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HomeMy WebLinkAbout21465-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22528 Date AUGUST 17, 1993 THIS CERTIFIES that the building ADDITION Location of Property 3075 LIGHTHOUSE ROAD SOUTHOLD NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 50 Block 3 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1, 1993 pursuant to which Building Permit No. 21465-Z dated JUNE 7, 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JAMES D. & CLAIRE L. GREENFIELD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A l ild' g Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL i COMPLETION OF THE WORK AUTHORIZED) Date 41 19.~~,... N® 21465 Z 4 G Permission Is hereby granted to: ' i I, G to C~~' ~l r G~ ......1 1 ~......4WUV44?.. ..................~1 ifrri.. .....1 i.......; at premises located at............. 1000 Sectlon........ SLO........ Block Lot No. ! C" I pursuant to application dated af......./...y 19..fj....... and approved by the € Building Inspector. Fee $ - I 11r" Building Inspector i Rev. 6130180 roses xo. e TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) V N2 i 91 2 / Z Date ...............(.t~r( eR...t . 192. r Permission is hereby granted tt{o: .....:JG.:::.Y.1. ......p.........). . . Qtl! i.N to S r..Q.....5~'~ ~ ......(.26. .....T ....................p............. I at premises located at ~ ~.7 4`?.....~... .......+Pr 1 s(~. 1 . . . . t E i-~ amm........ - ......cP County Tax Map No. 1000 Section Block .......Q.~3..... Lot No..0-4= pursuant to application dated .......4- ~'llt......i 19.Q....., and approved by the Building Inspector. Fee S•••+............/ /~.....d"~ ding Inspector C Rev. 6/30/80 Form No. 6 f~' L a 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date AUCV03 l4.t.~V© J . New Construction.......... Old Or Pre-existing Building.. Location of Property..... ZO) 5...........1'e-~!/.`rleusle P,/ House No. a Street Hamlet 1.E~Nr. Onwer or Owners of Property... N Ps, . , ,~L, C .41a.e- County Tax Map No 1000, Section 50 Block Lot.... Subdivision ....................................Filed Map............ Lot...................... Permit No..................Date Of Permit ................Applicant............................. Health Dept. Approval., o -Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate... Fee Submitted: ~1 W~p'f ~ • • . PLICANT INSPECTORS Victor Lessard p-, pJ1 Fl)(~~ y Principal Building Inspector Curtis Horton 7 a %h SCOTT L. HARRIS, Supervisor Senior Building Inspector 1 c: G W r z^i ZL d Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector Southold, New York 11971 Gary Fish Fax (516) 765-1823 Building Inspector Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JUNE 23, 1993 GUASTAVO TRUJILLO BOX 303 PECONIC, NY 11958 RE: JAMES GREENFIELD To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: XXX An application for Certificate of occupancy is not on file. (Enclosed) No Underwriters Certificate on file. ffi 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 # 21465-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: JAMES GREENFIELD F "IELD 1;;S -'U,4 1 DATE -a H FOUNDATION (1st) FOUNDATION (2nd) r 2. z ROUGH FRAME & PLUMBING CA H 3. x m m I14SULATION PER N. Y. '3 STATE ENERGY CODE x T 4. D y q FINAL z ADDIT COMM TS:~ . 111dat, 1. - 4' 7, x H z x M - x e m ro H 1Pz.7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [v-T--FINAL REMARKS: 41, gild V26 -x4~, Jlz--r-4z DATE INSPECTOR t 4 I M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION FRAMING [ FINAL REMARKS: a~ DATE ~a INSPECTOR e 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ) FINAL REMARKS: Z DATE % INSPECTO llllll BOARD OF HEALTH-... iris FOaPn IV0.1 3 3 S SEET TS OF PLANS SURVEY . Z TOWN OF SOUTHOLD CIIECt BUILDING DEPARTMENT SEPTIC FORPI TOWN HALL EP1. SOUTHOLD. N.Y. 11971 NOTIFY : OtITHOLD TEL.:7G5.1802 CALL Examined... t•IAIL T0: ...fd`7 . Approved . 3 19 T~ Permit No) Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 15~~ INSTRUCTIONS a. This application must be completely filled in b ' sets of plans, accurate plot plan to scale. Fee according typewriter or in ink and submitted to the Buildit>; inspector, with 3 b. Plot plan showing location of lot and of building schedule. mism ar areas, and giving a detailed description of layout of property emust sbeedrawn on the diagram whim or public streets : cation. part of this appli. 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 Buildin shall be kept on the premises available for inspection throughout the work. g Permit to the applicant Such permit e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certifiote 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 Reaulatigns, for the construction of buildings, additions or alterations, or for removal or demolition, as herin described. The applicant agrees to comply with all applicable laws, ordinances, building code, housinl- code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (nw (Sig ure of applicant, or ame, if a (orpora;ron) „T)- ~oy 303 E),fQe;: 1.! ? 5 8. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises 1 , ~r r ee n ' ..F .........~.•:;s....... (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. . . Plumber's License No. Electrician's License No . . ' Other Trade's License No. Location of land on which proposed work will be done: Gad house Number Street _ Harslet . . County Tax Map No. 1000 Section . Block Lot. •Subdivision Filed Map 7+~: No. Lot Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: ` 1 a. Existing use and occupancy ........`J.~IWI~:Y ..hw,v;i . Ise and occupancy - Intended . 1 i 3. Nature of work (check which applicable): New Building Addition Alteration . Repair Riiiii Demolition 1}~( ool............ Tennis Court Accessory Building.......... Fence Kef k.. a~?~ . y4. Estimated Cost ..~i........... Fee to be aid'on lfi t#ttraa~plication) 5. If dwelling, number of dwelling units Number of dwellin unit on each floor 1f 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,l if any: Front . . Rear ~I......... Depth . 36 Heigltt Number of Stories . . I, . Dimensions of same structure with alterations or additions: Front ...3> Rear Depth ...61 J . . I, Ilcirht .......°,o Number of Stones . • , . S. Dimensions of entire new constriction: Front ! y. ..Rear . .A*.'. . !H... Depth --n , , Height ..'J~:......... Number of Stories . 1 9. Size of lot: Front . Rear Depth • • • . . 10. Date of Purchase , , , , ,tn~ S Name of Former Owner . . • . 11. Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: N.°. 13. Will lot be regraded , IV .V. ; Will excess fill be removed Crom~rees: Yes Nol 14. Name of Owner of premises . , , G, e •1 e+1?.. Address W. ,$e:.tish Jew. ?off! ~ lrbric No..~ 10? ..cYUJ.:W &-.b: Name of Architect . , Address . Phone No. . Name of Contractor Tf: Zi Fla • . • Address . Phone No..7.3`gt.:~a1.67 15.Is this property located within too feet of a tidal wetland? --YES.... NO.. . .T *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. t • I i APPROVED AS NOTED • ~ OATS: ~ ~ U B.P tl .2 FEE' NOTIFY RV 765 13N G DE'tARTMENT Al~•Wj: r i R 02 . 9 AM . FOLL.OWIN }TO 4 PM FOR THE INS t. FOUNDA'IOf\1I EfTI+JN3 'WO REQUIRED 2.. U FOR POURED CONCRETE 11-1 FR TION AMING $ PLUMBING 3. N,SIdI.A oa+~ Cy~~~~ C•( 4. FINAL - CONSTRUCTION MUST 'Nlay QC~V pN ALL3FCON PLETE FOR C.e TRUCfION SHALL Tf IE MEET RFOUIREMFNTS OF THE N.Y, STATE CONSTRUCTION g, ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OI' , NEW YORK, SIBS COUNTY OFrr In out) ru ii • ~T 5'•«4 • • • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual si*nin'g contract) above named. i Ht is the ~ ru ~~c r .60 • (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 let forth in the application filed therewith. Swum to before me this Q:":vlY......day of. if.....'.V-,........... , 19 5a Nota ry p , . C).. 411k....... County HELEN K DE of NOTARY PUBLIC, Stge'of New Yak • • • • . • •l~` No.~7W878,Suffolk (Signature of applican.t) erm xp res Mac 30, N 10/F LAND OF HERING I F N. 55' 48' 22" E. 202.15 I ~A'µ Posf 4 roil fEn c6' ~ ~K I $1CiNar - conc" ~ i. o'w Z moo f/ed9BS l.4' 1,4, Gar ti conc. ~nvewoy 18.2' N 1 •7z ~-0 _ _ Sf0(f6 b _ a0 7 i cr. _ 31.9' ~HK 1 W 5 03 a zy, sto e modd m p sMp-+' y6o' 4 fr. hse w d` - 3Z.o' _ r to ' P G) ~ c o' q.l, k i Zf Cm IN. ood -3d ' `n c 'Z m o ~ ~7 " O o D ' w C7 A E N i.w - N o.ie fledges ' ~ ozN S. 55' 02' 20" W 201•.85' p pe , 25' WIDE R. 0. W. ~ N/O/F HERING m to •P p N CERTIFIED TO SOUND VIEW AVENUE TICOR TITLE GUARANTEE CO. I SOUNDVIEW AVE.) SOUTHOLD SAVINGS BANK JAMES D. GREENFIELD CLAIRE L. GREENFIELD SURVEY OF PROPERTY AT SOUTHOLD Prepared in accordance with the minimum TOWN OF SOUTHOLD standards for tine sur"irs es eete jli,h#d by SUFFOLK COUNTY N.Y. the L. I. A. L S. and approved and adopted for such use by The Now York State Land 1'000 050 - 03 - OZ , Title Association. SCALE I" = 30' SEPT 1'5t 1.987 ~Q LANDS • ~~~6y~Qa A. I NG~CC9L0 ; ~~1 9Ao, gllg~~ N0.49668. ; CONK SUR 91 ERS, P.C, 5167 765-5020 P.O. BOX 909 MAiN ROAO-......_ SOUTHOLD, 87 - 735 F_~41 G~.I~I C Ida, N o 1" ~ S i FAST > N~ t25 I. USF RIND pp, SPIRAL G900 I SHANE ti!AI LS• Q• USE" G~LVL*NIZED O'IZ PL•47-~r-.D I 'F/~r~TiJ BRS I aJ. TD (ZEP ~C ~ I ~v°~ RG> SpLI TT I I.I C-~ gY' hL~ILINC~; FLUNT NAIL- POINT'~y PF~EDRILL (~-q~l Or- N~1L DI•aMCTER, j 5"1-AC~C~~R N.411-INCA j Q~.G~ NAI L~ 'IJO i el osErs. To eb~~ T keN'ONE H^L-F Or- 50,Ab fill THICK JE~S- 1 ^•/O I P *{JD ~RAI1J I IyG I i 7 TOE NAI-INCA IF p~S~I~LE I ~ ` 5. IV~~er r-L,aT Wh~al}EF~S UIJCSER neA.DS O F Lrav 5G F<:E~,S i goLTS , o.l..lp ~ND52 NUTS• r i d~Tnoo~, , ~ ~p15TU~-~ pRoT~LTIO~N. S~row~a I. ALL WoDP IN pIR.~GI G.oNT~GT I I WITH SolL. + UST gE PIzE~S~R~ oa \I "'CYL~TE O. - I GOVEI2 ~jolL v-~ITFi r'IEI'16R6.~1~ ' II (SLAG K P 'L,~.ST I G J ~ - ~x15tIN~ ~10~4~ I ELEV. ~.'~REA'~" f~l.~'. ~.I~Dh, GUT~s/ H•IDLES, ~ I•-I I Q AND e•o owl WITH Q. E5 r-R~ParIVEF ' 'I I ~ I~~GICIN!a ~N D FLp.T TRIM f3o~,izDS a.. r ' 2x !o ~ ~../P~R. SHdt.JLD ELI: .a Op-I°~D oN TH5 IJNpC~SIOE t TR"l= WITH DEEP i GL)TS da~> F Tio"' AT III- ON G5NT5P~ To PREVC-aT v? 4RPINC~. -JJJJ R~~ 4c~. Q aENU t RL it ~ - ~ Q ga APPROVED AS NOTED ~ Y 342 n 7 C, 1TE J~. ~~Rpn~ ~y F-\,/ 05c--K CC O P HTNIENT AT - IS -01)' -I ra FOR 1HE - - F c,T ~45, O III, ? T` FOR POURED CONCRETE REQUIRED ~Q~~~~~~ ~ 2 ROUGH FRAMING & PLUMBING I 3 INSULATION 0 S R Cy ~I e a FINAL - CONSTRUCTIONMUST 4 ~y SE COMPLETE FOR C.O cc THE REQUIREMENTS OF THE N E ALL CONSTRUCTION SHALL MET STATE CONSTRUCTION 8 ENERGY i - - d L'~ 1S CODES., NOT RESPONSIBLE FOR - DESIGN OR CONSTRUCTION ERRORS I\y ahp 7 I pn 9b I o~~~ Q y a ~W F11tLD 1\lt51DENC Y EI i.l.&-I'• HOUSE RC's,. _ SOUTHOI.P NY:. `w k W min. 1.. I ~i, - ' i 17 r- I r~ I - I 1 'LL J - ; i ri FINI~I- GR. ')1 wEST ELEVATION %n OP 5TO~AGE fLE\/A710N 1 i j I IT-D _ I~ -is' ~LvATfG?I SOUTH i .1.,EyATIoN ~w4~ I, ~ , _ III