HomeMy WebLinkAbout23102-zFORM NO.3
BUILDING DEPAI~TMENT
TOWN HALl.
$OUTHOLD, N.Y.
N~O
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date .......... ~../..r ............................................
23102 Z
/
Permission Is hereby granted to:
O~.~.~....~:,~. ....... ~ .......................
~,....~~......~ .........................
.~~/.o.~.....~..y...:....../.~..... ........
t o.....~~ .......... ~ ......... ~.-~..,z..'~ ...... ~ .......... ,~....:. ..........
..~..~.....//.~ ...... ~..',.~.... ........ ~ ....... ~.~ ........ ..A..~ ....... ~m~,~.......~..,~,
........................ ~ ........................ ~~...~..,~..~.... ....................................................................
CounlyTaxMapNo, 1000 Seotlon,,,..~, .~... ............ Block .......... .,~7, ,/,,, ::::.. LotNo ....... Z~... ............
pursuant to app,,cat,o~ date, ................ /.~/~. ....................... , ~...~. a~d approved bythe
Building Inspector,
ee ~ ...... ~ ................
Rev. 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OC~JPANCY
NO Z-25056 Date JUNE 2, 1997
THIS CERTIFIES that the buildin~ ALTERATION
Location of Property 150 (a/k/a 509} SEVENTH ST.
House No. Street
County Tax Map No. 1000 Section 48 Block 1
Subdivision Filed Map No.
GREENPORT, N.Y.
Hamlet
Lot 16
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 20, 1995 pursuant to which
Building Permit No. 23102-Z dated NOVEMBER 2, 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 ALTER ROOF OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
GEORGE & BETTY CAPON
N-376561 - JANU/%R¥ 30, 1996
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING D EP ARTM~--NT
T0~N 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:
I. Final survey of .property with accurate location of all buildings, property lines,
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 I% 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.
~. Submit Planning Board Approval of c6mpleted si~e 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, S~mm~ng pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-e~istin~ Buildin~ - $I00.00 /
3. Copy of Certificate of Occupancy - ~ .25¢
4. Updated Certificate of 0ccupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
.... .-~././~ 7. .............................
Date
New Construction ........... 01d O,r~re-existing Building ..........
~O~ation o~ ~roperty .... ~.~.f~..?.....~.~ .................. ~.~ .~d fo... ~ .................
House No. Street Hamlet
x
Onwer or Owners of Property.. . ¢~.. ..~;.~. £ ~. .................................
County ~= ,~p ~o i000, Section.,,.~.o:... .... Sloe~.-..:--- ........ tot .....................
Subdivision .................................. Filed Map ............ Lot .............. ~ .......
Permit No,..~/.0, ,~ .~...Date Of Permit.//./.~%/.~J ............ Applicant.. ~.?, ......................
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate..~.
Fee Submitted: $.. ~.~ ~. ...........
APplicANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGe,
J~NU~Y 3~1995 ~pplicationNo. on~ile 11~8896/96 N 376561
THIS CE~IFIES THAT
GEORGE CAPON, 5~9 7TH ST~T, G~E~ORT, N.Y.~ ~
i. the folto~ing Ioc.~io.~ ~ ~e~nt ~ I~t FL ~ ~ FL ~ S~o. Bl~ ~t
~ examin~ on J~P~Y 2 ~ ~ 1996 and found t$ be in compl~nce ~th the NarWhal Elec~cal Code.
2 i 2
DRYERS FURNACE MOTORS
$ERVIC~ DISCONNECT NO. OF S E
OTHER APPARATUS:
R V I C
EXHAUST FANS
DIMMERS
A,W G, NO. OF Hr-LEG A,W.G, NO. OF NEUTRAL$ A.W G.
OF CC. COND. OF HI-LEG O~ NEUTRAL
G.F,C.i:-t
J~ SAGE ELEC. INC.
350 F~%RZ~;E P~CE
LIC.~3635E
GENERAL MANAGER
GREENPORT, NY, 11944 37 ~ ~
This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their ;edentials.
lEI.I) ![~SPIS[j'[I. OI] IIEPOIIT DAT[t, (;OH~JEi't'J.'S ~
I)U(;H lrRAHI~. &
NSIII,ATIOH PI~.P. N. ¥.
?,'r ^'rE
[OWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOP
RO, Box 1179
$outhol¢, ..~., ~4.~ !197'~
May 5, 1997
Mr. & Mrs. George Capon
509 Seventh Street
Greenport, N.Y. 11944
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.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 23102-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING
[ ] ROUGH PLBG.
[ ] IN/,.~ULATION
[ ~FINAL
] FIREPLACE & CHIMNEY
REMARKS:
INSPECTOR ~//~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] INSULATION
[~FINAL
] FIREPLACE & CHIMNEY
INSPECTOR ~/~
/
/
/
/
/
Il); i~ ,, , BO~RD OF REAI. TH
,.. FORMNO. 1 ~ SETS OF
.+.,-,j;.. ,. ;~ TOWN OF SOUTHOLD SURVEY
OCT 2 0 1995 BUILDING DEPARTMENT. CI1ECK .......
.~ TOWN HALL SEPTIC FORH ........
................ J SOUTHOLD, N.Y. 1'1971
· (B,,~t~,l'g Inspector)
APPLICATION FOR BUILDING PERMIT
Date .................. 19..
INSTRUCTIONS
a. TMs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with '
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 sfi'eet
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli
cation. '
c. The work covered by tiffs application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will igsned a Building Permit to the applicant, Such permi
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 Occupanm.
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 th~
Building Zone Ordinance of the Town .of South61d, .Suffolk County, New York, and other applicable Laws, Ordinances o]
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 law~, ordinances, building code, housing code, and regulations, and tc
admit authorized inspectors on premises and in building for necessary inspections.
~- (Signature.of applicant, or name, if a corporation)
'~' ' (Mailing a..ddress of applicant)
State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder.
0 ~.~r-'' . . , , APPROVED AS NOTED
Name of owner ofpremlses.~. ~-~.C.~.~. ~a~.~.o~ ~-OD(is~.the tax roil orla~~;?
If applicant is a corporation, signature of duly authorized officer. FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
.............................................. FOR POURED CONCRETE
(Name and title of Corporate officer) 2, ROUGH - FRAMING & PLUMBING
Budder s L~cense No..~.../- .zt".'~/'J- ~ ' 3. INSULATION
· ' ' , ........... '.../ ........ 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O,
Plumber's License No ....... .................. ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
Electrician's License No ....................... STATE CONSTRUCTION' & ENERGY
CODES. NOT RESPONSI~ILE FOR
Other Trade's License No ................... DESIGN OR CONSTRUCTION ERRORS
Location of land on which proposed work will be'done ................................. :. ................
'. ......... i...' ....... ...................... ' ........... ·
[louse Number Street ' Hamlet
Cou·nty Tax Map No. 1000 Section .:.i,.~-~ ......... Block ........... ' Lot ..... t...G .........
Subdivision..; ..... . ............................. '. Filed Map No .......... Lot ...............
(Name)
Statd existing use and occupancy of premises and intended use and occupancy of proposed construction:
. / It -I,o // .7 '
a. Existing use and occupancy ,~ ~ ,~',',o
b. Intended use and occupancy .... ~a J. . O~
· 3. Nature of work (check which applicable): New Building . ~ ........ .X. ddition..' ........ Altera . .t~.., '. ....
Repair .............. Removal ........... . Demolition ..... ; .] ....... Other Work
· . .., . . '' . ~,o.~..~.e d~q j,~,~o ..........
4. Estimated Cost ~4~°O°' ' . ttJescription)
........................... Fee ....... ! ...........................
(to, be paid on filing this application)
If dwelling, number of dwelling units ..... i { '
5. · ...... Number Of dwell ng units on each floor .............
· If garage, number of cars .................... ' ...............
6. If business, commercial or mixed occupancy, specify nature and extent of,eachi ...........................
D ..... ' i t~;pe of use ..................
7. mlensmns el trusting structures, if any: Front ...... Rear
............. ' .......... Depth ...............
H.eiglit ............... Number of Stories .... ~ ~, ~ C~
,D, lmensions of shine structure witli alterations or additions ~roW~i ...... 7 [ ..............................
~epth ..... ' ................ Rear .......
Dimens: ;.' ' L' ......... .... ?,gat ......... ,.. ........ ;.. Numbe of Storie ..* ra.,.e.
8. ~ons o~ entire new construction: Front .............. : Rear ..... i ......... Depth ........ ./...
Height ............... Number of Stories ...... '~' "'g*'~'~7' .'T. (.~..7..o. tT.J ........... ,' .......
9. Size of lot: Front ................ 'Rear ................ ' i Depth .. ....
i0. DateofPurchase ,.~/,~.~. '. ....... Namoo'" ~, ~'" ~':~.i .:..
. . , ' ............ ~ormer owner '.~..~. -~._%. ~q~t'~*'t#W
11. Zone or use district m which premises are situated ......... ' , .. ,* ..... ~O.~,, ......
.12. Does proposed constructio~a violate any zonlne law c, rcli,,,,~' .... ' ' ' '; :.' .... '~"~;-" ..................... ' .....
., ,-, g , '.' ' '/~' ' '7~' .......... , 'c ..... Wall excess fill.be rem, doed from eremites'
14. ~,me or,wrier olpremmes ~..eP.%o~.q,o. ?:..o?.~ .LTq-.. Address~.Oy:7~$X~.(~qqO~;ne ~a,,' ~/77-'/~0.~a
Name of Architect ............ ' Address ........ ' ..... , Phone No ............ ~ ....
Nmne of Contractor ........................ Address ............. ~.~..,,. P, hone No ................
15. I.s 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 ail buildings, Wh~th~r existing or proposed, and;.tndicltte~,~l,s0trback dimensions from
property lines, Give street and block number or description according to deed, and sl~ow street ria~les hhd ifidicate Whether
interior or corner lot. .
STAT~ O.F NE~Z'Y'7~RK/~
...... ...... ........
signing con'tract)
~bove named.
being duly sworn, depqse.s
and says that he is the applicant
(Contractor, agent, corporate officer, etc.)]
~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
q~plication; that all statements contained hi this'application are t'rue to t m best of tns!kn, owledge and belief; and that the
,york will' be performed in the manner set forth in the application filed therewith.
;woru to before me this
~ublio, St~taof~Yor~ t g r o~appncant)
- Qualified In Suff61R Coun~ ~ /
~mmisslon E~ires Deoem~r 8,