HomeMy WebLinkAbout20608-zWORN NO. 4
TOWN OF SOUTHOID
BU£LDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20705 Date MAY 7~ 1992
THIS CERTIFIES that the buildin~ ADDITION
Location of Property 1095 (A/K/A #8) SHORE ROAD
House No. Street
County Tax Map No. 1000 Section 47 Block 2
~lbdivision Filed Map No.
GREENPORT, N.Y.
Hamlet
Lot 23
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
Building Permit No. 20608-Z
APRIL 30, 1992
dated MAY 4r 1992
pursuant to which
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 (AS BUILT) TO AN EXISTING ONE F~tL¥ DWELLING
AS APPLIED FOR.
The certificate is issued to
GERALDINE HAMILL
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTR APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
;f //' ZBuilding Inspector
lVO~.M' NO, ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NgN9 20608Z
Permission is hereby granted to:
.... ....................
........ ~...o..:.~.:....~._~... ......................
...... ~~.~.~......~.:.~.,...~.~....'I.~...
,o ..~.....~....,~.~...~o.....~.:..~......~...'..,~.~ ....
_L.~.~.~.....~......~....~...~.~...~ .........................................................
at premises ,ocate'd at ......~......- u v.~..~...~....'..L~..~......~.~~
~o~,, ~o,,~o~ ~o. ,o00 ,.~,,o~..?~ ...... ,,oc~ ..... ~.~ ....... ~o, ~o....~ ............
pursuant to application dated ....~.......~ ...................... , 19..~...~.., and approved by the
Building Inspector.
Fee $..,~.~...:...;~
Building Inspector
Rev. 6/30/80
TOWN OF SOtJT,q.~LO, LD .... .~
Form No. 6
TOI~N OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN t~LL
765-1802
A~PLICATION 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 ail buildings, property lines,
streets, and unusual natural or topograpl~ic 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" lagd uses:
1. Accurate survey of property showing all property lines, streets, building ~nd
unusual natural or topographic features.
2. A ~roperly 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 $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 - $i00.00
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 $15.00
Date ... ~p.r.i,1..~f). ,1~,2 ........................
New Construction ........... Old Or Pre-existing Building .... ~[ ............
8
Location of Property ..................... ~S.h.o~.e. ~cj.v,e ....... Greenport
House No. · Street Hamlet
Onwer or Owners of Property ....... .G. er.~d.i.n.e... . ~af~iJ.]~ ................ .. .. ... ..
County Tax Map No 1000, Section .... 0.4.7...0~O. .... Block...0~...0.0 ......... Lot .... OZD:Ppp.', ..........
the southerly
Subdivision .................................... Filed Map ... ~Jf~ .... Lot. ~2..&. b.a.l.f, pl..1p.t..1.1..
Permit No.~O.~.~.'~ .... Date Of Permit .......
......... Applicant ....................... .... . .
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request fo~: Temporary Certificate ....... .. . . Final Certicate ......... . .
Pee~O~Submitted:~'~$ .5.Q..~ ...................... i .~..~..~.(~... . . .~.. ~
CC) ~ ~0~)0.~ ATTORNEY FOR APPLICANT NICHOLAS A. GABRIELE
BLDG. DEPT.
M~UREMENTS IN U.S. STANDARD
April 29, 1992
Building Department
Southold Town Hall
Main Road
Southold, New York 11971
Att: Gary Fish
Re:
Premises: 8 Shore Drive, Greenport
Tax Map I.D. No. 1000 - 047.000 - 02.00 - 023.000
Dear Mr. Fish:
As you may recall from past conversations between yourself
and my secretary, my client, Geraldine Hamill, purchased the
above-referenced property on March 26, 1992 from Mr. and
Mrs. Lorenzo Pupillo. The day before the closing we were
informed of a "movable walkway" lying on the ground behind
the house. We then scheduled an inspection of the property
with "Vinnie" of your Department for Friday, April 3, 1992,
at which time it was determined that a Certificate of
Occupancy was required for the walkway.
Upon our request, the appropriate forms were sent to us to
make application for the Building Permit and the Certificate
of Occupancy. Accordingly, I am enclosing the following:
1o Application for Building Permit;
2. Application for Certificate of Occupancy;
3. Copy of survey with the "movable walkway" high-
lighted; and
4. Sellers' attorney's check, payable to the Town of
Southold in the amount of $75.00 to cover the fee for the
same.
If there should be any other information or documentation
you require, please do not hesitate to call. Otherwise,
your prompt attention to processing this application and
forwarding a Building Permit would be greatly appreciated.
Upon our receipt of same, we shall contact you to arrange
for an inspection of the walkway.
Very truly yours, ,
NICHOLAS A. GABRIELE
NAG/dmw
enc.
cc: Geraldine Hamill
Jack D. Glazer, Esq.
?OUNDA~ION (1st)
~OUNDATIO~! (2nd)
IOUGH FRAHE &
.PLUMBING
[!~SULATIO}I PER N.
STATE E};ERGY
CODE
FI;;AL
ADDITIONA'L COMME~;TS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
f ~T~AL
REMARKS:
DATE
BLDG. D E P'£.
TOWN OF SOUTHOLD
Examined .%.. .....
Approved . .¢. ,., 19t~. Pemit No.....,......&O¢°8 ~
Disapproved a/c ...................................
......
(Building Inspector)
~PPLIGATIO~ FOB BU~LOING
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
CllECK ..........
hO~py,
CALL ...................
MAIL TO:
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 tiffs 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 w6rk.
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, inspectom on premises .' 'and in building for necessary insp~tio. ~ ~. ~/~ ~/n~e~",
-- (Signature of applicant, or name, if a corporation)
· 8. I. 1...J.e.r.i. qh q .T.u.r.n.p.i.k.e. ,.. S.m.i.t. ht. qw.n' ,...I~... 1. i. 7.8. 7....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........ A. ~. t. o. ~. n. ~. y./.A.~.=, t. ..........................................................................
Name of owner of premises Geraldine Haraill
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly auth~orized officer.
(Name and title of corporate officer)
N/A
Builder's License No ..........................
Plumber's License No .......... I'JlA ............
Electrician's License No ........ I't/.fi ............
Other Trade's License No ....... I,,!'/.A ............
Location of land on which proposed work will be' done ..................................................
8 Shore Drive Greenport
House Number Street Hamlet
023.000~
County Tax Map No. 1000 Section 047.00 Block 02.00 Lot ......... il~d 'i6ffil~irly
Subdivision ..................................... Filed Map No...............#1759 Lot ..12 .... & 1/2.........of lot 11
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .... Onevfamily .dwelliog .................. *.. ........ ~ ..................
b. Intended use and occupancy . One~famil7 dwelling ~" - - '
3. Nature of work. (check which aplplieable): New Building .......... Addition .......... Alteration ...........
Repair ............ RemOval .............. Demolition ........ woouen wa J_t~way
, .............. tJmer wore ..... ..........
I '" (Deicription)
4. Estimated Cost ...a.l.r.e.a.dy..e.r.acted - cost unknown $2.5 .00
'i ....... b(ti:' flbfntfli~l .......Fee ..... : ...............................
! (to be paid on filing this application)
· . ,. . .
5. Ifdwelhng, numberofdwelhngun,ts. ~./~ . lqu~,berofdwe,h,gu..tsoneachflgor..
· Ifgarage, numberofcars ..... i .....~./..~ ..... iiiii.75:~''. i". 7~ ' ..........
6. If business, commercial or mixed~ occupancy, specify nature and extent of each type of use ...I'1/..5 ....
7. Dimensions of existing structure~ if an,,' Front n/a' . -' ro~, nla 'rl/~i ........
~' J .................................. Depth ...............
Height 2" - 5" Numlber of Stories n/a.
Dimensions of same structure wilth alterations or additions Front . .n/a Rear ....
Depth . .n/a ............... i.. Height ...2'~ .-, .5q ............ Numberno~aStories .... u/.q ....
8. ~menmons of entire new construction' Front n/a 'fi/g
............. Rear ........... Depth ...........
. ,, ,, , · fi?fi .... ....
Hmght 2...?.5. ......... Number of Stories . ..
9. · · ]. 22 BJ. pth
Size oflot: Front .. 30 ...~ ........... Rear .................. De ...................
10. Date of Purchase ... March. 2~. 2992...' ......... Name of Former Owner J~p.r.ela~p..&. Rose;Ann Pupillo
11. Zone or use district, in which premises are situated ,, ;N/A.... .................. . .....
12. Does proposed , ' ' ' ·
constru, t~on wolate any zomng law, ordinance or regulation: ..... .Np .........................
13. Will lot be regraded ........ .Np~ .......... ........ Will excess fill be removed from premises: ~.: No
14. Name of Owner of premises ' Address Phone No
Name of Architect I. Address Phone No
Name of Contractor ' Address Phone No
15. Is this property within. 3100 feet of a tidal wetland? *Yes ........ No...X .....
· If yes, Southold T~own Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all ibuildings, whether existing~or proposed, and, indicate all set-back dimensions from
property lines. Giv~ street and block: umber or description accorating to deed, and show street names and indicate whether
interior or corner lot.
APP, ROVED AS NOTED
N~r{FY BUILDING DFPARi"MEN~' AT
7654802 9 A~,~ TO 4 PM FOR THE
t ':OUr~)A'rtoN TWO REQUIRED
FOFI POURED CONCRETE
2 (lOUGH ~ FRAMING & PLUMBING
3 iNSULATION
4,. FINAl,, CONgTRtJCTION MUST
i}t. COMPI.,E'I'ff FOR C.O
/:,LL COMST~UCTION SHALL
THE REQUIREMENTS OF TNE
STATE CONSTRUCTION ~ ENERGY
COOES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NEW YORK,
COUNTY OF .... ~PFFOLg ...... :
....... NIOHOLA$.A, GABRIELE...: ............
(Name of individual signidg contract
above named.
attorney for the
....... being duly sworn, deposes and says that he is the/applicant
He is the .. ,... attorney/age.t ......
(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
~pplication; that all statements contaified in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner }et forth in the application filed therewith.
gworn to before me this
qotary Public .... ~, ' .S.U.F.F.O.L.K. Count
. DIANE M. WORH~E
NOTARY PUBlIC. STATE O[,~EW YORK . · · · .........
NO, 52-49d0732-SUFF0[K COUR~/ NICHOLAS A. OABRIELE (Signature of applicant)
TERM EXPIBES AUGUST ~0,