HomeMy WebLinkAbout19478-z
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20496 Date JANUARY 23, 1992
THIS CERTIFIES that the building ALTERATIONS
Location of Property 870 INLET LANE GREENPORT N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 43 Block 2 Lot 8
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 22, 1990 pursuant to which
Building Permit No. 19478-Z dated OCTOBER 23, 1990
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 ALTERATIONS TO ATTACHED GARAGE OF EXISTING ONE
FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to FRANCIS CONANT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE. NO. N-220832 - JANUARY 17, 1992
PLUMBERS CERTIFICATION DATED AUG. 2, 1991 - PECONIC PLUMB. & HEAT.
Building Inspector
Rev. 1/81
FORM NO. 8
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(TH'IS"PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N2 19 4 U; Z Date ~a../.. 193
Permission is hereby granted to:
to .
,C... ....w ,
~isKs located at 1./.~rf....... Z.(........./.T.
1..............................................................................
County Tax Map No. 1000 Section Block Lot No...... 6..............
pursuant to application dated .........d..r1 .1.2 . - 19..W, and approved by the
Building Inspector.
Fee $...1~ 00
Bui ng nspeeto~
Rev. 6/30/80
i
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL A.W - 81991
765-1802 jt f d
~
BLOG
TOWN OF
souro-~oLD +
APPLICATION FOR CERTIFICATE OF OCCUPANCY m~"•• --'-..,_,„.P
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the fallowing: 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
Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Al--reM2ToH Date
:7ew Construction...,., pOld Or Pre-existing Building y-/.......~.r.........
Location of Property...... A.~ o..,Lyt4,C / L. py4t.~.........~r~ Qy.7
House No. Street Hamlet
Onwer or Owners of Property... F.r. 2j 5.... Pf C q q o awl J
County Tax Map No 1000, Section.... .~3...... Block Lot..
Subdivision ....................................Filed Ma .....Lot....
Permit No.11 .,~YZ,Date Of Permit. RTa?k.U(1.App1icantV.~49X ? tly,
(tealth Dept. Approval... 1. 14.P .................Underwriters Approval......................
.
Planning Board Approval.. N IA.K i
Request for: Temporary Certificate........... Final Certicate../
Fee Submitted: FJ,..
Qk.c ~3a~a- ~
a • APPLICANT
S~Ff Ot1,'C, TEL. 765-1802
o~p Y•. TOWN OF SOUTHOLD
5i- OFFICE OF BUILDING INSPECTOR firMI
P.O. BOX 728 L L~ LU~I M.%j
TOWN HALL ( , - o ;
SOUTHOLD, N.Y. 11971 41
AUG - 81991
BLDG. [A 10T,
01'- SCWTHOLD
C E R T I F I C A T I O N
Date
-71
Building Permit No.
Owner ryakc;g ~7 OKrx1e~
(please print)
Plumber nt
//~)dI/i;
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
'x~ Jyl~e
yQ 'A sue
(p er's ignature)
Sworn to before me this q/
1 day of
Notary Pub is
Notary Public, County
S?s^,R4iR+2A SYES'NOtNS7Ll
Notary Public, State of Now York
No. 4844752
Qualified in Suffolk County
commiaaion Expires Maamb a®, f 4
,y
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton SCOTT L. HARRIS, Supervisor
Senior Building Inspector r 6,,
r4 Southold Town Hall
Thomas Fisher P.O. Box 1179, 53095 Main Road
Building Inspector Southold New York 11971
Gary Building IrulplCCtor Fax (516) 765-1823
Telephone (516) 765-1800
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF SOUTHOLD
nx I~
JANUARY 3, 1992 J j~v
/f
GEORGE PONTINO
BOX 2
CUTCHOGUE, NY 11935
RE: FRANCIS CONANT
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)
%R% No Underwriters Certificate on file.
The check is (outdated/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 # 19478-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FRANCIS CONANT
Ml`s L SIT `nT\
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tea] \^~~1
4 . I V
FOUNDATION w. (1st)
' c
FOUNDATION (ppd)
2.
ROUGH FRAME & O
PLUMBING
N
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Ifo :w ?P-
3.
m
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y
INSULATION PER N. Y.
STATE ENERGY
CODE
a
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FIIlAL
C
ADDITIONAL COMMENTS: x
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AD /~27-
• x
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
FRAMING [ FINAL
[1
REMARKS:
Gj
DATE ~1/ G INSPECTO
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
REMARKS: Q <
I
DATE Z Z INSPECTOR .41ha
~l V77
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ L]'000H PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ /]-FLAMING [ ] FINAL
REMARKS: iree
DATE d INSPECTOR
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ra [d 3 SETS OF PLANS
r(
..~(.,YFORM NO. I I SURVEY
~ TOWV OF SOUTHOLD CHECK • • • .
~Q BUILDING DEPARTMENT SEPTIC FORM
D Z 21 TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
BLDG. DEPT. TEL.: 765-1802 CALL ! Q
TOWN F S. THO[ D L TO:
Exammcd/p „ba.......... 191*.
Ap roved ."..2.~J......... 1900 . Permit No../5;V7.6?
Disapproved a/c
Buil e I Spector)
APPLICATION FOR BUILDING PERMIT _
Date 199
A
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with')
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 i spections. ;
i'°'"
j o vt
(Signature of applicant, or name, if a corporation)
(Mailing addres~of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
• t L c~ C a'
Name of owner of premises
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALL CONTRACTOR'S MjqT SU$,FQLK COUNTY LICENSED
Builder's License No.
Plumber's License No. ..l . ~ "?b,th,~
Electrician's License No. o, S l 0. tf ~e~Ty t~
Other Trade's License No . . . .
1. Location of land on which proposed work will be done. , , , , , , ,
.
House Numbcr Street Hamlet
County Tax Map No. 1000 Section 14. ~3 Block ,Z Lot f , , , , , _ , , , . ,
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 e-5i deL GPs
b. Intended use and occupancy L fpPul t Z~..~ e 5
3. Nature of work (check which applicable :New Building • • • • • Addition Alteration
Repair Removal emolittion Other Work . • . .
Gralnu . .l. en , .....~D rQ~41 oaµ At1t? 13Gait
4. Estimated Cost Qzdga ale `fl (Descriplion)
Fee a t.'•.. .
.
S. If d (to be paid on filing this application)
welling, number of dwelling u
If garage, number of cars nits Number of dwelling units on each floor........:
6. If business, commercial or mixed ;occupancy, specify natur~ and extent of each t Re of use .
7. Dimensions of ey is ipg structures, if any: Front Rear . , , , Depth
Height Nun) bier of Stories .
Dimensions of same strpcture with alterations or add' tons: Front , , , , , Rear Q/, 6 .Depth Ally Height ......i , Number of Stories . . 0.
S. Dimensions of entire w construction: Front , , , , Rear ~d Depth . 9,tl,~
Height h . Number of Stories
9. Size of lot: Front No Rear'. • , • . )C~. To r. Depth . .
F
' 10. Date
di construction violate re ' ' Name of Former Owner . . • ,
or use district in which premises ices are situated ......(x,8.3 t t~e.y'fa , , , , , , , , , , , , , , , ,
Does or
L
proposed any zoning law, ordinance or regulation: , • Jy(d
3. Will lot be regraded
4. Name of Owner of, remises rY Will excess fill be removed from premises; Yes No
P I • na • •~6t1a7vtT Address r€?y ~PY T...... Phone No. .
Name of Architect , Address . Y . Phone No.
Name of Contractor Gr9nor ,e ...cstn vt
i p, , , • , Address . 0
tl o~tor~c ? hone No.
5. is this property located within 300 feet of a tidal wetland? *Yes No
*If yes, Southold Town Trus(:ees Permit may be re uired.
PLOT DIAGIYAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
•roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
.1terior or corner lot.
M L-I'I`I" G-axe - -
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rATE OF NEW YORE, S .S
0UI'TY OF
being duly sworn, deposes and says that he is the applicant
(\amc of individual signing contract)
)
ovc named.
is the...
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed tlhe said work and to make and file this
plication: that all statements contained in this application are true to the best of his knowledge and belief; and that the
irk will be performed in the manner s¢t forth in the application filed therewith.
turn to before me this
I
v2 ........day of ..i.~ 19 ~a
tar}' Public, 4~~ l/..~~. 1~... County
HELEN DEVOE / l
NOTARY PUBLIC, of New Will s ' '
No. 4707878,Su0olkCou (Signature of applicant)
Term Expires March 30,19 =dC
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FlJUTASNPLUMBER CERTIFICATION
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v R+~ LEAD CERTIFICATE OF OCCUPANCY s ~
SOLDER USED IN WATER ~ ~P ROV oB, NOTED
SUPPLY SYSTEM CANNOT DAT : g R N q]P
EXCEED 2110 oft%LEAD. NaTIFV RUIL G DEPART A E = p . 0322 250-1 V `14
765-1802 9 AM TO 4 PM R THE
FOLLOWING INSPECTIONS: 9p#ESS10N~~'
i 1 1. FOUNDATION - TWOREQUIRED
if aappor tubing is used FOR POURED CONCRETE
for water distributing 2 ROUGH - FRAMING & PLUMBING
r system: piping shall be s INSULATION
of types K or Lon OCCUPANCY OR BE COMPLETE FOR C.O.iON MUST kRD SAETTAJNC. CAN AN r
ALL CONSTRUCTION SHALL MEET T RICHARD SA
USE IS UNLAWFUL STHE REQUIREMENTS OF TATE CONSTRUCTION & T ENERGY
iDeggns OE~iI~M $7a I NL T LAS EX T.
WITHOUT CER 6 FICA 1 E r F i3 NOT RESPONSIBLE FOR i DG47 D411;N OR CONSTRUCTION ERRORS Oeate' gtvrs{n .Wb 71~ 7 '4 B•iSollog Alley
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v SOLDER USED IN WATER AP ROV O AS NDTE~pI~~ J f~ v q ~ .rr
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EXCEED 2110 of I% LEAD. OTIF- BIUIL G DEPART A
768-1802 9 AM TO 4 PM R THE FOLLOWING INSPECTIONS: Oflolo~V~
1, FOUNDATION - TWO REQUIRED
H 00{pet tubing Is used FOR POURED CONCRETE P ,~4 Pl
for wetw distributing 2, ROUGH - FRAMING & PLUMBING
system piping shell be 3. INSULATION k f
of typos &Z! on OCCUPANCY OR BE COMPLETE FOR C.O.ION MUST
kRD SAETTA,INC. Q0NANT
((\~1+f ALL. CONSTRUCTION SHALL MEET " SA USE IS UNLAWFUL THE REQUIREMENTS OF THE N.Y. Q
Ws,
CERTIFICATE STATE CONSTRUCTION & ENERGY Irj 1 WITHOUT )FSIr N OR CONSTRUCTION ERRORS PI,
OF OCCUPANCY ' e r eenpo
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system; piping shalt be REQOIle Z
of types K or L only \ OF NEW y
PLUMBER CERTIFICATION NCE M.
ON LEAD CONTENT BEFORE 4 1
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CERTIFICATE OF OCCUPANCY Aa ROy AS NOTED
SOLDER USED IN WATER DAl E:I_~ a ~B.P # 1-7 0322511
BY: SUPPLY SYSTEM CANNOT NOTIFM Boo ING D
EPARTM EXCEED 2110 of 1 /V LEAD. 785-1802 9 AM TO 4 PM F R THE p9pFES910N~'~ ..,a _
FOLLOWING INSPECTIONS.
1. FOUNDATION - TWO REQUIRED
CCUI~DAN/~ ~/Y OR O - FD CONCRETE 2. ROUGH UGH -FRAMING & PLUMBING
3. INSULATION _ FINAL - USE 6S UNLAWFUL 4 BE COMPLETE FOR C.O.ION MUST RICHARDppS 3AE
tD SAETTA,INC. CONANT
A LL CONSTRUCTION SHALL MEET DfrSlg.
THE REQUIREMENTS OF KY. WITHOUT CERTIFICATE STATE CONSTRUCTION BTENERGY Designs 770 INLET LANE EXT.
CODES, NOr RESPONSIBLE FOR ; OF OCCUPANCY DESIGN OR CONSTRUCTION ERRORS 4 Bootleg i 4IIootleg Alley SCAU I ~Fmeo °,.w~°~
Greenport, New sport, New York 11944 "
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KuMM~b PLUMBER CERTIFICATION lw ~E OF NEW
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ERn+a CERT~ CATE OF OCCUPANCY
v SOLDER USED IN WATER AP ROV O AS NDTE~pI~~ J f~ v q ~ .rr
, pry. J r w i I
SUPPLY SYSTEM CANNOT oar' B.P. M L- VopgOOER5P8g41
EXCEED 2110 of I% LEAD. OTIF- BIUIL G DEPART A
768-1802 9 AM TO 4 PM R THE FOLLOWING INSPECTIONS: Oflolo~V~
1, FOUNDATION - TWO REQUIRED
H 00{pet tubing Is used FOR POURED CONCRETE P ,~4 Pl
for wetw distributing 2, ROUGH - FRAMING & PLUMBING
system piping shell be 3. INSULATION k f
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kRD SAETTA,INC. Q0NANT
((\~1+f ALL. CONSTRUCTION SHALL MEET " SA USE IS UNLAWFUL THE REQUIREMENTS OF THE N.Y. Q
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CERTIFICATE STATE CONSTRUCTION & ENERGY Irj 1 WITHOUT )FSIr N OR CONSTRUCTION ERRORS PI,
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PLUMBER CERTIFICATION NCE M.
ON LEAD CONTENT BEFORE 4 1
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CERTIFICATE OF OCCUPANCY Aa ROy AS NOTED
SOLDER USED IN WATER DAl E:I_~ a ~B.P # 1-7 0322511
BY: SUPPLY SYSTEM CANNOT NOTIFM Boo ING D
EPARTM EXCEED 2110 of 1 /V LEAD. 785-1802 9 AM TO 4 PM F R THE p9pFES910N~'~ ..,a _
FOLLOWING INSPECTIONS.
1. FOUNDATION - TWO REQUIRED
CCUI~DAN/~ ~/Y OR O - FD CONCRETE 2. ROUGH UGH -FRAMING & PLUMBING
3. INSULATION _ FINAL - USE 6S UNLAWFUL 4 BE COMPLETE FOR C.O.ION MUST RICHARDppS 3AE
tD SAETTA,INC. CONANT
A LL CONSTRUCTION SHALL MEET DfrSlg.
THE REQUIREMENTS OF KY. WITHOUT CERTIFICATE STATE CONSTRUCTION BTENERGY Designs 770 INLET LANE EXT.
CODES, NOr RESPONSIBLE FOR ; OF OCCUPANCY DESIGN OR CONSTRUCTION ERRORS 4 Bootleg i 4IIootleg Alley SCAU I ~Fmeo °,.w~°~
Greenport, New sport, New York 11944 "
si (516)477 (516) 477-1633 wq.