................... Filed Map No ............... Lot ......... ' ......
(Name)
2. State existing use and occupancy of premises a~f~ intended use an~ occupancy of proposed construction:
a. Existing use and occupancy ............ £/~ ...... -'
b. Intended use and occupancy .................. { ..........................................
3. Nature of work (check which ap'plicable): New Building .......... Addition .......... Alteration ...... m.,.
Repair .............. Removal .............. Demolition .............. Other Work ,.-~4//.tOtq. ~.~ff/../~.~. '
. . (Descrit~tion)
4. Estimated Cost ............................... Fee ......................................
. (to be paid on filing this application)
5. If dwelling, number of dwelling 9nits ............... 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 .....................
7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure w~th alteratmns or additions: Front ................. Rear ..................
Depth ................. i Heioht ~ ·
8. D ..... ' ............... Numberm Stones .
lmenslons of entlre new construction: Front ........ ,./:. .... Rear ............... Dep ~A~.. i~.'~' ..........
eight ............... Number of Stories ......... /..('?.~..3. ~o.--~..//Y..~./~b.~.rV.,~... !..o.o'./~.. e'...~. ....
9. Size of lot: Front ........... i .......... Rear ...................... Depth .......................
10 DateofPurchase -
........... ' ' Name of Former Owner
1 1. Zone or use district in which premises are situated ............................
12. Does proposed construction viol~te any zoning law, ordinance or regulation:. .... t~J..4) .........................
13. Will lot be regraded ......... i .................. Will excess fill be removed from premises: ~ No
14. Name of Owner of premises ..., ................ Address ................... Phone No ................
Name of Architect .......... ~ ............. '... Address ................... Phone No ................
Name of Contractor . Address Phone No
15. Is this property within 300 feet of a tidal wetland? *Yes ........ No.X. .....
· If yes, Southold T~wn Trustees Permit may be required.
... PLOT DIAGRAM'
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions froin
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
NOTIFY BLIJL.ID~[G DEPAI~M'~I
~(~.~-1802 9 AM ~ 4 PM FOR THE
r W~NG INSPECTIONS'
FO _0 . '
[:O{~ POURED CONCREIE
~~OUGH ~ FRAMinG ~ PLUMBING
3.IN~UL.ATiON
BE COMPLETE FOR C.Oo
ALL CONSTRUCTION SHALL M~ET
STATE CONSTRUCT]ON & ENERGY
cOD S. NOT RESPONSIBLE FOR
BEolGM OM CONSTRUCTION ERRORS
sr~.~ OF ~w vo.r,
co~v OF ................ S.S
(~m~ 7fg;i~i~.~ ~igni~ ~o~t~/~d ~ing au~y ~wo~., ~po~ and ~V~ tm h~ i~ th~ ~pplicant
~bove named.
is the .......................................................................
~ (Contractor, agent, corporate officer, etc.)
said owner or owners, ~d is dulyaCt~onzed' ' to perform or have perfo~ed the said work and to m~e ~d file this
~pplication; that all statements containOd ~ this application are true to the best of his know]edge and belief; and that the
york w~l be perfo~ed in the manner s(t forth in the app ication ill.therewith.
;worn to before ~e this
........ ~~ ....
~ ~ ~-~ m~u~ ~.mao~g-Sm ~ .... ~ ~/~ /I
,-, ..............
64° 11' 40" E
RO F
CERTIFIED TO,
TITLE USA INSURANCE CORP.
WA YDE T. MANWARING
JULIA MANWARING
FND
PIPE
50.00'
N 82* 47' 10" W
FLINT
S TREE
SURVEY OF LOT 90
"PLAN OF PROPERTY AT GREENPORT
KNOWN AS GREENPORT
DRIVING PARK '
FILED DEC. 1, 1909 FILE NO. 369
A T GREENPORT
TOWN OF SOUTHOLD
SUFPOLK COUNTY, N.Y.
1000 - 48 02- 12
Scale I" = 20'
Jan. 3, 1988
~ ~' / Y~S LIC. NO 49668
by the L..A.L. . app ~ . ~ ~(~ ~ff~f~V~rc~N~; ·
for euoh uae b)' The New York State encl
Title A,,oci, t,on.
.~M~~ 11971
gg - 747
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