HomeMy WebLinkAbout19994-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20961 Date AUGUST 20, 1992
THIS CERTIFIES that the building ADDITION & ALTERATIONS
Location of Property 1465 SANDY BEACH RD & 245 BAY RD. GREENPORT NY
House No. Street Hamlet
County Tax Map No. 1000 Section 43 Block 4. Lot 42
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 27, 1991 pursuant to which
Building Permit No. 19994-Z dated NLY 1, 1991
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 ADDITIONS & ALTERATION TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to TIMOTHY S. COX
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDTNG - 8/14/92
PLUMBERS CERTIFICATION DATED NjA
_
Building Inspector
Rev. 1/81
FOEM NO. f
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 a 1 9 9 9 4 Z Date 19.91..
Permission is hereby gwnct-ed~to: n
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ro ..1.?k:satt~..Sts.... ...Q~~~~irs.~.•-.~-.~?~.~::°...a-t:1....
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of premises located of ...~..~~.1.3.5:......~ ...........~..A.R~4M.~.......................
County Tax Mop No. 1000 Section ......1:2.'~.~..,.. Blo^^e~~k ........4~..7.....q. Lot No....!~:.~°.~.'..'............
pursuant to application dated ....~.il.!~!:4~,.... ~:.1 19.9.x.., and approved by the
Building Inspector.
Fee 5...~.?~.:..
u ding Inspector
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Rev. 6/30/80
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K,~-• ;11 Form No. 6 ~.~,eti2,~
~ 4 ` ~ ' ~ ~ t,~I TOWN OF SOUTHOLD
tiF~' tip ki'; BUILDING DEPARTMENT
~'~i ~ . AI~G ~IIO I~L ~ ~ j'~ TOWN HALL
i~?~ v b~ 765-1802
Flf.,r}`c'a. iPl`.a'f.
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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 17 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. SubmiC 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 $15.00
Date
few Construction........... Old Or Pre-existing Building..
t
:.ocation of Property:...~??J.~S ................~~/.!-'~.~t.~r~.:...........C..~"12[~Y.~.~~~..
House Nom Street Hamlet VVV .
~nwer or Owners of Property....l~.M4./~//~2J,...,~~~
:......................p.................
'ounty Tax Map No 1000, Section. Q`t~.......Block... p.7'~........Lot..~~,,,,,,,,,,,, ,
ubdivi•sion ....................................Filed Map............Lot........./.............
ermit No ................Date Of Permit ~~!y ...Applicant Q~~~j.~!d .~~'^I~G
ealth Dept. Approval ..........................Underwriters Approval...........,,,,,,,,,,_...
Tanning Board Approval
equcst for: Temporary Certificate........... Final Certicate...........
'e Submitted:
~r c°'' '
' cQ ~~}qG~/ - .APPLICANT
INSPECTORS ~
Victor Lessard ~s~>j(FD(~
Principal Building Inspector Off' Q
Curtis Horton ti`s " F SCOTT L. HARRIS, Supervisor
Senior Building Inspector c=,~ ` ~
~ ~ 9 en,~~ ~;c ~ Southold Town Hall
Thomas Fisher P.O. Box 1179, 53095 Main Road
i i Building Inspector d~''~*s~'~';
;y Southold, New York 11971
Bu Barg ~i~h tar ~O,r ~y$ Fax (516) 765-1823
Vincent R. Wiecsorek Telephone (516) 765-1800
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF SOUTHOLD
MAY 20,°-9992
RICHARD SAETTA G C INC.
4 BOOTLEG ALLEY
GREENPORT, NY 11944
RE: TIMOTHY J. COR
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
RR An application for Certificate of Occupancy is
not on file. (Enclosed)
RR No Underwriters Certificate on fileD'~-~
xx The check is not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 19994-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
CC: TIMOTHY J. COR
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?1c;LD I;:S:`~C:iO:J ~IUni ~ OOMMGNT~
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FOUIIDATION (1st) ~
FOUNDATIOIJ
(2nd) m J~'
2.
z
o W
P,OUGH FRAME & ..C
vj
•PLUMBING L L
ti~
3. ~
a
m
IIJSULATION PER N. Y. y
STATE ENERGY
CODE
x
a
4 . ~ y
FI;JAL ,
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ADDITIOPIAL COMh1ENTS: ~
p x
_ '7p .y
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x
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N C ~ G i CC~U~ C~ L CUB 7"l~~/
(FOA NON++ELECTAIC NEAT DE37CA CAITEAIA 6.000 Degrre Di.pa
O,A. lOoF I,A. 70~!'
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~1~'~ 5 / J l ~ ~ ~~~rl Dk's~~' 1'IrFRrfRt RFMI~RrI s
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(S1rf,~fler Nalle (Opaque)
C7~.fna `96 .
Ds~rn
Cr. fltna/xoef (oaagve) ~ ,~3~ ~.L r
Ek~7la/+te 2.96• .M,.^• 2~__...__
Fl~ar
TwnAatlen Walla _
l~lah 7nanlatlett
' TOTAL°= ' '
N~teet
reilAfnq Ettaelepe SyeteMe to Meet regnirewentn of 781¢:•t
HVAC PgniQxen~h to •~eeet regtiteaetttw' of 7m1y.11
HYAC ttntepn.te seat regt~re~tenta of 7Als,lt., _ _ '
bilCt ~!rNteMM to Netlt rbgY11'eMffnt~ ;ef 785.'.13 ~ ` ~ -
vhntllatienN Syntel~h to-Heel regnireMentn of 7A1$.14
7nm+latlen of PiDina 8ykte.hn to rent requirettentK of 7A1'S,1.5
Service Maler. ueatitta Sretrwe and P,~nipMAnt to Ncet Aeq+ilreMente of 781$.t1
Fleetrical an•t LightlnR S„retor.n and Egnipaent to ¦eet regnlra+nente of 7A15.31
Ts tie befit of Nr KnexleAge~ ,
tk!llef, anal rtei`teni~nal •~~®F~Ewyo
,jMaer~nt~ there rlann are in y.~P~NCe M. rG g'q-
cenrllance with the coAe. Ts~ ~
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ] ROUGH PLBG.
[ J FOUNDATION 2ND [ INSULATION
[~RAMING [ J FINAL
REMARK
ft
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1
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DATE `f L~ Z INSPECTOR
E
765-1802
BUILDING DEPT.
1 NSPECTION
[)FOUNDATION iST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSU ION
FRAMING INAL
[
REMARKS:
K
6
DATE INSPECTOR
i
1
765-1802
UILDING DEPT.
f NSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ FRAMING [ ]FINAL
REMARKS:
DATE ~ v INSPECTOR ~~'_`7/
~ BOARD OF HEALTH
an/)'f'~ 3 SETS OF PLANS- - . G'r~- ~ .
LL~~ FORM NO. 1 SURVEY K~.
TOWN OF SOUTHOLD CHECK • •af3/:7•
BUILDTOWNHALLMENT SEPTIC FORM
1: '
SOUTHOLD, N.Y. 11971 NOTIFY ,~7 ~(e 33 f3J4~°~
8LDC1 DEPT. CALL 7
TOWN OF SOUTNOLD TEL.: 765-1802
MAIL T0: f~a~n....<.~~-~;~
Examined 194,'.
Approved .u~.u..Il.. 199.x. Permit No.~. 9.99
Disapproved a/c ...1
.1.~.~~-?~
(Building Inspector) _
APPLICATION FOR BUILDING PERMIT
Date ,June 27 1991 19...
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 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 inspectors on premises and in building for necessary inspections.
Richard Saetta GC. INC.
(Signature of applicant, or name, if a corporation)
4 Bootleg Alley Greenport 11944
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General contractor
............................(iM.~~.}~.............................................................
Name of owner of premises , , Thimoth~ J Cox
' (as on the tax roll or latest deed)
If applicant ' a corp ation, s' ature of duly authorized officer.
k ~ (N d title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. ...1308.6.. $I . .
Plumber's License No . .
Electrician's License No . .
Other Trade's License No . .
1. Location of land on which proposed work will be done. 13.4.E . B~.a~h. Rd,., ,Gr?.~npox.t
. .
1345 Beach Road Greenport
House Number Street Hamlet
County Tax Map No. 1000 Section ......0.4.3......... Block 44.......... Lot ....42
. . . . .
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 occupancy ....single, family„dwelling,,,,,..
b. Intended use and occupancy ...single family dwelling K ~'~"V
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