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HomeMy WebLinkAbout20727-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22135 Date FEBRUARY 4, 1993 THIS CERTIFIES that the building ADDITION Location of Property 1,480 WASHINGTON AVE. GREENPORT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 5 Lot 1.30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 15 1992 pursuant to which Building Permit No. 20727-Z dated JUNE 17 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 WITH SCREENED IN GAZEBO AS APPLIED FOR. The certificate is issued to LEE W.RODENBURG & CAROL ROXANNE MALINAUSKAS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uil ing Inspector Rev. 1/81 loam NO, a 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) WN° 20727Z Date 7.........................., )9..yz Permission is hereb granted to: q & J i9.. O to ....cr N ~5 ry?~..... 1-L.............. 4-................. r ~ 4 ........v ! at re ises located at i , . JJ.. County Tax Map No. 1000 Section ......T./ Block ....A4 Lot No. pursuant to application dated .................1 P~......................., 19.1:. and approved by the Building Inspector. Fee $...vr..^....:............ Inspector ' 7-i Rev. 6/30/80 i Form No. 6 TOWN OF SOUTHOLD 4 f1 t L~ 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: 1. Final survey of property with accurate location of all buildings, property lines, streets, 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 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. B. 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 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 - $100.00 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 ..j~./~...................... New Construction.. Old Or Pre-e firsting Building....... 7 Location of Property../~` 1lt~f . ,f/~751 1 1 * ..Wf` , , , , , , , , , House No. Street Hamlet Onwer or Owners of Property.,=...~j............................... County Tax Map No 1000, Section.... Block ....a,5 ......Lot...... Z~ Subdivision ....................................Filed Map............ Lot...................... Permit No...a0.?.a-~„ Date Of Permit App1icant 14 °z CC „ Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate..........': Final Certicate..y...... ' Fee Submitted: , 9~ ~IS~j7a -/G~~' nn `rj -tda ) 35 APPLICANT e r1cLD .iJN _jIJri:.. Il vJifi9tNTS m 4~ 7OU11DATION (1st) -I V c ~ mob, FOUNDATION (2nd) _ m~ - o 2. ROUGH FRAME & PLUMBING cn -3 y 3. m n y I1ISULATI0P1 PER N. Y. rn STATE ENERGY CODE FI;7AL f o X ADDITIONAL COMMENTS: x h a ~ • H N O R, x 1_ m ^o y M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: ~f DATE INSPECTOR "r`~ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: DATE ~hllq3 INSPECTOR ' z : PiFORMN0.1 BOARD OF HEALTH I 3 SETS OF PLA1 1S } TOWN OF SOUTHOLD SURVEY .rte _ . , 1 . BUILDING DEPARTMENT CIIECK iss~ : LJ TOWN HALL SEPTIC FORTS . SOUTHOLD, N.Y. 11971 YC4Ui°i~~L s jjig t-•+ tz~~ tr TEL.: 765.1802 Examined k. , 19 L- CALL ~T 77„©6 6~ L TO: Approved , 10 Permit No. '2,72 Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..,r A_51.......... 19 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- :ation. 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 work. e. No building shall be occupied or used in whale 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 3uilding 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 code, and regulations, and to dmit authorized inspectors on premises and in building for necessary in tions. (Signature of applicant, or name, i a corporation) /.'~/~f•~..GPI.~S~.~.~i~`~..~~FGC..-I~..~~~r,~~? (Mailing address of applicant) sate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. OLC ~~vY /(r ;ame of owner of premises (as on the tax roll or latest deed)u AOTE® applicant is a corporation, signature of duly authorized officer. DA71 B.P. # FEE: By. NOTIFY BUILDING DEPART ENT AT (Name and title of corporate officer) t„ C 785-1802 9 AM TO 4 PM FOR THE OCCUMVCY OR FOLLOWING INSPECTIONS:! • Builder's License No. USF S UNL,AVS51° I 1. FOUNDATION - TWO REQUIRED FOR PORED Plumber's License No . WITHOUT CERTI FICA 2. ROUGH- FRAMING &TP. LUMBING 3. INSULATION Electrician's License No. OF OCCUPANCY 4. FE FINAL COMPLETE - CONSTRUCTION MUST OR C:O. Other Trade's License No . ALL CONSTRUCTION ,`SW LL MEET THE REQUIREMENTS 00 THE N.Y. Location of land on which proposed work will be done. STATE CONSTRUCTION ENERGY CODES: . NM ' RESPOWAU , SIGN 0 cr~N~rRk'l~3? FOR House Number Street Hamlet County Tax Map No. 1000 Section GG~ Block Lot... j Q............ Subdivision Filed Map No. Lot (Name) State existing use and Occupancy of premises and intended use and Occupancy of proposed construction: a. Existing use and occupancy ..Q&,e • ~~l.l..F'r~L fay.oul b. Intended use and occupancy f ~ l n~~ ~,b'i',&:9~-;it+?;.;3ii k4': ,;"»riU~i.,•ioniritt~,d~`-v' 3. Nature of wore! (check which ' Addition avor, applicable): New Building Repair Alteration . Rcmpval Demolition . Other Work 4. Estimated Cost (Description) Fee (to be paid on filing this application) 5. If , If dwelling, num or oars elhn~ units • , , , , , , , , , , , Number of dwelling units on each floor . . garage, n num 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7 Height of existing structures, if any: Front , , , , , , , , , , , , Rear Number of Stories . Depth . Dimensions of same structure with alterations or additions: Front • . . • • . . . . • • . • Depth Rear........ Height . . Number of Stories . 8. Dimensions of entire new construction: Front . • ' ' ' ' ' ' ' . ' ' ' ' ' • ' • • • • • Height Num ber of Stories ' . ' ' Rear Depth . 9. Size of lot: Front Rear .......................Depth 10. Date of Purchase . • , , Name of Former Owner 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: • 3, Will lot be regraded ~i , , , , , , , , , , , Will excess fill be removed from premises: ises: Yes No No 14. Name of Owner of premises . . Address' Name of Architect . • • • • • • • • . Phone No ••~•••••••••••••••.Address, .Phone No„ Name of Contractor . Address . . • • . . ' ' ' 15. Is this property within 3170 feet of a tidal wetland? Phone No. *If Yes Southold Town Trustees Permit may be required. No......... t 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. i FATE OF NEW OR AUNTY O _=O l i7~S.S, • - • • • • • • • • being duly sworn, deposes and says that lie is the applicant (Name of individual signing 'contract) ove named. is the . Q , (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly m lhorized to perform or have performed the said work and to make and file this clication; that all statements contain e l in this application are true to the best of his knowledge and belief; and that the rk will be pcrformed in the manner set forth in the application filed therewith. orn to beforc~mc this- day of.. 19 .9`d-- tary Public, t~~~ County ~ . • • • CLAIRE is s Of W$ ~ No. 87®~W$ rti ConwnlwioafiedU$uifolkCou (Signature of applicant) Expires OecenNwr~g,18... i ' • Y -MR LOt 1,92.00 Z W 10// E \ 3 14 un ' y0 U LOT r ILL • O ~1 SCgNIC W 4; 7 O \ FRAll 1 STORY ` BAR, ! W g- HOUSE 15 q' O ..n:"MC•7iJf;+rc.A+:k'Vfa ,a.', Y.~~.R..r ~•~..w ~ :~yfi,~'1•d +~+rd..,,eA.s•_at ^~r: ~ rr`~~4#°2,J' IOJ' 0,0' C 19.5'. ryiy \ .O- I in 1 2y., s T - i m t'a 68/ 10 . 4 e / 00.65/ 134ooTER p va `'NGTON ^W SURVEY OF So 62 L.0 T, 30 l SLIBDIVISIOM OF CEDARFIELDS' , le FILED JUNE '27, 19190 FILE NO. 8988' sq. ft. A T GREENPOR T TOWN, OF. SOUTHOLD SUFFOLK - COUNTY N Y. rinE INSURANCE rOOO - 40 05 0r 'W YORK t 8680 ' _ scale r" _ so, ` LTD.. My rr/ " 1990. MALWAUSKAS JUl I- JUN 15 J 30 1990 found. to c:) 92 May 6, 1991, L/C., .No. 48B1B~'`'r Pi*P."d !n aooordanoa with tho mkdaum otandardi /or title aurvoyo p ootab9ohod bb the"ALSandeppro7dand%op t•d N/ EY .,PC. a'i for auoh use byy rho, Kow-fork State and (a 6 20 Q' Title Aoooolatloa MA/ ` r• 9J@&~ O =.h , . sour t ~i~ ~ srni~ : , - , . `r:~k.,~ - 1Y--. , v O. i LOT' ® 192-00 Z . +I E \ U. A . N 19• b0' 10'~ 3 • \ Z LOT / \,y {,~K J gGENIC W FFER w BUw fill L' 91 , 1• h U. LOT . Y 45.3' ` 1 !1 .7 20.01 FRAME STOity use s sue' IJ•4' 1 , fr'= das . f-. . •'J r 'T" i : -.F:. e-e _t1•-.:,a O 7 P '-iW.. O l 1 O .9 A _ 4 RQ 1S 19 SIN N } -J' ooh /GNV~ 0,66 192 TEA V 1/ 10 I~ A , i'UPLI ETON `IV SURVEY OF "y} H• S..-,REF. 90-SO-62 LO T 30 ` SUBDIVISIOM OF CEDARFIELDS' ' FILED JUNE 17, 19190 FILE NO. 8966 ,,fAREA 20,592 sq. s1. _ A T GREENPORT , TOWN: OF. SOUTHOLD ~~¢pp pp SUFFOLK COUNTY N Y. FARBT• AAIHRlCAN TJTL€ BURANCE ' y c ANr o new TvRIC 1000 - 40 - 05 - A/O 01 ;t n tNo. - 8 - 8680 . a w z',xNA TF LTD., Scale 1 30• ' a CAROL ° R0X APAfAUNAU8KA8 July 11, 1990. t July 30 1 90 ound loc.') k May 6, 1991 Nps a ~ID~4. MET?G9L ;,im-. :°a' Off, tCL . " tip Nird in goo P~ with RM ok" w ti1 LdR .nd p N ! EY [-:,gip P. I.~u~ y ~pp?* C. 6 - 20 OQ ; VW" rk OW line P. 40 F wr, oWi7eu IViw o I 30UT 11871 . r. Ftrt X4f < J t t 2m C. it C,,5 LLA CD LA- '*g ' u CD r: rv ,Ir~I L J q • i fill - 7 1_ 1 d .b i r czz4d IJ IY , 6 tF } `G H/_I I I ~ f(f/1 f i I I i Yu</ vo57 - 9f Ors... n^( rtA= j OCCUPANCY OR A USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY - QCeC~pF, i USF - 1. I WITF, /CC i=~Fl r- Gf Ul' -i„ -Zags - I~•~... r ,___i 22f1p ~-2Fi0 vvutA S~lor ' ~ ~ j Yn SST v, ~sr 1 Iy'_O° I r'°Uil t > v -rV>I L NV "Tv GRv:y ~c=fiuq G cxlla~ vC S/y~r.4,' Ce -t;i ~ xlraa J x "}r a ~2-2+V ta`r<7, 1 inD l Iyi/ - 1 a _ JIN11 51992 TOWN CV pla~ D RAT'Te+~. i pow PAT-7,9, MrPA-, Phoge 477.0400 Main Road CR<>SS ~4Tt[Jti~ CRP.PNPOR"T`, N.Y. 11944 e oTC C VET ir'r F.LL C7iMtr,e,lo ' - - ~pULN&/IL' LG E'Dwr 1JtC t fG`. F, 4. 3'J PLAN NO H68-A~ SCALE 1`~F