HomeMy WebLinkAbout21447-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23194 Date SEPTEMBER 7, 1994
THIS CERTIFIES that the buildin~ ADDITION & ALTERATION
Location of Property. 1525 WASHINGTON AVE. GREENPORT, N.Y.
House NO. Street Hamlet
County Tax Map No. 1000 Section 40 Block 5 Lot 1.28
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 24, 1993 .pursuant to which
Building Permit No. 21447-Z dated J~NE 2, 1993
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 DECK ADDITION & ALTERATION TO FINISH 2ND FLOOR OF EXISTING
ONE FAMILY DWELLING AS APPLIED
The certificate is issued to
JEFFREY J. & DONNA M. BIC43S
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
H-042443 - AUGUST 30, 1994
N/A
FORTHW NO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PEI~AIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
21441' Z
Permission is hereby gronted~tp:
~...~.~.~....~.....~
,o~~.....~....~~ ...... =~..~....~~,...~.
~/~.....~~z ......... ~..~~ .......... ~...~..... ................
at premises I~ated at ...~.~.....~~~....~ ...................................................
............................................ ~~~ ...............................................................................
Coun~ Tax Map No. 1000 Section ........ ~ ........ Bilk ......~ ....... Lot No....~.~ ......
pu~uant to application dot~ ....... ~. .................................. , 19.~ and appr~ by the
Building Inspector.
Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTtIOLD
BUILDING DEPARTMENT
TOIYN IIALL
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:
i. Final survey of property with accurate location of all buildings, property lihes,
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:
i. 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 - $20.00
4.Updated Certificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date Sept. 7, 1994
New Construction .... ' ....... Old Or Pre-existing Building.
1525 Washington Ave. d~gg~g~ff ~ Y.''
Location of Property ............................. -
House No. Street Hamlet
Onwer or Owners of Property ....... .J~.FFREY J. & DOIq~A M. BIGGS
County Tax Map No 1000, Section. 40 ~ 1.28
............. Block .............. Lot .........
Subdivision ...................
................. Filed Map ............ Lot ......................
Permit No. ~1447Z June I, 1994
.......... Date Of Per~it 4. J Biggs
· pp±~cant .......... - ...........
Health Dept. Approval ...................... Underwriters ~.0.42443
.... Approval ...................
Planning Board Approval ..................
Request for: Temporary Certificate~ .......... Final Certicate ...........
Fee Submitted: $ ..... 25.00
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1 B02
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 29, 1994
Jeffrey S. & Donna M. Biggs
1525 Washington Ave. Ext.
Greenport, NY 11944
To Whom It May Concern:
A Certificate of Occupancy was issued for a one family
dwelling (lst floor only) located at 1525 Washington Avenue
Extension, Greenport, NY; Suffolk County Tax Map 91000 Section
40 Block 5 Lot 1.28. This certificate was issued to Donald
Bracken and Diane Carroll.
A Building Permit #21447-Z was issued 6/2/93 to the present
owners Jeffrey S. & Donna M. Biggs for a deck addition to the
above mentioned dwelling. This permit was amended 8/9/94 to
include alterations to finish off the second floor.
At the present time the deck has been completed and the
second floor alterations have not been completed as of this
date. Building Permit #21447-Z will remain in effect until
12/2/94.
Sr. Building Inspector
FOUNDATION (1st)
FOUNDATION
2.
( 2nd )
ROUGH FRAME &
PLUMBING
INSULATION FERN.
STATE ENERGY
CODE
Ye
FINAL
ADDITIONA'L COMMENTS:
FORM NO. 4
^~ . / x ~ TOm or SOHTHO~D
Y~" / ; Office of the Building Inspector
~ / / Town Hall
~, ~-2~2~ Date JU~ 25r 1991
House No. Street H~let
County T~ Map No. 1000 Section 40 Block 5 Lot 1.28
S~division ~D~IE~S Filed Map No. 8966 Lot No. 28
confo~s substantially to the Application for Building Pe~it heretofore
filed in this office dated ~Y 16r 1990 pursuant to which
Building Permit No. 19257-Z dated JULY 26~ 1990
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 ONE FAMILY DWELLING (let FLOOR ONLY)
The certificate is issued to
of the aforesaid building.
DONALD BRACKEN & DIANE CARROLL
(owners)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-101 - 7/1/1991
UNDERWRITERS CERTIFICATE NO. N-187989 - MAY 20r 1991
PLUMBERS CERTIFICATION DATED APRIL 15r 1991-GAH PLt~MBING & HEATING
Bui-lding Inspector
Rev. 1/81
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 29, 1994
Jeffrey S. & Donna M. Biggs
1525 Washington Ave. Ext.
Greenport, NY 11944
To Whom It May Concern:
A Certificate of Occupancy was issued for a one family
dwelling (lst floor only) located at 1525 Washington Avenue
Extension, Greenport, NY; Suffolk County Tax Map #1000 Section
40 Block 5 Lot 1.28. This certificate was issued to Donald
Bracken and Diane Carroll.
A Building Permit #21447-Z was issued 6/2/93 to the present
owners Jeffrey S. & Donna M. Biggs for a deck addition to the
above mentioned dwelling. This permit was amended 8/9/94 to
include alterations to finish off the second floor.
At the present time the deck has been completed and the
second floor alterations have not been completed as of this
date. Building Permit #21447-Z will remain in effect until
12/2/94.
Sr. Building Inspector
NAY 2 1993 ,,
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION :)ND [ ] INSULATION
~-~
[ ] FRAMING [~AL
REMARKS:~
:/ /
DATE ~INSPECT~
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [.] IN~JJLATION~
FRAMING ,~/~FINAL
THE NEW YORK BOARD OF FIRE UNDERWRITERS
8049677 BUREAU OF ELECTRICITY
~' 85 JOHN STREET. NEW YORK, NEW YORK 10038
Date A[~GU~T ~,~],994 Application No. onfile 06339194/94 H 042443
THIS CERTIFIES THAT
o~y the e~tricel ~ipment ~ ~scr~b~ be~w and int~uc~ by t~ appl~ant ~med on ~he a~ve ap~ic~tion number in the prem~ee of
[~A Bt~S, 1525 W~HING~N A~., GREENPORT, N~ Y,
i, the~otlowing b,catiom ~ n~seme,t ~ Ist ri. ~ 2nd FL Section Bilk Lot
t¢~s examined on g[JGUBT 23 ~ 1994 and found to be in compli~ce with the Na~onal Elect~c~ Code.
FIXTURE ~ECEPTACLES] SWITCHES L FIXTURES RANGES ~ OVENS ~SH WASHERSi EXHAUST
E $YS~EMS DIMMERS
~T K.W. Ol[ H P, GAS ,.~ ~T. ~~ ~r ~P. ~r. TRANS. "-P Nq. OF ~ET
SERVI~ DI~ONN~CT ]~.OF J S ' J~ R V I C E
~THER APPARATUS:
MOTOREd' 2-F H.P.
1525 WASHINGTON
GR~ENPORT, NY, 11944
This certificate must not be altered in an), manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials.
COPY FOR'BUILOING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER
LOt ~
H. S. REF. NO. 90 - SO - 101
AREA = 25,0Z8sq. fL
SURVEY OF
LOT 28
SUBDIVISION OF CEDARFIELDS
FILED JUNE 27, '1990 FILE NO. 8966
AT GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000 40 05 P/O 01
Scale I" = 30'
July 11, 1990
Sept. 28, 1990 (found. loc.)
June 12, 1991(final)
CERTIFIED TO~
HARTFORD FUNDING, LTD.
FIRST AMERICAN TI. TLE INSURANCE COMPAN)~
OF NEY/ YORK
UEFFREY S, fl/G~
DONNA M. BIGG$
TITLE # 605~$-9169
F xT.
LOT ~
SCENIC
-~ BUFFER
LOt ~
Prepared in amcordanme with ~he minimum
~andarde for title surveye aa eetabli~hed
o~ the L.LA.L.$. and approved ~d adopted
LIC. NO. 4961~
~ ~ r ~, ~" B~RD OF HEALTH
.~, ~ ' FORMNO. I'
" ......... !!!iiillI '
!!' TOWN OF SOUTHOLD ~,/CIIECK ..........
"I~AY 2 ~[ 1993 BUILDING DEPARTMENT --
': TOWN HALL --SEPTIC FORH ....
, SOUTHOLD, N.Y.
....
Exmnined .~.~ .......... , [ ~ ~ ' '
Approved ..;¢./' ........ 19~Pe~it No.~¢~
Disapproved. a/c .....................................
. ./('B uil~(g Inspector)
APPLICATION FOR BUILDING PERMIT
HAIL TO:
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.
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 mu~t be drawn on the diagram which is part of this appli-
cat.aon.
:c. The work covered by this application may not be commenced before issuance of Building Permit.
*'~fl. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such ~ermit
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 South01d, 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 describbd.
The applicant agrees to co .mply~tth~alltiilS~l~.~able laws, ordinances, building code, houaing code, and regulations, and to
admit auth°r/zedinsp, ect°rs°npre~isesandinbuildinglf°rnecessaryins~.~. .~.. ...... _.~ ~ '
-- ' ;.' ~!'. '~ ;, . .- > (Signature of applicant, or name, if a corporation)
, r ' (Mailing address of applicant)
State whether appliclmt is owner, lessee, agent, architect, engineer, generai 'contractor, el;cirician, plumber or builder.
N~ne of owner of premises::. ]i'.i ~...~....~ -
?: '~ '~" ,' (as on the tax roll or latest deed)
If applicant is a corporatmn mgnatu.re of duly authorized officer.'
(Name and title of corporate officer)
Builder's License No......~...~2~. .............
Plumber s Lmense No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done ............. ' ..
ltouse Number Street Hamlet
County Tax MapNo. 1000 Section ...:.//~ Block .~ ......... :... Lot.. ~
Subdivision ........ . ................ ,...' .......... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premise~ a~d intended use and occupancy of proposed construction:
b. Intended use and occupan~;;~'.' ~[¢;5;i~ .... "'' ................. ......................... '
· 3. Nature of work (check which apPhcable): New Building .......... .~.ddition .......... Alteration ....... ~..
Repair .............. Remoyal .............. Demolition .... Other Work.. ~.e~[~'. .....
.... ~ (De ipti )
4. Estimated Cost ..... . ~...~.
· r .................. Fee . ,.- ......
(to be paid'on filing this application)
5. If dwelling, number of dwelliug Units ............... Number Of dwelling units on each floor
If garage number of cars I .................
6 If business commercial or mixedjoccupancy specify nature and extent of
7' Dimension's of existing struct'ures: ' .each type ofuse .....................
· if any: Front Rear Depth
Height Numger of Stories ............... ' .............................
ith .........
Dimensions of shme structure w . alterations or additions: Front ........... Rear ......
pth ! ight ..................
De ....................... He ........... . ......... ... Number of Stories ........... '
8. Dimensions of entire new const etlon: Front .............. : Rear ............... Depth ..............
Height ............... Ngmber of Stories ........ .: 2 .......... , ................... r.. ·
9. Size of lot' Front ~_~'~. ~ :'?' .~...~..~ ........
....... .~, ............. Kear .... ~ ................. Depth ................
10. Date of Purchase .... . ...... ~...~*~ ..... Name of Former Owner ...................
11. Zone or use district in which premises are situated .............. ': .......
12. D°es pr°posed construction viola e any zoning law, ordinance or regulation:
13. Will lot be regraded ..........................
14. Name of Owner of pr;~i~s' i } :~ i~ .... Will excess fill be :em0ved from premises: Yes (~
.. Address /.~.~..(..~.s~kqn~.P.~.,~v.f~ Phone No.. ~27 y..q~..°.'2...'
Name of Architect
Name of Contractor .......................... Address ................... Phone No ................
............... Address .................. Phone~No ............ '.',..
15.' I.s this property within 300 feet of a tidal wetland? '*Yes ........ No..~..x .....
· If yes, Southold Tqwn Trustees Permit may be required.
... i PLOT DIAGRAM
Locate qlearly and distinctly all buddings, Whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block n~mber or description according to deed, and show street names and indicate whether
interior or corner lot.
APFllOV£DA NO'I'£D
N I 'BUlLD,"G AT
765-~802 9 AM ~ 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION ~O REQUIBED
FOR' POURED CONCRETE
2.'ROUGH * FRAMING & PLUMBING
3. INSULATION
4. FINAL ? CON~TRU~ION MUST
8E COMPLETE FOR C.O.
AL~ CONSTRUCTION ~HA~ ME~
THE REQUIREMENT~ OF THE
STATE .CONSTRUCTION & ENERGY
CODES, N~ RESPONSIBLE FOR
DESIGN OR CONS~U~ION ERROR~
STATE OF NEW YORK, r-- S2 ~4/~e~ ' '
COUNTY OF
....... .
(Name of individual signing!contract) bmg duly sworn, deposes and says that he is the applicant
above named.
! (Contractor, agent, eori~orate officer, etc.)
of said owner or owners, and is duly ahthorized to perform or have performe~ the said work and to make and file this
application; that all statements contmn~d in this'application are true to the best of his knowledge and belief and that the
work will be performed in the manner selt forth in the application filed therewith.
Sworn to before me this
.......... ~.~..~.~... '..' .day of.. ~?~ r~::: . . .' .... , 19 .~.-~
'4otary Public, . ........... x~~.lt~ . County
Notary Public, State of New York i - (Signature of applicarlt)
No. 4822563, Suffolk County~)~/~
Term EXpires December 31, 19.~, '