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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