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HomeMy WebLinkAbout20743-zFORM NO. 4 TOW~N OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z~22143 Date FEBRUARY 16, 1993 ACCESSORY BUILDING THIS CERTIFIES that the building Location of Property 305 SANDY BEACH ROAD, GREENPORT~ NY House No. Street Hamle~ County Tax Map No. 1000 Section 43 Block 4 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17, 1992 pursuant to which Building Permit No. 20743-Z dated JUNE 19¢ 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 ACCESSORY BUILDING (WITH FENCE) AS APPLIED FOR. The certificate is issued to GEORGE HOLEVAS & wIFE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A pLUMBERS CERTIFICATION DATED N/A VIA ~"Bl~lding Inspector Rev. 1/81 FO~ NO. ~ 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) Date & ................ ........................... , Permission is hereby granted to: . , ...... ~:~..~.~ ...~..~../.~/..~ ...................... ..:...~ :........:....~:~ /......17..~::;~...~ ,o ...... :.::~r.::.:,.: .......... :: ............ 5::.::.:::.~........::.:~..: ........................... ..... ~:: ......... .~:::: ........ :.: ....... 4d:4::.....::~ ..................... : .............................. ~,,,,,,,,,~,,,,, .................... ......... ,~.,~....:~.. ........ ......................... , ............................... ..................................................................... ~::::: ......................................................... County Tax Map No. 1000 Section ..... .~../..~.. ............ Block .......~....~L ........ Lot No ........ ..~..~. ......... pursuant to application dated ............... .~././.2 ............................ , 19..~.~..., and approved by the Building Inspector. Fee $ ........................ Building Insl:~Ctor Rev. 6130180 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC 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. 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 smd 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 p~lan requirements. B. For existing buildings (prior to April 9, 1957) non-confor~in~ 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 - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $I0.00 4.Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .3[~... ~ .., House No. Street ' H~et Onwer or Owners of ~ronertv. County Tax Map No i000, Section .............. Block .............. Lot .................... Subdivision . , .................................... Filed Map ............ Lot ...................... Permit No.. ..Date Of Permit · · Applicant... %. . ......... . Health Dept. Approval ..................... Underwriters Approval .................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~.. .... Fee Submitted: g. ~,00 ' , r ............................ ' ' ............ FOUNDATZON ( q ~ t_~_) FOUNDATION (2nd ROUGH FRAME & .PLUMBING ZI~SULATION ~ER N.Y. .. STATE ENERGY CODE F~;~AL ADDITIONAL COMMENTS: INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek 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 NOVEI~BER 2, 1992 GEORGE EOLEVAS 22-17 19th STREET LONG ISLAI~ HY 11105 RE: PREHISES @ 305 SANDy, BEACH ROAD To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check 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 i~volving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 20743-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. JOB SHEET NO OF Locate clearly and distinctly all buildings, whetlxer existing or proposect, ancl, in~licate all set-t>ac~ aunensions Irom property lines. Give street and block numCer or description according to deed, and show street names and indicate whether interior or corner lot. .>,v h4~.,;~,'~, ~.~. ~ I. ...~'~ .~ ~. [ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST, [ ] ROUGH PLB6.~ [ .] FOUNDATION 2ND [ ] .INS..~ATION [ ] FRAMING [P~FINAL · REMARKS: Examined.. '~/5 ...... ' 19 '~' '2''' ^pproved .... ...... 19/.CCPermit Disapproved a/c ...... . ............................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 _ .~ . (~,hilding Inspector) . APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLA;~S .......... SURV£Y ................... CIIECK ....... c^LL ;;; ................ HAIL · J 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 ar areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. ¢. The work covered by this application may not be commenced before issuance of Building Permit. ~/. Upon approval of this application, the Building Inspector will issued a Building Permit to the applinant. Such permit ;hall be kept on the premises available for inspection throughout the work. ~ e. 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 ~uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or %gulations, for the construction of buildings, additions or alterations, or for rem~gval or~d~molition, as herein described.' ?he applicant agrees to comply with all applicable laws, ordinances, bflflding co.~, hgujrf~ code, and regulations, and t9 --- '~' '~~' /'~"~'Z2'. .... /' ' : "~ ............................. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,'amc of owner of premises . .~..6Y~....q:...G..~...~.{ .6' ...¢?..c~..'ff.~.S. ........ ' APPROVED AS NOTED , ,;. ' (as on the tax roll or latest' ~' '~i.~ ~"~ f aplHicant is a corporation signature of duly authorized officer FEE' ~'~Zg.~O BY: " ' Nb~:lFY BUILDING DEPARTI~IENT AT ......................................... ; . . 765-1802 9 AM TO 4, PM .FOR THE · (Name and title of corporate officer) FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED Builder's License No .......................... FOR POURED cONCRETE 2. ROUGH - FRAMING & PLUMBING Plumber's License No ......................... a INSULATION 4. FINAL CONSTRUCTION MUST E cern?mn s License No ....................... 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL. MEET Other Trade's License No ...................... THE REQUIREMENTS OF THE N.Y. ' STATE CONSTRUCTION & ENERGY Location of land on which proposed work will be'done .......... CODES. NOT RESPONSIBLE FOR :~ ............ DESI(,~ OR'CONSTRUCTION ~R'ROR$ }louse Number Street Hamlet ' .... .q. 3 County Tax Map No. 1000 Section ......... Block ................ Lot ................... Subdivision .......................... Filed M N ........... ap o ............... Lot ............ (Name) ' ' · State existing use and occupancy of premises and intended use anti occupancy of proposed construction: a. Existing use and occupancy ............... ~::/464bA..~g-. .~.O~..~. ~? ..... : ,' '!'" ' ..~' .... b Intended use and occupancy ~ . ~:*,,, N i ' 3. ature of work (check which applicable): New Building ...... Addition .......... Alteration .......... Repmr ~.... ........... .. Re oval .............. Demolition .............. Oth~xr Work .............. 4. Estimated Cost .... ~}.~q~P.( ~.~ff.¢.~.,-,. ~.~.,o~te~o'~ ; ............... Fee ...................................... i ~ (to be paid on filing this aPlPlication) 5. If dwelling, number of dwellin units · · · Number of dwelling units on each floor' .-~1..~.-. · If garage, number of cars .... i .................................................. 6. If business,.co.mmercial or mixed occupancy, specif~( natu~re and extent of ea~ch type of use ....... 7. Dimensionsotexistingstructur~s, ifany. Fiont LIS ~7~...o...~. .- ',~ ~.', ~o----c. ~. .. ' ....... He oh* v,~ .. r. ' · · - ..... ~ear .x .... ~-~'... r-~. tJepm ...?,-.';1)... ' ..... ° ' ''"~'~ .......... mumoerofStories ... ',,l .................... ' ..... Dimensions of same structure ~ith alterations or additions: Front ................. Rear Depth .................. ~ · · .. · . · He ght . .. Number of Stories .............. '..~.. 8. Dimensions of entire new construction: Front . ............. Rear ............... Depth ............... Height .. ............ .. Nm~ber of Stories i... " 9. Sizeoflot Front [l~} ........ .~'~i ................................... ~ · ..... { ........... Rear .... [.[.Z., II i Depth . {1~ ~..~..o..e:~...'.~.~ 10. Date of Purchase . ~g..tL~ O"b · ' ........ .. ...... . .................. Name of Former Owner .~*c.,"l)~ . .t.~qR...~ [q:~; ' ' ' 1 I. one or use dmtnct in winch pr?mines are situated .... ..~..I. R ..... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~ .... 13. · ........... Will lot be regraded ........ ~O ........ w:, ...... ~., ..... ' . . . . Name of Contractor ....... 15. Is ch:ts property w5'th±n '~ ................. Address ...... 300 feet o ...... ' .................................... , ~ a czea~ wetland? *Yes ........ /'~ · If yes, Southold To n · . · ....... i w Trustees Permzt may be required. .... ! PLOT DIAGRAM' Locate clearly and distinctly all ibuildings, 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 whett~er interior or corner lot. rATE OF NF~V-M~ORS~'~/// $.~ ........ '~b"'~t~ '/~' ..................... being duly sw6rn, deposes and says that he is the applicant (Name of individual signin~ contract) ,eve named, .IS the ...~..~.~. ~5 5~ ~ (Contractor~%corporate officer, etc ) a~d owner or owners ~d ~s duly a~thorized to perf~ have performed t ~e said work and to m 1 phcatlon: that all ~tatements contained ~ this application are trne to the best of his knowledge and bel~; ~ that the )rk w~l be performed in the manner se]t forth in the applicat on filed therewith· 'om to before me this ~' ~, . ~ ' - . .... , ..... .... Publlo, Stye ~ N~ ~ '