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HomeMy WebLinkAbout21712-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22673 Date OCTOBER 21~ 1993 THIS CERTIFIES that the buildin~ ADDITION & ALTERATION Location of Property 505 (a/k/a) 700 FLINT ST. GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 48 Block 2 Lot 11 Subdivision Filed Map No. Lot No.. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 28~ 1993 pursuant to which Building Permit No. 21712-Z dated OCTOBER 15~ 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 ALTERATION TO ENCLOSE EXISTING PORCH~ HANDI-CAP & DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A PETER & MARY MANWARING ' //BuildingInspector Rev. 1/81 I=O~M TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ............... ............................. 2J. TJ. 2 Z Permission Is hereby granted to: ...~..... ~¢.~.......m..~.~.~/.'~ ~. ..... .... ~...¢... ....... ~4..J;~......~ ........................... .... ~...~....../..~'.-.. .......... ~ .................... to ......... ~5.Z'.-~.6 .~........ ~. ....... ~.~..~ ...........~..~..~...f2~.o.'..~.., ....~. ....... ...... /~.*.z.~..zz..~. ......... ~..~ ....... ~..,.'~.......~.~/,.z1~..:.....~.....~,~" ~ ..'Z~........~.....~..~........,rJ .......... ~~ ........ ,,~...~....~/ ........ ~/¢..~¥~. ...... at premises located at ............ ~...~... .......... ~.~...~ .......~..x.~..., .............. ' ........................................ ........................................... ...~'7.~~.-.. ......... ~...:. ......................... , ..................... Co~nlyTa×MapNo. 1000 Seotion..,..~..Z ........... Blook......~,....~T... ........... Lot No. ... .~...~. ................... pursuant to applloatlon dated .......~."~.......~.,...~.. ........................ 19....~.~... ...... and approved bythe Building Inspector. Fee $.,.~.,~.~..."~, Rev. 6/30/80 Form No. 6 TOWN OF SOUTttOLD BUILDING DEPARTMENT TOWN HALL 765-1802 I 91993 . 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: 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $Z5.00, 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 ......................... ~cw Construction ........... Old Or Pre-existing Building ................. Location of Property ....................................................................... .. House No. Street Hamlet Onwer or Owners of Property..~.~J~C. ~. ~.~.... ~f).~ k,~Q...~,.~-. ~ ............... County Tax Map No 1000, Section .............. Block ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot ......... ~ ............. Permit No. ~;.Q7.~- ...... Date Of Permit.~..~. ........... Applicant. ~.. ~0.~7%~ ...... Health Dept. Approval .......................... Underwriters Approval ......................... ?1arming Board Approval ........................ Request ~ for: Temporary Certificate ........... Final Certicate .......... ?Ce Submitted: $ ............................ . I t DNISNnq~- -/ 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION [~FINAL DATE INSPECTOR~~/ '7' p 2 81993 E,an, ined .... .... .....' ' --lq//.5....,199~.Pe=itNo. Approved Disapproved a/c ............................ ' .... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1~971 TEL.: 765-1803 · (BulldOg Inspector) APPLICATION FOR BUILDING' PERMIT INSTRUCTIONS Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 set~s 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'sti'eets 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 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 alteiations, or for removal or demolition, 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. .. :./.~.~., .~.~.~. ~ ................. -- (Signat¢tm of applicant, or nar/~, if a corporati'~n) · ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, geperai 'contractor, electrician, plumber or builder. ( 11 Or l~test deed) If applicant is a corporation, signature of duly authoriied officer. APPROVED AS 80TED NOVll~ I~Ol[OINO DEPARTMENT u' , · 765~1802 9 AM TO 4 PM FOR THE B ~der s Lmense No. · .......................... FOLLOWING INSPECTIONS: 1. FOUNDATION 7 4~0 REQUIRED Plumber's License No ....... , .............. ' .... FOR POURED CONCRETE Electrician's License No ....................... 2. ROUGH ~ FRAMING & PLUMEtNG 3. INSULATION 4, FINAL C©NSTRUCTION MUST Other Trade's License No ...................... 8E COMPLETE FOR C.O,- I. Locati.on. of~and on which proposed work will ' ALL CONSTRUCTION SHALL MEET be done .................... '~NE. REOO. IR~iV/E;NT~ 'OF' YNE' 'N,Y,' ' .o ....F.L,.&+...~r.~.~..47. ' . S:AT[, CONSmUCf~O~ ~ ......... : ........... ~r.~e~. ~tOT.. R[*PO~SmLE. ltouse Num'ber Street Ilq~5'fE~ OR CONSTt{UCTION ERRORS Couhty Tax Map No. 1000 Section . .~..%/~. ...... Block .....;~.. ' Lot...~.l ............... Subdivision..; ..... · ............................ '. Filed Map No ............... Lot . ....... (Name) 2; Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ~ ..... ~ ...... . . < '3. 9. I0. 11. 12, 13. 14. 15. Is this property within ~00 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAlVl · Ppi' Nature of work (check which a lcable): New Building Addition Alteration Repair .............. Rempval .............. Demolition . . ..... :,~,O~t~cr Work..~....-~. ...... I ..... ~'~ ~' /~-~ '~n ~,~, (Description) Estimated Cost - Fee (to be paid on filing this application) j , If dwelling, number of dwelling units ..... ,/ ......... Number of dwelling units on each floor ................ If garage number of cars i If business, commercial or mi.xed occupancy, specify nature and extent of.each type of use ..................... Di~nensions of existing structures, if any: Front ............... Rear ....... Depth ............. Height ............... Nuntber of Sto. ries ...'.. ~ .............. ' .... ' ............................... Dimensions of shine structure w!th alteratmns or additions: Front ................. Rear ......... ' ........ Depth .................... i ' ' Height ........... . ........ ,., Number of Stories .......... '. ~ ..... Dimensions of entire new const~ction:' Front ............. : Rear ......... Depth .............. Height ...... ......... Nun~ber of Stories ............................................ ;i ......... Size of lot: Front ...oz'O.~ 0., .,, ........ :.. Rear..,..~.].,,~/~ .......... i ... Depth .~',5'. ?~.~.,. ].o. ~.. ~.2.. ~. Date of Purchase ... ,t .~.~[.. 'i .................. Name of Former Owner . .,~'~.o~.~:. ,4. ~.Ze../~'c~.~. Zone or use district in which pr~mises are situated ............................................ i ~ ....... Does proposed construction violate any zoning law ordinan' or regulation: Will lot be regraded ....... '..I ................... Will excess fill be removed from premises: Yes No Name of Owner of premises ~¢t~iC~..~a.t~/Y#r.~4~¢C/P-f Address 706..F~,;~]..~{'r--e~lc .... Phone No. Name of Architect ........................... Address ................... Phone No ................ Name of Contractor [2X,~q'q~ b~rv.~ Address . Phone No ' ~sions from te wheth6r Locate clearly and distinctly all! buildings, whether existing or proposed, and. indicate all set-back dime property lines. Give street and block humber or d scnptmn according to deed, and show street names and indic interior or corner lot. (Name of individual signidg contract) above named. being duly sworn, depose? and says that he is the applicant Itc is the .................... . . ~ (Contractor, agent, cori~orate 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 contaihed 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 Notew Publlo, State of New Yo~. NO. 487g~05 - .Qu. alifLed !n Suffolk C.oun~_ Gomrfllsalon r..xplrea ue~emDer '; ' . ~ ' ~ (Sig~ture ~)fapplicant). OCCUPANCY oR USEIS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY , ,_,x,-"O,o