HomeMy WebLinkAbout20521-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20802 Date JUNE 18, 1992
THIS CERTIFIES that the building. ADDITION
Location of Property 410 (a/k/a #20) SOUND ROAD
House No. Street
County Tax Map No. 1000 Section 35 Block 1
Subdivision Filed Map No.
GPRRNPORT~ N.Y.
Hamlet
Lot 16
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 12~ 1992 pursuant to which
Building Permit No. 20521-Z dated APRIL 2~ 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS BUIL~.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
WILLIAM SEBERT SINCLAIR III & WIFE
Building Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP;LRTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20801 Date JUNE 18, 1992
THIS CERTIFIES that the buildinH ACCESSORY
Location of Property 410 (a/k/a #20) SOUND ROAD
House No. Street
County Tax Map No. 1000 Section 35 Block 1
subdivision Filed Map No.
GREENPORT, N.Y.
H~nlet
Lot 16
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 12~ 1992 . pursuant to which
Building Permit No. 20521-Z dated APRIL 2~ 1992
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certifinate is
issued is ACCESSORY STORAGE SHED AS BUILT
The certificate is issued to WILLIAM SEBERT JINCL~_IR III & WF.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
- ' / B~ilding Inspector
lO'eM' NO,. I~
TOWN OF $OUTHOLD
BUILDING Dz:PARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
cOMPLETION OF THE WORK AUTHORIZED)
N~N? 20521Z
~ ~',~- ~ ~
Permission is hereby granted to: ..~ ~
..~.~_..~...~..,. ........ ~,.....(.~/
........ ..................................
at premises ,o~oted at ......... .~../..0. ...... . _~.~ .~......~. ..............................................
......................................................... ~~"~':~'7"; ....... ,,"/' ................
..~....~..~.~. ....... .~~../~~...~'.,~.....~.~...~
Co.n~, To× ~o~ No. IOOO Sec,on ..... ~ ....... ~o~k ....... Z. ........... Lot No.../..~ .........
pursuant to application doted .....~..~.~.~/ ................................ ,
I~uildi~g Inspector.
~ee S......7.~.~...~ ....
19..~.....,:~-and approved by the
Rev. 6/30/80
Fu(m ~o, ~
BUILDING DEPARTMENT
TOWN
765-~02
This application must be filled in by typewriter Og ink'and submitted co the building
inspector with the following: for new building or nsw use:
Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features,
3, Approval of electrical lnstalla~%o~ from Board of Fire Underwriters,
4, Sworn statelhen~ from plumber certifying chat [he solder used in system co:%t~n8
lsss than 2/10 of 1% lead. "
~. Co~ercial building, indus, trial bu.llding, multiple residences and similar buildings
and installations, a certificate of Codm Compliance from~architec~ or engimeer
responsible for the building.
6. Subm£t Planning Board Approval of completed site plan requirements.
For existing buildings (p~lor go April 9, 1957) non-conforming use~, or buildings and
"pre-existing" land uses:
1, Accuca~ ~urv~y of property showing all property li~es, street~, buildln~ ~d ..
unusual natural or topographic features,
2, A properly completed application and a consent to inspect signed by' the applicant,
If a Certlflcat~ o~ Occupancy l~ denied, the Building Inspector shall stat~ the
reasons therefor l~ writing to the applicant,
Fees
~. Cer~ifloage of Oocupanoy - New dwelling $~.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swlnuming poo~ $25.00, Accessory building
Additions CO accessory building $25.00, Businesses $50.00,
2. Cartiflca~ of Occupancy OB Prc-exis~iag Building - $[00,00
3, Copy of Cer~lfica~ of Occupancy - $~.00 ova~ ~ yea~ -
4, Updated Certificag~ of Occupancy -
~. Temporary Cergifica~e of 0ccupancy - Re~iden~ial $15.00, Co~rciak
attached wood deck ; D~ .~.~arch 12~ 1992
New Coast~u~tion,~,%, ..... Old O~ Pr~-eKia~i~ Bu~i~g ...............
Locpt~on of Prope~ ,---., ,,,,.,~,,., ....... . .................... , ......................
William Sebert Sinclair, III and Jennifer Lerov
Onwer or 0wears of Property, ~h%'f'~ihb'~Ai~ ................ ' .................... ~ .........
County Tax Map No 1000, Section .... 0~5,.,Q0,..Block,,.al,0D ........ Lot ..... Ol6,~OQ .........
Permit ~o,,,,,,,,,,,,,.,,Dat~ Of pe~lt ..... , .... Applican~,,,,,,,,.,,,,,,., ..... , ......
l~ealth Dept, Approval,, .... , ................... Underwriter~ Approval,,,,, ....................
~lannln8 Board Approval,, ................. , ....
Request for: ,Temp°rary Certificate.2 ......... Final Cer~~,.,,, ..
Fee Subm~-*-~. · 25.00 ' ~...~'~~ ..
09-. '
,'>
· ~%PPLICATION FOR.CERTIFICATE OF OCCUPANCY
This application'must be ill%od in by typewriter OR ink'and ~ubm£tted to the building
la,petter with the following: for new building or new use:
Final survey of property with accurat~ location of all buildings, prophecy lines,
streets, and unusual natural or topographic features,
2. Final Approval from Health Dept.' of water supply and ~ewerage-dis~osal($-9 form).
3. Approval of electrical installation from Board of Fire Underwrlrers.
less ~han 2/10 of 1% lead. ,'
5. Co~m~erclal building, lnduatrial building, multiple residences and s~ullar buildings
and installations, a cor~$ficace of Coda Compliance from;architect or engineer
responsible for the building.
6, Submit Planning Board Approval of completed site plan requirements.
For existing building~ (p~lor to April 9, 19§7) non-confo~ming u~e~, o~ buil~lmg~ an~
"pre-existing" land uses:
1. Accurate survey of property showiag all property lines, streets, building
unusual natural or topographic fea~ur~. " '"
2. A properly completed applioatio~ and a consent to inspect sig~ed by the applicant.
reason~ therefor in writing to the applicant.
Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00.
Alterations tO dwelling $25.00, iWll,~ming pool $2§,00, Accessory bulldl~%g $25.00,
Additions to accessory building $25.00. Businesse~ $50.00,
2. Car~lfica~o of Occupancy on Pre-existing Building - $[00.00
3. Copy of Cergifieag~ of Occupancy - $5.00 over ~ years - $10,00
4. Updated Certifica~a of Occupancy - $50.00
~arch ~2~ 1992
vv-detahed framed shed
New Coastru~t~on~ ........ Old O~ ~-e~i~i~g Bui~di~ ............ . ....
Locntion ~f "~, '~ Sound Road, Greenpott. New York
~ William Sebert Sinclair, III and ~ennifer Lerov
Onwer or Own~r~ of r~op~rty.~h~.~i~ ................ ' ..............................
county Ta~ Mop No 1000, Soc~on .... O~,.,QO,..Block.,,~.O~ ........ Lo~ ..... 01~ .........
~obd~v~lo~' ............. ~/~' ,,.. ~_~ ........... , ~,. FAled Hap ............ LoC ........ · ....... ' .
llealch Oept Approvol Uaderwr&tera Approval ""
Plann~n8 Board Approval .... ,.... .............. .
Request for: .Tamp°tory Certl'ficate.; .........
. : . 2:oo . ·
Fee Submittedl ~ ..... ;,.;. ............... ., ,.
APPLICANT
FOUNDATION
(1st]
FOUNDATION
(2nd)
ROUGH FRAME &
.PLUMBING
I~SULATION PER N,
STATE ENERGY
CODE
FI;~AL
ADDITIONA'L COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
DATE
INSPECTOR
WILLIAM H. PRICE, JR.
ATTORNEY AT LAW
828 Front Street
PO Box 2065
Greenport, New York 11944
Tolophonc Number (516) 477-1016
Fax Number (516) 477-0130
March 12, 1992
Southold Town Building Department
Southold Town Hall
Main Road
Southold, New York 11971
WILLIAM AND JENNIFER SINCLAIR
20 SOUND ROAD, GREENPORT, NEW YORK 11944
SCTM 1000-035-01-016
Gentlemen:
With regard to the subject premises enclosed herewith please find:
1. Application for Building Permit for existing attached wood deck and detached frame
shed;
2. Application for certificate of occupancy__for dec~
3. Consent to Inspec ;-i~
4. Copy of survey dated February 27, 1992 prepared by Anthony Lewandowski; and
5. Check in the sum of $125.00 representing $75.00 fee for building permit and
certificate of occupancy for deck and $50.00 fee for building permit and certificate of
occupancy for shed.
If you have any questions, please do not hesitate to contact me.
Very truly yours,
WHP/lmt
enclosure
cc: Robert J. Pellicane, Esq.
and Jennifer Sinclair
William
SCTM 1000-035-01-016
Enclosed herewith please find two (2) applications for certifiactes
of occupancy; one for wood deck; second for framed shed, in the
above-referenced matter.
rViola
Sonthold Town Building Departmnet
Town Hall
Main Road
Southold, N.Y. 11971
WILLIAM H. PRICE JR.
ATTORNEY AT LAW
P, O. BOX 2065 -- 828 FRONT STREET
GREENPORrr, N. Y, 11944
PHONE: (1518) 477.1016
FORM NO. 1
"TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 119~1
Disapproved ale .....................................
( uilding InspectortY/
APPLICATION FOR BUILDING PERMIT
BLDG. DEPT.
Received .......... ,19...
Date .. ,~,a,~,q ,h..1.2. s ...... 19.9.2.
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 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 p~rt for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspecton
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 YorE, 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 regulatig.n_s, and to
admit authorized inspectors on premises and in building for necessar? ~sp~~ '
02,8 Front: St., ~O Box 2065 Greenport:, NY
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, gene'ral contractor, electrician, plumber or builder.
attorney for 9~e~
Name of owner of premises . .W.i.l 1. ~-.a,m..S. ?.b.e.~.~...S.i.n.c..1.a.i.r., !.I.I..9 .n.d..3.~..n.n~fl.e, .r. ke.r. 9¥. ~a..r.ng.r' . .S~.n.c.~9~r
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name anct t~tle of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No ...... ~ ................
Other Trade's License No ......................
~P/ O
1. Location of land on which proposed work will be done... ~..S.o.u.n.d...Rp.a.d' ,.
House Number Street Hamlet
County Tax Map No. 1000 Section 0. 3.5...0.9 . Block 01.00 Lot .0.16.'.999 .....
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancf .. ~.t.~a.~a.e.d,.Wp.o.c] .~l~.c.]~ .a.n.d detached shed ~ ~-'+ct
b. Intended use and o .O,$'l:,~ql')oCl..w. qo0...ct.~q~., anu ueuacnea sne~' , · ' '
3. Nature of work (check which ap plicable): New Building .......... Addition ...X..X ..... Alteration ' .'.
Repair ... ~ .t'.: · ),". :Rem( ,va[ ............ Demolition .............. Other Work ...............
(Description)
Estimated Cost ..... §.~00 ,.0., ....
~ (to be paid on filing this application)
If dwelling, number of dwelling units .............. Number of dwelling units on each floor ................
If garage, number of cars , '
If business, commercial or mixe~ occupanc~,s~?fy nature and extent of each type of use ....................
Dimensions of existing structurels, if any: l~6fft~., iD.' ......... Rear ... ,LQ ', ....... Depth...5 ~ ........
Height 2 g~.e.L Number of Stories -
Dimensions of same structure w!th alterations or additions: Front .... s.a.r~.e ......... Rear ...............
Depth I Height Number of Stories
8. Dimensions of entire new construction: Front .... ,s.a.m,e, ... .... Rear ............... Depth ..........
Height ............... Number of Stories ...................................................
S~zeoflot:Front ·.75... ., .......... Rear .... 7..5:.' .............. Denth ...1.4.3.'.~ .........
10. Date of Purchase .~L.1.1./.9.2...1 ............ xl~.~ ,.c r:,~..~.~ ~ ......Noe~ Smith a Marjorie
1 I Zone or use district in which premises are situated
12 Does proposed construction violate any zoning law ordinance or regulation: no
13. Will lot be regraded n. 9 ...... ~ ................... Will excess fill be removed from premises: Yes No
14 N f Ow f p ' amc a~pJ-.iq~tlx~ddress Ph N
. ameo nero rem~ses .~ .as ..................... one o ................
Name of Architect n.//a. ................... ~ Address ............... Phone No
~ ' ' i'"Phon No ................
N of Cent ,.q/. ig i Address
mne ractor .............. . ........................ e ...............
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.
See attached survey
STATE OF NEW YORK,
COUNTY OF..s.q:g:~.o.l.]~ ......
William H. Price, gr.i
(Name of individual si
above named,
attornev
tlc is the ...................
NO'(I~--t~'OILDING DEPARTr~z.I~T AT
7(~5-1802 9 AM TO 4 PM FOR THE
FC~LLOWING iNSPECTIONS:
~. FOUNDATION TWO REQUIRED
FOR POURED CONCRETE
Z ROUGH ~ FRAMING & PLUMBING
3. iNSULATION
4, FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENEI~GY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
S.S
ning contract)
attorney for
the
being duly sworn, deposes and says that he is the applicant
(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 co, rained in this application are true to the best of his knowledge and belief; and that tile
work will be performed in the man,er set forth in the application filed therewith.
Sworn to before lne this l
12th day 0f' March 199.2.
Term Ex, Ir** O~tober ~.'~'~$.~' ' (Signature o f applicanC