The URL can be used to link to this page

Home My WebLink About22384-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27397 Date: 11/08/00 THIS CERTIFIES that the building ALTERATIONS & ADDITION Location of Property: 820 MIDDLETON RD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 Block 5 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 23, 1994 pursuant to which Building Permit No. 22384-Z dated OCTOBER 16, 1994 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 SECOND FLOOR ADDITION WITH SCREENED PORCH AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BARBARA A MCGINNESS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 043688 12/13/94 PLUMBERS CERTIFICATION DATED 06/03/00 ROBERT VANETTON J Autho zed Sign re Rev. 1/81 FORM NO.3 TOWN OF SOUTH&D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N® 22384 Z Date 19 Permission Is hereby granted to; a........................................ to ..Lt~5~7;`+ i.. ryAf . . ....a..- r j at premises locatedatJ•...y ............GG¢?... ..y k t County Tax Map No. 1000 -Sec/motion ...l.01 Block Lot No. i pursuant to application dated ...........,..o 19..5 ~ and approved by the 1 Building Inspector.G 3 lr,r ,r v Fee I { i Buildin Inspector Rev. 6/30/80 { Form No. 6 " 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 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. 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 - _ .25r,, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction. Old Or Pre-existing Building Location of Property ...?St...m~ (Prl~t:J...Y~~:..~?? QQrJIJIfi....a9~.7 House No. Street Hamlet Onwer or owners of Property... y~ ,e e. .7lllrl~~..... . , County Tax Map No 1000, Section LA!~t ......Block.... Lot...F............ Subdivision..........Q...i .........................Filed Map........ 1L,opt,.....~........./.~.... Permit No. Al 5. V ~ 41Date f Permit ApplicantIr't4Vl 7~s./~~CYI/Vjvm Health Dept. Approval...... ................Underwriters Approval....... Planning Board Approval Request for: Temporary Certificate........... Final Certicate.. Y........ Fee S mitted: 5. C-) 2a-73g7 APPLICANT TEL. 765-1802 o~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR c°n~z ~9 r P.O.BOX 1179 0 c?s i Y TOWN HALL %Ol ~bQ~ SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date ~ ~ ~ ~.n~ Building Permit No. . Owner'IiA-8-6 }AA e- (please print ) (please print) I certify that the solder used in the water supply system Contains.less than 2/10 of to lead. (plumber's signatur Sworn to before me this rcl -7 .day of CJU~~ / Not rPublic Notary Public, ~u11` County - , MELANIE DOROSIO NOTARY PUBLIC, Stste of New York 4634870 • Suffolk County Commission Expires ff ft U/ 0 0 I I m C,~ C~a H--t- FOUNDATION (1st) _n) VV7FOUNDATION (2nd) 2. cv r - lof 0 ROUGH FRAME & PLUMBING' ~h 3. 11 112A 1 1,W 142-~. -1; ~ m INSULATION PER N. Y. y' STATE ENERGY CODE 4. H I . FINAL ADDITIONAL COMMENTS: x' rn • x H A \ •v\ io p 'Ul p m, . ~,~.ssi,.y, ' ,..f,: ,.sr tit Ct:, ~"5xC`{ ~+U,`~ ~ ~ ~".~A ~'~«j`~ y ias 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL REMARKS: `^M DATE INSPECTORS C2 A 3 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [tJIF~RAMING [ ] FINAL REMARKS: 44 r.~®o~ - /Y,gi/ i4ll 2e-o (2 lee; e - &1 048:60 le P /jig oz DATE INSPECTO THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 r8051409 BUREAU OF ELECTRICITY I 85 JOHN STREET, NEW YORK. NEW YORK 10038 Date DECEMBER 1;3,1994 Application No. on file 06711494/94 H 043688 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 BARABARA McGINNESS,21 MIDDLETON ROAD,,GREENPORT, N.Y. in thefollowing location; ILyyyT L°J Basement E) Ist Fl. Iy L`1 2nd FL OUT Section Black Lot was examined on DECEMBER 05,1994 and found to he in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER T. K. W. AMT. K. W. AMT. K.W. AMT K. W. T. H P. 6 15 7 6 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIMECLOCKS BELL UNITHEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W G AMT. AMP. AMT. AMPS. TRANS. AMT H. P. NO.ST SYSTEMS FEET AMT. WATTS 1 30 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1,e' 3W 1 ,9 3W 3 Z 3W 3 p AW NO Of CC. COND. A W. G. NO. OF HIAEG A. NO. OF NEUTRALS A. W G. EQUIP. PER B OF CG COND. OF MIAEG OF NEUTRAL 1 200 CB 1 X 1 310 1 3/0 OTHER APPARATUS: MOTORSe1-F H. P. G. F.C.Is-1 SMOKE DETECTORI-1 BARBARA Mc GINNESS 21 MIDDLETON ROAD GREENPORT, NY, 11944 GENERAL MANAGER 11 Per 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 HE ALTERED IN ANY MANNER. : ' BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CHECK . . TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 ~D TEL.: 765.1802 t:oTIFY; y~7-zg°rS Examined . ~b~4, CALL fi........ . MAIL TO: Approved ..!a/!$~...... , 19/ -/Permit No... Z 7', Disapproved a/c D l5 U LS 2 6 1994 (B ding spector) IL BLDG. DEPT. APPLICATION FOR BUILDING PERMIT TOWN OFSOUTHOLD Date a3...... 19 T.F. 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. b. 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- cation. 1 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 work. 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 ordemolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, 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 premises /aRQ~fZR 17%.(;.1A1&' &S-5 (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ~i Builder's License No . Plumber's License No . Electrician's License No . Other Trade's License No . &iy/o 1. Location of land on which proposed work will be done. ,s m .d~c? 4e. 2~........... G r<cr'.TP(yam,, f Y~ House Number Street Hamlet County Tax Map No. 1000 Section Block , , , , . Lot e~ C~ . Subdivision (N..am...) e................ Filed Map No. . . . . . . . . . . . . . . Lot 2. State existing use and occupancy of premises and intende S use and occupancy .of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Y, 3. Nature of work (check which applicable): New Building Addition ...Y...... Alteration . Repair Removal Demolition Other Work . (Description) 4. Estimated Cost .....a x...4.4.0 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 . 7. Dimensions of existing structures, if any: Front 3 Q..(v....... Rear .:30.. la Depth 39 41.e. , - ~14 " Height ..1 la ; Number of Stories ....t7....................... . ..if Dimensions of same struc>ure with alterations or additions: Front . 30..(" Rear 3m ..(o....... . Depth . ~-.1.1... 55-. 11 Height @6--It . c Number of Stories . T W.0. . 8. Dimensions of entire new construction: Front a la If Rear . a (4L.6.'.' Depth Height ..1(,. F Number of Stories 6e A=nd....-$ 9. Size of lot: Front Rear Depth . 10. Date of Purchase Name of Former Owner 11. Zone or use district In which premises are situated ~Q 12. Does proposed construction violate any zoning law, ordinance or regulation: N. D . 13. Will lot be regraded !1! c Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~iQr~arg •!"1cG rwssAddress dl. M,'dAlr*r. Phone NoA 7. 7.1.3.44 . . Name of Architect . . . . . . . . . . Address Phone No.. . Name of Contractore.T.Ool2q.. l<:..'?s?r:k Address ik'K- 3°~ rte, Rck.. Phone No. -1--27.7 3A4"T " 15. Is 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 all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. f M ,l ~L~To STATE OF NE R / S.S COUNTY • ~ • • c.~ eG.,.......... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the........... C"^rl `fa2 (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~C day of.......... 19 Notary Public, L County N MW PW ~OfNOWYorlt (Signature of applicant) millaw COMW .71;01 Usownber 102~ - m 4 aC w, A VA Aj AL 0 t~ to IT( - - - s 1 ._m.~. j~ C? `i~~ ' j',~ fh ~1~ ufr qvi C~•4 41 t a k 00 e/y n ~ 8~s W ^ i ~ n ~ C' Eh A n m 9a ~M ~ ~ ~ s~ " vpa o C 4 ~l p tY' 10 ,O T `qq`~~ qM' ti 1 u~ ~ ~ M y ~ < O ` M F A S 4 r _ , 0 Q 1 1 ~ s cl p pP ro Gm ;V a tom Of C r \ I I I ~n i I I nC~ ~r "7 m N)~~ Mop' !I pig I f I c }I~ t N, _I i €t I 2 S 1~ ~ I ~ I I Oly p 5 WA or ~ I ; ~ I Ir ~ I I I~ i l I I ~ 1 ~ i l i I! I i ii ~ S AL! _ psi o ~ air 5 s` `s !y' s; ' d r.- t t d f0 G 5 3 F r~ J {C ~ CS a a Y ff to ^2 CC p `A t l t) v } t +i F' ra 1" r l ~~wy a.i f ~ c & j i 7C Q '19 ~ ~ a C` Y xr ~ ~Y ! s' yjy wt ~ v ~ B 'y XIS b ~ J`• pp R 9 X s r a d r. T f7j' ~a Jam, TY t'^3 ~rrf .~e C7~ 1?' M ~J ~ ~ ~ ~r s55 ~ tae c ~ i ~ j u co ~ 3.' s~yy? 1~ , .r~~r j r,; j ~ ; y i.'. 1 i ~ _ ~ , ~ t~ ilk ~I I I3~ ~ ~ ~ x - ~ i ~ - ~ li /V X ~ k ~s / - ~ - , . _ _..d / ~ ~ 3~ o x j n ^P ~ o J ~ ~ ~ / 1~ ~ ~ ~ - 7 r-- ~o ~ P ~ i ~ o, ~9` ~ a f ~ ~ ~ 9- i~ ~ ~ ~ f: r ~ ~ 1 t~S/y/'y~~~~fr3 3N /'kl g I v. ~ i i ~ _i ~ ~ ~ ~ e ~ S ~ P ~i ~ ~ T t~ S - y - S" ~U Loc -i po.,a~m •I-~a.~ wcl~5 .ro u5lnou~--,....,. - - ,,,..m- _4 z X a e,~lb ~ ~P ~;r ¢ - t Uri i s S i ~ A o 6 is .,.w z 3 i l n ~ ~ ' ~ N t ~P ~ o S ( i r SN9'Jll ~cFyi'~. f R 3 as R s Z ~ F II G l P ro a v~ ^I o ~ Q I~, r4 ~ ~n S a' j i f ^ i 0 3 ~ - t~ - V r,a H~k 7 c7J 0 I ~ 1 Z5 w w 71 a s I, I ~ A nl A u < I- 5~130I1 rylln ,D ?0 J+,y p V ;tl 'rt < 0 Y_ 5 FAG ~ Q '1!F~R 3' i rJ ~g ~.wydC'r OV n ~~42 Ck-" le zxg ~`o~sfj cort~n~o~,s Ef31o 17 9 -7 r f V'n l G r"77 ~ 4 yy~ I X I D pl Q Nl 0 Al b fi N ~ ; ~ fps--~ -.r s o ~ 3 r! oPe n r n r7 fi I S o Cr - ~ ~ ~ iii I~ '.'l''a Co-v •f X~' ~~q S"tJ W N r - G - - - - - I - - - 7. -289.2 $N 1pIv s ' On a~ , p,~a RQ sf 1 w a ~ p~ i) ~ r I ro o c^A r~ 1 1 8y w VY si5p#.E..... u •ly V'.,J t a •+yy 6 0 r PLUMBER CERTIFICATION • ON LEAD CONTENT BEFORE PLUMBING CERTIFICATE OF OCCUPANCY PLUMBING SFp o2 61994 L-.)' ' SOLDER USED IN V?ATER / PLUMBING WASTE a WkTER ONES NEED sLoG DEwr• SUPPLY SYSTEM CANNQT TESTIw suom CovEpiNe TpWN Of WUTHOLO EXCEED 2110 OF 1% LEAD. ?`C - 'J C,r.., a RSa=-r.\'r 6L., ..SAS . _iT T': o - - Fv<, q. ~ .....tit, ; IIFICATE ill-) C-0 L ~ I oar 'L REQUIRED t • 7 -17 IL p~teta~ Siox~ ? r r't tali ; {o~ - ,gem Y~o<%' ON SHAI L _ET C NROMENTS OF `ME h. is 't o T~. C1 4TfE:!rT=ON 3 ENE1=++i't r. 4 i -Ij _ ti s~ ll P i~m~ed t.5_n4 I ~ S \ .7A - k, I I Cs- u~ 4 -slf Vp r 1 L i : .G 4.? .J J . Ors 1 ~ ~ /fix •~+,.,5 ~ !7 I +I yl SI f I _o I - I V' v~ ~I DO; k I t I i O 0017 {L t 1 P j~ 2 X C i 17 r. i j b. \^o~/T _ V x_ ti L i - I { O PtE OF NEW ~ S elf I. ~ 4~ t. Op ssi 3? r+ 9- O S~,D.V. ~laS3 - _ cwt.-, fo___ w ' W i a ~ r I e lok,- ~ I 9110, C13_ a` of i i 10 =3 1 i I vim-- H2JI! i~ i a9.t pZE OF Nfk,` Q ~ ~ °Q ~ec~~oo... _ n ~4 .rc .4 47908 Ci N ~ y Ess 0r,n~ I i gym: Hea.t, -4o ba I.,C A b`J 1 ~'Y X 11-7/8 ~,C. 6,s `77 SC.C~ee. ail ~ I I I (DL _d o ~ Fla- Q~ ~ ~ ~ f J a 61- ~ II I I ~a F i ~ 6 D I;I b~ Ct~ a~ t I XOc x ; ' 11' Iii o m ~•cu w~11L T. GIoSeF q 1 11 Ir I ; Tia-1-h o `I~ 1 ~ f jl I I S yl~ ~ ~h y I I I j linen V~- I I I - 21 iz, ^vl Ha-11 -%N j t y v -t P. 00 0 f--7 .off ~4 4790 rl j ' a LLe~ocA I li ?-iA-N~¢i i... X0'.1_ Y-.o `.,o ~ cx,s{-~n~ t~e..e~4- G~~l< 17us e -~i,~_le 'I X11 - -