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HomeMy WebLinkAbout21403-zFORM NO. 4 TOWN OF SOU~OLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22492 Date AUGUST 2~ 1993 THIS CERTIFIES that the building Location of Property 465 TARPON DRIVE House No. County Tax Map No. 1000 Section 53 Subdivision ADDITIONS G~F~.N1K)RT~ NEW YORK Street Hamlet Block 5 Lot 5 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4~ 1993 pursuant to which Building Permit No. 21403-Z dated MAY 11, 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 ADDITION & DECK ADDITION TO EXISTING ONE FAMILY D~XJ,ING AS APPLIED FOR. The certificate is issued to of the aforesaid building. WI~ BARRY (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N-284119 - JULY 27~ 1993 //uild~ng Inspector TOWN OF SO~THOLD 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~T? 21403Z Date ....~.~. .......................................... , 19..~.~.. Permission is hereby aranted to: , ,~ / · , _ ..... ~. -~,..~..~_~.: ...... z:..~.~ ...... ~ . ,o ....... ...... ~ .... ~ ..... :~. ~j~ ....... ~ ............. :... at premises located at ...:~..~.~.....,~..~......~..~....~....-~..~/-K~. ................................................................. County Tax Map No. 1000 Section ...... .~.....~... ........ Block ......... ~ ...... Lot No ....... ~ ........... pursuant to application dated ...... ~ ..................................... , 19.~...~, and approved by the Building Inspector. Rev. 6130/80 JUL 2 T 1993 TOWN OF Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 · APPLICATION FOR CERTIFICATE OF OCCUPANCY ~his 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-Risposal(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 simila~ 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: 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 ~hall 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, Conm~ercial $15.00 Date - July 27, 1993 New' Construction ...... X'.... Old Or Pre-existing Building ................. 465 Tarpon Drive, Greenport Location of Property ............................................................... .... . . House No. Street Hamlet Willard Barry and Wf. Onwer or Owners of Property ........................................................ . . ... . . .. . County Tax Map No 1000, Section...~? ......... Block ....... ~ ........ Lot ........ ~ ............. Southold Shor~s 38~3 48 Subdivision ............................... · ... . Filed Map ........... Lot ................... .. . Permit No. 21403Z ~J.1 ............ Date Of Permit. 5 /93 ~.~John Bertani Builder I Health Dept. Approval.....~ ...... Underwriters Approval x Planning Board Approval .......... ~ .......... .. xx Request for: Temporary Certificate .... .. ..... Final Certicate ........... · ~ 25 00 Fee Submitted: $ ...... ' ...... THE NEW YORK BOARD OF FIRE uNDERWRITERS PA~E [001(~7[ BUREAU OF ELECTRICITY ~ BE JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THA~ WILLARD BARRY, 465 TARPON DRIVE, $OUTHOLD, N,Y. in the following Iocation~ [] Bese,nent [] Ist FI. ~ 2nd Ft. OUT Section Bl~k ~s examined on JULY 23t19~3 and found to be in compliance w~h the National Elect~cal Code. FIXTURE I~ OUTLET~S_ CEPTACtES SWITCHES DRYERS SERVICE DISCONNECT :)THER APPARATUS~ EOTOR$: 1-F H.P. E E V I C E G & S CONTRA~TOR BOX 215 $OUTHOLD, NY, 11971 LIC.g578-E GENERAL MANAGER 11 /,.','~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by fhe~r crede~t~'~ INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher BuiLding b~pector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOIT L. HARRIS~ Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, Ne~v York 11971 Fax (516) '/65-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD JULY 21, 1993 JOItN BERTANI BUILDER, INC. 1380 OAI~OOD DRIVE SOUTUOLD, NY 11971 RE: WILLARD BARRY & WF To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) ~ No Underwriters Certificate on file.~L~ The check is I~~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 ~ 21403-Z Please contact our office on this matter. cooperation. CC: Thank you for SOUTHOLD TOWN BUILDING DEPT. WILLARDBARRY &WF 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ~LJGH PLBG. [ J FOUNDATION 2ND [~j'INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE INSPECTOR 765-~802 BUILDING DEPT. INSPECTION ~/FOUNDATION 1ST [ ] ROUGH PLBG. ~OUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS= ~-~r~-/~ ,~ · P ,,, DATE INSPECTOR?/~~~~ 765-1802 BUILDING DEPT. INSPECTION [~'~OUNDATION 15T ~ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ' F~INAL REMARKS: DATE ~/~_~ INSPECTOR/~//~,~/ ~'4, 26 0'7 30 E, 'OUNDATIOX (2nd) (OUCH FRAHE & -PLUMBING ~SULATIO~! PER N. Y. STATE ENERGY CODE FI;~AL ADDITIO~IA'L COMMENTS: FORUM NO. 1 ' ' TOWN OF SOUTHOLD : BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-180:3 ......... ,1~..PermitNo. BOARD OF HEALTH 3 SETS OF PLANS .......... SURVEY ................... · CIIECK .................... SEPTIC' FORH .............. CALL .... ~ ....... ~.~ ....... HAIL TO~ tapproved a/c ' . (B~ldi~sp~ctor)' APPLICATION FOR BUILDING PERMIT Date ........... , 19 ~te whethei; applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. meofownerofpremises......../U/E ' ~. ['(~;'q~.O.. .... ~....'?.~..~. (as on the tax roll or latest deed) pphcant is a corporation, s~gnature of dply auth?nzed officer. ...... . ............ (Name and title of corporate of~cer). (? Builder's License No ...... ' ......... Plumber's License No ./~.//..~. . Other Trade's hcense No ................. Location of land on which proposed work will be done ....... ......... .~ 6:tL/ ............ /. ~/~..~ ..... House Number Street .." Hanll~ ' / County Tax I~p No. 1000 Section .. ~, .......... Block ". ............. Lot ................ Sl,bdi~ls,on...,~p.O,~ .... $/,qOt~*S ........... ~iled ~ap No .~.~.~5 ....... Lot .... .~..~. . . . (Name) . ' ...... State existing use'and occupancy of pr !raises and ~ intended use and occupancy of proposed construction: a. ~istin~ ~se and occupancy .... ~z'...~.,~. ~'.~.....~/_~. ~.~. ....... , ........................ b. Intended use and occupancy (Signature of applicant, or name, if a corporation) :>. ?. . . . ~4<~.,,:~ i . . o~t:~. .~. (Mailing address of applicant) ,~ i INSTRUCTIONS a. This application must be completely filled in by typewriter erin ink and submitted to tho Building Inspector, with 3 ; of plans~ accurate plot plan to scale. Fee according to schedule. 1~. Plot plan showing location of lot ~nd of buildings on premises', relationship to adjoining premises or public streets areas, and giving a detailed descnptwn ? layout of'property must be drawn on the diagram which is part of this appli- o. The work covered.by, this application may not bo 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 il be. kept on the premises available for inspection throughout the w6rk. e. No building shall be occupied or aged in whole or in part for any purpose whatever until a Certificate of Occupancy I1 have been granted by the Building Inspector· APPLICATION IS HEREBY MADE t0 the Building Department for the issuance of a Building Permit pursuant to the Iding Zone Ordinance of t.h.e Town of ~outhold, Suffolk County, New York, and other applicable Laws, Ordinances or lulati.o, ns, for thc construction of build~ngs, additions or alterations, or for removal or demolition, as herein described. ; applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to nit authorized inspectors on premises and in building for necessary inspections. 3. Nature of work (check which applicable): New Building .......... Addition ....... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ·" (Description) t. Estimated Cost .../..5,~'f.q.(~. ........................... 'Fee ...................................... (to be paid on filing this application) L If dwelling, number of dwelling units ............... Number of dwelling units on each floor If garage number of cars ................ i. If business, commercial or mixed occupancy, specify n_ature and exteht of each type of use ......... L Dimensions of existing structures, ifany. Front .. d~...r ..... R~-. ~-~/ ,- ': "~.'- , ....... A , ~- · , ~a~ ..t-~t~ .... uepth. .~..o. ... Height .. ~g..~....-; ..... Number of Stories.. /. ?.2-~. .... ' ..... Dunenmons of sqme structure with alterations or addit~0ns: Front . ~ Depth ...... ~.: ............ Height ...... ~ ~ ........ i ~u~be; o; t. Dimensions of entire new construction: Front .... /f~. ....... · Rear ...... .~'~' .' ..... Depth ...,,~ ~ ." ..... Height ..... .,f~. t. ...... Number of Stories ........ ~ .......... } Size of lot: Front ./~ ~' Rear ~('..'~.'(-J ./ Depth ./~.. ,_~ ). Date of Purchase .................... . ......... Name of Former Owner ~.~'~'F¢,y,f-~. :/. ~ Zone or use district in which premises are situated ,4/ · L Does proposed construction violate any zoning law, ordinance or regulation: ....~ ~ ........ ...... L Will lot be regraded ..... .,.. t,(J..d. ................ Will excess fill be removed from premises: Yes ~ No ' ~ .~q~. Add :7'~,~,~,~. O,-z/.,~ '.. Name of Owner ofpremlses 224~ ./_/2. Z~.-.~.. ress . · hone No..~4~q'- ........... No/ne,of Architect ........................... Address ................... Phone No ................ Namg of Contractor ~..e~Z Z",~/.~r.../~ggr~tr~ff...n'T'OC~. Addr&ss tg..~.O tg~'..tOg. Phone No. ,7~,~.'-:-..,:'~.~..tr.... Is this property within 300 feet of a tidal wetland? ~Yes ........ No.~.~ ..... · If yes, Sout~hold 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 operty lines. Give street and block number or description acco~ling to deed, and show street names and indicate whether terior or corner lot. 'ATE OF NEW Y0,RK, 20AO ~'' N.6B°52'BO'x~, )UNT¥ s.s ....... K~'. ~ff4~.. ,'~..6-~F'~/ .................... berg d~ly swe~,~, deposes and says that he is the applicant (Name of individual signing contract) ~ve.. flamed. is the... ~Pag~.~ ............................................................ . (COntractor, agent, corporate officer, etc.) . said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this >lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the rk will be perfo ./Tned in the manner set forth in the application filed therewith. om to before m6tthis ' .............. .f.. ..... d. ....... County tary Public ' LINDA J. COOPER Notary Public, State of New York _ No. 4822563, Suffolk County~ L~ Term Expires December 31, 19 ,.--( (Signature of applicant)