The URL can be used to link to this page

Home My WebLink About21050-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21115 Date QCTOBER 28, 1992 THIS CERTIFIES that the buildin~ Location of Property 925 McCANN LANE House No. County T~x Map No. 1000 Section 33 Subdivision ADDITION GREENPORT~ N.Y. Street Block 3 Lot Filed Map No. Lot No. Hamlet 29 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19~ 1992 pursuant to which Building Permit No. 21050-Z dated OCTOBER 27~ 1992 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ERIC & DOLORES TYRER PENDING - OCTOBER 23, 1992 N/A Rev. 1/81 l~O~r NO. ft TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~T,° 21050Z Permission is hereby granted to: .. . . . . . . .............. .... ~.~....~..~.~ ........ ~ .......... ...:....~ ~ ~ ............ .~.(:/...... ................ / / ~ ~ ~ ~r....~.~ ............................................................................................................ :-./... .................... ~..~ . .,,,,~'...~f.~.:~.,,~... .. ..~...~: .................................................... at premises located at ................... ..~..~.~..~. ......... ..,~......~...~,,~... ...................................................... ~ .................................................................. ~~.,,~ ......... ~. .................................. ............................................................ .................................................................... County Tax Map No. I000 Section .... . .~...-~.. ............ Block ...... ~.~.. ......... Lot No ..... -.~..?.. ........... pursuant to application dated ....................................... , i0.2;.., and approved by the Building Inspector. / Building Inspector Rev. 6130/80 Form No. 6 ~/~ '~ '~ TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT ' TOWN RALL · . ' ' 765- 80 fi (~ ' 9': 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, stfeets, 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 f~om Board of Fire Underwriters. 4.Sworn statement from plumber certifying that the solder ~sed in system contains less than 2/10 of 1% lead. " 5. Commercial building, industrial building, multiple residences an~ 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. 3. 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 an~'~ 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. ;. 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 - $i0.00 ':' · 4. .Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15~00, Commercial $15.00 '' " · '" H~use No. Street '''~ ........... ~''~' ' ~ -- Hamlet / · wet or Owners of Property ....... ,.. ..~ .... bdlviaton ~ ' " ' Filed Map Lot ~mit No ................ Dat~ Of Permit ................ Applicant ............................. ~lth Dept. Approval .......................... Underwriters Approval ......................... mnlng Board Approval ........................ luest for: Temporary Certificate ........... Final Certicate ........... · REMODEL(NG · EXTENSIONS · ROOFING · SIDING R&R Home Improvements and Builders Box676 Greenport, NewYork 11944 CONTRACTING · JOBBING OFFICE: (516) 477-1255 FAX: (516) 477-2101 MOBIL: (516) 647-5472 DATE HRS. Terms: Net 15 Days Unpaid accounts subject to service charge of I V~% per month on unpaid balance (18% Annual rate). 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL ~~ / ERIC S. TYRER DOLORES I. TYRER 925 McCann Lane Greenport, New York 11944 Town of $outhold Town Hall Building Department Main Road Southold, New York 11971 October 21, 1992 Re: Certificate of Occupancy To Whom It May Concern: Enclosed is a drawing of a floor plan of an addition added to my existing dwelling at 925 McCann Lane, Greenport, New York. This addition was built twenty five (25) years ago without any knowledge that we were obstructing any Building Code. Please be advised that according to the inspection that was done on October 14, 1992 on this same addition, we have made the necessary correction of a fire board sheetrock on the ceiling. Also enclosed is a Underwriters Certificate. Sincerely, Eric S.'~vrer & Dolores I. Tyler~' enc. Drawing - addition Underwriters Certificate CLAIRE I., GLEW Notary Public, State of New No. 4879505 Corn .Ouallfled in Suffolk County "~ m~lon Expire~ uscember 8,19--. ~ ,~,,,-,,, ........ SOUTHOLD N.Y. 11971 ~ .~OCd~ ~,: ,~ 't ' :~ '~ : TEL 765-180 Examined... ,,~.~. ~. ..... , 19~' W a~p~ov~U ../~/ ....... ~9 S~it ~o.. ~. Disapproved a/c ..................................... (1}d~[~ing Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CHECK .................... SEPTIC FORH .............. ~;OTI FY; CALL ................... MAIL TO: ----- / // .................... Date .................. , 19... · a. This application must be completely filled in by typewriter or in ink and submitted to the Bui 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 prcCmi~es/or public streets or [teas, 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 coverOd 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 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 i}l~pectio, ns. · · .74, ............ --' (Signature of applicant,Cr name, if a corporation) REQUIRED .................. (Mailing address of applicant)-- _ ~ j/~ , State whether applicant i ow,~.~, lessee, agent, architect, engineer, general contractor, electrician, plumber'or builder. ! ¢ou .N..~ ~ ' AVP" .................m "'~ ..... '' .......................... ~ Name of owner ofpre ises .,~-r~..[.~,~...~..~.~.....O,.~...~,,.......~.,;y!...', ,~,~~llll~.~fL~.,,~... tas on tne ~ax..ron or Jar estFo~..a. 1 '~,.,~ ~ ~ ~: ,~,,~, If applicant is a corporation, signature of duly authorized officer. NOTIFY 8UILDINO DEPARTMENI AT ........ __ .___-~ 765-1802 9 AM TO 4 ~PM FOR THE · FOLLOWIN~ INSPECTIONS: ................................ ~[,,~ ~ *~ (Name and title of corporate o, ~' ~ ~ ~ ~ }~ f*~/ TWO REQUIRED FOR POURED CONCRETE PlumbersL~censeNo ........... ~,¢?~/~.a.~,~.~.~, ~-~p~m~,~¢~¢~*~,~ 4. FINAL - CONSTRUCTION MUST ALL CONSTRUCTION SHALL MEET ectrician s License No .......... ~. ~.. ,,. ..... !":?;; ~'~2~ PA~r*V Other Trade's License No. ~. ...... }~:?.. }~.I~?~.)~ f~,~) ~%2~ STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR I. Location of land on which proposed work will be' done .......... OESIGN OR CONSTRUCTION ERRORS .... c:. ¢ ......... House Number Street "Hamlet ,.ty a . o.,000,ion ............. ,,o k ............ Subdivision..~..~. ~'.7~,..~..~./I.~ .O./?..~. .......... Filed Map No.. 5/.~...~..~. .... Lot ~.. 7. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... O. Of_ ...~¢..,.~ ........................ b. Intended use and 6ccupancy .... 3. Nature of work (check which a~plicable): New Building ....."Y'~..... A:dditi n .......... Alteration Repair .~... Removal . _. ;~ ..... Demolition . ~ Other Work . . 4. Estimated Cost ..~.. ......... ~..01 .............. Fee .................................. (~0[~6 (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ...... ~ ...... Number of dwelling units on each floor /. . . If garage number of c~s [ .. ' ........... 6. If business, commerc~alormixe~occupancy, specff[ nature and extent of eacMyp~ gf use .~ ....... 7. Dimension~o~fisting structures, if any: Front ..... ~ .~ ..... Rear ... :~ ~ ..... Depth ~.~ '~"~" Height . .~.: ........ Number of Stories ..... '~ / r ....... D~ensio~same structure w~th alterations oroddilions: Front ', ~' ~ .... ~;~;'' j~'~ ......... 8. Dimensions of.entir~ nqw construction. Front "f ~ ~ ~ / < ~ ' ~,,~' ' ~' ~' "7 ...... Height . .~ .~..~. (A. ~um]ber of Stories ..... ~ ..... / ................ .. 9. Sizeoflot. Fm~ ~/& Rear ~/~ ' & 'L' 7¢' ~, '~ .......... ~ ' c ~'2,: ';z'J' · '~ ........... ~ .............. ~epm . .'<. ~ .~ .............. 10. ~a~ofPurchase, ..7/.L~/.O~ ...... ....... Name of Fomer Owner ~.~ ~ 11. Zone or use district in which pr~~'-'- misesare situated..~ .O .................... ~ . ....... j j.. j ..... j.'~ ~"'~'~ 12. Does prop0~d constructi%n viol~te any zoning law, ordinance or regulation: . ~d . . . 13. W~I lot be regraded '~ . · ................. .... i ': .... ~ r ....... Wall exc~s fill be removed from premises: Yes ! . Nme of Architect ..... ~.~ ........ -; ........ Address ... ~ ..... Phone No. ;w. z.. ';: ~ ...... Nme of Contractor ~ ~ ~ .... Address ..... ' ........ ~ .... ~ne 7~ ............ 15. Is this property wzthtn ~00 feet of a tidal wetland? ~¢Yes ..... ~ud- ~ ~If yes, Southold ~own Trustees Permit may be required. ~' PLOT DIAG~ ocate clearly and distinctly ~1 ~buildMgs, whether existing or proposed, and. indicate MI set-back ~ensions from prope~y ~nes. Give street ~d block number or description accordMg to deed, and show street nines and ~dicate whether ~tefior or corner lot. ~ ~ STATE OF NEW YORK. covey oF .... s ,s . ' · · ~ ..( · ·, · ~. · ~ · ~ ................. being duly sworn, deposes ~d says that he is the applicant (Name of individual signi? contract) above named. I (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfomed the said work and to m~e ~d file this application; that all statements contaified ~ this application are true to the best of his knowledge and belief; and that the work w~l be perfomed in the m~ner s~et forth in the application filed therewith. Sworn to before me this ~-~ te~ ~pim Mey~. ~ V