HomeMy WebLinkAbout20968-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21147 Date NOVEMBER 17, 1992
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property 1455 WASHINGTON AVENUE EXT.
House No. Street
County Tax Map No. 1000 Section 40 Block 5
Subdivision Filed Map No.
GREENPORT, N.Y.
Hamlet
Lot 1.29
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 18, 1992 pursuant to which
Building Permit No. 20968-Z dated SEPTEMBER 22~ I992
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 ACCESSORY STORAGE SHED TO CODE AS BUILT
The certificate is issued to
(owner)
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
DONNA MARIE RINI-SCHUR
Fo~wr NO. 0
TOWN OF SOUTHOLD
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°-N? 20968Z
Date ~ ~ -~
........ ~ ................................... , ,9..F....~
Permission is hereby granted to:
.. .......... .~~.~"'"'""iY'.
..... ~_~.~../,......~..,
~......~ ....... ~..:.~~,..:..~....~..~...._.......~..:.~ .................
at premises located at ..../...~..%~...~..~ ......... .~....~~....~..~...~ ..................
County Tax Mop No. 1000 Section/ ......... . ..~....~.. ..... Block ...... ~ ..... Lot No ...... ~ ..............
pursuant to application doted ...~..~.. ..................................... , 19 .~.....c~ ond approved by the
Building Inspector.
Fee $..~..~.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
: 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:
i. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
/~. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
Approval of electrical installation from Board of Fire Underwriters.
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 ~md similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building. .-
I 6. Subm%t 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:
i. 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 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.' Tempokary Certificate of Occupancy - Residential $15.00, Commercial $15.00
· ~ . '" Date ...... d~.~/~'~/~, ~.'
,few ~onstructlon...¥~. ...... Old Or Pre-existinm Bui]din= ~ iii ..................
Location of rroperty.. : ................. . ....
., ~ouse ~o. Street Hamlet '''
Onwer or Owners of Pronertv...~..m~m~ o
County Tax Map No 1000, Section...~.%.O. .... Block ............ Lot. I'
Subdivision , ,
.................................... Filed Map ............ Lot ......................
Permit No ......... Date Of Permit .... ~.2~_.. ..... Applicant... ~..
Health Dept. Approval .......................... Underwriters Approval .
Planning Board Approval ....
Request for: Temporary Certificate ........... Final Certicate... ~
q$1P3 " ·: .......
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building I~pector
Gary Fish
Building It~spector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
O~TOBER 19, 1992
DONNA MARIE RINI
1455 WASHINGTON AVENUE EXT
GREENPORT, NY 11944
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XXX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The chec~ is ~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 ~ 20968-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
1i052 i99-
(10) No campers, trailers or boats will be permitted to be kept in
the front yard or side yard of the property.
(11) Satellite disks and solar units shall not be permitted to be
installed so as to be visible from the front of the premises so as not to
be viewed from the front.
(12) No fencing shall be permitted forward of the rear line of the
house. All fencing must be wood except around swimming area.
(13) No vehicles shall be kept by the owners or occupants of the
premises, or their guests, overnight, on the streets, with driveway to be
used for parking. No commercial trucks or vans over 3/4 ton shall be
kept on the driveways of the property overnight, whether owned by the
property owner, guests or relatives.
(14) Disrepaired vehicles shall not be stored on the premises or
streets. This includes unregistered vehicles.
(15) It shall be the r~sponsibility of the occupants of the premise:
to see that no trash containers are placed on the street for collection
except on the evening immediately prior to collection, and such container:
are to be removed on the same day that the garbage is collected.
· · ~ ' ~'~ ~ r~ , shal .' be erected on
· ~t~r~d: to,. br~'!~i'.,. -:~wop~.,or;~:o~e~ '~S~'~-ma~er~'aI,.,or. v~nyl siding, or
~ (17) The premises ~o be constructed on subject property shall compl
in all respects with Local Law No. 6 of ~986 of %he Town of Southold,
County of Suffolk, State of New York, more commonly known as ~he
Affordable Housing Law, with the exception of Plot ~38, which will be
exempt from the above law.
(18) If the Declarant, or their successors or assigns, shall
violate,~or attempt to violate any of %he covenants and restrictions
enumerated herein, or shall fail to enforce said covenants and
restrictions, it shall be lawful for any person or persons, owning any
portion of the hereinabove described premises, in addition to the
Declarant, to prosecute at law or in equity, the person violating or
attempting to violate any such covenant, and either to prevent them from
so doing; or ~o recover damages for such violation.
(19) These covenants and restrictions shall, run with the land,
subject to the right of the town Board or Planning Board of the Town of
Southold, by a majority vote plus one, after a public hearing, to modify
or repeal any or all of the foregoing covenants and restrictions at any
time at the request of the then owner or owners of the premises affected
765-~802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND £ ] I~LATION
FRAMING [ ~ FINAL
DATE IO//~/~'IN'PECTOR /~jr-'~A~
OUNDATIOI{ (2nd)
OUGH FRAME &
.FLUMBING
iNSULATION PER N. Y.
STATE ENERGY
CODE
FI;;AL
ADDITIONA'L COMMENTS
FOFIh/~ NO. 1
TOWN OF SOUTHOLD
BUILDINg DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
Ex,mined
Disapproved a/c ~... ........................... , SIP 1 8 to92
.......................
. (~uildino ~e~or)
APPLICATION FOR BUILDING PERMIT
BOARD OF' HEALTH .........
3 SETS OF PLTtNS ..........
SURVEY ...................
CHECK ................ o . . .
SEPTIC F Q,R M--~ "'2"i: i";":~-~ .....
MA: L"-~.~,.-.--.--
Date July 23, 19 92
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
;ets 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
)r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ration.
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
,hall be'kept on the premises available for inspection throughout the w6rk.
c. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
;hall 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
iuilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
),egulations, for the construction of buildings, additions .or alterations, or for removal or demolition, as herein described.
['he applicant agrees to comply with all applicable laws, ordinances, building code, housing coCeyIand regulations, and to
~dmit authorized inspectors on premises and in building for necessary'"iOspections. / /~ / /
--' ~ (Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
OWNER ,
, ,"
DONNA MARIE RINI
Name of owner of premises ........................................... ~)~ ~ ~.:~,..~.o/, ~ ........ .,.
(as on the tax roll or latest, ldet~O~h~
If applicant is a corporation, signature of duly authorized officer. O
Builder's License No ........... ~ ..............
Pinmber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
USE iS UNIA V?UL
Wg}{OUT CERTiFiCATE
OF OCCUP/INC¥
Location of land on which proposed work will be done ..................................................
1455 WASHINGTON AVENUE, GREENPORT NEW YORK 1~944
}louse Nmnber Street Hamlet ~
County Tax Map No. 1000 Section ...(~...~.0 ........... Block...O..~. ........... Lot/..(~. 9 ............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Nmne)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy ....................................................................
3. Nature of work (check which ap licable): New Building .. iX.X.X.K.... Addition Alteration ..........
RemOval Demolition Other Work
Repair .........................................................
! . (Description)
4. Estimated Cost $500'00 i ,~. ~.~
............. ! ......................... Fee ..........................
I (to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage number of cars
6. If business, commercial or mixe~ occupancy, specify nature and extent of each type of use ...............
7. Dimensions of existing structureS, if any: Front ............... Rear .............. D6pth ...............
ight
He ............... Num erofStories ...; ..................................
i,th ..................
Dimensions of same structure w alterations or additions: Front ................. Rear ..................
D pth Hight ~ Nu be fStori
e ................. i e
8 Dim sio ofenti tr? ti n: F 10 R I0 D ' ~ ............
· en ns re new cons c o rent.. ' '
/~) ~ Numbe · ./ .......... ear epth ...........
Hight f Stori ...................
9. Size of lot: Front ........ J ..... Rear.
10. Date of Purchase .... JUNE 'I'9'9'1' ' ' '- ...................... Depth ......................
................ ' ......... Name of Former Owner I)0IqAM). 3p,&C.K.E.N ............
I I. Zone or use district in which pre~nises are situated .....................................................
12. D°es proposed construction vioia~te ~ny zoning law, ordinance or regulation: ....N.O ...........................
13. Will lot be regraded ...N·q .... ~ ............... Will excess fill be removed from premises: Yes
14. Name of Owner of premises . DONNA MARIE RI'N'I~ .N.o
· ' r ................ Address ,1&5.5..~.As.k~,n~.t.o.n..ay. ephone No...4,7.77.8.1.4.0 .....
Name of Architect .......... i ................ Address ................... Phone No ................
Name of Contractor ......... i ................ Address ................... Phone No ................
15. Is this property within 300 feet of a tidal wetland? *Yes~ ........ No..~[~...
· If yes, Southold Tpwn Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, end. indicate all set-back dimensions frc/m
property lines. Give street and block n amber or description according to deed, and show street names and indicate whether
interior or coruer lot.
SItOl:[tt:l NOIi31"II:lJ. SN03 I:!O tq'U~,
aO~ ::13818NOd938 .LON ' *~
/~J::ljjhJ I'I~HS NOU.,.~rlkI.LSNO;.~
'O'3 ~od 3J..qldVUOaj ~8
z~IN NOIJ.OFII:IISNOD - ~v~ld ~
HDfl~
Oaalno a.o/v . o zvcmnO, ,r
STATE OF NEW YORK,
C S~S
OU'Krry OF ................. /7 .
· . '~)'~/~.~-~ /~/~ .ff'./'.C~:. i ./~../~/[.',,: .~.. ~.t~.~)t/ being duly sworn, deposes and says that he is the applicant
(Name of individual signin~ contract)
above named·
He is the .......... ~ ....... : ........................................................
(Contractor, agent, corporate officer etc
)f said owner or owners, ~d is duly huthorized to perform or have perfo~ed the said work hnd to m~e and file this
ipplication; that all statements contmqed m this application are true to the best of his knowledge and belief; and that the
,york will be perfomed in the manner set forth in the application filed therewith·
gWom to before me this
.......... ~..~ ........ day of..~M }.~ .......... , 19~
Ota~ Public, . . ~~...7. ~.. Count~ ~ --
Notaw Public, ,3tam of ~ew York . ;
Guali{k-~d in [~.t~fio~? ¢ou~ ~ (Signature of applicant)
Term ~xpi~ ~s
LOT
LOT
AREA = 23,495sq. ft.
SURVEY OF
LOT 29
SUBDIVISION OF 'C. EDARFIELDS
FILED JUNE 27, 1990 FILE NO. 8966
A T GREENPOR T
TOWN OF SOUTHOLD
SUFFOLK .COUNTY, N. Y.
1000 - 40 - 05 - PlO
01
Scale 1" = 30'
.July 11,'1990
."' Sept. 28, 1990 (found. loc.)
Nov. 16, 1990(u.¢.)
May 9, 1991(final)
SCENIC
H/OIF 5TAPLIE5
CERTIFIED TO,
FIRST AMERICAN TITLE INSURANCE
COMPANY OF 'NEW YORK
TITLE NO. 80B - S - 9945
PECONIC ABSTRACT INC.
MARINE MIOtANO MORTGAt~ ~ORP.
itc euec~eee~re and or aaelgne
DONNA MARI~ RINI
H. S. REF. NO. 90- SO- 102
Pme~a~ed in aemordanoe with the minimum
ataemarda f~ title e~ve~a aa eet~liehed
by the L.LA.L~ ~d ~roved ~d adopted
for euch ~e b~ The ~ew York ~tate L~d
Title Aeeoclat~
HIOI~
GORWIN
pAUL
BUFFER
NIOIF
· F. ~uNYON
NiARJORIE&
i~ARJORI~ &I;uHYOH